|
|
Electronic documentation in nursing practise
KRÝDLOVÁ, Michaela
As a consequence of the quick development of information technologies there has been a natural and gradual transition to the electronic data storage in nursing. The firstversions of the software application for such documentation have been developed in cooperation with professionals dealing with information technologies in the States of the European Union and it is the nurses who decide what the content of the nursing documentation will be. Therefore it is very important that the nurses {--} as the main users of this software {--} are actively involved in the creation process of the electronic nursing documentation. The advantage of introducing the electronic nursing documentation is filing of the important data about a client in the NIS where it is possible to retrieve the history anytime. In contrast to the traditional records, it is easier to read these records and it is not possible to cross any information out or lose it. Further, it saves nurses{\crq} time, it automatically records time and name of the medical worker who logged in the NIS and it meets the recommendations of the accreaditation standards. A qualitative research was used in the research part of this thesis. A semi-standardized interview with the head nurses and a structured interview with the senior staff nurses and ward sisters of the departments of internal medicine and of surginal wards of the selected hospitals were used to collect the data. Further, the method of content analysis was used to compare the electronic nursing documentation in the individua surveyed hospitals. The structured interview with the senior staff nurses and ward nurses was not done in the Hospital České Budějovice, a.s. because the programme of the electronic nursing documentation has not been started there. Case reports are created based on the gained interview results. The case reports comprise the research base on which categorized charts in which the research results are recorded are based. The research was conducted from January till June 2009. The surveyed group consists of head nurses, two senior staff nurses and two ward sisters of the departments of internal medicine and of surginal wards of the selected hospitals of the chosen regions of the Czech Republic. The research was conducted in the South Bohemian Region {--} the Hospital České Budějovice, a.s., the Pilsen Region {--} the Teaching Hospital Plzeň, the South Moravian Region {--} the Teaching Hospital Brno and the Vysočina Region {--} the Hospital Jihlava, p.o. Four research questions were defined at the beginning of our research in order to achieve our goal. The research questions 1: Does the electronic nursing documentation contain all phases of the nursing process (anamnesis, diagnosis, care plan and assessment)? The research questions 2: Is the nursing taxonomy a part of the electronic nursing documentation of each patient? How is the record of the nursing diagnosis created (crossing x filling in)? The research questions 3: Which nursing model has become the basis for the nursing anamnesis of the electronic nursing documentation? The research questions 4: Can the nurses take an active part in the preparation process of the electronic nursing documentation? All our research questions have been answered. We defined the following hypotheses based on the results of our research: H1: The electronic nursing documentation contains nursing anamnesis based on the Marjory Gordon{\crq}s conceptual model. H2: The nurses are offered to cooperate in the creation process of the electronic nursing documentation. H3: There is a taxonomy part in the nursing documentation. H4: The electronic nursing documentation covers all phases of the nursing process. We belive that the results of he
|
|
|
The measure information about the osteoporosis problems by women at the age below forty years
KRÝDLOVÁ, Michaela
Abstract Osteoporosis is a skeletal disease, a disease of the bones of the body, which is characterized by a lowered amount of skeletal minerals, decrease of bone density and a changed microstructure of the bones. The effect of these changes is a lowered quality of skeletal tissues and an elevated risk of bone fractures. This risk, being very high, is directly threatening to the patient. Anybody can suffer from osteoporosis, but there are certain groups, much more at risk. The group most often affected by osteoporosis, are women in post-climacteric period of life, i.e. several years past their climacterium. The main factors causing this disease are age, gender, genetics, lack of physical activity, malnourishment, use of harmful substances (smoking, coffee, alcohol), use of some medications, certain endocrinological diseases and diseases of the digestive system, etc. Fundamental significance for prevention and treatment is an adjustment of life-style with sufficient physical activity, correct nutrition, avoiding of harmful substances such as smoking, alcohol and coffee. Regular use of vitamins and minerals as well as regular check-ups may help to prevent the disease. For this study a questionnaire was chosen for data collecting. The questionnaire created for this work included 17 closed and 8 semi-open questions. The total number of 120 questionnaires were distributed, of these 113 were returned, of which 12 were excluded for incompletelesness. The recovery of questionnaires was calculated to 84.2%. The researched group included 101 women between ages 18{--}40 from České Budějovice. The aim of the bachelor work has been accomplished. Hypothesis H1 was proved and H2 disproved. The results will be used as a basis for a seminar about problems with osteoporosis and its prevention intended for non-professionals.
|
guest ::
