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Medical Emergency from a Nurse´s Point of View.
NETRVALOVÁ, Martina
The nurse?s approach to a patient who is being admitted at the emergency ward should be in all circumstances in compliance with the holistic philosophy. In the thesis we focused on the emergency admission of a patient from the nurse?s point of view. The emergency admission of a patient requires a quick and professional approach. It is important for each nurse to realize that communication with the patient, the doctor and other members of the medical team is the part of this professional approach. Another essential part is an active search of patient?s current problems. In order to manage this, it is necessary to show the ability to cooperate with the patient, to know, how to proceed in a physical checkup, to be able to describe the deviations from the standard, and last but not least, to be able to communicate with the doctor about the findings. The theoretical part of the thesis involves chapters dealing with holism, holistic philosophy, communication and physical check-up of a patient. Further this part deals with getting the anamnesis, the agreement with the admission to hospital and other formalities that belong to the procedure of admission of a patient. At the end of the theoretical part we characterize the surgical ward and the internal ward and describe abdomen aches and chest pains as typical examples of emergency admission reasons at these two wards. The objective of this work is to find out whether nurses at these emergency wards (surgical and internal) during the process of admission provide a patient with care that is in compliance with principles of holistic philosophy and also to compare the holistic approach of nurses at the surgical and internal emergency wards. 4 questions were set before the research started. Research question No.1: How are biopsychosocial needs of a patient at the emergency admission saturated? Research question No.2: How can the communication of a nurse with a patient at the emergency admission ward, during the admission procedures, influence the following cooperation of the patient with the medical staff? Research question No.3: What does the difference between the holistic care at the surgical and internal ward lie in? Research question No.4: How can the circumstances during the emergency admission of a patient influence a nurse?s respect of patient?s needs? Half-standardized interviews with 3 nurses from the surgical ward and with 3 nurses from the internal ward were used in the research part. Then, a concerned observation of those nurses was carried out, while they were taking care of a patient at the emergency admission ward. On the grounds of the research results we can assume that the objective of the thesis was met. The objective was to describe different views and approaches of nurses to a patient who is being admitted at the emergency ward. The research results were used to compose an instruction manual called: What nurses at the Emergency Admission Ward should not forget.
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