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The support of lifelong learning register of nurses
SMOLOVÁ, Kateřina
This work deals with the issue of registration of non-medical health care workers as the system of documentation of lifelong education. Contemporary world lays increased demands in all disciplines, particularly in health care. In order to ensure provision of high-quality nursing care by competent workers, conditions for authorization to execute health care profession independently without professional supervision had to be set. And those conditions are defined by the registration system specified by law. Our goal was to ascertain the practical nurses{\crq} opinions on registration. To find out what the influence of registration on further nurse education is and to map what prevents nurses from education. To ascertain which forms of lifelong education are preferred by nurses and whether the employer supports nurses in lifelong education and in what manner. We selected quantitative research to process such information. A questionnaire for nurses was drawn up for data collection and 106 respondents reacted to it. The research showed that nurses prefer passive participation in events like seminars and conferences in education. Most nurses think that it is necessary to educate themselves in their discipline. Further we have found out that more than a half of the nurses inquired want to have general knowledge and educate themselves also in other disciplines than their specialization. Most inquired nurses have stated that they educate themselves more frequently than before the introduction of registration. The biggest obstacle for nurses consists in financial and time demandingness of the educational events.
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Problems for ensurance of treatment and illpersons´needs who are treated in a hospital for a long time or at home-care as seen by nurses
GUIDOVÁ, Hana
Abstract The objective of nursing care is to maintain an individual self-sufficient for as long as possible, to improve their quality of life and to provide orientation or life programme in psychical and social activities. A need arises from a feeling of insufficiency or excess in biological, psychological, social or spiritual fields. This thesis addresses the issue of provision of nursing care and satisfaction of patients{\crq} needs in sanatoriums and in home care from the view of nurses. The thesis comprised quantitative research made by means of questionnaires completed by 64 nurses from 6 addressed sanatoriums and 9 home-care agencies. The bachelor{\crq}s thesis attempted to ascertain opportunities for provision of health care and satisfaction of lower and higher needs. Three hypotheses were raised. The first hypothesis was focused on nurses providing home care and claimed that they provided their clients with more comprehensive nursing care. The results of the research have confirmed this hypothesis. Nurses from home-care agencies provide professional health care and satisfy lower and higher needs at the same time. Nurses working in sanatoriums satisfy lower and higher needs less than nurses providing home care. The second hypothesis addressed influence of the type of organization on satisfaction of clients{\crq} needs. This hypothesis has been confirmed by the results of the research. Nurses providing home care have more room to meet the needs than nurses working in sanatoriums. The third hypothesis concerned the question whether nurses providing home care have more room for satisfaction of higher needs than nurses in sanatoriums. This hypothesis has also been confirmed on the basis of the results. The research revealed that a part of nurses working in sanatoriums have little time for satisfaction of lower and higher needs. Regrettably, the answer that satisfaction of these needs is not necessary and even if it was, there would not be time for that was not exceptional. An approach to nursing care and patients{\crq} needs has been undergoing continuous development. What used to be sufficient in former times is not sufficient at present. I believe that it would be useful for nurses to recommend them making use of education to a larger extent. They should realize the needs arising from illnesses since satisfaction of these needs is a part of the therapeutic process. I would also recommend that heads of sanatoriums and home-care agencies should obtain more quality compensation equipment and modern medical supplies, and consider the number of nursing staff as compared to the number of treated clients since provision of quality nursing care is the aim of every nurse.
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Educational methods in surgical branches
KADLECOVÁ, Iveta
Educational processes in surgical branches include not only remote or direct client´s education before an operation or after an operation but also the client´s preparation for check {--} ups.In my work there were two objectives. Objective 1 : to find out whether clients hospitalized in the surgery ward are educated by surgical nurses. This objective has been determined. Nurses educate clients during hospitalization in a surgery ward. Objective 2: to find out educational processes used by nurses in the surgery ward. This has also been determined. Nurses use mainly interviews, practices, booklets, prospectuses, handbooks. There were set two hypotheses:Hypothesis 1: I suppose that nurses in surgical branches educate clients hospitalized in the surgery. This hypothesis has been confirmed. Hypothesis 2: I assume that nurses in surgical branches use mostly interviews as the educational process. This hypothesis has been also confirmed.
