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Nursing Care of High Flow Oxygen Therapy Patients
Poláčková, Jitka ; Klokočková, Šárka (advisor) ; Hromádková, Jaroslava (referee)
The objective of the bachelor's thesis is to describe the nursing care and its specifics in patients receiving high flow oxygen therapy (HFNO). The theoretical section of the thesis focuses on the general oxygen therapy and explores its application options and usage principles. This section discusses indications and contraindications of the oxygen therapy and its basic types. Specifically, it focuses on the high flow oxygen therapy, including its mechanism or therapeutical advantages and disadvantages. Moreover, it discusses the indications and contraindications of the high flow nasal oxygen treatment (HFNO) and describes the conditions in which patients received oxygen therapy using the high flow nasal oxygen device. The final part of the theoretical section deals with the most prevalent shared symptom, its diagnostics and treatment. The practical section of the thesis presents several case studies, using specific data relevant to each case. As a result, nursing anamneses and nursing diagnoses were formulated. The practical section explores the nursing care for patients on HFNO and the care specifics in patients receiving the high flow nasal oxygen therapy. The assessment of oxygen therapy provided by the AIRVO 2 device revealed that patients experienced lower levels of subjective feelings of...
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Nursing care of a patient with an inserted Midline catheter and mini-midline - nurses' awareness
Dau, Tra My ; Hromádková, Jaroslava (advisor) ; Tomová, Šárka (referee)
Aim: The aim of this bachelor's thesis is to analyze and explore the nurses' knowledge of the nursing care of the pediatric patient with an inserted Midline and mini-midline catheter. Through a questionnaire survey to find out the level of nurse's knowledge regarding Midline and mini-midline catheters and their nursing practices. The theoretical section discusses midline venous access and its classifications, specifically Midline, mini-Midline and PICC catheters including their indications, contraindications, insertion procedures, complications and extractions. It also discusses the nursing care of these midline venous accesses. The last section concludes with the PICC team, nurse competencies, and certified courses. Methods: The empirical part of the thesis includes data collected through a self-constructed questionnaire survey. The data obtained are presented in sectional diagrams and summary tables. They are then processed using Chi-squared test and then compared with the hypotheses focusing on age, length of experience and completion of specialty education. The questionnaires were distributed in printed form to nurses working in paediatric inpatient wards at the University Hospital in Motol and the University Hospital Lochotín. A total of 100 questionnaires were distributed, of which a total of...
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Acute postoperative complications in surgical intensive care units
HLOBILKOVÁ, Magda
The master's thesis addresses the issue of acute postoperative complications in the conditions of surgical intensive care units from the perspective of a nurse. The thesis consists of theoretical and empirical sections. The theoretical section focuses on the issues of surgery, intensive care units, and acute postoperative complications. The empirical section includes the research's objectives, methodology, and results. Three objectives were set to elaborate on the master's thesis. First objective: To determine the relationship between the length of practice, the highest level of education attained, and nurses'orientation on the issue of acute postoperative complications. Second objective: To determine nurses' interest in education regarding acute postoperative complications. Third objective : To map the most common acute postoperative complications in surgical intensive care units. The research part of the master's thesis is addressed through a combined research approach involving nurses from surgical intensive care units with different lengths of practice and the highest levels of education attained. The research was conducted in four South Moravian and Zlín hospitals. The quantitative part of the research was carried out through non-standardized questionnaire surveys. The research sample consisted of 138 respondents. The qualitative part was conducted through semi-structured interviews with 10 nurses. Several conclusions can be drawn from the research that was conducted. A statistically significant relationship was observed between nurses' orientation on the issue of acute postoperative complications, length of practice, and the highest level of education attained. With increasing length of practice, nurses' orientation also increases, as does the level of highest education attained. Participating nurses show interest in education on the issue, which the employer does not sufficiently compensate. The most common acute postoperative complications in surgical intensive care units, from the nurses' perspective, are pain and acute bleeding. The output of the diploma thesis is a proposal for the content of a seminar to increase nurses'orientation in specific acute postoperative complications.
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The issue of permanent urinary catheter exchange in men - outpatient care vs. home health care
CAHOVÁ, Veronika
This bachelor's thesis addresses the issue of exchanging a permanent urinary catheter in men - outpatient care vs. home health care. The theoretical part of this work focuses on the catheterization process, proper nursing care of the urinary catheter, and also mentions the most common complications arising from catheter insertion. A significant portion also focuses on home care and education. The objective was to map the exchange of the permanent urinary catheter and to identify differences in the exchange process between a urological clinic and home care, and lastly, to compare patient experiences with both forms of exchange. A qualitative research method was used, employing semi-structured interviews. Four nurses from home care and four from a urological clinic were interviewed, as well as four patients from home care and four from the urological clinic. Three objectives were set, each associated with one research question. The research questions investigated specifics in catheter exchange and nursing care for the urinary catheter both in the urological clinic and in home care. The last research question examined the roles of nurses in this procedure. The research results show a difference in the thoroughness of nurses. Nurses from the urological clinic do not adhere to the proper guidelines during catheterization of the bladder. Patient education occurs in both the urological clinic and home care, but nurses from home care educate patients better and more frequently than nurses from urology. Education should focus more on catheter movement to prevent complications. Patients are satisfied with both forms of exchange, but it is clear that home care is not only more advantageous for the patients but also easier for hospitals. The output of the work is a basis for improving deficiencies in performance, but can also serve as motivation for expanding collaboration between hospitals and home care.
