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The use of elements of the Basal stimulation concept in long-term intensive nursing care department
KAFKOVÁ, Tereza
The bachelor thesis is focused on the use of the elements of the Basal stimulation concept in a long-term intensive care unit. The aim of this bachelor's thesis was to find out how nurses incorporate the concept of Basal stimulation into the care of patients on the LTINC unit. To achieve this aim, one research question was set, "How do nurses incorporate the concept of Basal stimulation into the care of patients on the LTINC unit?" The data collection technique was semi-structured interviews and overt non-participant observation. The research population consisted of 5 nurses working in the long-term intensive care unit of a selected hospital in the Vysočina Region. Based on the analysis of the interview data, 4 categories and 3 subcategories were created. The data collected by observation was divided into 6 categories. From the results of our work, it is clear that the nurses who formed our research population incorporate elements of the Basal stimulation concept into the care of patients hospitalized in the LTINC unit in every contact with them. The most used elements of this concept on this ward are the initial touch, addressing, positioning, placing patients in vibrating and conventional chairs and the use of the patient's favourite toilet aids. Patients most often respond to initial touch combined with addressing and their initial reactions include eye fixation, general calming and reduction of spasticity. Recommendations for practice: We recommend to include only 4 types of selected scents into the care of patients using olfactory stimulation.
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Possibilities of nurse activity in primary prevention of Chronic Kidney Disease
FIKAROVÁ, Anna
Introduction: Chronic Kidney Disease (CKD) is an incurable condition that is increasingly prevalent worldwide. Therefore, prevention is particularly important. Nurses in primary care encounter patients at increased risk for developing CKD and can contribute to its prevention by raising awareness about the disease and ways to prevent it. Objective: The main goal of the study was to determine the perception of nurses in the primary prevention of chronic kidney failure. Methods: The research part was conducted by qualitive research method in the form of semi-structured interviews. The research sample consisted of seven nurses working in a general practitioner's office for adults. The information gathered was analysed using open coding with the qualitative statistical program Atlas.ti, resulting in two categories and four subcategories. Results: The results indicated that nurses at general practitioners' offices for adults see their main opportunity in the primary prevention of CKD as educating patients, which they conduct through oral discussions and by offering informational leaflets. Nurses primarily inform patients about maintaining a healthy lifestyle, regimen measures, familiarising patients with the disease, its complications, and the importance of regular participation in preventive examinations. Nurses perceive screening tests, which allow for the identification of at-risk individuals for CKD, as an important element in primary prevention. Conclusion: The primary prevention of CKD is primarily hindered by patients' insufficient knowledge about the disease, from which patient cooperation is derived. To enhance the efficacy of primary prevention, nurses would benefit from increased time per patient and more comprehensive promotion of CKD.
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The needs of transplanted patients after a re-enrollment in a long-term dialysis program
DUŠKOVÁ, Denisa
Introduction: In this bachelor thesis, the needs of transplanted patients re-entering a long-term dialysis program were examined. The unsatisfied needs of such patients may lead to a deterioration in their health. It is therefore important to perceive the patient's desires and wishes. The issues addressed in this thesis can contribute to a better understanding of the patient´s needs not only by the nursing staff, but also by the patient's family and his surroundings. Objective and research questions: The main objective of this study was to identify the specific needs of these patients. Answers were sought to the questions such as what the specific needs are, how the needs changed before transplantation and after re-entering the dialysis, which needs are not met adequately, and which ones are the most important for the patients. Methods: The data were obtained through qualitative research in the form of a semi structured interview at a selected dialysis center in the South Bohemian Region. The data were processed by the coding method using the ATLAS.ti statistical program. Subsequently, 5 categories were identified with their subcategories. Results: From the resulting data it was found that patients most desire the need for sleep and rest, being pain-free, leading a normal life, and receiving sufficient support from family. However, inadequate satisfaction in the area of sleep does not prevent patients from engaging in a form of physical activity, which positively affects their mental well being. It was also noted that the most important aspect for patients during dialysis is a calm and uncomplicated process. Conclusion: Despite the results of this research, it is necessary to consider a person as an individual being whose needs may differ from the majority.
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The importance of effective communication in the nursing team
BEJČKOVÁ, Eliška
This bachelor thesis is focused on The importance of effective communication in the nursing team. The aim of this thesis was to find out the impact of communication in the nursing team when performing nursing activities. Then to find out what kind of effect communication between staff has on their relationships with each other. The final objective was to determine if effective communication minimizes errors in nursing practice. The thesis was divided into theoretical and practical part. The theoretical part was devoted to general communication, followed by communication in health care, members of nursing team, personality of the health care worker, conflicts, burnout syndrome, health care, and finally basic information about departmental safety goals. In the practical part, qualitative research was conducted in the form of a semi-structured interview, which was subsequently processed in the form of diagrams. The research was conducted with members of the nursing team in different hospital departments. The results of this thesis revealed that the interviewed informants are aware of the impact of communication on their work and relationships within the team and with patients. They also indicated the most frequently resolved conflict situations and most informants indicated their subsequent adequate resolution. With the exception of one informant, all interviewees agreed that staff put patients mental and physical health at risk through ineffective communication. The objectives of the thesis were met and will be of benefit, both for staff working in the hospital setting and for students studying this field. The results of the thesis could also be an indicator of the quality of communication and a motivation for it's improvement.