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Decontamination of devices in nursing practice
SMÍTKOVÁ, Šárka
Term ``decontamination{\crqq} is defined as a set of measures which constitutes killing or removal of microorganisms from the environment and items regardless of the degree of reduction of the germs quantity. Decontamination forms an integral part of nursing practice, preventing transfer and spread of infections. The qualitative research was conducted in the internal medicine ward of Nemocnice České Budějovice a.s. by the method of a non-standardized interview, supplemented by structured observation. The research set comprised eight nurses. The interview consisted of 11 questions and the observation was divided into six units. Four objectives were set. Objective 1: to ascertain what devices are decontaminated in the nursing practice; objective 2: to ascertain who prepares solutions intended for decontamination of devices in the ward; objective 3: to ascertain in what manner decontamination of devices is conducted; and objective 4: to identify the most frequently used decontamination preparations. On the basis of these objectives the following research questions were raised: What devices are decontaminated in the internal medicine ward most frequently? How is preparation of decontamination solutions secured? How do nurses proceed in decontamination of devices? What preparations are used for decontamination? On the basis of the in-depth interview and observation it was ascertained that plastic devices are decontaminated in the ward, most frequent being urinals, bedpans, vomit bowls, working surfaces, tableware used by patients and surgical tools. The solutions intended for decontamination are prepared by nurses and sanitation staff following the recommended procedure but not observing exact dosing of the disinfectant. When decontaminating devices, the nurses use a two-stage decontamination procedure. The decontamination preparations most frequently used by the nurses are 0.5% Persteril and Presept tablets. The results of the research will be provided to the ward where the research was conducted. As an opportunity for improvement, I propose holding a session of a small group of nurses in order to interact on the topic of decontamination of devices and to repeat the principles stipulated in the hospital standard so that the nurses realize what mistakes they make and what consequences may follow from the mistakes both for them and their patients.
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THE ASPECTS OF THE WORK OF NURSES- DEMOTIVATING ELEMENTS WITHIN THE WORK OF NURSES
HEPLOVÁ, Monika
The present paper deals with aspects of the profession of a nurse and the demotivating elements in the profession which makes up the most numerous group in the health care system. The mission of a nurse in the society is to help individuals, families and groups to satisfy their actual needs and to reach their maximum physical, mental and social possibility in agreement with the environment that she lives in. The system of providing health care is changing as well as the relationship of the society to health care workers. General nurses undertake responsibility for direct provision of nursing care, they work independently and they are responsible for the provided care. Their role changes to a full-value team member, to a physician's partner in performing the profession. We were interested in how nurses perceive the change. What are the biggest demotivating factors in the profession and on the contrary what is the motivation not to leave this demanding occupation.
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Motivation for education of healthcare assistants with regard to their future practice
ŠMÍDOVÁ, Jaroslava
After accession to the European Union and adoption of Act No. 96/2004 Collection, on non-medical healthcare professions, changes occurred, which concern mainly nurses. These changes affect mainly administration and competences of the nurses. The act currently differentiates between and defines the procedures of secondary educated staff as procedures without special supervision and procedures with special supervision, and also defines the process for obtaining the certificate for the performance of a profession without special supervision based on the credit system. In practise this means that if the health care assistant does not achieve a higher or university level education, he/she cannot work independently without any special supervision. And it is the interpretation of the term without special supervision and with special supervision that is the subject of discussion. The nurses refuse to be responsible for the work of somebody else and present this attitude openly. The main goal of this bachelor thesis is to find out what motivates current healthcare assistants to work in healthcare and what their approach to education is, which should be an integral part of their life. There was also a discussion as to whether the information about the speciality, provided to basic school children, is appropriate for such a life-long decision as the selection of occupation. There were two hypotheses established during the investigation. H1: The pupils of the basic schools have no information about studying in Nursing Schools, H2: The students are motivated for further education and H3: The graduates of the Nursing Schools want to study in order to improve their qualification in the higher level schools. Based on a questionnaire, all established hypotheses were confirmed and the goal of the thesis was accomplished. The research was therefore successful. Obtained information may be used mainly for improving the approach while providing information to the pupils in the basic schools before their decision about the choice of profession, since the education advisers are interested in the results obtained. For teachers in the secondary schools, this knowledge will be useful to improve motivation of students for future professions
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Providing the patient´s privacy after total hip replacement operation
RŮŽIČKOVÁ, Michaela
Abstract In our company the emphasis in the field of nursing care has increasingly been focused on preservation of a patient`s dignity and intimacy. In daily activities in a pacient the privacy and intimacy the patient may be affected which causes different reactions of such a patient. One might say that even after the routine procedure such as total hip replacement it is very important that the patient has enough privacy. The aims of this study were to assess how the intimacy in the postoperative care is ensured in patients undergoing total hip replacement at the intensive care units and to find out the level of knowledge of the nurses as for adherence to intimacy after total hip replacement. The research group consisted of patients who were hospitalized at the intensive care and standard units in the Hospital České Budějovice, a.s. (PLC), Faculty Hospital Olomouc and Military Hospital Olomouc. The second research group consisted of the nurses who worked at the intensive care and standard units in the Hospital České Budějovice, a.s. (PLC), the Hospital Šumperk, a.s., Faculty Hospital Olomouc and Military Hospital Olomouc. The research investigation was performed by the method using two ananymous questionnaires. The first defined hypothesis was confirmed. The patients at the intensive care units are more satisfield as for their intimacy compared to the patients at the standard units. The second hypothesis was also confirmed. The nurses have not enough time to ensure intimacy of the patient after total hip replacement. The third hypothesis was confirmed. The nurses have enough information of how to take care of the intimacy in the postoperative period. The fourth hypothesis was not confirmed. The nurses at the intensive care unit do not care about the intimacy with a higher interest compared to the nurses at the standard unit. The findings of this investigation show that the patients after total hip replacement at the intensive care unit are more satisfield with the provision of intimacy in the postoperative care compared to patients at the standard unit. Although the nurses do not have enough equipment to ensure the intimacy of a patient in the postoperative care, they know how to take care of intimacy in the postoperative care.
