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HVAC design for burn intensive care unit
Fábian, Martin ; Andrys, Petr (referee) ; Rubina, Aleš (advisor)
The Bachelor’s thesis describes a design of a HVAC unit for a burn intensive care unit and its related nursery rooms. The unit respects all the hygienic, functional and running conditions at this specific indoor microclimate. The main concept of the HVAC unit is to supply the burn intensive care unit with fresh air, which is suitable for a fast recovery after a burn trauma and also to reduce the microbial growth and microbial spreading. The main goal of the Bachelor’s thesis was to design a HVAC unit that will effectively filter the inlet air and that the intensive care unit is built the way, to reduce the microbial spread as much as possible. The air handling units are designed at the calculation part of the Bachelor’s thesis to cover the energy (heat) loss in the winter time and the energy (heat) gains during the summer time. Main function of the air handling unit is to handle filtered fresh air to the hospital. The output of the Bachelor’s thesis is a realization documentation for both air handling units.
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Airconditioning system for intensive care unit
Bosák, Jan ; Tesař, Zdeněk (referee) ; Rubina, Aleš (advisor)
The brachelor's dissertation deals airconditioning system, that operate clean spaces in the hospital. System is divide for two separate working unit. The first system operate surgical intesive care unit and next near spaces. The second system operate bed's rooms and their near spaces. The first systém shoulds smother thermal load operate's rooms in summer time and hot air ventilation in winter time. The second system does hot air ventilation whole year and It is refill fan-coils for smother thermal load. Both of them can adjust air humidity. Theory part of dissertation deals clean spaces with specialization on hospitals, for example operating theatre and intensive care unit.
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A Patient with Tracheostomy at an Intensive Care Unit and a Standard Ward
HLOCHOVÁ, Denisa
Tracheostomy is a surgical operation where a permanent or temporary opening is made in the trachea to ensure passability of the air passage. The aim of tracheostomy is to provide oxygen to the lungs, to improve breathing, to reduce consciousness sedation, and to improve the tracheal toilet. The bachelor thesis mainly focuses on nursing care of a patient with tracheostomy at an intensive care unit and at a standard ward. The theoretical part explains the problem of tracheostomy, aids and types of tracheostomy cannulas. It also focuses on the nursing care of tracheostomy. It deals with mouth hygiene and care of the air passages. The care of the air passages includes humidification, lavage and tracheostomy suction. The theoretical part of the thesis also deals with rehabilitation, diet and communication with patients with tracheostomy. The subject of the thesis was to map what the nursing care of patients with tracheostomy is like and how the needs of a patient with tracheostomy are satisfied. Three goals were set to meet the goal: Goal 1: To find out the specifics of the nursing care of patients with tracheostomy at an intensive care unit and at a standard ward. Goal 2: To find out the level of satisfying the needs of patients with tracheostomy at an ICU and at a standard ward. Goal 3: To map the level of adherence to the principles of nursing care of a patient with tracheostomy at an ICU and at a standard ward. Three research questions were set in relation to the goals. 1: What are the specifics of nursing care of a patient with tracheostomy at an ICU and at a standard ward? 2: What is the level of satisfying the needs of patients with tracheostomy at an ICU and at a standard ward? 3: What is the level of adherence to the principles of nursing care of a patient with tracheostomy at an ICU and at a standard ward? Qualitative research, namely the techniques of semi-structured interview and concealed observation, was employed in the practical part of the bachelor thesis. Six nurses from the České Budějovice Hospital were invited to the interview. The first part contains identification data, the second deals with the opinions on the specifics of nursing care of patients with tracheostomy among nurses, it also focuses on the level of satisfaction of the needs of patients with tracheostomy and the last part deals with adherence to the principles in nursing care of patients with tracheostomy. At the beginning of the interviews the nurses were informed on anonymousness of the interviews and they are numbered in the thesis. The research sample consisted of nurses from intensive care units and nurses from an otorhinolaryngology department. The data obtained from the interviews were processed by means of the "paper & pencil" and "card reading" methods into three categories, which were consequently subcategorized. The obtained data were processed into graphic schemes by means of XMind 2013 software. The information obtained from the observation was processed into graphs in Microsoft Excel 2010. The results from the interviews and the observation show that patients with tracheostomy are provided with relatively quality nursing care. The nurses showed good knowledge of the nursing care of a patient with tracheostomy. The nurses consider communication with a patient with tracheostomy the most frequent problem. All the set research goals were met in the research. The subject of the bachelor thesis was to show the weak points of the nursing care provided to patients with tracheostomy. This thesis may serve for improvement of the nursing care of patients with tracheostomy and may also be helpful to student as an additional study material. Elaboration of a brochure for patients with tracheostomy was the result of the thesis.
