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Interpersonal relationships and their projections into the quality of nursing care provision in intensive care units
FÜRST, Zdeněk
This thesis deals with interpersonal relationships and their projection into the quality of the provision of nursing care at intensive care units. 3 goals were set for this purpose and 8 hypotheses were subsequently defined and statistically analysed. The above-mentioned goals were achieved by the means of a quantitative research in which the technique of non-standardized questionnaires was applied (valid questionnaires returned: 56.5%). The research sample consisted of 173 intentionally selected respondents from among non-doctoral healthcare workers. The research has shown that positive interpersonal relationships prevail at intensive care units (61.3%). 87.3% of the respondents met their colleagues outside of working hours. Interpersonal troubles occurred among 44.5% of respondents, while interpersonal conflicts were noted among 59.5% of respondents. The occurrence of bullying was noted among 26.6% of respondents. Respondents mostly faced arguing and aggressiveness (22.1%) within the performance of their duties. They also faced offence and humiliation (18.2 %) and slandering (18.2%). The quality of nursing care was defined on the basis of the opinions of the respondents and their ability to cooperate. The proportion of the occurrence of good-quality and poor-quality nursing care does not differ (p = 0.323). The fact that the quality of the nursing care with positive and negative relationships differs (p < 0,001) was a significant finding; negative relationships reduce the quality of nursing care. We consider the issue this research deals with to be topical. The thesis presents an insight into the problems in question and can serve as a basis for further projects. The thesis also points out the importance of the regulation of interpersonal relationships at intensive care units on the basis of empiric data, and urges that interventions positively affecting these relationships be implemented as they can have a desirable impact on the quality of nursing care.
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The care of the airways in the patients hospitalized at the unit care in view of patients
Klozová, Ivana ; Hocková, Jana (advisor) ; Hladká, Petra (referee)
Introduction:The management of patients with a tracheostomy tube is still current. It brings stress situation not only for the patients but also staff who care for them. This issue occurs across all disciplines. The aim of this study was to determine how they feel patients at the care of the tracheotomy while hospitalization of the intensive care unit. Methodology: The research was carried out during 2015 and 2016 at the surgical intensive care unit. The group of respondents consisted of patients with established tracheostomy tube. 80 pieces were distributed questionnaires, 73 patients responded return reached 91.25%. Results: The investigation showed that the comprehensive care of a tracheostomy for patients burdensome and unpleasant. Everyone clearly stated as the most annoying and most exhausting bother them forced to cough. 90,41% of patients reported that their aspiration meets at regular intervals to be able to prepare this fact. All of the respondents perform respiratory physiotherapy and 67.12% felt that they benefit. 95.89% of respondents suffer from a sense of social isolation. 82.19% would welcome the presence of a psychologist at the ICU. Group 80.82% think that it is adequately cared about their tracheostomy during hospitalization and all have the possibility of alternative communication.
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Psychological support and communication with family on newborn resuscitation, ICU
Morávková, Tereza ; Mellanová, Alena (advisor) ; Novák, Ivan (referee)
UNIVERZITA KARLOVA V PRAZE 1. LÉKAŘSKÁ FAKULTA Studijní program: Specializace ve zdravotnictví N5345 Studijní obor: Intenzivní péče MIP 5345T024 Bc. Tereza Morávková Psychická podpora a komunikace s rodinou novorozence na ARO/JIP Psychological support and communication with family on newborn resuscitation, ICU DIPLOMOVÁ PRÁCE Vedoucí diplomové práce: PhDr. Alena Mellanová, CSc. Praha ABSTRACT This diploma thesis is theoretical and empirical, and focuses on emotional support and communication with parents of a newborn in a resuscitation department or ICU. It analyzes the approach that the medical staff has towards these parents, specifically psychological support in the form of sufficient and adequate communication. The theoretical section begins with the classification of newborns. Next the reasons for intensive and neonatal care for very premature babies are discussed. The following chapter contains an analysis of the psychological changes that the parents of a newborn in a resuscitation department or ICU may experience. This chapter describes the general characteristics of fear and anxiety. The next section describes the reasons, possible manifestations and consequences of this fear and anxiety experienced by the families. The next chapter sets out the principles of communication with a family in a...
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The family member of patient within intensive care
Pšenicová, Radka ; Vaňková, Milena (advisor) ; Hocková, Jana (referee)
The specialty of Intensive Care deals with acute conditions from all medical branches within the entire age spectrum of adults. This field has its own distinctive characteristics, which determine the character of not only medical personnel communication with families of hospitalized patients, but the overall quality of nurses' cooperation with relatives. In Czech professional literature in the area of intensive care there is minimum publications on this issue up to date. The task of the current thesis is to map a view of paramedical staff (nurses) on the process of communication and cooperation with family members of patients hospitalized in the intensive care units. The empirical part of the research is processed as a qualitative research by the method of semistructured interviews with nurses from the Intensive Care workplaces. As the result of this work we found inadequate professional readiness of nurses in the fields of communication strategy and approach to the families of patients hospitalized in the intensive care environment. The weak point in this area from the nurse's position is also minimum of information sources that would allow families of hospitalized patients to understand the environment of intensive care and resuscitation better. The output of the work is the creation of an...
