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Life of a patient after surgical treatment for malignant tumors of skin
KOLDOVÁ, Miroslava
Abstract: This thesis deals with lives of patients after surgical treatment for malignant skin tumours.The goal of the thesis: To find out how patients perceive their lives after surgical treatment for malignant skin tumours. To find out how patients are informed on regimen measures after surgical treatment for malignant skin tumours.Methodology and the sample set: Research questions were set on the basis of the chosen goals. How do patients perceive their lives after a surgical excision of a malignant skin tumour? How are patients informed on regimen measures after surgical treatment for malignant skin tumours? I chose a qualitative research strategy for the accomplishment of my survey, where the technique of semi-structured interviews was used for the data collection. The sample set consisted of 12 patients, who had undergone surgical treatment for malignant skin tumours. The patients were intentionally addressed by means of Facebook. The obtained information was processed by means of the paper-and-pencil method. Results: The survey has revealed that in their today's lives the patients feel limitation within the protection against the sun's UV radiation, which hampers them from their activities to the fullest. Their life values have changed and the perception of their own bodies deviated, they moreover fight permanent fear from the disease relapse. We have also found out that patients are insufficiently informed on regime measures, which is often caused by lack of time, empathy and willingness to give information on the side of healthcare staff. The ascertainment of these facts led me to preparation of an informational leaflet, which, apart from being useful for patients, can also serve as a complementary source of information for healthcare staff. Recommendations for the practice: I recommend that the issue of providing information and education in the care about patients with malignant skin disease should be included in the education for nurses. Recommendation of mutual cooperation with patients' family members is suitable.
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Professional experience from the perspective of a nursing student
ŠKRDLETOVÁ, Adéla
Introduction: The thesis focuses on the issue of general nurse education. In greater detail, it focuses on professional nursing practice. Educating nurses is necessary to ensure a high-quality and safe care. Practical teaching makes up a large portion of pre-gradual education, that is why it is necessary to give it the much-needed attention. Students acquire both theoretical and practical knowledge as well as experience during their practice, which are necessary for their future profession. The aim of this thesis: The main aim of this bachelor thesis was to research the students´ opinions related to professional nursing practice. Methodology: To reach the set goals, a qualitative research method was used. Data collection was implemented via a semi-structured interview with general nursing students at the Faculty of Health and Social Sciences of the University of South Bohemia. The interviews were divided into three categories for better clarity and the total amount of questions were 28. The acquired answers were analysed using open coding. Results: Results have proven that the students´ expectations are rather positive and rely in improving oneself in practical skills, acquiring independence via practice, acquiring self-esteem and a greater knowledge when choosing a future job. Cooperating with nursing staff relies on an individual level, influenced mainly by the nurse´s personality. The experience of students in their practical courses is positive, neutral as well as negative, influenced mainly by the staff and their interest in students, type of ward, mentoring, stress as well as ward equipment. Conclusion: Results have proven that students at professional practice need to be given the necessary attention. Student happiness is an important factor that should be a common primary interest in both, teachers and staff.
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Fall prevention from the nurse's point of view
PAVELKOVÁ, Kateřina
The bachelor thesis focuses on fall prevention from the perspective of the general nurse. General nurses encounter falls very frequently with health care providers and should be able to act on this issue in both the prevention and management of a fall. This thesis consists of a theoretical and a research part. The theoretical part deals with the characteristics of falls and risk groups of patients and other internal and external risk factors that occupy an important role in this issue. It also discusses the role of the general nurse in fall prevention as an integral part of the practice of the profession. The thesis also deals with selected aspects of fall prevention and follow-up of fall occurrence and consequences in patients. It was also important to mention the scales used to assess falls or to reduce the risk of falls. For the research part of this bachelor's thesis, a qualitative data collection method was chosen by using the technique of semi-structured interviews conducted with general nurses of selected wards of internal type of health care providers. The aim of the research part was to find out how general nurses identify patient groups at risk for falls. Also, whether general nurses implement preventive measures for fall occurrence and how they proceed when a fall occurs. Last but not least, it was important to find out how general nurses proceed when a patient is discharged to home care.