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Assessment of physical distress of staff nurses in intensive care units
MAŠÁTOVÁ, Milada
In this thesis, we focused on physical load evaluation of nurses working at intensive care units. Physical load is an integral part of nurses' everyday work. The work of the nurses in these wards is a very physically demanding one, as there is a risk or actual single or multiple organ systems failure in the hospitalized patients. This thesis describes the basic negative results of physical load, its aim was to determine the physical load at individual intensive care units. The theoretic part focuses on overall characteristics of ICU, movement system anatomy, ergonomics, working environment risks and excessive physical load consequences. Practical part includes quantitative research using a questionnaire to confirm the presumed hypotheses. Hypothesis 1: The nurses working at ICU are subject to higher physical load than nurses in standard care unit Hypothesis 2: The most common manifestation of nurses? physical load is back-pain Hypothesis 3: In ICU, there are tools helping with immobile patient manipulation Altogether, we distributed 200 questionnaires to the nurses at ICU in 3 hospitals in southern part of the Czech Republic - České Budějovice, Český Krumlov a Prachatice. We recovered 183 questionnaires (91, 5 %). After the processing, we analyzed 171 completely filled questionnaires (85, 5 %). The questionnaire research results have been interpreted and charted into graphs and tables. All the 3 hypotheses were confirmed. Further, we found out that nurses do not care about prevention of illnesses possibly resulting from high physical load. The theses results should help in increasing the nurses? awareness, I suggest its integration into human back school program.
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Patient satisfaction regarding the quality of nursing care administered by the surgical department´s intensive care unit of České Budějovice Hospital, a. s.
JANOUŠKOVÁ, Ludmila
Patient satisfaction regarding the quality of nursing care administered by the surgical department`s intensive care unit of Ceske Budejovice Hospital, a.s. Patient orientation - the effort to comply with his/her requests to achieve his/her satisfaction - is the current trend in health service. The overall satisfaction rate as well as the satisfaction in individual areas of medical care is the important indicator of the quality of care in a hospital. For these reasons patiens are asked to evaluate the quality of medical care. The outcome can be used as the source of suggestions for improving health care quality. The goal of the bachelor`s thesis is to find out the overall satisfaction rate with the nursing care of patiens hospitalized at the surgical department{\crq}s intensive care unit of České Budějovice hospital, a.s.. I set up the hypothesis: The patiens hospitalized at the surgical department{\crq}s intensive care unit of České Budějovice hospital, a.s. are satisfied with the provided nursing care. The research sample consists of patients of the surgical department{\crq}s intensive care unit. The questionnaire method was used. 120 patients were polled and 95 questionnaires were handed in. The final result shows that the vast majority of patiens hospitalized at the surgical department{\crq}s intensive care unit of České Budějovice hospital was very satisfied with provided nursing care. The results of the monitoring of patient satisfaction are a very good feedback for the personnel. Patient satisfaction is directly connected with satisfying patient needs and mutual communication between nurses and patiens. The conclusions of the bachelor{\crq}s thesis will be given to the management of the surgical department, the departmental sister and the nurses at the intensive unit care and can be used for reflection on provided nursing
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Biopsychosocial needs of patients hospitalized at ICU
MATYSOVÁ, Jana
The thesis is focused on biopsychosocial needs of patients hospitalized on Intensive Care Unit. The thesis is divided into two parts. Theoretical part of the thesis is focused on satisfying biopsychosocial needs and its problems. This part tries to specify the meaning of satisfying biopsychosiocial needs of patients hospitalized on Intensive Care Unit, because every single patient felt his own needs differently and had different requirements for their satisfying. The aim of this work was being set to find out, if biopsychosocial needs of patients hospitalized on Intensive care unit are being satisfied. In theoretical part of the thesis is described Intensive Care Unit of Žatec hospital, c.s.o. also, where the survey took place. Three hypotheses are set in practical part of the thesis. First hypothesis was "The patients hospitalized on Intensive care unit of Hospital Žatec, c.s.o. don{\crq}t have satisfied their biological needs. Second hypothesis was "Patients hospitalized on Intensive care unit have satisfied their psychological needs." Third hypothesis was "Patients hospitalized on Intensive care unit have satisfied their social needs."
