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Nursing care of a patient after pulmonary lobectomy in an intensive care bed
VAŇKOVÁ, Veronika
This bachelor's thesis focuses on nursing care for patienst after pulmonary lobectomy in the intensive care unit. Pulmonary lobectomy is a surgical procedure involving the removal of a lung lobe, most commonly due to lung cancer. The aim of this thesis was to identify the specific aspects of care for patients after pulmonary lobectomy, emphasize the importance of care for chest drains provided by educated nurses, and explore the significance of rehabilitation during recovery. The research was conducted using qualitative methods through interviews in the departments of cardiac surgery, thoracic surgery, and vascular surgery. The research sample consisted of seven patients hospitalized in these departments and four doctors. The results of the research indicated that nurses responsible for the care of chest drains are well-trained, which contributes to a low incidence of complications associated with these drains. It was also found that early rehabilitation is crucial for successful recovery, as delayed rehabilitation can lead to numerous complications that limit patients' everyday activities. The study also examined the specifics of care for patients after pulmonary lobectomy, which in many aspects do not differ from care after other thoracic surgeries. The findings of this work confirm that patients after pulmonary lobectomy receive quality care from professionally trained staff. These insights can be used to educate new nurses and inform patients who are undergoing this procedure.
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Differences in the sedentary way of teaching among pupils of younger school age
MYSLÍKOVÁ, Hana
This bachelor´s thesis focuses on young school-aged children and examines their needs, primarily those related to physical activity. It also addresses the developmental specifics of cognitive processes, memory, perception, and motor skills. A total of 174 children participated in the research, including 101 children from traditional classes and 63 children from Montessori classes at the Národní Primary School and Kindergarten Montessori in Prachatice, aged between 7 - 11 years. The main topic of this thesis is the sedentary method of teaching and concepts related to it, such as ergonomics and hypokinesia. The final part of the theoretical section explains the differences in Montessori teaching methods. The aim of the thesis is to determine the differences in teaching methods between traditional frontal teaching and alternative teaching, in this case, Montessori, with a focus on physical activity during lessons and breaks. The analytical part is based on three assumptions, it deals with spending hours and breaks. The evaluation of the results is followed by a discussion.
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The role of the nurse in the care of the patient with dentophobia
ŠÍMOVÁ, Tereza
Dentophobia, known as fear of dentists, represents a common problem. For patients suffering from dentophobia, a visit to the dentist is often a source of stress and anxiety, which can lead to postponement of necessary care and deterioration of their dental condition. The theoretical part of the work deals with the issue of the origin of dentophobia, explains its etiology and reasons for its maintenance, and presents various alternative treatments. It also focuses on the importance of the nurse educator and the education process, which represents a key method for working with patients. Verbal and non-verbal communication, professional approach, and space for the patient's understanding of the provided information are key elements of care for patients with dentophobia. One of the goals is to gather available knowledge of the educational process of nurses about patients with dentophobia. The research part of the work focuses on data collection through semi-structured interviews with dental nurses. The questions are aimed at their experiences with patients suffering from dentophobia, recognizing this phobia, and subsequent interventions suitable for supporting patients. The aim is also to map out the means that denatl nurses use to educate patients. Furthermore to identify nursing problems in the care of patients with dentophobia. The collected data are processed for greater clarity using open coding. The results showed deficiencies in the awareness of dental nurses about dentophobia and the absence of educational materials for nurses to effectively educate patients with this phobia. These findings emphasize the need to improve nurses' awareness and provide suitable materials to help them better understand and support patients with dentophobia. Overall, it can be said that the research provided important insights into the state of awareness and availability of resources for nurses who are trying to educate patients with dentophobia.
