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The role of the nurse in regime measures for a migraine sufferer
PAPOUŠKOVÁ, Veronika
In the presented bachelor thesis were set two main gals. The first one was to map needs of the sufferer with migraine. The second one was to describe regime meassures of the sufferer with migraine. Four research questions were developed to adress the objectives, which are as follows: How do patients subjectively describe the course of migraine attacks? What are the needs of a patient with migraine attack? What factors influence the frequency and course of migraine attacks? How much are patients with migraine attack inform about regime measures? The Empirical part of bachelor thesis was developed by using qualitative research methods. To the process of collect datas was used semi-structures interview technique. The interview consisted 28 questions, which are presented in Appendix 1. The findings were processed using open coding, pencil-and-paper technique. The research population consisted of a total od 9 informants who suffer from migraine. The subjects had to be over eighteen years of age and their experience of migraine had to be at least five years. The results of the research part are presented in the bachelor thesis trough tree main kategories. The first category focuses on the subjective description of the course of migraine attacks of individual informants. This category includes the frequency of migraine attacks, the description of the period before the attack, the course of the attack itself, and finally the posta-attack period. The secon category delas with the needs of migraine sufferers. Here is description of the informants´ behaviour during the attack, how much the informants are affected by migraine, and how the informants manage migraines pain. The last category focuses on regime measures. In this category, migraine patients describe migraine triggers, the regime measures followed by migraine patients, how informed the yre about migraine conditions, and what information they miss about migraine. The results of the bachelor thesis will be used by health professionals to expand information about the needs of migraine sufferers. The information found cant hen be used by nurses to map out the regime measures of patients with migraine. The obtained informations can also be used by migraine patients who would be able to better understand migraine-related conditions and regime measures based on the thesis.
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Interaction between a patient and a nurse during a transfer of human biological material.
KOPŘIVOVÁ, Natálie
Abstract: This bachelor thesis is devoted to communication between a patient and a nurse during the collection of biological material. Aims of the thesis: To explore communication barriers from the nurses' side during biological material collection. To learn about the patients' experience with communication techniques used by nurses during the selected biological material collections. To find out which communication techniques are used by nurses during the collection of biological material. Methodology and research population: For the fulfillment of set goals, a qualitative research in the form of semi-structured interviews aided with observation was implemented. The interview-based data were then analysed using open coding and Pen-and-Paper method (PAPI). The research population consisted of 11 nurses and 6 patients from hospitals in the South Bohemian Region and Vysočina Region. The research was carried out from February to March 2023. The criteria for the selection of nurses for our research was the execution of collecting biological material as part of their work at the selected workplace. The minimal experience of the nurses was 5 years for interviews and 2 years for observations. The patients were to undergo a selected biological material collection. Three categories and six sub-categories were found during the data analysis. Results: The research through observation showed us that many nurses communicate with patients professionally and adequately but some nurses omit or unsuitably use certain elements of verbal and non-verbal communication. Those include inappropriate addressing, violation of hygienic guidelines, lack of patient identification or failure to divert attention during procedures. Of course, no communication with the patient throughout the material collection is easy and comes with many barriers, be it language, space, misunderstanding, patient's unwellness or staff shortage at the workplace. Patients' experience with positive and negative attitude of the nurses varies in each facility. The results of the interviews revealed that smiling, eye to eye contact, empathy, attention diversion or verbal communication during material collection are essential for the patients. Recommendations for practice: The results of this work can be used as study material or guidance for nurses already working in the healthcare sector, but also for non-medical students. This will enable nurses to develop patient-centred communication skills that are essential for the provision of quality nursing care.