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The differencis of nurse treatment by Patients with TEP(total hip replecament) and with CCEP(cerviko capital replecament).
BUKÁČKOVÁ, Kristýna
This bachelor thesis focuses on the differences in nursing care of patients after TEP (total endoprosthesis) and after CCEP (cervical-capital endoprosthesis). The reason that led me to deal with this subject was the fact that I consider the knowledge of this matter as well as observing its principles by nurses for necessary. The objective of the thesis was to find out whether nurses know the difference in the nursing care of patients after TEP and CCEP, and whether they observe the differences in the nursing care. These objectives were fulfilled in the bachelor thesis. Two hypotheses were laid down. Hypothesis 1: Nurses know the difference in nursing care of patients after TEP and CCEP. Hypothesis 2: Nurses observe the difference in nursing care of patients after TEP and CCEP. The hypotheses were confirmed. The theoretical part of the thesis is focused on the anatomy and physiology of the hip bone and the historical development of endoprostheses. Further, the subject of the TEP and CCEP is dealt with here. It contains descriptions of the differences in the nursery care that nurses should put a lot of emphasis on and observe them. In the research part, the quantitative investigation by means of the questioning method, in the form of a questionnaire, and the qualitative research by means of the method of participating hidden observation, were chosen to verify the hypotheses. In practice, this thesis may be used in seminars, in which even the results of investigations may be dealt with, thus increasing the quality of the nursing care of patients after TEP (total endoprosthesis) and CCEP (cervical-capital endoprosthesis).
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Disinfecting fluid for urinary bladder catetrization as an nursing problem.
LINHARTOVÁ, Lucie
This Bachelor´s Thesis themed {\clqq}Disinfectant Solution in the Catheterization as a Nursing Problem`` concentrates both on urinary bladder catheterization and genitalia disinfection prior urinary bladder catheterization. Two objectives were set out for the Thesis. 1st objective: To find out if a recommended disinfectant solution for catheterization is used. 2nd objective: To find out how nurses ensure effectiveness of genitalia disinfection. A qualitative research was used to achieve the results, namely the method of structured observation of nurses and the method of non-standardized interviewing of observed nurses. A group of 10 nurses, working at the urology outpatient unit in the Hospital in České Budějovice and at the urology ward and the after-treatment physiotherapy unit in the Hospital in Pelhřimov, was observed. The research should contribute to the awareness of deficiencies in catheterization and the results should be used to formulate recommendations to be implemented in practice.
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Prevention of catheter - related bloodstream infections
SVOBODOVÁ, Jitka
The infection of the blood flow represents a serious problem even at the beginning of the 21st century, and has been discussed over and over again. Such infectious complications affect in average 10 to 15 percent of patients. The theoretical part of this work describes various kinds of vascular catheters, local hospital contagions, barrier treating methods and a prevention of catheter infections of the blood flow. The empirical part contains the results of the audit and the questionnaire, focused on the problems of intravascular catheters, which were assessed in the form of diagrams and charts. The target of my bachelor diploma work was to find out, whether the nurses are acquainted with preventive measures of the catheter infections of the blood flow, and whether they observe the correct techniques when introducing the periphery venous cannulas. At the beginning of our research we set up two hypotheses. Hypothesis 1: The nurses are acquainted with the preventive measure of the catheter infections of the blood flow. Hypothesis 2: The nurses observe the correct technique of introducing the periphery venous cannulas. The carried out investigation has been a quantitative research. We used the method of questioning and observation for the data collection. The research in the form of an audit was carried out with 31 nurses (100 percent) and it concentrated on the introduction and the care of the periphery venous catheter. The nurses had a standard procedure ``Care of the periphery venous catheter{\crqq} at their disposal and the standard in the DySSSy form. The questionnaire of 31 nurses (100 percent) concerned the central venous catheters. The nurses of the hospital wards in the hospital in Trebic participated in the research. The results of the audit show that the nurses are acquainted with the principles of the catheter infection prevention and observe them in practical work when introducing the venous cannulas. All the nurses in the audit exceeded the minimum limit of success (84.10 percent). Within the questionnaire investigation 13 indexes of the nursing care concerning the care of the central venous catheter were followed. In 11 criteria the nurses achieved or even exceeded 80 percent of the correct answers and were able to prove their good knowledge of the central venous catheter care. Both hypotheses have been verified. The research results were offered to the management of the Trebic Hospital, as one of the indicators of the nursing care quality.
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