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Health literacy in diabetics
RUSSFELLOVÁ, Pavla
This bachelor thesis deals with health literacy in patients with type 1 diabetes mellitus. Type 1 diabetes mellitus is an autoimmune disease characterized by the destruction of insulin-producing pancreatic beta-cells. The first symptoms may manifest as a severe hyperglycaemic state requiring hospital admission. After the diagnosis of the disease, therapy is initiated, in which it is necessary to substitute the missing insulin into the body throughout life and to follow the treatment regimen, namely diet, exercise and self-monitoring of glycaemia. The ability of patients to adhere to the established treatment regimen depends on their health literacy. The theoretical part of the thesis deals with the characteristics of health literacy, the characteristics of type 1 diabetes mellitus and education of type 1 diabetic patients on regimen measures. The empirical part of the thesis was developed by using qualitative research methodology with research files of patients and nurses. Data collection was done with both research sets through the implemented technique of semi-structured interviews. The data collected was processed using open coding using pencil and paper method and categorized. The intention of this undergraduate thesis was to achieve the four stated aims relating to health literacy in patients with type 1 diabetes mellitus. Three objectives were created for the patients, namely to find out from which sources they obtain health relevant information, how they prevent deterioration of their health condition and what habits they have in following their regimen. One objective was created for nurses, which examined how nurses educate patients about regimen measures. The results of the survey showed that patients choose the internet or their doctor as the most common source of health information, primarily their diabetes specialist. The research also found that patients prevent deterioration of their health by keeping regular medical check-ups and adhering to treatment measures, with insulin administration and diet being the most important for them. In addition, it was found that in the area of dietary measures, patients experience difficulties in counting carbohydrate units. Insulin administration is easier for patients using insulin pumps, as patients are comfortable with continuous insulin administration in automatic or manual pump mode. Patients found convalescent stays to be the most effective in adhering to the exercise regimen. In self-monitoring of blood glucose, patients are most comfortable with sensor monitoring. Nurses were also found to be the least focused in patient education about monitoring via sensor. They direct education about exercise regimen to physicians. Nurses are involved in the education of family members and record the results of their education in the educational record. Based on the results obtained, which address the health literacy of patients with type 1 diabetes mellitus, educational material for nurses educating patients with this disease is developed. The educational material will contribute to the strengthening of nurses' education in the area related to regimen measures in patients with type 1 DM.
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Knowledge and skills of nurses in the care of a patient with a derivative stoma
HODYSOVÁ, Pavlína
This bachelor thesis focuses on the issue of nurses' knowledge and skills in the care of the patient with a derivative stoma. The aim of this thesis was to find out the specifics of nursing care for the patient with a derivation stoma. The next objective was to find out the problem areas of nursing care for the patient with a derivation stoma and the last objective was to evaluate the compliance with the standard of nursing care for the patient with a derivation stoma. The theoretical part of the bachelor thesis starts with a brief anatomy of the organs that can be damaged to form a derivation stoma. In the next chapter, the thesis deals with the indications for the insertion of a derivation stoma. Subsequent chapters of the theoretical part describe the types of stomas and the complex nursing care of derivation stomas. The empirical part was developed through qualitative research using semi-structured interviews and direct open observation. A total of 10 nurses participated in the research. 3 nurses participated in the observation. The data collected from the nurses was processed using open coding, pencil and paper method. A total of 4 main categories were created, with the 3rd category subsequently divided into 8 subcategories. The results of the empirical part show that among the specifics of nursing care, we can certainly include sufficient knowledge of nurses in the areas of ostomy nutrition, quality education, and well chosen communication. Nurses must master the use of appropriate equipment and use it properly for hygiene and ostomy protection. Problem areas according to the results include sufficient patient and family education, knowledge of the specifics of ostomy nutrition, and adherence to intimacy and hygiene principles. Based on the results of the research, the content of this paper is beneficial for the medical staff involved in the nursing care of the patient with a derivation stoma. The work can serve as study material or also as a basis for professional seminars and training.
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Active involvement of patients in the prevention of healthcare associated infections.
BLÁHOVÁ, Eliška
The bachelor thesis deals with the active involvement of patients in the prevention of healthcare associated infections. Prevention of healthcare associated infections is crucial for safe healthcare delivery. However, preventive measures are difficult due to many factors. Actively engaging patients in infection prevention leads to a reduced risk of complications of treatment secondary to healthcare-associated infection. Active involvement will also improve the integration of patients into the course of care. Thesis is divided into two parts. The first, theoretical part, deals with healthcare-associated infections, their causative agents, determinants of their occurrence and the different manifestations that healthcare-associated infections may present. It also deals with the issue of active involvement of patients in the prevention of healthcare associated infections. It discusses how information can be conveyed to patients, how patients can be educated and how patients can be encouraged to actively follow preventive measures. The second part deals with the research, which is conducted using a quantitative method with a self-constructed questionnaire technique. The research is conducted in a selected South Bohemian hospital. The research population consists of patients treated in a standard inpatient ward and in a specialist outpatient clinic. The aim of the study is to determine the patients' awareness of healthcare associated infections, selected aspects of prevention and also to determine the level of active involvement of the patient in the prevention of healthcare associated infections. The results will serve as a basis for health care providers for possible optimization of the care provided.
