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Nursing care for newborns with oxygen therapy
Dubská, Aneta ; Průšová, Kateřina (advisor) ; Sedlářová, Petra (referee)
The present thesis focuses on the nursing care of newborns with oxygenotherapy and its specifics. Furthermore, the thesis includes a review analysis of the respondents' knowledge related to oxygenotherapy in newborns. This thesis consists of two main parts, theoretical and empirical. The theoretical part of the thesis describes the principles of oxygen administration, methods of administration, the most common conditions requiring oxygen therapy and its complications. The basic knowledge in neonatology is often crucial for obtaining this information, which is highlighted in this thesis. Also, basic nursing care of neonates with oxygen therapy is briefly characterized. The aim of the empirical part of the thesis is to compare the obtained knowledge analysis of the nurses of the selected specialist units, namely the neonatal unit and the delivery room. The research method of the empirical part of this thesis was a quantitative research survey, focused on the knowledge of paediatric nurses, midwives and nurses of other job classifications working in neonatal wards or delivery rooms. The 21-item questionnaire was designed for this thesis only and was administered anonymously. The results of the survey showed that the knowledge of paediatric nurses and midwives in caring for neonates with oxygen therapy...
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Ventilation support in prehospital care and during transport of the patient
PETROVIČ, Pavel
The topic of presented bachelor thesis is ventilation support in prehospital care and during transport of the patient. Consciousness, breathing and blood circulation belong among basic life functions. Thanks to ventilation support we are able to provide full or partial pulmonary ventilation. For this we use aids such as resuscitation masks meant for lay public or aids for trained paramedics like laryngeal masks, endotracheal tube and ventilator for artificial pulmonary ventilation. Prehospital care is not only about professional first aid, but about giving first aid by lay public as well. That is why aids for pulmonary ventilation are included in this thesis. This bachelor thesis had two aims; to map and compare knowledge of students attending the last year of high school in kiss of life and map experiences of paramedics with a laryngeal mask Supreme and capnometry. The research was implemented with mixed method research. Knowledge of students were found out by tests which were give in class "Z4" at Střední odborná škola veterinární, mechanizační a zahradnická a Jazyková škola s právem státní jazykové zkoušy and in class "4.B" Gymnázium Jírovcova. At Z4 class research took place on 14th March 2014. There were 25 students in this class, 4 men and 21 women. At class of 4.B students' knowledge was tested on 2nd April 2014 with presence of 26 students, 16 women and 10 men. At the beginning of test the anonymity of respondents was stressed, and then all respondents were acquainted with the character of my research and its aim. At the start of the test there were two statistic questions; if the respondent is either man or woman and whether the respondent has his/her driving license. There were 15 closed questions in the test and students were supposed to choose one right. After handing all the tests, the correct results were told to students. 51 tests altogether were given. Experiences of paramedic with the laryngeal mask and capnometry were found out in a form of five short dialogues in a week from 7th to 11th April 2014. The research group include paramedics of Zdravotnická záchranná služba Jihočeského kraje. Gained data from tests were evaluated, each question separately and then transformed in graphs which show the number of wrong and right answers. The aim of this thesis was to map and compare knowledge of students in the last year of their studies. Evaluated tests show us, that students of Z4 class have more knowledge about kiss of life or with cardiopulmonary resuscitation. In seven questions these students were more successful than their same-age colleagues from Gymnázium, who were better at three questions only. Experiences of paramedic with laryngeal masks Supreme are positive and if ensuring of air passages is needed, when a doctor is not present, they choose LMA Supreme. Paramedics agreed on that following ventilation via LMA Supreme is sufficient as long as we choose the right size. Paramedics ask for capnometer device in all cars EMS. Paramedics of the research group do not daily meet patients who would need or used at controlled ventilation. Students of the last year at high school have basic knowledge about kiss of life or about giving first aid. This knowledge is not 100% and teaching of giving first aid should be as a subject at high schools. Paramedics accept new aids and machines and use them during their practise. Thanks to this, first aid is becoming more beneficial for patients and for paramedics.