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The Burnout Syndrome and His Influence on Sexuality of Non- Medical Health Care Workers of the Female Sex in Emergency Care Setting in the Non- University Hospitals
Šafaříková, Lucie ; Dynáková, Šárka (advisor) ; Hocková, Jana (referee)
ÚVOD: Syndrom vyhoření relativně závažný problém projevující psychosomatickým onemocněním, emocionální vyčerpaností jedince. Vzniká především pomáhajících profesí, jako důsledek chronického stresu, ztráty motivace svém povolání CÍLE Cílem diplomové práce bylo zjistit syndrom vyhoření ovlivňuje sexualitu všeobecných sester pracovištích neodkladné péče v kultních nemocnicích. Výzkumné šetření probíhalo pomocí dvou dotazníků. První standardizovaný dotazník zjišťuje míru syndromu vyhoření, jde o českou verzi Shironomovy škály (Shirom, Melamed, 2006 in Ptáček 2013) Druhý dotazník je zaměřen na xuální funkce ženy (Mellan in Kratochvíl, 1999 . Výzkumný vzorek tvořily všeobecné sestry ženy, pracující na odděleních neodkladné péče v nefakultní nemocnici. VÝSLEDKY vyhodnocení dat bylo použito 62 dotazníků. Byly stanoveny čtyři pracovní hypotézy H1: Předpokládáme, že rozvojem syndromu vyhoření bude klesat žen pracujících jako všeobecná sestra odděleních neodkladné péče v nefakultních nemocnicích pohlavní touha. H2: Předpokládáme, že rozvojem syndromu vyhoření bude klesat acujících jako všeobecná sestra odděleních neodkladné péče nefakultních nemocnicích hodnocení sebe jako sexuální partnerky.H3: Předpokládáme, že nižším dosaženým vzděláním pracující odděleních neodkladné péče nefakultních nemocnicích budou dosahovat...
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Burnout of Nurses working at the Intensive Care Departments
Kubicová, Petra ; Votroubková, Michaela (advisor) ; Štefančíková, Mariana (referee)
1 ABSTRACT Author: Petra Kubicová Institution: Charles University, Faculty of Medicine in Hradec Králové Social Medicine, Department of Nursing Title: Burnout Syndrome of Nurses working at the Intensive Care Departments Supervisor: Mgr. Michaela Votroubková Number of pages: 65 Year of defense: 2016 Keywords: Burnout syndrome, Nurse, intensive care, meaning of life, stress, quntitative research, half-structured questionnaire and MBI questionnaire. This Bachelor's pursuit discusses the Burnout syndrome of a nurse on intensive care ward. It shows why the enthusiasm of a young nurse disappears so fast although she has the spark to start with. In the theoretical part the Burnout syndrome is defined, the cause of emergence, its stages, the utterences and prevention. The base of the empirical part stands on the quntitative research of the permanent exhaustion of the medical staff. It refers to the connection between the Burnout syndrome and the working environment, interpersonal relationships and private life of an ordinary nurse. In the research samples are nurses, working on five different wards within one hospital in Prague. The research was done through two different questionnaires: standardized and half- structured.
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Foreign language as a communication barrier in intensive care
Zachová, Eva ; Mellanová, Alena (advisor) ; Svobodová, Dita (referee)
This diploma thesis analyzes if there is communication barrier with foreign patients at the selected intensive care units. We dealt with question whether hospital employees perceive communication with foreigners as a problem or not and how can they solve the problem. The first (theoretical) part is devoted to the role of communication in nursing process and to the definition of term communication barrier. In next chapters we have analyzed the profile of multicultural nursing. Then we focus on the issues of cross-cultural communication and communication barriers in contact with foreigners and the most common causes and techniques used to deal with such situations. We pay great attention to prevention and potential solutions to barriers between cultures and ethnic groups. The motivation for the thesis was supposed effecto of communication gaps on health and higher psychological burden on staff, especially when one of the basic activities of nurses is to educate patients. Research interprets the information obtained from a self-designed questionnaire survey. Questionnaires were distributed to intensive care and resuscitation units in four hospitals in Prague. Statistical evaluation of the questionnaires either confirms or refuses the hypothesis that I set at the beginning of the research. According to...
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Anemia in Intensive Care from the Perspective of a Nurse
Dubická, Zuzana ; Brixiová, Simona (advisor) ; Hrabánková-Navrátilová, Darja (referee)
v AJ: This thesis deals with the subject of anemia. The theoretical part of the Master's thesis is concerned with an overview of the well-known types of anemia, their etiology, diagnostics, symptoms and treatment. The practical part observes the awareness of the issue within the non-medical sanitary staff working at the intensive care units without professional supervision. The data will be collected in the form of structured questionnaires filled by a selected group of respondents. The thesis is, in the outcome, an educational material that can be used for comprehensive understanding of this issue in the adaptation process. The results of the research will be processed into tables with graphs. They will be summarized in the discussion as well as in the conclusion.
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