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A nursing issue: peripheral venous catheter
TOMÁNKOVÁ NOVÁKOVÁ, Monika
Peripheral venous catheter is used to access the venous system. It is one of the most commonly used invasive procedures in health care facilities. This procedure falls within the competence and daily tasks of nurses. Therefore this type of nursing care is susceptible to risk of proceeding routinely which might result in conscious or unconscious errors. Peripheral venous catheter needs to be introduced into the patient's vein in the following cases: planned parenteral nutrition, infusion or transfusion therapy, application of intravascular medication or contrast media, rehydration, blood sampling (which can be performed immediately after introducing the peripheral venous catheter and before administrating medication) and also during an emergency care for critically ill (such as cardiopulmonary resuscitation). Nurses should be as knowledgeable as possible about this issue so that the peripheral venous catheter can be introduced well and fulfil its purpose. It is important to ensure that nurses obtain all the necessary information about their patients before inserting the catheter and that they are able to properly inform the patients about the procedure and to communicate with them. Next, nurses should be familiar with the correct procedure for inserting catheters, they should be informed about possible contraindications and know how to choose the correct type of catheter as well as where to place it. Furthermore, nurses should care for this vascular access correctly and provide the patient with enough information about taking care of the catheter after the procedure. Finally, nurses should be aware of their own potential errors and also of possible complications. Therefore they should employ aseptic technique so that they can eliminate nosocomial infections. The thesis is divided into a theoretical and an empirical part. The theoretical part focuses on the history of peripheral venous catheters and their types, indications and contraindications, necessary equipment, nursing care, complications, etc. The empirical part consists of a research. The aim of the thesis was to map the use of peripheral venous catheters in hospitals as well as to identify factors that may lead to problems among the patients with peripheral venous catheters. Four research questions were assigned to these aims. 1. What is the procedure prior to inserting a peripheral venous catheter? 2. What are the standards of caring for patients with an inserted peripheral venous catheter? 3. In which steps of caring for peripheral venous catheters do the nurses lack knowledge? What equipment do the nurses prepare in order to insert a peripheral venous catheter? The Bachelor's thesis was conducted using a qualitative research survey. The methods of collecting data included semi-structured interviews and participant observations. The research was carried out only in one hospital ward and it was anonymous. First, the data were collected by means of a semi-structured interview. The nurses were asked 14 questions (see Appendix 8). During this interview, several more subquestions were added. The results of the interviews were then grouped into several categories for the sake of clarity. The second method of collecting data was participant observation. The observed facts were recorded into an observation sheet (see Appendix 9). The same nurses who were interviewed were also observed. This Bachelor's thesis has been written in order to provide a basic overview of the peripheral venous catheters. It could be used as an information source for more experienced as well as novice nurses. The practical output of this Bachelor's thesis is a nursing care standard concerning peripheral venous catheters. This standard was missing in the hospital ward and could help the nurses to take care of these vascular accesses, to proceed correctly and eliminate possible errors (see Appendix10).
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Comparison of intercultural competences of nursing staff in the Czech Republic and German-speaking areas
TÝLEOVÁ, Tereza
The increasing migration of population in the 21 century causes development of multicultural societies. With the increasing number of foreigners in individual countries it is possible to also presume an increasing number of patients/clients from different cultures in medical facilities. These facts require modern attitude to nursing, developing of transcultural nursing, implementing multi- and transcultural education in the health care education and propagation of multicultural conception of nursing between the nursing personnel. The result of these necessary changes should be the ability to provide effective nursing care which is culturally adjusted to the patient/client that would also take their specifics, customs and traditions of their culture into account and that would saturate all their biological, psychological, social and spiritual needs according to their race, nationality or belief. This thesis deals with multicultural nursing and confronts cultural competence of the nursing staff in Czech Republic with that in German-speaking countries. This thesis aim is to state the level of multicultural competence of the nursing staff and explore conditions provided to the nursing personnel of the hospital for giving culturally adapted care to patients-foreigners. The results of the research give an overview of the state of culturally competent care in comparable medical facilities in Czech Republic, Germany, Austria and Switzerland. They will also give a feedback to the questioned hospitals. Such information may alert their management to possible lack of knowledge of their nursing personnel and help them direct its further education. The theoretical part of the theses defines the basic concepts regarding culture, ethnic groups, race or nation, formulates the difference between the terms "multicultural" and "transcultural" nursing, multicultural education and culturally competent care, compile the most common sections of specific cultural needs of the individuals. In short it also processes J. Campinha-Bacote's model of cultural competence in health care delivery, the Papadopoulos, Tilki and Taylor Model for developing cultural competence and the Purnell Model for cultural competence. It also shortly deals with nursing frameworks for acquiring cultural data, such as the Sunrise model from M. Leininger, the Giger and Davidhizar Transcultural assessment model and Bloch's ethnic/cultural assessment guide. The empirical part processes and evaluates data obtained during the quantitative research. The accumulation of the data was conducted through anonymous questionnaires that were distributed between the nursing personnel of internal and surgical wards of the hospitals in Czech Republic and in German-speaking countries. In Czech Republic these were hospitals in Prague and in Tábor, in Germany a hospital in Dortmund and one in Cottbus, in Austria the hospitals in Salzburg and in Weiz and in Switzerland a hospital in Aarau and one in St. Gallen. The collection of the data was conducted either on-line or by way of printed questionnaire forms. The acquired data were valorized and sorted into diagrams and tables for further clarity. From the respondent´s answers follows that the queried medical facilities in Czech Republic do not provide sufficient conditions for their workers to give culturally competent nursing care on such a level, as it is at the facilities questioned in the German-speaking areas. The results also show that language skills of the nursing personnel in these hospitals in Czech Republic are worse than those in the German-speaking countries. With the level of multicultural competence the situation is similar; in this field Czech nursing personnel does not match their foreign counterpart. It is necessary to remark that this research sample of two hospitals from each of the countries is insufficient for the results to be applied on the whole Czech Republic or German speaking countries.
