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Decision to leave workplace in non-medical healthcare workers
Picmausová, Ivana ; Heczková, Jana (advisor) ; Jeřábková, Lenka (referee)
The fluctuation of nursing staff in the medical facilities is not just current problem in the Czech Republic. Aging population will present higher demand for number of nursing staff. It is assumed that the insufficient number of nursing staff will remain and even rise (also due to aging of the staff) if appropriate actions are not taken (Simoens et al., 2005). This thesis discusses the decision to migrate amongst the nursing staff - general nurses, practical nurses, midwives, and emergency paramedics within the medical facility. It analyses the reasons for changing their workplace. The investigation was executed using the questionnaire method. It was conducted in January and February of 2020 in the selected medical facility in the Czech Republic. Total of 701 questionnaires were distributed to all inpatient wards, outpatient departments and intensive care units. The investigation targeted nursing medical staff. A statistical analysis of the results was performed Mann-Whitney U test was used to monitor the differences for decision to migrate based on various characteristics and responses. Total of 415 completed questionnaires were analysed in this investigation. 61/415 (14.7 %) responders consider the change of workplace. The most common nursing staff members to consider the change were general...
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Duration of nursing care for patients in the ICU after surgery Lung Cancer
Karasová, Veronika ; Klokočková, Šárka (advisor) ; Pucholtová, Romana (referee)
Introduction: This thesis deals with the time management of nursing care for patients in the ICU after bronchogenic carcinoma surgery. The treatment of patients with this diagnosis requires a multidisciplinary approach by all members of the medical team. Aims and methodology: The aim of this thesis was to map the time demands of nursing care for a patient who is the first day after lung cancer surgery, about current recommended procedures of nursing care. Furthermore, the aim was to find out whether a methodical guideline or a standard defining postoperative care of a patient after lung cancer surgery is available for the nurses. The way nurses perceive their working conditions and relationships in the workplace was also investigated. Finally, the aim of the diploma thesis was to map time management in nursing care for patients with lung cancer, all in the intensive care unit from nine medical facilities that participated in the research survey. Results: The research group consisted of nurses working in surgical intensive care units of the 1st, 2nd and 3rd degree and cardiac surgical intensive care unit from four university hospitals, 3 regional hospitals and 2 other hospitals. A total of 330 questionnaires were distributed. The return rate was 209 questionnaires (63.3%). The research results were...
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Student's experience in training for proffessional practice
Jugasová, Ester ; Štefančíková, Mariana (advisor) ; Gigalová, Veronika (referee)
Author: Ester Jugasová Institution: Ústav sociálního lékařství Lékařské fakulty v Hradci Králové Oddělení ošetřovatelství Title: Student's experience in training for proffessional practise Supervisor: PhDr. Mariana Štefančíková, Ph.D., Ph.D. Number of pages: 131 Number of attachements: 3 Year of defense: 2019 Keywords: general nurse, education, nursing practise, personality of nurse, adversity, stress The bachelor thesis deals with the nursing practice of students of the bachelor program of nursing and their experience during its completion. The theoretical part deals with the current education of nurses at universities and the content of their studies. Furthermore, the thesis focuses on the nurse's personality, communication between the patient and the nurse. The bachelor thesis also focuses on the issue of stress, its causes, reactions, describes the basic types of psychosomatic diseases that are related to excessive stress. Another issue is iatropatogenia, or harm to the patient by medical staff, which may be the result of overloading nurses. The thesis also deals with the burnout syndrome that can be affected by helping professions. The empirical part was carried out by the qualitative method of the research. Initially, 7 research objectives were set. In addition, 3 research groups (students,...
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Problematics of an alcohol addicted patient at the psychiatric department of the general hospital
JŮZOVÁ, Michaela
This bachelor thesis deals with the problem of alcohol dependence and nursing care provided to patients with this dependence in the Psychiatric Ward of General Hospitals. The theoretical part of this thesis is devoted to the concept of addiction, alcoholism and the impact of alcoholism on health. Then there are desribed types of treatment of alcohol dependence and specifics of nursing care of patients with alcohol dependence in Psychiatric Ward. In the empirical part of this thesis the research goal was set: to map the issue of providing nursing care for alcohol-dependent patient in Psychiatric Ward. Based on this research goal, research questions were prepared: What role do nurses play in nursing care for alcohol-dependent patients during hospitalization in a Psychiatric Ward and what is the difficulty of providing nursing to alcohol-dependent patients. Qualitative research was used to achieve a set goal. Data were collected using semi-structured interviews. The research sample consisted of 16 nurses working in the psychiatric ward of General Hospitals. The obtained information was then processed by open coding, using the pencil-paper method. The results of the research show that the issue of providing nursing care for alcohol-dependent patients depends on the current state of the patient, previous attempts to treat addiction or many other factors. The role of nurses has its specifics and has an integral part in the treatment of alcohol dependence. The difficulty of providing nursing care can be influenced by the frequency of encountering alcohol addicts, the length of their hospitalization or the occurrence of agitation and aggression.
