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Selected safety risks in nursing practice
MIŇHOVÁ, Monika
In the nursing care there are numerous risks that may endanger the patient or damage or worsen his/her health condition. In order to ensure patient?s safety it is necessary to keenly look for ways minimizing such risks. The theoretical part of the bachelor degree thesis focuses on the issue of safety of hospitalized patients, risks of error and undesired events, as well as on potential prevention in this area. The thesis deals in detail with the risks of falls in hospitalized patients. The objective of the research investigation was to evaluace selected safety risks in the nursing practice that may endanger patients during hospitalization and to find out whether nurses observe principles for prevention of falls in patients. Based on the established objectives two working hypotheses were formulated: H1: The highest level of risk is that of nosocomial infection. H2: Nurses observe the principles for prevention of falls in patients. A quantitative research method was used to achieve the objective and to verify the set hypotheses. The data were collected by means of inquiring and observation using the questionnaire and audit techniques. The research group for the questionnaire investigation consisted of nurses working at standard hospital wards, intensive care and after-care departments in the hospital in Tábor (Nemocnice Tábor, a.s.) the research group for the audit called ?Prevention of falls in hospitalized patients? consisted of nurses working at the internal medicine and orthopedic wards in the hospital in Tábor. The evaluation of results of the questionnaire investigation, using the weighted arithmetic mean, indicates that the highest risk from the selected safety risks in nursing practice is that of an accomplished suicide (3,9). This means that the first hypothesis has not been confirmed. On the contrary, the evaluation of the nursing care in respect to falls has confirmed the second hypothesis to the effect that nurses observe the principles for prevention of patients? falls, both at the orthopedic ward, where the overall audit success was 85 %, and at the interior medicine ward, where the overall audit success was 81 %. We wanted to encourage nurses to reflect on the risks in nursing care. The results of the research will be offered to the management of the hospital in Tábor in order to improve safety of the provided care and to reduce the risks that endenger the hospitalized patients.
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