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Comprehensiveness and completeness of managing of nursing documentation in selected medical institution
ZÁMOSTNÁ, Barbora
This bachelor thesis deals with the topic ``Complexity and completeness of keeping nursing care documentation in a selected medical facility``. The thesis is drafted in the theoretical part and empirical part. The objective of the empirical part of the investigation was to survey the complexity and completeness of keeping nursing care documentation in a selected medical facility. In accordance with the objective, we set two hypotheses. H1: Nurses keep nursing care documentation in accordance with the applicable standard. A H2: Nurses in surgery units keep nursing care documentation more complexly than nurses in internal departments. To collect data we chose the quantitative method of research by means of nursing care audit. The research sample consisted of 60 pieces of nursing care documentation, 30 pieces of documentation in a surgery unit and 30 pieces of documentation in the internal department of the Tábor Hospital, a.s. The overall success rate in the audit ``Complexity of keeping nursing care documentation{\crqq} was 99.73 per cent in the internal department and 91.12 per cent in the surgery department. At the same time, no audit index results have dropped below 76 per cent in the entire set (60 pieces of documentation), and below 53 per cent in partial sets (30 pieces of documentation). H1 hypothesis: Nurses keep nursing care documentation in accordance with the applicable standard, has been, on the grounds of the results obtained, confirmed. The overall success rate of the audit of the nursing care documentation in the internal department was almost by 8.5 per cent higher than that in the surgery department. For that reason, it is possible to make the conclusion that the H2 hypothesis: Nurses in surgery units keep nursing care documentation more complexly than nurses in internal departments, has not been confirmed. In the final discussion, results from the conducted audit in the two departments were summed up and, subsequently compared with literature. Practical use was set in the final part. The results of the bachelor thesis were given at the disposal of the staff nurse of the Tábor Hospital, a.s., to conduct improvement in keeping documentation or to conduct subsequent audits. Last but not least, a local standard for keeping nursing care documentation as the basis for drawing up a new standard in individual departments of the team of nursing care, was drafted and subsequently submitted.
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Nurses knowledge of The quality evaluation of provided nursing care
KLIMEŠOVÁ, Jana
The name and the topic of my thesis is evaluation of the quality of given nursing care. The quality of nursing care as integral part of quality of medical care is gaining ground not only in medics but also in public. Words like quality, standard, audit are commonly used by every nurse but do they know meaning of separate words? Do they know how to ensure high-quality care and how to evaluate it? These and other questions must be answered in order to retrieve possible insufficiencies and thus, to ensure high-quality nursing care. That´s why I chose this topic for my thesis. Theoretical part first characterizes nursing, its aims and organization of nursing care. Extensive part is devoted to quality of nursing care, systems and models to ensure and evaluate the quality. Practical part is focused on research and its interpretation. There were two research units and were created by nurses from surgical wards of Hospital in České Budějovice and Hospital in Jihlava. In order to collect needed data I chose quantitative method, when the way of data collecting was questionnaire. The aim of the thesis was to chart nurses´ knowledge on evaluation of quality of given nursing care through two hypotheses. The hypothesis supposing that nurses working in Hospital České Budějovice know more about evaluation of quality of given nursing care than nurses working in Hospital Jihlava was confirmed. But it is evident from the results that both investigated units have certain reserves. The other hypothesis supposing that more than 80% nurses consider the audits helpful for improving the quality of nursing care was not confirmed. According to the results, for more than half of addressed nurses audit is only stressing matter when hospital management looks for faults in their work. I mean, this opinion results from insufficient knowledge or incorrect understanding of the audit sense. I would like to use the thesis and its results as a base for creating scientific lectures and subsequent presentation. The head nurse asked me to present my thesis and the results at the meeting of head nurses in autumn 2008. I was asked for the results by Jihlava Hospital management as well.
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