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Nursing care women during wirt abortion
KOUTNÍKOVÁ, Radka
A birth assistant should manage several roles when taking care of women {--} she should communicate well, be a good nurse, should show empathy to women, introduce new trends and knowledge into her work, discuss them with her colleagues, be able to defend her actions and contribute to the improvement of nursing care. My work uses a quantitative survey based on the collection of data through questionnaires combined with a qualitative survey using interviews to clarify survey questions. The survey was carried out from October to December 2008. Research subjects included birth assistants and women patients at Gynaecological and Obstetric Departments. Questionnaires for birth assistants were distributed in 5 hospitals in the Czech Republic (Ústí nad Labem, Jindřichův Hradec, České Budějovice, Třebíč and Brno). I distributed 150 questionnaires for birth assistants; 105 (70%) questionnaires were collected. 15 questionnaires were discarded for being incorrectly completed; the research uses the total of 90 (100%) questionnaires. Interviews with women patients were carried out in the hospital in Ústí nad Labem. I interviewed 8 patients, who had been informed about the structure of the interview. They agreed that the interviews were recorded by dictaphone; the interviews were subsequently transcribed and assessed in charts and tables. My bachelor thesis formulates four targets and four hypotheses. The survey confirmed the targets and the hypotheses. The bachelor thesis deals with women after abortion; it focuses on nursing care, information provided to women patients, the securing of their intimacy and the care rendered to them according to standards. During the collection of data, I did not encounter unwillingness or displeasure on the part of birth assistants or women patients. The approach of both these groups was positive; 70% of birth assistants and 100% of women patients cooperated on the research. Both groups were interested in the results of the research. The results and theoretical part of the bachelor thesis will be used as a source of information for birth assistants and women after abortion. Birth assistants promised to use the results of the work as inspiration for the improving of their care of women after abortion. The bachelor thesis may also be used as an information brochure for women after abortion and the general public. It may provide information for the production of leaflets available at Gynaecological and Obstetric Departments or lectures.
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The role of nurses in the nursing care for a deceased child
KOUTNÍKOVÁ, Radka
This thesis deals with the nursing care for a deceased child and it focuses on the role of nurses, their attitudes and the way nurses care for a deceased child. In a highly professional care, it is necessary to humanize the last moments of life of a child; therefore, there are rituals that are acceptable for the dying child, the family and nursing staff. Caring for dying children is a very demanding task for medical staff and it may be divided into medical, social, psychological and spiritual care. In case of severely ill or dying children, we must identify real and potential problems, set short and long term goals, set out plans of care, provide specific nursing activities and evaluate their effectiveness and efficiency. All health professionals must work together and with the whole family. To say that life has ended is a challenging and difficult moment in the medical profession. Talking with the bereaved families requires a high level of communication skills. The entire medical team must manage this situation with dignity. The results and the theoretical part of the thesis will serve as an information resource for nurses who care for dying and deceased children. Nurses may be inspired by the thesis results, which may serve to improve nursing care in these situations. The benefits of this thesis lie in the recognition of the need for expanding the education of nurses and subsequent utilization of the acquired knowledge and skills in practice. It could also serve the employer?s reflection over the care for the staff working in such a demanding profession.
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