|
|
Departmental safety objectives
LYSÁKOVÁ, Adéla
Abstract The goals: The goal of the present thesis is to describe the principles of safe identification of patients by a nurse and the application of the medicines with higher risk rate. Another goal is to define procedures for prevention of a confusion of an intervention, a location or a patient at the operation theatre and to characterize the hand hygiene procedures in healthcare. The next goal was to describe a programme of prevention and reduction of falls and decubiti in hospitalized patients. The last goal focuses on the oral and telephonic prescription of medicines, on the reporting of patient examination results, and on the procedure of patient handover. Eight research questions were set in relation to these goals. Methodology: A qualitative research method based on in-depth interviews was chosen to reach the goals of the thesis. The intentional choice method was chosen for the selection of the communication partners. The research was performed in three selected hospitals of the South Bohemia Region. 20 communication partners participated in the anonymous questioning. The in-depth interviews were performed with a head nurse, with a quality manager, with perioperative nurses, with nurses from a neurology department and an after-care department. Scientific contributions of the thesis: The research deals with the current safety problems of hospitalized patients. The scientific results of the research are intended for both, specialist and the general public. The research study could serve to hospital managements as a stimulus for the improvement of the safety in the healthcare provision system. The achieved findings and conclusions: Hospitalization always brings some risk to a patient. From the point of view of the minimizing of adverse events and damage to a patient healthcare staff need to identify a patient safely, to apply risky medicines in safe manners, to prevent adverse events in operations, to adhere to the hand hygiene and the barrier nursing techniques. The healthcare staff also have to proceed correctly in the oral or telephonic prescription of medicines, in reporting of patient examination results, and in the patient handover procedures. It is in also the interest of the healthcare staff to minimize the risk of falls and to prevent the occurrence of decubiti in hospitalized patients.
|
|
|
Nursing care of patient with diverticulosis
LYSÁKOVÁ, Adéla
The bachelor thesis focuses on nursing care of a patient with diverticulosis. The name diverticulosis (die Divertikulose) indicates occurrence of multiple diverticulaon various organs (Kazil, Kazilová, 2007). Diverticulosis is also called a presidential disease. This name arose a couple of years ago when Václav Havel and Rudolf Schuster, the President of the Slovak Republic were suffering from this disease at the same time. Colon diverticulosis may be classified as a civilization disease, as relation between its occurrence and eating habits and life style has been proven (Housová, 2009). The number of patients suffering from the disease has been increasing in recent years. Eating habits and lifestyle are probably the main causes, but also age as the disease mostly affects individuals over 70 years of age. The research was aimed at the specifics of nursing care of a patient with diverticulosis. Two goals were based on the thesis topic. The first goal included the specifics of nursing care of a patient with diverticulosis. The second goal was to map knowledge of nursing care of a patient with diverticulosis among nurses at gastroenterology departments. A qualitative research method was applied to meeting the above goals. The research was performed at gastroenterology outpatient departments in South Bohemian and Highland Regions. The research sample consisted of two groups. The first group was formed by nurses (N1 - N10) and the second group by physicians (P1 - P3). The qualitative research was performed by means of semi structured interview. Written records were kept on the qualitative research results. Interviews with respondents brought answers to the research questions and also led to meeting the goals of the bachelor thesis. Four research questions were set to meet the goals. The first research question focused on the specifics of nursing care of a patient with diverticulosis. The research showed according to the responses of the nurses and the physicians that they lead a patient with diverticulosis to adherence to preventive measures. These are adherence to diet regimen, change of lifestyle, care about regular defecation, adequate physical activity and regular medical checkups. Adherence to these preventive measurement leads to reduction of complication risks. However the knowledge of diverticulosis symptoms among nurses was quite poor. The second research questions asked what aspects of providing nursing care nurses most often concentrate on. The interviews showed that nurses mostly focus on education in the field of changing eating habits. They also inform patients with diverticulosis how to avoid complications or how to behave if complications occur. The information from the nurses corresponded with that from the physicians. The third research question tried to find whether nurses inform patients on modification of eating habits. We found that the nurses inform patients with diverticulosis in modification of eating habits. The nurses are aware of suitable and unsuitable food, on quantity of suitable liquids and food modification. Nevertheless the nurses had significant drawbacks in the diet applicable on the fist days after operation. Information obtained from the nurses was identical with the opinions from the physicians, except for the question for diet applied on the first days after operation as only the nurses were asked this question. The last, fourth, research question asked whether the disease affected the patients? lives. The replies from the nurses and the physicians confirmed that the disease has influence on patients? lives. It actually requires eating limitation, patients have to care about regular defecation; some patients suffer from unpleasant abdominal pains. An informational leaflet for patients suffering from diverticulosis was elaborated upon the results of the thesis.
|
guest ::