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Summary of foreign knowledge about the origin and development of EDZ in crystalline rocks - research
Vavro, Martin ; Souček, Kamil ; Staš, Lubomír ; Vavro, Leona
Presented search summarizes findings of foreign research oriented on the origin and evolution of the excavation damaged zone in crystalline rocks with a particular focus on the essential results of experimental projects which were performed in Canada, Sweden, Finland, and Switzerland. The study is divided, excluding the introduction, into seven main chapters of the text, which gradually deal with: (1) definition of key terms, (2) overview of the main underground research laboratories in the world where EDZ assessment was conducted, (3) methods suitable for EDZ description and characterization, (4) main factors influencing the origin of failure around the excavations and time-dependent evolution of EDZ. An overview of important outcomes of EDZ experiments, focusing on the European hard rock laboratories (Stripa, Äspö, Onkalo/Olkiluoto and Grimsel), and their summary are presented in the final two chapters.\nThe review summarizing the published key findings and results of in situ experiments shows, that for rock in lower stress state, i.e. in no spalling environment, the extent and character of rock mass damage is typically dependent on the excavation method. Using mechanical excavation, rock damage zone with thickness less than 3 centimeters can be originated. The microcracks within this zone contribute to the increase of hydraulic conductivity of the rock mass. At some test sites (Äspö, Grimsel), where the tunnel boring machine technology was used, the damage zone was already detected in depth of less than 5 mm.\nOn the contrary, openings excavated by drilling and blasting are characterized by much more extensive damage zones up to several tens of centimeters in width. The damage progressively diminishes with the distance from the opening.
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Development of the structure of breeds of hunting dogs in the administrtive territory of the town the Nymburk
Suchánková, Růžena ; Hanzal, Vladimír (advisor)
Processing overview of the structure of hunting dogs and their frequency in the administrative territory of the town of Nymburk and trying to determine whether the relationship of the structure of hunted animals.
Method of comparing statistical compilations drawn from the administrative area of the town of Nymburk.
Canine statistic-the number of bred dogs entered in the stud book, the number of dogs registered for the spring downspouts, the number of dogs who have passed the trial, the number of breeding dogs.
The ratio of small and large breeds of dogs at a time.
Fads breeding hunting dogs in a given time period.
Statistics breeding and hunting on the territory in the same period. Statistics restocking in the locality.
Results after treatment compared to each other and to confirm the relationship to the structure of hunted animals.
Finally, the recommendations for practice in a given area.
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Importance of communication elements for management
Nováková, Zdeňka ; Fiedler, Jiří (advisor) ; Stanislav, Stanislav (referee)
The diploma thesis deals with the importance of various elements of communication for work of manager. Communication is important and we use it in private and in working life. This thesis is divided into two main parts.
The first main part includes an overview of the solved problem that is treated on the basis of scientific literature listed in the bibliography. It contains an explanation of the concept and its management, management level, manager, managerial functions, managerial roles and leadership. Next is analyzed in detail the concept of communication, verbal and nonverbal forms and their further division. Finally there are elements of an effective communication, communication channels and the most frequent mistakes in communication.
The second main part includes data obtained from a questionnaire survey of managers. Follow their analysis and statistical surveys. In conclusion these results are evaluated.