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Birth of the fetus at the limit of viability
AMBLEROVÁ, Martina
This bachelor thesis deals with the delivery of a fetus at the limit of viability. The bachelor thesis is divided into theoretical and practical parts. The theoretical part describes preterm birth. Incidence of preterm birth in the Czech Republic, etiology, possibilities of prevention and prediction, diagnostic methods, therapeutic procedures and possibilities of management of preterm birth, as well as the needs of women and care of midwives are presented. Education of women in the delivery room and competences of midwives. Fetal viability or the ability of the fetus to survive outside the womb is also described. The aim of this bachelor thesis was to find out how midwives are oriented in the care of a woman diagnosed with preterm birth at the limit of fetal viability. To achieve the objective, qualitative research methodology in the form of interviews was chosen. A single research population was selected, which consisted of midwives working in the delivery room of a perinatology center. The research itself was conducted in July 2023 in the form of face-to-face meetings or in a home setting. All respondents gave verbal consent to be interviewed. After sufficient data collection, analysis was done and basic categories were created and put into summary tables from which the results of the research can be read. In the research investigation, it was found that midwives are oriented in their care for a woman who gives birth prematurely. In addition to performing routine procedures, they also provide professional psychological support to women, are empathetic, and are able to educate and inform women appropriately within their scope of competence. Midwives are fully aware of all their competencies.
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Areas of education in the care of a surgical patient
ČEKALOVÁ, Petra
This thesis deals with patient´s education in the surgical ward of the Hospital Jindřichův Hradec. The thesis is divided into theoretical and practical parts. In the theoretical part of the thesis we define the concept of education and subsequently areas of education and educational methods. In order to prepare the thesis we used qualitative research methods. As for the data collection technique, we used a semi-structured interview with fifteen patients and fifteen general nurses. The analysis of the interviews was conducted in the form of "paper pencil" method and open coding method. The results were divided into categories and subcategories. For the sake of clarity, the individual categories and subcategories have been arranged in diagrams. The aim of the thesis is: 1 To investigate the extent of patient education prior to elective surgery during an one-day hospital stay. 2 To determine patients' views on the extent of information given during an one-day hospital stay. 3 To determine a nurses' opinion on importance and effectiveness of conducting a patient education on nutrition, exercise and wound care before and after the surgery. 4 To identify the most common methods used by nurses in patient´s education on the surgical ward. To address these objectives, there were identified five research questions: 1 What information was provided to patients as part of their education prior to elective surgery during their one-day hospitalization? 2 What information was provided to patients regarding nutrition, exercise and wound care during their one-day hospitalization? 3 How do patients evaluate the information given by nurses during their one-day hospitalization? 4 What is the opinion of nurses on the effectiveness of patient education before and after surgery? 5 What methods do nurses most often use to educate patients hospitalized in a surgical ward? Results of the research could serve as a basis for a course for surgical nurses, focusing on education of postoperative patients in the areas of nutrition, exercise and wound care. Furthermore, this research could be used to create new educational materials for patients before and after surgery (e.g. leaflets, brochures, etc.).
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Treatment of central venous catheters and the occurence of complications in pediatric patients hospitalised at hematoooncology
Homolková, Kateřina ; Hromádková, Jaroslava (advisor) ; Průšová, Kateřina (referee)
The bachelor thesis "Management of central venous catheters and their complications in pediatric patients hospitalized in hematology-oncology departments" deals with the care of CVC and their complications in pediatric hematology-oncology in the Czech Republic. The aim of the thesis was primarily to map the knowledge about the management of CVC among pediatric and general nurses working in pediatric hematology-oncology departments and to compare different management methods. The theoretical part consists of four chapters focusing on the venous system, general information about CVC, management of CVC, and complications that may occur. The empirical part presents the data collection method, implementation of the study, overview of the results and recommendations for practice. The research method used was a questionnaire of own construction, focusing on the management of CVC. The questionnaire was distributed to nurses working in pediatric hematology-oncology departments. Results: For statistical evaluation, 4 hypotheses related to: Length of practice, education level, type of workplace, and completion of training on CVC management were chosen. The results of the research demonstrate good knowledge among respondents in the area of managing CVC. The only shortcomings are the low presence of specialized workers...
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Let's discover the past of progress with a virtual assistant
Hanzalová, Linda ; Havlůjová, Hana (advisor) ; Hnilica, Jiří (referee)
In my diploma thesis, I am looking for a way to awaken, maintain and deepen people's relationship with technical monuments in the cultural landscape, thereby increasing their chance of preserving them for future generations as evidence of the history of human ingenuity. I deal with the possibilities of connecting interpretation and education, or guides and teachers, at technical monuments with help of a virtual environment which is close to today's young generation. The goal of my work is to create such an interactive educational program/game focusing on technical monuments which will make the participants, through an application on a mobile phone or tablet, physically visit a technical monument, get to know it in its authentic environment and thus create a personal relationship with it. At the same time, in the role of the creator of this type of educational program, I also examine the environment, the conditions for the implementation of the plan, as well as the possibility of sharing game experiences, partial and overall results, including their own research, with other users. I am looking for a way to make heritage education "alive", developing and sustainable. KEYWORDS Technical monuments, play, interpretation, education, crafts, technologies, virtual environment, experience.
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