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The Influence of Education Provided by Members of Anesthesiologist Team on Patient Before, and After Anesthesiology
Švecová, Šárka ; Marsová, Jana (advisor) ; Mrákava, Vlastimil (referee)
The Influence of Education Provided by Members of Anesthesiologist Team on Patient Before, and After Anesthesiology. Author: Šárka Švecová. The dissertation supervisor: Ms. Jana Novotná, Master of Science, ÚTPO, Universitas Carolina, Prague, 1st Medical Faculty 2012. The dissertation is focused on quality of anesthesia concerning information that is provided patient before and after general or local anesthesia. The theoretical part of the dissertation defines various terms used in anesthesiology, and describes general and local anesthesia together with their possible complications, technical support, and personnel requirements. It is also focused on form and used methods of education and explanation. An example of patient's education before and after anesthesia is described at the conclusion of the theoretical part. The research itself is concentrated on quality of provided information before and after anesthesia. The partial goals of the research were following: to find out how patients accept all the information, under what circumstances the actual education occurs, and what forms of education the members of anesthesiology team use. The outcomes of the research will be used to improve quality of informing patients in our hospital. A survey was used to find out answers to the questions above....
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Evaluation of patient satisfaction with perioperative anesthetic care
Břízová, Pavla ; Černý, Vladimír (advisor) ; Mrákava, Vlastimil (referee)
The topic of this thesis is "Evaluation of patient satisfaction with perioperative anaesthesia care." The work is divided into theoretical and practical parts. The theoretical section describes the definition of satisfaction from multiple points of view and analyses factors affected satisfaction of patients and psychosocial needs that have a significant impact on the experience of the hospital care. The practical part deals with the questionnaire survey. The questionnaire is focused on the evaluation of patient satisfaction with perioperative anaesthesia care. Questionnaire results are statistically analysed. The aim of this work is to determine the level of satisfaction of patients in the preoperative and postoperative period.
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Options preventing catheter-related sepsis during hospitalization
Slavkovská, Jana ; Heczková, Jana (advisor) ; Mrákava, Vlastimil (referee)
The thesis is focused on the assessment of nurse's knowledge in the prevention of catheter sepsis. The aim of the study was to expertise knowledge in the prevention of catheter sepsis among nurses working in intensive care units. Map out the latest theoretical and practical possibilities of nurses working in intensive care units in the prevention of catheter-related sepsis of hospitalized patients. The work is divided into theoretical and practical part. The theoretical part consists of three chapters. In the first chapter, we focused on a theoretical overview of nosocomial and bloodstream infections. The second chapter is focused on an overview of invasive inputs. The third chapter focuses on prevention of catheter sepsis. Practical part was divided into two chapters. In the first section of the empirical part of the diploma thesis, which is the fourth chapter, we characterized the survey sample, the evaluation of the survey data that have been collected through the questionnaire. Practical part was divided into two chapters. The fifth chapter consists of discussion and suggestions. Key words: sepsis, prevention, nursing, catheter, nurse, hospitalization.
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Nursing Care of Seniors in Intensive Care Unit-ICU and Anaesthesiology and Resuscitation Unit-ARU
Svitáková, Jana ; Hošťálková, Monika (advisor) ; Mrákava, Vlastimil (referee)
General nurses in their proffesion provide nursing care to patients of different age groups. Quite frequently represented group are seniors. This fact is due to the increase in life expectancy, medical advances and polymorbidity of seniors, which is often the cause of their hospitalization. Nursing care for seniors is particularly challenging due to the occurence of many geriatric symptoms, restriction of cognitive functions and inabillity to self care. Much more difficult situation occurs, if the state of geriatric patient requires care in ARO (Department of Anesthesiology and Resuscitation) or ICU (Intensive Care Unit). Identification of problem areas in intensive nursing care for seniors leads to infer the possible measures for practice. In terms of this thesis quantitative research was carried out using a questionnaire survey. Research group consisted of general nurses from departments of intensive care, thus professional intesive care units (ICU) and department of anesthesiology and resuscitation. Out of the total number of 120 distributed questionnaires (100 %) returned 94 usable questionnaires (78,33 %). Realization of research survey was conducted in February 2012. The thesis consists of two parts, the practical and theoretical. The main objective was to map the problem of providing nursing...
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Use of Controlled Hypothermia in Patients after Cardiopulmonary Resuscitation
Johnová, Daniela ; Mrákava, Vlastimil (advisor) ; Skřipský, Roman (referee)
Therapeutic hypothermia is considered standard of care in patients after cardiopulmonary resuscitation of their effect on reducing the volume of brain impairment. Diploma thesis deals with the differences in the use of therapeutic hypothermia among university and district hospitals. The theoretical data give an overview of the physiology of thermoregulation, the body reactions to hypothermia, the pathophysiology of cerebral ischemia, controlled hypothermia and possible methods of cooling. The research part is devoted to exploring the use of controlled hypothermia difference between hospitals.