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Subjective perception of nurses fatigue in the ward with Covid-19 positive patients
Vosátková, Laura ; Jirkovský, Daniel (advisor) ; Haluzíková, Jana (referee)
The bachelor thesis deals with the workload of nurses caring for COVID-19 positive patients. The aim of the questionnaire survey was to determine the workload of these nurses and to determine whether the workload of the Covid-type ward exceeds the workload of the standard non-Covid ward. Data collection took place in the inpatient, ICU and ARO wards of the Rudolf and Stefanie Hospital in Benešov, which cared for COVID-19 positive patients. The questionnaire survey took place from November 2021 to January 2022. The target group of respondents consisted of practical and general nurses. A data sheet created by Microsoft Excel was used for data processing, and STATISTICA CZ 12 was used for basic statistical analyzes and frequency tables. From the results of the survey it was found that the share, resp. 73.44 % of respondents reported a rate of subjective experiences that matched congestion in Covid's department. 90.63 % of respondents reported a share of subjective experiences in the Covid department that corresponded to monotony. The share of the combination of subjective experiences of overload and monotony was stated by 67.19 % of respondents. 20.31% of respondents and 1.56% of respondents experienced an unfavorable workload in the ward with COVID-19 positive patients. It can be concluded that the...
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De-escalation of the patient's aggressive behaviour in a psychiatric ward
Černý, Jan ; Jirkovský, Daniel (advisor) ; Dorková, Zlatica (referee)
The bachelor's thesis "De-escalation of aggressive patient behavior in the psychiatric ward" deals with the issue of aggression, its prevention and effective solution. The aim of the work was to determine the frequency of aggression, its type, cause and method of solution. Another aim of the work was to find out the frequency of trainings that the respondents completed and their interest in a possible offer of training focused on managing aggression. The theoretical part of the thesis provides a basic overview of the issue, a description of de- escalation techniques and other options for managing aggression and its prevention. The empirical part of the work presents the results of own research and their comparison with the results of other professional research. The method of the survey was a self-designed questionnaire, which was distributed to general and practical nurses of the Psychiatric Hospital Bohnice. 108 duly completed questionnaires were included in the study itself. Results: It was found that more than 58% of respondents experience verbal aggression at least once a week and almost 29% of respondents experience brachial aggression at least once a week. Due to such a frequent occurrence of aggression, only less than 59% of respondents have been trained in the issue at least once in the...
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Contribution and cooperation of the Army of the Czech Republic during the Covid-19 pandemic in the work of general nurses
PAVLOVIČOVÁ, Adéla
The aim of this diploma thesis was to map the scope of cooperation between members of the AČR and general nurses during the Covid-19 pandemic. Another goal was to find out if the general nurses were satisfied with the mentioned cooperation, and also to map the experiences of the general nurses with the deployment of soldiers in hospital inpatient wards. The theoretical part deals with a detailed description of key terms that are still related to the research part. Above all, attention is paid here to the disease Covid-19, its clinical picture and the possibilities of prevention, diagnosis and treatment. Key terms such as general nurse or pandemic are also explained. We also focus on the specifics of the work of general nurses in hospitals during the pandemic. Another of the main chapters focuses on the Army of the Czech Republic and the ways in which it fought against the mentioned infectious disease. It describes not only the help provided by its members in social and hospital facilities, but also help to the components of the integrated rescue system and other ways of its involvement. In the empirical part, a research investigation was carried out in a qualitative form using the in-depth interview method. The research group consisted of a total of fifteen general nurses who work in two different hospitals on inpatient wards. All of them collaborated with members of the ACR during the pandemic, which represents the basic building block of this entire research. Before the actual research was carried out, a pre-research was also carried out, which mainly served to verify the comprehensibility of the individual questions in the interview. After the consent of the informants, the interviews were recorded and subsequently transcribed in Microsoft Word by the author of the thesis. The obtained information was carefully read and, as needed, categorized and reduced into created categories and subcategories, which are schematically shown in the results chapter. The obtained results show that the members of the ACR cooperated both with general nurses and with other members of the nursing team. Most often, it was auxiliary work, such as helping with morning hygiene, anti-decubitus care, assistance with meals, etc. The general nurses explained what the soldiers were most beneficial to them, but also described the tasks that were problematic activities for the soldiers. General nurses also described in detail the experiences they gained from this collaboration, and stated both positive and negative opinions and comments about this collaboration. The work also includes recommended changes in case another wave of the Covid-19 pandemic follows. In the discussion chapter, the obtained results of the empirical part are then compared with professional literature and global database articles.
