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Postoperative nursing care in patients after minor urological procedures
VÁVROVÁ, Eliška
The diploma thesis deals with postoperative nursing care in patients after minor urological procedures. The thesis is divided into a theoretical and a practical part. The theoretical part presents the importance of urology, endoscopy in urology, the nursing process in postoperative care after small urological procedures and teamwork as an integral part of the urology department. The practical part of the thesis was carried out by qualitative research, the technique of participant observation of nurses and the technique of data collection of semi-structured interview with patients. Six nurses working in the urology department participated in the participant observation. The interview was conducted with six patients after a small urological procedure until the theoretical sample was completely saturated. The analysis and processing of the data was carried out using the open coding method, using the "pen and paper" technique. Subsequently, the obtained codes were processed into individual categories and subcategories.Three goals were set in the diploma thesis. The first objective was to find out what is the role of the nurse in postoperative care in patients after minor urological procedures. Then to map the specifics of postoperative nursing care in patients after minor urological procedures. The third objective was to find out how patients perceive the care of nurses after minor urological procedures. The analysis of the data of the research showed that the role of nurses is an integral part of the provision of postoperative care after minor urological procedures. Their individual approach, expertise and empathy play a significant role in the postoperative recovery of patients. Improving communication between the nurse and the patient is also an important factor. The results suggest that patient susceptibility to minor urological procedures is associated with interpersonal skills and the ability to provide quality care, which significantly affects overall patient satisfaction.
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Nurse management of patients with visual impairment during admission and hospitalization
PRÁŠILOVÁ, Renáta
The present thesis focuses on managing the work of nurses caring for patients with visual impairment. Visually challenged patients constitute a particular group of patients with needs and demands different from those of sighted patients due to their visual impairment. The research aimed to investigate the experiences and knowledge of nurses providing care to patients with visual impairment and to identify the most frequent challenges and barriers that arise when delivering care. The empirical part of the thesis used qualitative research methods. Data was gathered using semi-structured interviews. Even though the research results cannot be generalised as they are specific to the research population, they revealed many very serious difficulties that nurses and patients have to deal with daily. The research also highlighted the underlying causes of these difficulties. Nurses have limited experience in treating patients with visual impairment. The lack of training programmes for this specific group of patients means that nurses do not know how to approach and communicate with them appropriately. The results of the present thesis may inspire the management of healthcare providers responsible for providing a safe environment for patients with visual impairments. The research results indicate a general deficiency in training programmes focusing on the care of the visually impaired.
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Sarcopenia screening at hospitalized patients on standard hospital ward
VÁCLAVÍKOVÁ, Monika
This thesis aims to map nurses' knowledge of sarcopenia and describe the current utilization of screening tools for its identification in practice. Two research questions were formulated: "What knowledge do nurses possess regarding sarcopenia?" and "What screening methods do nurses employ?" Furthermore, two hypotheses were formulated: H1: Nurses' knowledge in the field of sarcopenia varies depending on the department they work in. H2: Nurses' knowledge in the field of sarcopenia varies depending on the length of their practice. Additional hypotheses were formulated during the data analysis, allowing for a better understanding of the research issue. The empirical part of the thesis combined a mixed research strategy using semi- structured interviews and non-standardized questionnaires. Five nurses and one physician participated in the qualitative survey, while 179 nurses from various departments were involved in the quantitative research. The results showed insufficient knowledge of nurses about sarcopenia, which was confirmed in both qualitative and quantitative surveys. Minimal utilization of sarcopenia assessment tools in practice was also identified. Statistical analysis confirmed relationships between nurses' knowledge and their attitudes toward assessment tools, as well as between length of practice and preference for clinical observation over assessment tools. Age of respondents was found to correlate with reactions to assessment tool results. Representation of assessment tools used was consistent across all departments. The research survey results revealed weaknesses in nurses' knowledge and insufficient utilization of sarcopenia screening methods in practice. Based on the research findings, it is evident that improving nurses' knowledge in the field of sarcopenia, especially in departments with a high prevalence of patients suffering from this condition, is necessary. It is also important to train healthcare professionals and ensure that screening methods are actively implemented in practice.
