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Nurse´s possibilities to affect disturbing outside influences in intensive care unit
VEJVODOVÁ, Hana
Abstract Noise, light, restless or aggressive patients may constitute disturbing effects for a patient who is hospitalized in an intensive care ward. These disturbing factors form an integral part of modern medicine. Invasive methods, monitoring technologies and other devices securing vital functions of a patient in an intensive care ward mean a greater chance for the patient to survice and recover but also a greater chance of discomfort during hospitalization in an intensive care ward. The objective of the thesis was to find out how nurses in intensive care wards influence negative disturbing factors affecting the patients in connection with the regime of the intensive care ward, and how the patients react to negative disturbing factors in intensive care wards. Five hypotheses were raised. The first hypothesis was to confirm whether nurses are aware of negative factors affecting patients hospitalized in an intensive care ward. The second hypothesis was confirm whether nurses eliminate these disturbing factors as much as possible with respect to maintenance of the intensive care ward operation. The third hypothesis was to verify whether patients regard these disturbing factors as negative. These three hypotheses have been confirmed. The fourth hypothesis was to confirm that noise is regarded by the patients as the worst disturbing effect. This hypothesis has been confirmed. The fifth hypothesis was to confirm whether disturbing effects are more easily endured by men than women. This hypothesis has not been confirmed. Data were collected by means of a quantitative research. Patients and nurses obtained anonymous questionnaires. The research was conducted in the intensive care wards in hospital Nemocnice České Budějovice, a.s. The research revealed the following facts. The objectives have been fulfilled. Four of five hypotheses have been confirmed. Both patiens and nurses are conscious of the disturbing effects. Nurses in the intensive care wards have opportunites to influence negative disturbing factors without affecting the operation of the intensive care ward. Negative disturbing effects are frequent in intensive care wards and form an integral part of their regime. This thesis may lead the nurses worging in intensive care wards to considerations how to reduce negative effects that are disturbing for the patients.

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