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The needs of patients in the dialysis program and the role of the nurse in this issue
CHYTRÁČKOVÁ, Aneta
This bachelor's thesis focuses on the needs of patients in a dialysis program and the role of the nurse in this issue. Two objectives were established for this bachelor's thesis: To map the needs of patients in a dialysis program, and to determine the role of the nurse in patients undergoing dialysis. The work is divided into a theoretical and empirical part. In the theoretical part, the anatomy of the kidneys is briefly described, as well as the reasons for kidney failure. Subsequently, various elimination methods are described and explained, along with nutritional and exercise measures. The transplantation procedure is also briefly described. Attention is paid to the needs of patients, nursing care, and education. The empirical part was processed using qualitative research through semi-structured interviews focused on patients undergoing dialysis and nurses working in the dialysis center. The research sample consisted of 13 patients and 9 nurses. To achieve the set objectives, five research questions were created: What are the bio-psycho-social-spiritual needs of patients in a dialysis program? How does dialysis treatment affect patients' lives? What is the level of patient education before starting dialysis treatment? What is the role of the nurse in satisfying the needs of patients in a dialysis program? What is the role of the nurse in providing information to patients in a dialysis program? Our research has shown that dialysis generally has a negative impact on the quality of life of most of our respondents. Respondents are most negatively affected by thirst, the time demands of dialysis, poor sleep quality, changes in social needs, and overall fatigue after dialysis. Additionally, our research has shown that nurses in the dialysis center primarily fill the role of provider of nursing care, educator, and advisor who also provides emotional support. The results of the research serve as informational material for patients in the predialysis program and as potential recommendations for nurses working in dialysis centers.
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The problematics of communication with a patient with manipulative behaviour
SEDLÁŘOVÁ, Eliška
The bachelor's thesis deals with the problem of the role of the nurse in communication with a manipulative patient. It is dedicated to the correctness of communication approaches to patients with manipulative behaviour in a hospital settings. This work highlights the important activities of the nurse, her communication and dealings with these patients in her field. Thhe work provides a nurse's perspective on activites in the provision of care and communication, but also a look at the experiences, needs and expectations of patients. The theoretical part focuses on the definition of communication and manipulation, the most common way of using communication in Czech health practice, focused on process manipulation, causes, recognition and application of communication between nurse and patient. It defines and approximates the communication most commonly associated with a patient's manipulative behaviour in a hospital setting. From interviews with nurses a patients, their view of manipulation as not usually solvable in health practice, but nevertheless a highly visible and impactful issue, which has a very large psychological impact on nurses. From the patient's point of view, their perspective on the behaviour of nurses and other medical staff is addressed based on interviews. The aim of this bachelor thesis was to map the skill of nurses communicating with a manipulative patient and what skills nurses use when communitacing with a manipulative patient in a hospital setting. The investigation revealed that nurses working in hospital units are the most preoccupied with patient's attention and try to treat them to the best of their knowledge and conscience of all nurses surveved. The quality of the nurses from each listed unit was confirmed by the knowledge and insight of the patients interviewed hospitalised in the inpatient ward. Furthermore, the research investigation shows that nurses encounter different types of behaviour stemming from manipulation and patients have no concerns about showing up in this way. Based on interviews with nurses, we learn about the individual view of the manipulation of each of them, as well as through the execution of work on each ward. Based on interviews with patients, we learn about the quality care of nurses, as well as the individual approach of each of them.
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Specifics of education in a patient with cystic fibrosis
Novotná, Hana ; Tomová, Šárka (advisor) ; Nikodemová, Hana (referee)
1 Abstract Theme: The bachelor thesis "Specifics of education of a patient with cystic fibrosis" deals with the issue of education of a patient with this diagnosis. Aims: The aim was to find out the quality and method of education. To check the knowledge of nurses educating these patients. Compare education between hospitals, departments but also between age groups. And as a result, to improve the education carried out so far. Methods: The thesis is divided into two parts into theoretical and empirical. In the theoretical part, the thesis focuses on the description of the disease, its diagnosis, symptoms and treatment. Furthermore, on the specifics of education in the disease, methods of implementation and possible aids to education. The empirical part is processed on the basis of quantitative research using a non-standardized questionnaire survey of one's own creation with open and closed questions. Results: The questionnaire survey shows that there is a link between the age group of nurses and the frequency of education of patients with CF. The questionnaire survey showed interesting facts showing certain areas in which education needs to be improved, expanded or more controlled. Conclusion: The questionnaire survey shows that there is a link between the age group of nurses and the frequency of education...