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The motivation of nurses to the working performance
KREBSOVÁ, Lenka
Abstract The motivation of nurses to the working performance Motivation shall be understood as coordinating, maintaining and energizing the individual{\crq}s behaviour. Result expectations of the activity are an important aspect of motivation and work motivation, too. If the given task is to be fulfilled, what remuneration will be gained and what costs will be connected with it? Income, social business environment and work satisfaction are usually given as the work motivation factors. The aim of the bachelor thesis on ``Nurses{\crq} Motivation for Work Performance{\crqq} is to map out and compare the nurses{\crq} motivation for work performance at the standard care unit, and anaesthesiology and resuscitation care unit, intensive care unit, further to determine factors that reduce nurses{\crq} motivation to perform their work. The nurses working at the anaesthesiology resuscitation care unit, intensive care units and standard care units of Hospital České Budějovice a.s. were the research subjects. A questionnaire has been chosen as a research method. Hypothesis No. 1 was whether the nurses working at the anaesthesiology and resuscitation care unit and at intensive care units are motivated for their work more than the nurses working at the standard care units. Whether the nurses are or are not motivated, each of them is motivated by different aspects. I did not manage to prove that the nurses working at the anaesthesiology and resuscitation care unit and at intensive care units are motivated more or less. The given results suggest that the first hypothesis was not proved. Hypothesis No. 2 whether the low monetary remuneration is the most common aspect of the low work motivation. The results of the research suggest that the low monetary remuneration is not the most common aspect of the low work motivation; rather underestimation of nurses{\crq} work and lack of staff are the reasons for low work motivation. The second hypothesis was not confirmed either. Even though the monetary remuneration of nurses is one of the biggest motivation factors, it is not that important. If nurses and their work are appreciated by both doctors and nursing management, they will perform their work with enthusiasm and for lower income. I would like to present the results of my research at seminars and inform my colleagues about them. The nursing management should be interested in the motivation factors that have a certain kind of influence on behaviour and acts. If the nurses{\crq} motivation is not supported, the nurses will leave their positions and the lack of nursing staff will be increasing. Any low motivation should not become evident provided proper targets, whose achievement provides satisfaction, are set.
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Orientation nurses to clients´needs or the technical equipment and the parameters ot the clients as a nursing problem
HOUSEROVÁ, Renata
Focus of nurses on clients' needs, technical equipment and client´s parameters as a nursing staff problem. People´s needs can be satisfied individually in different ways, depending on each person´s age, sex and disease, so that this disadvantage can be correctly and adequately removed and relieved with the aim to ensure a quality life of a particular person. The objective of this thesis was to find out the difference between the satisfaction of the clients´ needs in the Long-term care units and Intensive care units. Then it was necessary to recognize the nurses´ focus on the clients´ needs at these units, and to discover how the nurses actively identify and satisfy these individual needs of the clients. In this study we focused on both physiological and psychosocial needs which the nurses try to satisfy using nursing processes. The research was conducted by means of a qualitative research using interviews and hidden monitoring. The clients and nurses from the hospital in Tábor were interviewed, and the interviews were completed and verified by observation. The nurses´ focus on the needs and the satisfaction of the needs is dependent on the unit, which made the greatest difference based on the findings of this study. The nurses from the Intensive care unit shall always satisfy basic physiological needs of the clients without seeing in it any extra work. However, they do not satisfy the clients´ psychosocial needs as it is a short-term hospitalization, and the psychosocial needs are not priority at the given moment, therefore, the nurses may postpone them for a later time. On the other hand, the nurses from the Long-term care unit, which is a long-term hospitalization, shall satisfy both physiological and psychosocial needs, when the clients admitted to the unit are not at risk for life any more. Here higher needs such as safety and surety have to be satisfied, and the nurses of this unit deal with them more intensively than the nurses of the Intensive care units. This research resulted in the fact that each unit has its own specificity in satisfying the needs of its clients, which stems from the actual health of a client. Therefore, the nurses shall always take into consideration the health of the diseased client, ensure that the physiological needs of the client are met, and in addition they shall satisfy the higher needs which are priority at that moment.
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Problems of communication barriers by patients with tracheotomy in intensive care units
POLÍVKOVÁ, Eva
The thesis is aimed at the problems of communication barriers in patients with tracheotomy at intensive care units. Communication is the basis of nursing care and nursing process is based on partnership relation between a nurse and a patient. Everybody who wants to communicate sometimes faces problems, obstacles complicating his/her interpersonal communication. Recognition of these obstacles is the first step leading to their overcoming. Tracheostomy disqualifies the glottal function and patients are not able to communicate by means of speech. Such a situation is new for the patients and is also very stressing, which is why these patients have to be paid extra attention and these problems have to be dealt with. The aims of the work and the hypotheses were focused on the area of communication barriers, but also on adherence to the effective communication principles and alternative ways of communication. The goal was to find mutual dependence between the individual variables. Quantitative research extended by qualitative research was used for reaching the goals. An important relation was proven in hypothesis number two upon the results of statistic examination. The fact that the communication barriers perceived by a nurse depend on the character of the department where the nurse works was found. Some relation was also proven in hypothesis number eight, which examined dependence of alternative ways of communication on the character of the hospital department. No dependence relation was found in the other hypotheses. An analysis of results obtained from nurses and from patients showed us that nurses realize many more communication barriers in patients than patients themselves. A hypothesis expressing a relation between selection of an alternative communication method and the overall patient condition arose from the qualitative research.
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