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National Repository of Grey Literature 2 records found  Search took 0.00 seconds. 
Motivational and demotivational factors to remain in intensive care nursing
 Trojáková, Miluše ; Heczková, Jana (advisor) ; Kulířová, Veronika (referee)
The profession of a general nurse is a specific job with high demands. At present, recruiting and retaining general nurses is an urgent and fundamental problem not only in the Czech Republic but also worldwide. The extent of the shortage of general nurses is not clear. The Czech Nursing Association (ČAS) reports figures ranging from 2000 to 3300 for the years 2017 and 2018. The lack of trained and qualified general nurses results in a series of negative effects, impacting not only the quality but also availability of the care provided. Some foreign studies even indicate that the shortage of nurses increases the likelihood of complications and patient deaths (Aiken et al., 2014). By recognizing the motivational and demotivational factors impacting the satisfaction of nurses we can help to retain general nurses in their jobs and increase their work performance. The research survey implemented at one specific intensive care unit of the highest level was conducted using the qualitative research method. The data collection took place in the form of semi-structured interviews and was completed by achieving data saturation. The qualitative data were audio recorded to maintain authenticity. The interviews were subsequently transcribed. An open coding technique was used to analyze the data of ten survey...
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Prevention of Complications in Patients with Secured Airways
 Trojáková, Miluše ; Heczková, Jana (advisor) ; Srpová, Daniela (referee)
The thesis reviews airway management practices in intubated a tracheostomised patients. Patients requiring mechanical ventilation have their airways secured mostly by endotracheal or tracheostomy tubes. Such patients are in a great risk of developing serious complications. One of the most common is the ventilator-acquired pneumonia (VAP). Currently, VAP represents a major problem not only in the Czech Republic but globally. In the USA, VAP is the most common nosocomial infection and represents 25% of all ICU infections. VAP complications lead to deterioration of the patients' condition, extend the total duration of hospitalization and some present a mortality risk. The VAP mortality rate has been reported to be 20-50%. Moreover, VAP complications lead to an increase in health care costs. The goal of the thesis is the comparison of the state of the art scientific knowledge, clinical guidelines and current clinical practices. The thesis describes the practice in the highly specific nursing aktivity - airway management, using case studies. My research took place at ARO (ICU - intensive care unit). The first case study involves an intubated patient, the second one a patient with the tracheostomy tube. The analysis has shown that the clinical practice guidelines of the ARO department are being followed...
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4 Trojáková, Michaela
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