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Freshwater mussels breeding methods for the purpose of conservation programs
Plechingerová, Věra ; Douda, Karel (advisor) ; Matasová, Klára (referee)
Bachelor thesis is written in an overview form of problems breeding freshwater molluscs. At the beginning of the thesis I first evaluate the overall status of the populations in the Czech Republic and then in the world. Next I describe the anatomy and biology of molluscs, especially their reproduction, which is crucial for rearing juveniles in the laboratory or seminatural environment. The return of molluscs populations into the waters ecosystems is problematic in terms of ongoing changes in the biotope, particularly because of the anthropogenic influences and too few suitable host fish, without which it can not complete its glochidia development. To prevent the complete extinction of some species, there have been researched different methods of rearing, which help recover viable populations in the natural water environment. Methods of rearing are also described in this thesis. In the experimental part of the thesis I evaluate types of detritus that have different effects in length gain of mussels. For the experiment was selected freshwater pearl mussel (Margaritifera margaritifera), whose population is highly endangered. Freshwater mussels are an important bio-indicator of waters ecosystems, where they have an irreplaceable function, so it is important to regenerate their populations and the overall condition of the biotopes.
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Clinical biochemical indicators used in diagnostics of equine diseases
Puldová, Doubravka ; Ptáčková, Zuzana (advisor) ; Krejčířová, Romana (referee)
The thesis aims to compile overview of main biochemical indicators that are important in for diagnostics of equine diseases.
Clinical biochemistry is a medical discipline that uses biochemistry and pathobiochemistry for the determination of diagnosis based on activity changes of analytes observed. Laboratory evaluation of analytes has three phases: pre-analytical (preparation of patient to sampling, sampling and sample storage and transport), analytic (analysis) and post-analytical (evaluation of results, veterinarian also contributes in this part). Pre-analytial phase is the most time consuming and also the most error prone. The errors mostly occur during preparation of the patient, during sampling or sample transportation. The most analyzed materials for biochemical analysis are blood, urine and liquor.
Biochemical indicators are compound that are often influenced by the disease, therefore it is possible to use them for the diagnosis. Nitrogen metabolism indicators include proteins, urea, creatinine and ammonia. Enzymes (aminotransferase, gama-glutamyltransferase, glutamatedehydrogenase, lactatedehydrogenase, alkaline phosphatase, creatinkinase and sorbitoldehydrogenase are the main indicators of liver function (they contribute on the metabolism of another compounds) or of the fitness of horse. Glucose and lactate values indicate energetic metabolism, cholesterol and triglycerides indicate lipid metabolism. Water and electrolyte metabolism indicators are sodium, potassium and chlorides. The mineral profile is shown by calcium, magnesium and phosphorus.
The result of determination of analytes is compared with reference values that are not only species-specific but can be also influenced by age or sex. These values represent the range of the compound concentration in body fluid under physiological conditions. It is important to take the clinical symptoms into the account. Not all indicators that are usually indicated in human medicine or different animals are suitable for diagnosis of equine diseases. Majority of indicators diagnose equine-rare diseases (i.e. diabetes mellitus or hepatitis). Determinations of muscle enzymes and lactate are important for the fitness analysis.
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Selection of security software for user data protection
Maděra, Jiří ; Havránek, Martin (advisor) ; Benda, Petr (referee)
This work shows overview of potential electronic threats with which present users can come in contact. This topic is very common theme and we can hear about malicious programs or malware almost from the very beginning of computer age. Therefore, in this work, I try to provide view into the most common threats. But the main goal is to find the best solution for protecting user data against malware. Therefore, in the practical part I tested ten most used antivirus programs. The result of this test should show objectively which solution is for the user the most appropriate in terms of several criteria. The criteria that I chose are, detection ability, system memory usage and the total length of the test.
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Passive and active safety of personal cars
Petrtýl, Václav ; Růžička, Miroslav (advisor)
This thesis deals with passive and active safety of personal cars. The aim of this work is to give a comprehensive overview of the car safety elements. The first chapter is dedicated to the history - the development of automotive safety. Further there is a detailed description of the passive car safety - seat belts, airbags, chassis, and the active car safety - ABS, ASR, ESP, etc. A separate chapter consists of child safety seats - their issue and division.
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e-Learning - video courses creation principles
Hladík, Ondřej ; Benda, Petr (advisor)
This bachelor thesis, bearing the title: e-Learning - Principles of creating video courses, aims to discuss the issue of the use of educational videos as one of the leading media in e-Learning. In its introduction the work represents quick overview of today's e-Learning and explanation of this term, however, in the next section it is strictly focusing on the main part, which is education through the help of video.
Thesis continues by describing role of video in e-learning. In this area it explores patterns, analyzes the approaches to developing and represents possibilities that it offers in detail. Also usage of this way of teaching and its flexibility to the theme in order to maximize the effectiveness of the transmission of new information and its usefulness in everyday life.
In the last part author of this thesis is taking advantage of the results gained from theoretical part and use it for the sake of creation of his own video course.
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