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Therapeutic communication in the nurse´s work
VLKOVÁ, Blanka
Theoretical basis: This diploma thesis describes therapeutic communication in practice and the important elements associated with it. Next, we will describe the most common and individual techniques of therapeutic communication and outline the issue of barriers in therapeutic communication. Goals of the thesis: The diploma thesis sets two goals: Mapping application of therapeutic communication in clinical practice from the nurses´point of view and mapping the barriers in the application of therapeutic communication with the patient from the nurses´point of view. Depending on these goals, two research questions were chosen: "What techniques of therapeutic communication are applied by nurses in clinical practice?" and "What barriers do nurses perceive when applying therapeutic communication in clinical practice?" Methodology: In the empirical part of this diploma thesis, the method of qualitative research was chosen. The interview method was chosen and semi-structured interviews with nurses were chosen as the data collection technique. The data was analysed using Atlas.ti, (2024), in which 4 main categories and 15 subcategories were created. The research group consisted of a total of 21 nurses at selected workplaces in internal medicine and surgery. Results: After a thorough analysis of the interviews, it was found that the techniques most often used by nurses in practice are empathy, building trust and the use of motivational interviewing. Furthermore, it was also found that of the mentioned barriers, the most common obstacle in therapeutic communication is the lack of time, the patient's mood and behaviour, and the language barrier. Conclusion: This thesis expands the overview of the use of individual techniques of therapeutic communication and provides an insight into the barriers of therapeutic communication perceived by nurses. At the same time, it also provides useful information that could form the basis for creating a seminar within the lifelong education of nurses. As part of the diploma thesis, an example scenario was created that could serve as a basis for simulation teaching of nursing students.
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Nursing care for patients after varicose vein surgery.
ZAJÍCOVÁ, Eva
The bachelor's thesis deals with the issue of diseases of the lower limbs and focuses on nursing care of patients after varicose vein surgery. It tries to evaluate the awareness of patients who have undergone surgical removal of varicose veins, about postoperative regimen measures and describes post-procedure care. The theoretical part consists of the anatomy and physiology of the veins of the lower limbs. It continues with the characteristics of chronic venous insufficiency, which is followed by the main topic, varicose veins of the lower limbs. Etiology, symptoms, risk factors, and diagnosis are discussed here. The work presents treatment options, preoperative and postoperative care In the research part, we focused mainly on postoperative care in patients after varicose vein surgery, where we tried to evaluate the patient's awareness of postoperative regimen. Then, after assessing the sawareness, we tried to describe the spefifics of nursing care in these patients. Aim of the study: to evaluate the awareness of patients after varicose vein surgery and to describe the specifics of nursing care. The research was conducted using a semi-structured interview. Twelve nurses from three surgical departments of different hospitals participated in the data collection. In the conclusion, the specifics of nursing care are presented and the patients' awareness of postoperative measures is evaluated. The results show that the specifics of care and education are individual and depend on the range of performance, condition and age of the patient. In selected hospitals, different procedures were found in the care of patients after these operations.
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Nurses' approach to patients with dementia in general hospital wards
VAN HORIK, Nina
This bachelor thesis focuses on the approach of nurses to patients with dementia in standard wards. The thesis consists of a theoretical and an empirical part. The theoretical part contains the definition of the term dementia, distionction of individual types and stages, distinction of symptoms, pharmacologic and non-pharmacologic therapy. Furthermore, it deals with communication and attitudes towards patients with dementia and problematic behaviour stemming from the disease. In the empirical part of the thesis, the aim was to identify general nurses' approaches to patients with dementia, the factors that may influence their approach, and then compare approaches of nurses with each other. A quantative method using a non-standardised questionnaire was chosen to conduct the research. The questionnaire was used to examine the approach of nurses to patients with dementia and to their awareness of specific and modern methods used in the care of patients with dementia. The responses of respondents from four types of standard wards were then statistically analysed. The results show that neither the length of practice nor the highest educational attainment affects the approach of nurses to patients with dementia, on the contrary, what affects their approach is the type of ward. It was also found that the use of modern methods does not depend on the education of the nurses, but again on the type of ward. The results of the investigation highlight the divergent approaches of nurses to patients with dementia and what factors may influence the approach. The result of the thesis can be used to develop a seminar to inform about modern methods in the care of patients with dementia and how to communicate and treat the patients.
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Visiting field service - part of nursing practice in a general practitioner's clinic
SŮVOVÁ, Nikola
This bachelor thesis deals with the visiting field service as part of the work of a nurse in an adult general practitioner's office. The visiting field service is relevant for elderly patients, patients with chronic diseases, disabled patients or patients in recovery. It carries with it a host of benefits, keeping the family together, keeping the patient in a home-like environment, providing infusion therapy, and performing wound dressings. The visiting field service provided by a nurse from an adult general practitioner's office is quicker than home care, the nurse communicates directly with the physician who assigns the appointments. The aim of this thesis is to determine the awareness of patients from adult general practitioners' offices of the possibility of using a visiting field service by a nurse in the home setting. And to find out the benefits of a visiting nurse outreach service and the perceptions of patients from adult general practitioners' offices. In this bachelor thesis, quantitative research is used, interview method is used and self-administered questionnaire is used as a technique. The research findings show that there is little awareness of the visiting outreach service. However, patients who have used the visiting field service evaluate it positively and perceive it as beneficial to their health condition. The practical output of this thesis is an information leaflet to raise patient awareness of the outreach service and to encourage patients to enquire about the service with their general practitioner.
