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The Perception of Safety in Nursing Practice
BARNÁŠOVÁ, Lucie
The theme of this thesis is "The Perception of Safety in Nursing Practice". While most of literaure of focused on the psyhisal aspects of safety, this thesis is focused on the psychological ones. This thesis has two goals altogether. Its firt goal is to find out the possibilities of securing patient´s and nurse´s feeling of safety from nurse´s outlook. The second goal is to find out nurses´s perception of their own feeling of safety while at work. The research questions are 1) How do patients perceive their safety during nursing care? 2) What does patient´s safety mean to nurses? 3) How does the personnel perceive their own safety during nursing care? The theoretical part describes safety, needs, communicaton, trust and the possibilities of securing psyhical and psychological safety of patients and nurses alike. The practical part consists of nurses and patient interviews about safety and factors, that may influence it. The data were collected by semi-structured interviews with nurses and patients located in hospitals of south and west Bohemia. The research involved 20 respondents, 10 nurses and 10 patients, of deliberate choosing and by the form of snowball sampling. The data were collected since May through to July 2019 and the collection was concluded at the moment of theoretical saturation. The interviews covered themes like safety, communication, trust, quality of care, EBN, teamwork and what do nurses find lacking while ensuring safety of their patients and their own. The results show that each person perceives their safety differently and it is necessary to fit the care to patient´s specific needs. The respondents agree on the importance of proper communication, of trust between patient and nurse and between personnel alike, and of informedness. Most of the nurses also responded that they miss more time to spend with their patients to build mutual trust and to develop their feeling of safety. Usually the blame lies on their ward being understaffed. This thesis mapped out the perception of safety of nurses and patients including some of the shortcomings involved in the current nursing practice. It can serve as a reference material for studying.
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Possibilities of using culturally specific models in current nursing
BARNÁŠOVÁ, Lucie
Multicultural nursing is a concept, that can track it´s beginning to the 50s of the last century. It started thanks to Madeleine Leininger and has been succesfully evolving ever since. Because of it, a whole line of models focused on this aspect of nursing, has began. The first goal of this thesis is to analyze available literature regarding the use of the culturally specific models. The second one is to map out the possibilities of the use of the culturally specific models in current nursing. And the last goal is to create an informative material regarding the possibillity of the use of the culturally specific models in current nursing. At first, this thesis describes some theoretical bases what is a culture and some other terms connected to it. Then it describes 7 culturally specific models Leininger model, Giger-Davidhizar model, Bloch´s assesment guide, Campinha-Bacote model, Papadopoulos, Tilki and Taylor model, Purnell model and as the last one Schim, Doorenbos, Benkert and Miller model. After describing the theoretic bases, the thesis maps out the use of the culturally specific models in practice. For it, literary and online resources were used. Through them, we gained the data about the frequency of the use of these models and the topics they were focused on. This thesis then summarises the data and points out the possible uses of the culturally specific models in nursing abroad and on-site alike. This thesis is constructed to serve as an informational material for students of healthcare practices and working nurses alike.
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