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National Repository of Grey Literature

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Venous port from the perspective of the medic and from the perspective of the client PŘEDOTOVÁ, Jana The theoretical part deals with a complex problematics of venous port systems, its history, indications.. The empirical part focuses on the knowledge of the nursing staff and their attitude towards their own skills in this area and also the majority of this part deals with client´s awareness and their experience. In order to elaborate this thesis a combination of quantity quality examination has been chosen. To realize a quantity research we selected a survey based technique and for the quality one we used a semi-structured conversation system with open questions. There was a survey assorted for a quantity research which was destined for the general nurses working at the surgical and intern departments within Southern Bohemia region. The quality research was conducted by 9 interviews with clients with the ports implanted. There were four goals being focused on in the thesis. The first one was to chart the nurses´ awareness regarding the port problematics. From the results came clear that the nurses don´t have the corresponding knowledge. The second focus was to find out the own attitude of the nurses towards their skills regarding the port care. The results proved that the nurses assess their skills mostly like insufficient. The third focus was trying to estimate the clients´ awareness about ports and their appreciation of nursing care. By means of these clients´ interviews we found out that they are well informed about the problematics and their care appreciation with ports is excellent. The fourth focus was searching for particular clients´ needs regarding their ports and their saturation by the nursing staff. From the clients´ responses were we able to find out that they don´t have. H1 The general nurses working at the surgical departments treat the clients with ports more often than those from the intern departments. It also shows that both nurses from surgical and internal departments meet the clients with ports equally. The first hypothesis has not been proved. H2 The general nurses working at the surgical departments have more knowledge about nursing clients with ports than those from the intern departments. The analysis has shown that nurses from intern departments have more knowledge than those from the surgical ones. The second hypothesis has not been proved. H3 The general nurses working at the surgical departments assess their skills regarding the care of client with implanted port better than those from intern departments. Nurses from both departments assess their skills mostly as insufficient. The third hypothesis has not been proved. H4 General nurses are interested in increasing their knowledge about the port problematics. The nurses proved interest about increasing their knowledge, e. g. by attending a special course. The fourth hypothesis has not been proved.Survey questionnaire: VO1 Do the clients have enough information about the ports? VO2 Does the port obstruct your daily activities? VO3 How is the port being estimated by the clients? VO4 What pros and cons have the ports from their point of view? VO5 How do the clients assess the nursing care? VO6 What particular needs do the clients with ports have? VO7 Are these needs saturated by the nursing staff? The survey research proved that the clients are satisfied with the ports. The care of ports is assessed perfectly by clients and it attests that the provided medical care is superior. Despite all those positive outcomes it´s essential that the nurses from oncology but also from other departments are being further educated in the port problematics as the results of quantity research points to a lack of knowledge of nurses and the number of clients with ports is increasing.The thesis can be used as an information source for nurses and management. We recommend regular education seminars and creation of nursing standards. Detailed record

Problems in nursing care for klient with general and epidural, spinal anesthesia PŘEDOTOVÁ, Jana Abstract:Problems of nursing care for a client with general and epidural spinal anaesthesia.The topic of the Bachelor Thesis is ?Problems of nursing care for a client with general and epidural spinal anaesthesia?. The Thesis has three goals. The first goal is to map the knowledge of the general anaesthesia issues among nurses. The next goal is to map the knowledge of epidural spinal anaesthesia among nurses and the last goal is to check adherence to the nursing care principles in general and epidural spinal anaesthesia.The work consists of a theoretical part and a practical part. The theoretical part deals with definition of general and epidural spinal anaesthesia, their indications and counter indications, the spinal canal anatomy, applied pharmaceuticals and nursing care before, during and after general and epidural and spinal anaesthesia.The research part is based on quantitative data collection method by means of a questionnaire. Standard surgical, gynaecology and orthopaedic wards and an intensive care unit including casualty ward were involved. The questionnaire was designed for nurses and consisted of 35 questions, which may be divided into identification and knowledge ones.The goals of the Thesis have been met. Hypothesis No. 1 ?Nurses are better informed in the field of general anaesthesia then spinal, epidural anaesthesia? was refuted. Hypotheses No. 2 ?ICU and casualty ward nurses adhere to the principles of nursing care for clients with general and epidural spinal anaesthesia better than those at standard wards? and No. 3 ?Nurses adhere to the principles of nursing care for clients with general and epidural spinal anaesthesia? were refuted. Hypotheses No. 4 ?Nurses of standard wards care about more patients after general anaesthesia?, No. 5 ?ICU and casualty ward nurses valuate epidural spinal anaesthesia higher than general anaesthesia? and No. 6 ?Nurses observe that patients prefer general anaesthesia to epidural spinal anaesthesia if they can choose? were confirmed.The research results show that nurses do not have sufficient information in the field of general and epidural spinal anaesthesia. This is why this Thesis may be used for further education of nurses to improve their knowledge and to make them adhere to the nursing care principles in the field of general and epidural spinal anaesthesia. This is why educational material dealing with the general and epidural spinal anaesthesia will be prepared, designed for nurses to improve their information. Better information for nurses might lead to improvement of the health care provided. Detailed record

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