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Porody u skotu
Podubníčková, Klára
Bachelor´s thesis deals with cattle parturition. It defines what is physiological parturition, describes different stages of calving, the signs of upcoming parturition, positions of the fetus, assistance of a breeder or veterinarian during parturition, the most common complications that happen during parturition and also defines the main cost items associated with the birth of a calf. The practical part of this thesis is based on a dataset of births from Holstein cattle breeding in the School Farm Žabčice in the period from 1. 12. 2021 to 1. 12. 2022. These data include the date of each birth, the sex of the calf born, the process of the birth and if it was a cow or heifer birth. A total of 566 births were recorded in period during data recording. There were 597 calves born overall. In 55 % of the births, heifers were born and 45 % of the births were bulls. In 89 % of cases there were easy births, 7 % were more difficult births and 4 % were very complicated births. In general, cows gave birth more easily than heifers. In conclusion, some recommendations for the breeding practice of the selected farm are given.
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Awareness of children from selected schools about Crohn's disease
Mejstříková, Anna ; Hanušová, Jaroslava (advisor) ; Váchová, Alena (referee)
In my bachlors thesis I decided to focus on Crohn's disease. In the theoretical part, I dealt with the basic information about the disease, in which I tried to summarize the important information. For example, I focus on etiology, clinical picture, treatment and quality of life of patients. Then, in the practical part, I discuss the knowledge of children. These knowledge was collected by an anonymous survey using questionnaires. The questionnaires were distributed among the sixth, seventh, eighth and ninth grades in the primary school in Uhlířské Janovice and in the Gymnasium in Kolín. My aim was to find out whether the children were informed about the disease and if so, to what extent. For a better overview I chose two sub-objectives and one main objective. In the first sub-objective, I concentrate on basic information about Crohn's disease and supposted that less than 50% of the children would not be aware of the existence of Crohn's disease at all. This assumption held true. Only 62 children (31.3%) had heard of the disease. In the second sub-objective, I focused on knowledge. Here, I assumed that children from the grammar school would be more aaware of Crohn's disease than children from the primary school. This assumption was not fulfilled. The primary school children has an overall success...
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Taking Care of Prostatectomy Patients Making Use of the Callisty Roy Nursing Programme
KRAMÁŘOVÁ, Iva
This diploma thesis deals with nursing care for prostatectomy patients using Callista Roy´s nursing programme. The situation, after prostate surgery, is a new life experience for men, that takes adaptation. Callista Roy, the author of Adaptation Model, was dealing with patient adaptation. The diploma thesis has set three aims. The first aim was to find out what interventions are used by nurses to support patient adaptation after prostatectomy in individual Callista Roy´s adaptation models. The second aim was to find out what stimuli nurses observe while providing prostatetomy patients with nursing care, and the third aim was to find out what problems prostatectomy patients face in individual adaptation modes. Three research questions were determined for these three aims. The diploma thesis contains two research files. The first research file are Urological Intensive Care Unit nurses and the other one are patients hospitalized at the Urological Standard Unit. Data was collected using qualitative research, methodology of questionnaires, interviewing technnique in prostatectomy patients at a hospital facility and nurses taking care of these patients. The survey is made complete by participant observation. The survey was carried out in February and March 2023. Nurse interview results have proven that nurses apply elements of the adaptation physiological mode when providing prostatectomy patients with nursing care. Patient interview results have proven they do not observe any problem in adapting to hospital environment nor in adapting to the state after having their prostate removed. The patient interview results have implicitly proven that they downplay the problems, and they would appreciate some help supporting their adaptation. The results of this diploma thesis may serve as a study material for healthcare field students. The diploma thesis may serve as inspiration for nurses supporting patient adaptation to carried-out prostatectomy.