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The influence of the burnout syndrome on the sexuality of general nurses in intensive care in university hospital
Bohuslavová, Monika ; Dynáková, Šárka (advisor) ; Pucholtová, Romana (referee)
Introduction: Burnout syndrome is a topical issue in the world and in the Czech Republic, not only in the healt sector. The diploma thesis is focused on finding the conection between burnout syndrome and sexuality of general nurses in emergency care. I chose the topic for my diploma thesis because it is close to me and I work in emergency care myself. In addition, the topic is not very well explored, and the research data will contribute to an international study examining the imapct od burnout syndrome on human health. This study in the Czech Republic is under the guidance of PhDr. Šárky Dynákové, Ph.D. and doc. PhDr. Jana Kožnara, CSc. Methodology: Data collection for research was conducted using two anonymous questionnaires. The first questionnaire focused on burnout syndrome using the Czech version of the Shirom-Melamed scale (Shirom, Melamed, 2006 In Ptáček, 2013). The second questionnaire examined the sexual function of a woman according to Mellan in Kratochvíl, S. (1999). The research sample consisted of general nurses working in emergency care at a teaching hospital. Results: The impact of burnout syndrome has been demonstrated by research in sexual desire (H1), self-assessment as a sexual partner (H2), and mood before sexual intercourse (H4). The results show that the area that achieved...
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Psychological resilience of Nurses in Two Selected Clinics of University Hospital
Freibauerová, Sarah ; Mareš, Jiří (advisor) ; Štefančíková, Mariana (referee)
Author: Sarah Freibauerová Institution: Ústav sociálního lékařství Lékařské fakulty v Hradci Králové Oddělení ošetřovatelství Title: Psychological resilience of Nurses in Two Selected Clinics of University Hospital Supervisor: prof. PhDr. Jiří Mareš, CSc. Number of pages: 75 Number of attachements: 4 Year of defense: 2019 Keywords: psychological resilience, general nurse, adversity, adaptation, personality Bachelor thesis is focused on psychological resilience of general nurses. Nurses were randomly chosen in two selected clinics of university hospital in Hradec Králové. The purpose of the theoretical part was to present personality concepts in general, stress theory, symptoms of stress and reactions to stress. Besides it also presents resilience in face of adversity. There is a separate chapter which is focused on resilience in particular. Another chapter of the theoretical part is focused on general nurses' coping strategies and mental hygiene strategies which helps to strengthen their resilience. The aim of the empirical part of bachelor thesis was to find out if there are any differences in the level of resilience among selected groups of general nurses. There was Connor-Davidson Resilience Scale (CD-RISC) used to measure resilience. As the results showed, no significant differences were proven...
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Nursing issues in a patient indicaded for examination of the intestines.
DUDÁČKOVÁ, Simona
Gastroenterology is medicinal discipline dedicated to diagnostics and treatment of gastrointestinal tract diseases. Part of its diagnostics is among others, also intestinal examination, which is done in case of suspicion of inflammatory, non-inflammatory and tumorous disease and it belongs to current examination in the present. The thesis deals with nursing issues in a patient indicated for examination of the intestines and is divided into theoretical and empirical part. The theoretical part is focused on examination methods amongst which belongs anamnesis, physical examination, laboratory examination, imaging methods, endoscopic examination and puncture biopsy. Very important part is the role of a nurse and nursing care for patient, which blends through the whole thesis. The objective of the thesis is to map the role of nurse at chosen endoscopic examinations and to capture subjectively perceived feelings of the ill person during preparation for chosen endoscopic examinations. For processing the empirical part of the thesis was chosen qualitative research, using the method of semi-structured interview. The first research file were nurses from different endoscopic workplaces and second research file were patients, which underwent colonoscopy. The chosen method was questioning and technique of in-depth interview followed by analysis of gathered data using the method of coding, so called Paper-and-Pencil. The results of research mapped the role of a nurse at chosen endoscopic examinations. Her job at endoscopic workplace requires professional knowledge and abilities at nursing care before examination, during it and after it. Integral part of role of a nurse is also controlling instrumentation, working with a doctor and communication, thanks to which patient manages indicated examination with minimal difficulties. Within research framework are at patients, recorded subjective problems of patients during the preparation for chosen endoscopic examination.
