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Safe administration of injectable medications
VANÍČKOVÁ, Eliška
Introduction: Drug administration is an essential part of nursing practice. Following the example of other countries, the safety of drug administration is coming to the fore. Nowadays, patient safety is a key element in the provision of quality nursing care. The aim of this thesis was to map the procedure of drug administration by intramuscular and subcutaneous routes. Methodology and research sample: For the purpose of this thesis, the method of participant observation was chosen, which took place in the departments of internal medicine and surgery from August to October 2023. All observations were recorded in a pre-designed record sheet and the data were statistically analysed using SASD and SPSS software. The analysis was based on first and second level classification, contingency tables with absolute and relative frequencies and sign scheme were constructed. The results were then organised into graphs and tables. Results: The results of the thesis indicate that the nurses observed do not follow the labelling of injections to a considerable extent, which can lead to errors. Furthermore, in a significant number of cases the nurses do not take care to properly disinfect the injection site of the injectable drug, which leads to a higher likelihood of signs of inflammation at the injection site. A surprising finding was the precision in hand sanitation. This behaviour is very important because, in combination with careful disinfection of the injection site, it is more likely to prevent the introduction of infection into the patient's body. Conclusion: The thesis provides a comprehensive view on the issue of safe administration of injectable medicinal products. As a result of this work, it will be presented at a student conference and an article will be written on the subject.
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Pacient s kombinovaným znevýhodněním zraku a sluchu v ošetřovatelské praxi
VANÍČKOVÁ, Eliška
The bachelor thesis aims to raise awareness of the problems associated with visual and hearing impairment. The theoretical part is focused on defining the term deafblindness, classification of people with this handicap, its etiologies and development. The bachelor thesis also focuses on communication techniques used in communication with a deafblind person, nursing care for patients with this handicap, and an introduction to organizations that operate in the Czech Republic. The main aim of this bachelor thesis was to map how healthcare staff communicate with a patient suffering from a combined visual and hearing impairment and to find out how the combined visual and hearing impairment affects the client's communication with the external environment. It was to define and identify all the sub-variables that the qualitative investigation was conducted. The semi-structured interview method was selected for the purpose of this paper, in which 6 general nurses working in a health care facility participated. Purposive sampling was used to determine the research population. The inclusion in the research was conditional on practice with clients with combined visual and hearing impairment. The second research population was those clients with a presenting visual and hearing impairment who had experience of being in a healthcare facility. All interviews were recorded on a mobile phone and then transcribed in MS Word into electronic form. Data analysis involved open and axial coding, categorization of codes, and sorting into categories and subcategories based on predetermined objectives. The results show that the concept of communicating with a person with combined hearing and visual impairment is not a commonly discussed topic in our society. Nurses are rarely familiar with this issue. The undesirable factors that affect nurses are mainly the low awareness of this issue and the low incidence of such clients in the health care facility. The nurse probands report an increased level of distress in communicating with such a client. Client respondents are more likely to report pleasant experience with staff at the health facility.
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