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Nursing Procedures of Oxygen Administration to Newborns
STUDÍKOVÁ, Monika
Nursing Procedures of Oxygen Administration to Newborns The diploma thesis is to outline the current perspective of oxygen therapy of newborns who need highly specialized care as early as in the delivery room and subsequently in intensive and resuscitation care units of perinatologic centres. The research in the diploma thesis is focused on the assessment of the level of implementation of recommendations of the Czech Neonatology Society concerning oxygen administration on all levels of neonatal care. The theoretical part addresses the first treatment and evaluation of a newborn. Then the reasons leading to oxygen administration are discussed as well as the methods of oxygen application in the delivery room and intensive and resuscitation care units. Being at the forefront, oxygen is one of the most often administered medicines. Inadequate use of oxygen as a medicine increases the risk of complications for the newborn. The delivery and the first weeks after the birth rank among the crucial periods of every child. Adherence to the recommended procedures improves the outlooks of premature newborns for leading quality life. The objective of the thesis is to ascertain the level of implementation of recommendations of the Czech Neonatology Society concerning oxygen administration on all levels of neonatal care. The research was quantitative and used the questionnaire technique. The author created one kind of the questionnaire for the selected research set. The set consisted of nurses working in neonatal wards of selected hospitals. A total of 65 questions were created to ascertain the level of implementation of recommendations of the Czech Neonatology Society concerning oxygen administration on all levels of neonatal care. The research set consisted of 184 respondents. In order to attain the objective, the following hypotheses were raised: H1: Nurses know the current recommendations for oxygen administration to newborns. H2: Delivery rooms have sufficient technical equipment for oxygen administration to newborns. H3: Nurses are theoretically and practically trained for situations requiring oxygen administration to newborns. H4: Clearly formulated rules of oxygen therapy are available for nurses in a written form in a well visible place in the delivery room. Based on the statistically processed results, the first three hypotheses have been confirmed. The fourth hypothesis was disconfirmed. The objective of the thesis has been attained. The research results may be used for better understanding of the issue of oxygen administration to newborns in a hypoxic condition with regard to the findings of its toxicity. In order to secure adherence to the recommendations for oxygen administration to newborns, it is appropriate to create a nursing procedure and standard and secure its availability in every delivery room and station.
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Level of knowledge of midwives and pediatric nurses for oxygen therapy in neonates and infants
JIRÁKOVÁ, Nikol
Abstract The theoretical part of the thesis focuses on oxygen therapy of mature and premature newborns, particularly as a part of resuscitation. The thesis summarizes general findings about postpartum adaptation of individual groups of newborns and about immediate care provided in the delivery room. The theoretical part also deals with a nursing care of newborns and young babies requiring ventilation support in the hospital neonatology ward. The practical part surveyed both theoretical knowledge and practical skills of pediatric nurses and midwives. The survey used quantitative inquiry and observation. Anonymous questionnaires were distributed to midwives and pediatric nurses working at the gynecology-obstetrics and neonatology wards in the hospitals in České Budějovice (Nemocnice České Budějovice, a. s.) and in Benešov (Nemocnice Rudolfa a Stefanie Benešov, a.s.) The observation was conducted during my practice at the neonatology ward in the hospital in České Budějovice. The thesis had one formulated objective and two related hypotheses. The objective was to determine the level of knowledge of midwives and pediatric nurses about the principles of treatment of newborns and young babies with oxygen. The objective has been met. Hypothesis 1: ?I believe that the level of knowledge of midwives and pediatric nurses about the oxygen treatment of newborns and young babies is sufficient? has been confirmed. Hypothesis 2: ?The nursing team in the delivery room is familiar with the current recommendations for application of oxygen during resuscitation of newborns in the delivery room? has been confirmed. This bachelor degree thesis may serve to future students of midwife profession as a study material and source of information. Moreover, the thesis might be used as an educational material for midwives and pediatric nurses working in delivery rooms and at neonatology in-patient wards.
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