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Midwife Care for Woman with Endometriosis
DVOŘÁKOVÁ, Nikola
This bachelor thesis deals with the topic of midwife care for a woman with endometriosis. The thesis is divided into theoretical and practical part. The theoretical part is mainly focused on the endometriosis disease. The theoretical part describes the definition of endometriosis, its causes, diagnosis, manifestations, treatment options and midwife care. For the practical part, two objectives were chosen. The first aim was to find out how women with endometriosis perceive midwife care. The second aim of the thesis was in turn to find out how midwives perceive the whole issue of this disease. The bachelor thesis had three research questions. The first research question focused on how women with endometriosis perceive midwives' care. The second research question explored how the lifestyle of women with the condition has changed. The third research question looked at how midwives perceived the issue of endometriosis. The aforementioned objectives were achieved through a qualitative research investigation in the form of semi-structured anonymous interviews. Data collection for the research inquiry took place from January to March 2023. In the practical part, two research sets were chosen. The first research set consisted of six midwives who encountered women who had been diagnosed with endometriosis during their practice. To preserve their anonymity, the midwives were referred to as PA1 to PA6. The second research group consisted of eight women with endometriosis who were referred to as Ž1 to Ž8 in the thesis. The data collected was transcribed and then further analyzed using text coloring. Main categories and sub-categories were established for data analysis, these are further described in the research section of the thesis. The first research set consists of two main categories and four subcategories. Two main categories and six subcategories were obtained from the informants' statements of the second research set.
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Prevention of Postoperative Complications in Women after Caesarean Section
MUNKOVÁ, Eliška
The bachelor thesis deals with the prevention of postoperative complications in women after caesarean section. The thesis was divided into theoretical and practical parts. The theoretical part of the bachelor thesis explains the problems of caesarean section and its definition, history, indications, surgical techniques and types of anaesthesia that could be used during this operation. Last but not least, the thesis focuses on possible postoperative complications associated with caesarean section and on preventive steps for postoperative complications. At the same time, the theoretical part deals with the care provided by the midwife to the woman before, during and after the procedure. The aim of the qualitative research part was to find out what is the prevention of post-operative complications in a woman after caesarean section. One research question was set and that was: what care midwives provide to women after caesarean section in the prevention of post-operative complications. The data collection was done during the month of February and March 2023. Two research sets were set. The first research set was midwives working in the six-week care unit, providing care to women after caesarean section. The second research set was women who had a history of but-at least one caesarean section. Midwives PA1-PA9 and women I1-I8 agreed to provide a semi-structured interview. In the semi-structured interview, midwives were asked a total of 10 questions regarding the preventive measures they provide to women in their post-operative care. Women were asked 15 questions and were asked about their experiences of the post-operative care provided. After the interviews were transcribed verbatim, they were analysed by colouring the text. The midwives' and women's responses were coded and the main categories and their sub-categories emerged from the data analysis. The categories of midwives' data were titled: Care of the woman after SC and Postoperative complications. The women's data categories were called: Pre-operative phase, Post-operative phase, and Care provided. The research findings revealed that midwives working in the six-week care unit care for the woman after surgery by monitoring her health status to prevent postoperative complications along with education. As part of their continuing education, they regularly attend seminars on the prevention of post-operative complications and the care to be given to women after a caesarean section. This bachelor thesis could provide midwifery students with inspiration to improve the quality of care provided to the woman. Despite the significant positives of the results obtained, the research part also revealed shortcomings in the care provided after caesarean section. The shortcomings were mainly found in ineffective communication between the midwife and the woman, as well as inadequate education.
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The view of girls and boys on the issue of abortion
FRNKOVÁ, Aneta
The present Bachelor's thesis focuses on analysing the views of secondary school students on the issue of abortion. The Bachelor's thesis consists of a theoretical and a practical part. The theoretical part discusses the pregnancy, its occurrence, and how to deal with an unwanted pregnancy. Furthermore, it addresses the characteristics of abortion, reasons for abortion, its history, methods applied, and possible complications. Among other things, it explains the importance of preventing unwanted pregnancy and the midwives' assistance with this issue. The practical part of the Bachelor's thesis focused on two objectives. The first one was to determine the level of knowledge and opinions of girls and boys on the issue of abortion. The second objective was to investigate the knowledge and opinions of girls and boys on abortion prevention. Initially, four hypotheses were set in the thesis. The first hypothesis sought to establish whether students aged 18-19 know more about abortion than those aged 15-17. This hypothesis was rejected. The second hypothesis was to determine if secondary medical school students have more profound knowledge about the possible complications of abortion than other secondary school students. The second hypothesis was also rejected. The third hypothesis investigated whether abortion was perceived as a harmless method more by boys than girls. This hypothesis was also rejected. The last hypothesis examined whether or not girls are more likely than boys to protect themselves from unwanted pregnancy. This hypothesis was also rejected. Data for the quantitative research survey was collected using a non-standardised questionnaire. The data was processed the graphical and tabular evaluation was performed using Microsoft Excel and SPSS. The cohort comprised 196 respondents; 135 women and 61 men completed the questionnaire. The respondents included secondary school students aged 15-19 years. Consecutively, the questionnaire was electronically processed in Microsoft Forms and shared on Facebook. The most numerous group of respondents were students at the age of 19 years.
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