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The process and role of the social worker in patients in the terminal stage of illness
PROKEŠ, Vojtěch
The thesis deals with the process and role of the social worker regarding patients in the terminal stage of illness. The first chapter of the thesis focuses on the description of palliative and hospice care, their aims, and types. The following chapter describes the terminal stage, explaining what the terminal stage is, what phases of coping with dying a person goes through at the end of life, what rights the dying person has and what his/her needs are. It also focuses on dying, death and grieving itself. The third part describes the work of the multidisciplinary team and its members. The role of the social worker is depicted in the last chapter, where it is explained what activities they perform and how they communicate with patients and team members.
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Communication of nurses with hearing impaired patient on covid units
RAUŠOVÁ, Ilona
Introduction: For nurses, communication is a basic instrument in the nursing process. During the Covid-19 pandemic, nurses were obliged to wear protective equipment to prevent the spread of the disease. Protective equipment, especially masks, have a negative impact on nurse - patient communication. They dampen the volume of spoken speech, prevent reading and recognition of facial expressions. Nurses had to deal with these communication barriers while maintaining the nursing standards. Purpose of this work: The aim of the bachelor's thesis was to find out the specifics when communicating with a hearing-impaired patient. Methodology:The empirical part of this thesis was processed using the method of qualitative research analysis. To collect data, a semi-structured interview was used with nurses who worked at a covid-19 unit during the Covid-19 pandemic. The conversations took place in the period from March to May 2023. The conversations were recorded with the participants consent on a mobile phone by the use of the application Záznamník (recorder). The interviews were written afterwards in text, using the Microsoft Word program. Written data were then analyzed by the method of open coding, using the "pencil and paper"technique. The data obtained were divided into three categories, which were subsequently divided into subcategories. For better illustration, the individual categories and subcategories were drawn up in clear diagrams and described in detail. Results:The work results were divided into three categories, which are: hearing-impaired patient, barriers to nursing care and nurses' communication with hearing-impaired patients. Both categories are divided to the period before the Covid-19 pandemic, the period during the pandemic and the period after the end of the pandemic. Research indicates that the Covid-19 pandemic has changed the nurses' approach towards barrier nursing care and nurses have gained invaluable experience in the sense of communication with hearing impaired patients. They learned to improvise and use all available communication tools. They shared information, advice and psychological support with each other. Conclusion: This work documents the view of nurses on barrier nursing care and their influence on communication with hearing-impaired patients. The research showed that nurses overcame the communication barriers and were able to maintain the standards of nursing care. They adapted to demanding conditions, learned to use simple tools which made it easier for them to communicate with hearing-impaired patients. They deepened their mutual cooperation. At the same time, it revealed that most nurses coped with these problems based on their intuition. For nurses, this experience created the need for professional training in the field of communication with hearing-impaired patients. The work provides an overall view of the issue of communication in the nursing process when using protective equipment. It presents tools that can help overcome the communication barrier. The results may help other nurses in practice.
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Exoskeleton design
Štancl, Jan ; Lázna, Tomáš (referee) ; Kopečný, Lukáš (advisor)
The bachelor paper „Exoskeleton design“ deals with development of prosthetic exoskeleton of index finger. The exoskeleton is for patient who lost the distal and middle articles of the index finger. The exoskeleton consist of three articles. Distal and middle articles are powered by one linear actuator, proximal article is passive. The articles are mechanically connected to each other. The rotary potenciometer senses the bend angle at the MP joint, which corresponds to the desired position of the exoskeleton. Feedback is provided by optic gate that senses the engine revolutions.
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Rehabilitation centre, Pasohlávky
Skříčková, Alžběta ; Císař, Lukáš (referee) ; Müller, Jan (advisor)
The diploma thesis deals with the design of a rehabilitation center, which is located in the cadastral area of the village Mušov on the border of the village Pasohlávky. It is a two-storey rehabilitation center with a gym and a partial basement. The thesis deepens the initiative of Thermal Pasohlávky, which plans to build a spa resort in the same section, combining elements of spa care, recreation and sports use. The object fulfills the function of a rehabilitation medical facility. The center is designed for up to 50 patients and is functionally divided into three parts. The first part consists of rehabilitation. We will find here several exercise rooms, hydrotherapy, electrotherapy, doctor's office with waiting room and reception. Rehabilitation also includes a gym with access to the terrace and park. On the second floor we can find specialized department of ergotherapy for people with different types of disabilities and second functional part of the bulding designed for staff facilities. It is made up of staffing facilities, dressing rooms, offices and meeting rooms. The third functional part consist from the technical background of the building and is located on the ground floor. The object is designed as a wall system, built from sand-lime bricks km beta Sendvix and insulated with the ETICS thermal insulation made from mineral wool. Horizontal supporting structures are designed as reinforced concrete. The entire building is roofed with a flat roof. Wooden windows and doors are used in the building to fill the holes. Before the building is a parking lot for employees and visitors of the rehabilitation facility. The design respects the principles of barrier-free solutions. The bachelor thesis is elaborated in the form of a project documentation for the execution of the construction.
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Mobile Application to Control the Diet of Patients on Dialysis
Pavlacký, Ondřej ; Kolář, Dušan (referee) ; Goldmann, Tomáš (advisor)
The goal of this thesis is to create an intuitive mobile application for Android operation system which will help dialysis patients by displaying approximate values of monitored substances in their body and replace classic paper records. Thanks to this mobile application patients are going to have better overview of consumed foodstuffs a help them stick to their diet. When inserting the foodstuff patients will select from the database of foodstuffs and the application will calculate values that the food contains. Patients can also expand the database with their own food. Application will also register periods between dialysis and from the length of the period, patients' weight and their diuresis calculate maximal values of monitored substances (water, potassium and phosphorus). Patients will also see values from passed periods, which will we shown in statistics. Data will be persistently saved in local and remote database. Application is developed on Xamarin platform.
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