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Nursing care of patients with myasthenia gravis.
HŮLOVÁ, Jiřina
The bachelor thesis deals with the issue of nursing care for a patient with myasthenia gravis. The goal of this thesis is to map the nursing care for a patient with myasthenia gravis. Two research questions were formulated, which identified the specifics of nursing care for a patient with myasthenia gravis in a standard department and the specifics of nursing care for these patients on an artificial lung ventilator. In the theoretical part, there the characteristics of the disease, clinical picture of the disease, the disease progression, including the occurrence of myasthenic crisis is given. Nursing care for a patient with myasthenia gravis is described in more detail. The empirical part contains a description of realized qualitative research. The research technique was semi-structured interview, data were analyzed using the open coding method, paper-pencil technique. The interview contained 31 questions divided into four main parts, focusing on nurses' knowledge of myasthenia gravis disease, specifics of nursing care for a patient with myasthenia gravis, risks and regimen measures in a patient with myasthenia gravis and patient education, including cooperation with family. In the case of nurses from acute care beds (ARO / ICU), the interview was extended by the fifth area mapping the specifics of care for a patient with myasthenia gravis in the acute department. The research group consisted of ten nurses, four of whom work in the ICU or ARO departments. Then, 5 categories were created by analyzing the interviews, some of which are subdivided into sub-categories. The presentation of the results is presented using these categories; if relevant, direct statements of informants are presented, specifying the specifics of nursing care for patients with myasthenia gravis in standard departments or departments of ARO / ICU. The findings show that considering this topic there is the need to pay attention to bedsores, hygiene, catering, and very important is education of patients and their relatives. Nursing care at the standard departments and departments of ARO / ICU varies, the difference can primarily be seen in the emphasis on acute care departments in the respiratory tract, prevention of pressure ulcers that can also occur in the airways, prevention of nosocomial infections. At the ARO / ICU, nurses must also be more prepared for the sudden deterioration in the patient's condition, which is followed by subsequent nursing care, there an endotracheal tube, or a tracheostomy cannula is used. Following the findings, it is also advisable to recommend health care providers to develop a nursing standard for a patient with myasthenia that is not available in any of the standard departments where the research was conducted. The contribution of the bachelor thesis can be seen in depicting the complexity of nursing care for patients with myasthenia gravis, including an indication of areas to which nurses must pay increased attention, pointing out the differences in the provision of nursing care for patients with myasthenia gravis in standard and ARO / ICU departments. The results of the thesis can be used by nurses who take care of these patients, but above all they can be a guide for nurses who do not yet have experience with these patients. These findings can be used by these nurses when they are forced to provide nursing care to these patients.
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The research of personnel endangerment during providing of health service
LOJKOVÁ, Michaela
This thesis is aimed at aggressive and violent behaviour of patients towards general nurses. Theoretical part of this thesis contains chapters which are dealing with direct aggression, its' causes and also with possible defences, preventive elements and principles, which are necessary to be used in contact and communication with conflicting patient. Because this research is focused on general nurses, one chapter is also dedicated to this profession and its' difficulties. The practical part was realized by means of quantitative research. Created questionnaire was placed on the webpage of České Budějovice hospital where it could be filled by nurses for a period of one month. Data obtained from respondents were subsequently processed into tables and graphs and statistically evaluated. The aim of this thesis was to map the problem of violence and aggression of patients towards general nurses in their profession at České Budějovice Hospital a. s., to describe the problematics of patient aggression in healthcare and through method to find out the experience of general nurses with aggressive behaviour of their patients. According to this research, 95 % of respondents encountered aggressive behaviour of the patient during the last year. 94,5 % of respondents encountered aggressive behaviour of verbal character and 70 % with aggressive behaviour of physical character. According to the research, it was also found that respondents had more experience with aggressive behaviour from male population than from female population. Respondents from the hospital are regularly trained in dealing with conflicting patient. However, the research showed that the respondents would welcome a greater intensity of training on this subject. More than half of respondents perceive the deficit in training in communication with a conflicting patient.
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