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Cultural competences of nurses in intensive nursing care
BALOUNOVÁ, Lucie
The goal of this thesis with the name "Cultural Competence of Nurses in Intensive Nursing Care" is to analyze the cultural competence of intensive nursing care. Based on this topic, two questions have been created: "What is the cultural competence of nurses in intensive nursing care" and "Which cultural challenges do nurses face in intensive nursing care?" The theoretical part of this thesis focuses on the characteristics of multicultural nursing care, defining basic concepts that are associated with this topic. It also describes various nursing care models about multicultural nursing care, along with communication and the challenges associated with specific minorities. There is also a chapter that focuses on the characteristics of intensive care and the specifics of communication with patients. The empirical part of this thesis was written in a qualitative form, comprising of interviews that gathered data based on thirty-two questions and a few sub-questions. The introduction had three questions collecting personal information of the interviewees, then another twenty-nine questions followed with thirteen sub-questions that focused on the nursing care of patients of minority groups, the specifics of transcultural nursing care, educating nurses about this topic and how much experience did they have with this topic. If necessary, further questions were asked. The whole interview was done so that it would be able to provide answers to our study questions that were made ahead of time and to also provide a picture of how nurses handle intensive care in patients of minority groups. We asked a total of ten general nurses who at the time of this study worked in intensive care, either at a department of anesthesiology and resuscitation, intensive care department or intermediate care. The interviews were then processed with open code and coloring text. In order to make the results of the study easier to understand, they have been divided and presented into four categories and ten subcategories. The categories clearly describe the experiences and thoughts of nurses. The results provide a holistic view on transcultural nursing care in intensive care. Based on this study, transcultural nursing care is becoming even more significant in today's society and it is important to not just focus on the education of nurses regarding this topic, but also to teach foreign languages, because language barriers are one of the most common obstacles nurses must face. This work may serve as educational material not just for students of healthcare professions, but also for nurses working in intensive care. The results alone point to shortcomings and problems associated with providing a culturally competent care and may contribute to improving this specific topic.
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Possibilities of using nursing model Betty Neuman in prevention of overweight and obesity.
TŘÍSKOVÁ, Lucie
Lifestyle, decrease in physical activity, advance in new technologies, industrialization and globalization contribute to the increasing prevalence of overweight and obesity. Considering the number of factors participating in their formation might be beneficial for the nurses to use the Betty Neuman's conceptual model to evaluate the involved factors and the level of their influence. In accordance with this evaluation also set the interventions in the individual stages of prevention. The aim of this thesis was to describe the possibilities of utilization the Betty Neuman's conceptual model in prevention of overweight and obesity. In the investigative part the quantitative and qualitative research were used. The quantitative research was performed by means of a non-standardized questionnaire intended for the nurses from Vysočina region and Jihočeský region. The qualitative research was implemented via a semi-structured interview with the overweight or obese individuals and nurses from the same regions. Relating to the people with overweight and obesity, no significant differences in stressors were found after the quantitative data analysis. However, the results reveal a considerable dissatisfaction with the overall appearance and health condition. They also reveal the perception of the overweight and obesity impact at work. The respondents show an interest in weight reduction, some of them try repeatedly. Equally, the qualitative data analysis implies that the overweight and obese patients percept themselves with less satisfaction. The most frequent problems are higher weight, troubles with breathing and pain in legs while walking. With regard to general nurses, it was found out that they approach the overweight and obese patients the same way as the rest of the patients. They would recommend regular and healthy diet and exercise. The gathered results reveal the necessity of communication with the individuals who suffer from overweight and obesity. For the lifestyle transformation, sufficient education supported by motivation is crucial.