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Nursing care of patient with liver cirrhosis
MATIÁŠOVÁ, Michaela
Abstract This bachelor thesis is focused of nursing care about patient with liver cirrhosis and problematics. Liver cirrhosis is disease characterized by nodular transformation of liver which prevalence is increasing By this disease is nursing care focused on pacient´s needs, importatnt is also the education of the patient about regime measures. The aim of this bachelor thesis was to find out what are the specifics of nursing care of a patient with liver cirrhosis. The practical part was processed by using a qualitative research survey. The first research group consisted eight nurses working on gastroenterology department. The second research group consisted seven patients with diagnosed liver cirrhosis. The semistructured interview became the technique of data collection. The results of the research show that the nurses don´t adequately assess the risk of malnutrition. Further we found out, patient aren´t sufficiently informed about potential compliacations of liver cirrhosis. The results also showed us that nurses have good knowledge about liver cirrhosis and they haven´t deficiences in nursing care. Patients were satisfied with nursing care during their hospitalization. Some patients, even they were properly educated about regime measures, were unable to change their lifestyle, so they had to be admitted in hospital again. Based on the results, was designed an information brochure. It can be used as a study material for students or can be used in practise for nurses and patients.
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The importance of basal stimulation in patient care in the Department of Anaesthesiology and Resuscitation
MARKOVÁ, Aneta
The bachelor thesis includes the use of the concept of basal stimulation at the Anesthesiology and resuscitation ward and the specifics of nursing care of the patient in this ward. It deals with the application of the concept of basal stimulation in the Department of Anaesthesiology and Resuscitation. The concept of basal stimulation was developed by educator Andreas Fröhlich in the 20th century during his research project as a doctoral student. He proved that the most important thing is the stimulation of the so-called basal senses. This concept serves to support human perception and communication. It is based on scientific knowledge of the neurophysiological development of the child. The concept was first applied in the care of children with severe congenital disabilities. It is now being applied in palliative and intensive care, social services and psychiatric nursing. The aim of this study is to find out what elements of basal Stimulation are used in different hospitals in the ARO in the nursing care of the patient. For the research investigation, the ARO at the Pelhřimov Hospital and the České Budějovice Hospital were selected. For the practical part, two research questions were set. The first one describes the importance of basal stimulation in patient care in ARO and the second question deals with the applied elements of BS in Hospital Pelhřimov and Hospital České Budějovice. According to the data analysis, two categories and seven subcategories were created. From the research survey it was found that all respondents perceived the importance of basal stimulation applied in ARO very positively, and they try to apply this concept in their nursing care of patients. In the research investigation, it was found that the respondents agree on most of the applied elements and the most used element is the initiating touch.
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Patient awareness before coronarography
KVAČKOVÁ, Michaela
This bachelor's thesis dealt with informing patients before coronary angiography. Cardiovascular diseases are one of the major problems of today's population. An examination method called coronary angiography is used to quickly and effectively evaluate the condition of the coronary arteries. It is an invasive method thanks to which we can image the coronary arteries of the heart and find places that are narrowed or closed. The thesis was focused on informing patients who were to undergo this procedure. The aim of this bachelor's thesis was to map the awareness of patients before coronary angiography. To find out how the information was conveyed and what effect it had on the patient's sense of security. In the theoretical part, there is an overview of the obtained information about coronary angiography examination. Coronary artery disease is discussed here, followed by a chapter on coronary angiography itself and nursing care. The last two chapters of the thesis deal with education from the nurse's point of view and patient awareness with subsequent informed consent. The research of my bachelor's thesis was processed using a qualitative method with semi-structured interview. The interview consisted of twenty questions. The research sample consisted of patients who were admitted for coronary angiography. The data that was obtained was further processed using coding and the "pencil and paper" method.The resulting investigation revealed that patients are sufficiently informed about coronary angiography. The delivery of information by the doctor or nurse to the patients was effective. Patients were well informed about coronary angiography and their sense of security increased.
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