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Communication of nurses with hearing impaired patient on covid units
RAUŠOVÁ, Ilona
Introduction: For nurses, communication is a basic instrument in the nursing process. During the Covid-19 pandemic, nurses were obliged to wear protective equipment to prevent the spread of the disease. Protective equipment, especially masks, have a negative impact on nurse - patient communication. They dampen the volume of spoken speech, prevent reading and recognition of facial expressions. Nurses had to deal with these communication barriers while maintaining the nursing standards. Purpose of this work: The aim of the bachelor's thesis was to find out the specifics when communicating with a hearing-impaired patient. Methodology:The empirical part of this thesis was processed using the method of qualitative research analysis. To collect data, a semi-structured interview was used with nurses who worked at a covid-19 unit during the Covid-19 pandemic. The conversations took place in the period from March to May 2023. The conversations were recorded with the participants consent on a mobile phone by the use of the application Záznamník (recorder). The interviews were written afterwards in text, using the Microsoft Word program. Written data were then analyzed by the method of open coding, using the "pencil and paper"technique. The data obtained were divided into three categories, which were subsequently divided into subcategories. For better illustration, the individual categories and subcategories were drawn up in clear diagrams and described in detail. Results:The work results were divided into three categories, which are: hearing-impaired patient, barriers to nursing care and nurses' communication with hearing-impaired patients. Both categories are divided to the period before the Covid-19 pandemic, the period during the pandemic and the period after the end of the pandemic. Research indicates that the Covid-19 pandemic has changed the nurses' approach towards barrier nursing care and nurses have gained invaluable experience in the sense of communication with hearing impaired patients. They learned to improvise and use all available communication tools. They shared information, advice and psychological support with each other. Conclusion: This work documents the view of nurses on barrier nursing care and their influence on communication with hearing-impaired patients. The research showed that nurses overcame the communication barriers and were able to maintain the standards of nursing care. They adapted to demanding conditions, learned to use simple tools which made it easier for them to communicate with hearing-impaired patients. They deepened their mutual cooperation. At the same time, it revealed that most nurses coped with these problems based on their intuition. For nurses, this experience created the need for professional training in the field of communication with hearing-impaired patients. The work provides an overall view of the issue of communication in the nursing process when using protective equipment. It presents tools that can help overcome the communication barrier. The results may help other nurses in practice.
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Computer Audiometry Realization
Solnický, Jan ; Janoušek, Oto (referee) ; Čmiel, Vratislav (advisor)
This project describes the implementation of computer audiometry for subjective hearing tests. The paper describes the implementation of the audiometer in C + + Borland Builder. Designed audiometer consists of a standard PC with operating system Windows, a sound card and headphones. The work also includes analysis of the problems of hearing loss and its examinations, that were used in the implementation of audiometry.
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Hearing disordes by geriatric pacients as a nursing problem
TERBEROVÁ, Eliška
The main purpose of this work is to map the specifics of access and communication in providing nursing care to geriatric patients with hearing impairment. Following this purpose, three research questions were identified: What problems in daily life in geriatric patients are caused by hearing impairment?; What needs do geriatric patients with hearing impairment have in relation to the nursing staff?; What mistakes in geriatric patients with hearing impairment are encountered by nursing staff? The empirical part of the work was processed by methods of qualitative research, which was carried out in the form of semi-structured interview. The whole interview contained a total of 15 questions. Some of them were supplemented by sub-questions. The research sample consisted of 7 informants over 60 years of age suffering from hearing impairment of varying degrees. The interviews were recorded on a mobile phone using the Answering Machine application and subsequently processed into a written form or recorded in writing during the interview. The obtained results were subsequently processed by the open coding method, using the "pencil paper" technique. The results are divided into three categories: adaptation, communication and specific care. In general, it has become clear that informants are relatively reconciled with their hearing impairment. Hearing loss of varying degrees is above all compensated by hearing aids, which makes the most users satisfied. Frequently asked questions on the evaluation of the quality of provided nursing care mainly showed patient satisfaction. Most of the requests were focused on the specifics of communication, in which staff commits occasional errors. Errors and deficiencies may subsequently complicate patient-staff collaboration. The work brings a comprehensive view of the problems of hearing loss in the geriatric age and its impact on the everyday life of all who suffer from it. The results can serve nurses in practice, as well as medical and non-medical students, and anyone who wants to learn more about life with hearing impairment in old age.
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Computer Audiometry Realization
Solnický, Jan ; Janoušek, Oto (referee) ; Čmiel, Vratislav (advisor)
This project describes the implementation of computer audiometry for subjective hearing tests. The paper describes the implementation of the audiometer in C + + Borland Builder. Designed audiometer consists of a standard PC with operating system Windows, a sound card and headphones. The work also includes analysis of the problems of hearing loss and its examinations, that were used in the implementation of audiometry.
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Musicopathogenic Influences from the View of Audiology
HORÁKOVÁ, Pavlína
The title of my bachelor´s work is The Musical-pathogenical influences from the View of Audiology. It has theoretically-empirical character and should document consequences of noise on hearing and damage of hearing. Theoretical part deal with perception of music, physiology of hearing and musical ecology. The second part should present audiology and importance of this discipline. There are in details described anatomy and physiology of an ear and the special audiological methods. In theoretical part, there are described methods and techniques, used in practise. Thanks to these methods, we are able to find out hearing disturbances of our patients. The practical part is based on my own research, audiometric testing, evaluations of the audiograms, questionnaires and individual interviews. On the basis of these studies were define the diagnoses and the final results confirm, that music has an influence on damage of hearing.
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