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Ensuring the Airways and Care about them in Intensive Care Setting
Sáková, Erika ; Mrákava, Vlastimil (advisor) ; Müller, Martin (referee)
Breathing is one of the basic life functions together with consciousness and blood circulation. Ensuring of patient's airways clearness is the primary action to save human life. It determines patient's chance to survive and success of his subsequent treatment frequently. Consecutive care for patients with secured airways is absolutely axiomatic. It is the prerequisite for subsequent adequate treatment. Without that there would be likely development of serious complications. The main goal of my thesis was to explore the ability of nurses at the Anesthesiology Intensive Care / ICU to take care of patient's airways properly and their knowledge of airway management instruments. In my thesis I used method of quantitative research. Data collection was conducted by using method of interview and technique of anonymous questionnaire which consisted of 21 questions. Four hypotheses were set: Hypothesis #1: Nurses at the Anesthesiology Intensive Care / ICU use closed exhaustion system in most cases. The hypothesis was confirmed. Hypothesis #2: Nurses at the Anesthesiology Intensive Care / ICU are able to perform airway management properly. The hypothesis was confirmed. Hypothesis #3: Nurses at the Anesthesiology Intensive Care / ICU have sufficient knowledge of airway management aids. The hypothesis was confirmed....
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The incidence of postoperative infectious complications in neurosurgical ICU
Brindová, Jana ; Mrákava, Vlastimil (advisor) ; Hocková, Jana (referee)
This thesis examines in detail the nature of postoperative infectious complications in patients who underwent brain tumor surgery. It deals with the incidence of these complications and their severity, depending on various factors and suggests the most appropriate nursing procedures used in the care of a patient in whom these complications occurred. For the structure of the work is divided into two parts - theoretical and empirical. The theoretical part deals with the issues examined in terms of the medical field Neurosurgery (closer diagnoses, conditions, operations and other procedures, and complications to occur after these operations or expected performance), analyzes a nursing practice and patient care on neurosurgical ICU, and finally closely examines infections and nosocomial diseases, including a description of the most common types, their agents, diagnosis and treatment. The second, empirical part focuses on the problems from a practical point of view. With the help of set of case studies it closer which specific complications are most commonly found on the neurosurgical ICU in patients after surgery of brain tumors, what are the most common methods of treatment and nursing procedures which are most used in the care of patients with these complications. In conclusion summarizes the...
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Options preventing catheter-related sepsis during hospitalization
Slavkovská, Jana ; Heczková, Jana (advisor) ; Mrákava, Vlastimil (referee)
The thesis is focused on the assessment of nurse's knowledge in the prevention of catheter sepsis. The aim of the study was to expertise knowledge in the prevention of catheter sepsis among nurses working in intensive care units. Map out the latest theoretical and practical possibilities of nurses working in intensive care units in the prevention of catheter-related sepsis of hospitalized patients. The work is divided into theoretical and practical part. The theoretical part consists of three chapters. In the first chapter, we focused on a theoretical overview of nosocomial and bloodstream infections. The second chapter is focused on an overview of invasive inputs. The third chapter focuses on prevention of catheter sepsis. Practical part was divided into two chapters. In the first section of the empirical part of the diploma thesis, which is the fourth chapter, we characterized the survey sample, the evaluation of the survey data that have been collected through the questionnaire. Practical part was divided into two chapters. The fifth chapter consists of discussion and suggestions. Key words: sepsis, prevention, nursing, catheter, nurse, hospitalization.
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Nursing care of a patient with non-invasive ventilatory support
Veselá, Barbora ; Sojková, Monika (advisor) ; Mrákava, Vlastimil (referee)
This diploma thesis deals with a non-invasive ventilatory support method and its use in commercial practice. The intention was to find out what theoretical basis nurses have in the mentioned issue, to characterize the most common indications, contraindications and particularly complications emerging at patients connected to a non-invasive ventilatory support. In the theoretical part there are found chapters about anatomy and physiology of airways and about a principle of an artificial pulmonary ventilation. A non-invasive ventilatory support represents a detailed chapter. The main part focuses on nursing care and monitoring of a patient connected to a non-invasive ventilatory support. I mainly deal with hygiene of airways, rehabilitation and breathing physiotherapy, positioning and the motion regime. Care for physical state of a patient connected to a ventilation and an issue of worsened communication during implementation of a non-invasive ventilatory support cannot be committed. The empirical part contains mainly anonymous questionnaire research leading to evaluation of given aims and hypothesis of work. In total, 200 respondents in four Prague hospitals were questioned and 164 of them completed this research. The research has brought very satisfactory results. The respondents has shown good...
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