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Nursing Procedures of Oxygen Administration to Newborns
STUDÍKOVÁ, Monika
Nursing Procedures of Oxygen Administration to Newborns The diploma thesis is to outline the current perspective of oxygen therapy of newborns who need highly specialized care as early as in the delivery room and subsequently in intensive and resuscitation care units of perinatologic centres. The research in the diploma thesis is focused on the assessment of the level of implementation of recommendations of the Czech Neonatology Society concerning oxygen administration on all levels of neonatal care. The theoretical part addresses the first treatment and evaluation of a newborn. Then the reasons leading to oxygen administration are discussed as well as the methods of oxygen application in the delivery room and intensive and resuscitation care units. Being at the forefront, oxygen is one of the most often administered medicines. Inadequate use of oxygen as a medicine increases the risk of complications for the newborn. The delivery and the first weeks after the birth rank among the crucial periods of every child. Adherence to the recommended procedures improves the outlooks of premature newborns for leading quality life. The objective of the thesis is to ascertain the level of implementation of recommendations of the Czech Neonatology Society concerning oxygen administration on all levels of neonatal care. The research was quantitative and used the questionnaire technique. The author created one kind of the questionnaire for the selected research set. The set consisted of nurses working in neonatal wards of selected hospitals. A total of 65 questions were created to ascertain the level of implementation of recommendations of the Czech Neonatology Society concerning oxygen administration on all levels of neonatal care. The research set consisted of 184 respondents. In order to attain the objective, the following hypotheses were raised: H1: Nurses know the current recommendations for oxygen administration to newborns. H2: Delivery rooms have sufficient technical equipment for oxygen administration to newborns. H3: Nurses are theoretically and practically trained for situations requiring oxygen administration to newborns. H4: Clearly formulated rules of oxygen therapy are available for nurses in a written form in a well visible place in the delivery room. Based on the statistically processed results, the first three hypotheses have been confirmed. The fourth hypothesis was disconfirmed. The objective of the thesis has been attained. The research results may be used for better understanding of the issue of oxygen administration to newborns in a hypoxic condition with regard to the findings of its toxicity. In order to secure adherence to the recommendations for oxygen administration to newborns, it is appropriate to create a nursing procedure and standard and secure its availability in every delivery room and station.
Detailed record
Importance of Nonverbal Communication for a Patient
STUDÍKOVÁ, Monika
Importance of Nonverbal Communication for a Patient The research of the bachelor{\crq}s thesis is focused on assessment of importance of nonverbal communication for a patient/client. The theoretical part analyses communication as a whole and addresses individual parts of nonverbal communication. Communication is a word used very frequently. But it does not mean only spoken words. Its importance has been increasing in both health service and common life. It leads to more appreciative and decent behaviour of staff and to increasingly humane environment in medical establishments. The task of a nurse is not only to send these nonverbal signals but also to accept and understand them. It enables her to understand clients with all their needs. Despite all efforts for education in the area of communication, there have still been variously large communication barriers. The objective of the research is to ascertain whether patients/clients of medical establishments consider nonverbal communication to be important in a contact with a nurse. The research was conducted by the quantitative method using anonymous questionnaires. One type of a questionnaire was drawn up for the research set selectedby us. The set was composed of patients/clients who visited an outpatient{\crq}s clinic or hospital. The questionnaire was absolutely anonymous. The objective of 27 questions was to ascertain the importance of nonverbal communication for a patient/client. The research set comprised 126 respondents. The following hypotheses were raised in order to achieve the set objective: Hypothesis 1: Nonverbal communication is important for patients/clients. Hypothesis 2: The level of nonverbal communication skills of a nurse increases willingness of a patient/client to cooperate in the therapy. On the basis of the statistically processed results, both the hypotheses have been confirmed. The objective of the thesis has been fulfilled. From the results of the research, another possible hypothesis has arisen, namely that nonverbal communication between a patient/client and a nurse will influence the trust in the visited establishment. The results of the research may be used for better appreciation of the effect of nonverbal communication between a nurse and a patient. The thesis should trigger considerations of importance of nonverbal communication for a patient/client. It should also raise interest of nurses in education in the area of communication and inspire the management to monitor communication skills of medical staff, particularly nurses. One of possible solutions is elaboration and introduction of a communication standard or conducting of a communication audit.
Detailed record
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