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Risks of infection for nurses at the department of internal medicine
JIRÁČKOVÁ, Anna
This bachelor's thesis addresses infectious diseases, especially their risk of transmission, to which nurses are exposed in the exercise of their profession. The thesis is divided into two parts, the first theoretical part describes the issue of professional infections and health care associated infections, including hygienic-epidemiological measures. The second empirical part, it contains both qualitative and quantitative research. Qualitative data collection was carried out through interviews and covert observations with several members of the sister staff. For the qualitative investigation, research questions were established. What are the risks of transmitting infectious diseases in nurses working in an internal department? How do nurses prevent the development of infectious diseases in the department of the internal type? How do nurses follow preventive measures for the risk of transmission of infectious diseases to an internal type department? On the contrary, quantitative research was carried out using a questionnaire survey involving 206 respondents from the general public. Hypotheses were established together with the objective for quantitative research. The perception of the risk of transmission of infectious diseases in nurses working in an internal department varies according to the age of the lay public. The perception of the risk of transmission of infectious diseases in nurses working in an internal department varies according to the experience of the general public with nursing care. The results showed that nurses are at considerable risk of transmitting infectious diseases, with most adhering to preventive measures. The results of the quantitative examination show that older respondents perceive the risk of transmission of infection as higher than respondents at a younger age. On the contrary, the experience of respondents with nursing care has no effect on the perception of the risk of transmission of infectious diseases. The results of the work can highlight what activities and procedures in nursing care need to be put more emphasis on. The opinion of the lay public allows a more comprehensive view of the issue, nurses can also gain a higher motivation for the performance of their profession thanks to feedback from society.
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Nursing student's motivation toward a university education
BLECHOVÁ, Aneta
This bachelor's thesis deals with nursing student's motivation toward a university education. The thesis is divided into theoretical and practical parts. The theoretical part has four parts. The first part explains nursing, the nurse profession and its prestige, and nursing companies. The second part is dedicated to the history of nursing in the Czech Republic and abroad. The third part describes the current education of nurses, legislation, pre-gradual and post-gradual studies, lifelong education, and nurses' competence. The last part is focused on the definition of motivation, Maslow's hierarchy of needs, motivation to work and study, and work satisfaction of health workers. In the practical part, qualitative research was used. The method of a semi-structured interview was used. The interview included 28 questions. In total, 10 females studying general nursing from different faculties were interviewed. The requirements for the interview were a high school diploma, enrollment in the university, and agreement to give the interview which was taken online. Afterward, the interviews were rewritten, printed, and processed manually. The conclusions were divided into 4 categories and 20 subcategories. The research aimed to map reasons for a decision to major in general nursing, learn about expectations about the education, and gather opinions on the current educational system. The research showed that 5 out of 10 students are motivated by an increase in competence and knowledge. In addition, recognition from others, increase in independence, university degree, higher financial evaluation, or external motivation were considered as highly motivating. Further, the students were mostly expecting to gain knowledge and learn new skills. Similarly, 9 out of 10 students think that university education is important. This thesis summarises the motivation, experience, opinions, and level of satisfaction of female students. This thesis tries to bring a closer look at the profession of general nurse and also, to inform potential candidates interested in the general nursing major. This thesis can also provide universities with feedback on the level of satisfaction of students with their academic studies.
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