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Cultural competences of nurses in general practitioners' surgeries.
ŠVANCÁROVÁ, Anna
The Diploma Thesis on the topic: "Cultural competences of nurses in general practitioners' surgeries" aimed to map the level of cultural competence of nurses in the surgeries of general practitioner for adults (further referred to as GP). Following the stated aim, these two research questions were identified: What is the level of cultural competence of nurses in the GP's surgeries? What cultural challenges are present for nurses in the GP's surgeries? Firstly, the theoretical part of the work focuses initially on globalization and migration. It deals with migration, describes the situation in the Czech Republic and provides information on the development of the number of foreigners living here. It explains basic concepts in the field of transcultural nursing. It describes the main models that deal with cultural competence, culturally sensitive and adapted care and the theory of transcultural nursing. One of the chapters focuses on the transcultural features of minorities and religions, which are most common in the Czech Republic. Secondly, it describes a nurse in a GP surgery, describing and explaining her cultural competence. And last but not least, it deals with her communication skills in the GP surgery. The basis for achieving the set goal was a qualitative research method in primary care facilities, which was part of the research grant project number GAJU 046/2021S, which is implemented with the financial support of the Grant Agency of the University of South Bohemia in České Budějovice. Data collection was carried out using a semi-structured interview. It contained twenty questions with appropriate sub-questions. The research population consisted of nurses who work in GP's surgeries and have experience with patients of diverse minorities. After informing the interviewees and with their consent, the interviews were audio recorded. Only for one respondent was the information obtained in written form on paper. The audio recordings were subsequently transcribed into written form and processed using the open coding method, the "pencil - paper" technique. All respondents were assured of complete anonymity. The results of the research are presented in the form of 4 categories, which are subsequently divided into further subcategories. These are clearly shown schematically in the work. Individual categories try to answer the research questions of this thesis. The work provides us with a comprehensive view of the cultural competence of nurses in the GP's surgeries. The results indicate what cultural competences the nurses hold, whether they are even aware of these competences, to what extent they have knowledge of the specifics of individual cultures, especially those they encounter, and last but not least, how they can communicate with patients of different cultures and what communication barriers they experience. The research results can be used in the teaching of non-medical health workers and students at ZSF JU in České Budějovice. The educational part can lead to the creation of principles and guidelines for culturally competent nursing care. The preparation of nurses to provide nursing care for patients from a different culture or similar culture in ambulatory care in the Czech Republic can be made more effective by new principles from this research.
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Contribution and cooperation of the Army of the Czech Republic during the Covid-19 pandemic in the work of general nurses
PAVLOVIČOVÁ, Adéla
The aim of this diploma thesis was to map the scope of cooperation between members of the AČR and general nurses during the Covid-19 pandemic. Another goal was to find out if the general nurses were satisfied with the mentioned cooperation, and also to map the experiences of the general nurses with the deployment of soldiers in hospital inpatient wards. The theoretical part deals with a detailed description of key terms that are still related to the research part. Above all, attention is paid here to the disease Covid-19, its clinical picture and the possibilities of prevention, diagnosis and treatment. Key terms such as general nurse or pandemic are also explained. We also focus on the specifics of the work of general nurses in hospitals during the pandemic. Another of the main chapters focuses on the Army of the Czech Republic and the ways in which it fought against the mentioned infectious disease. It describes not only the help provided by its members in social and hospital facilities, but also help to the components of the integrated rescue system and other ways of its involvement. In the empirical part, a research investigation was carried out in a qualitative form using the in-depth interview method. The research group consisted of a total of fifteen general nurses who work in two different hospitals on inpatient wards. All of them collaborated with members of the ACR during the pandemic, which represents the basic building block of this entire research. Before the actual research was carried out, a pre-research was also carried out, which mainly served to verify the comprehensibility of the individual questions in the interview. After the consent of the informants, the interviews were recorded and subsequently transcribed in Microsoft Word by the author of the thesis. The obtained information was carefully read and, as needed, categorized and reduced into created categories and subcategories, which are schematically shown in the results chapter. The obtained results show that the members of the ACR cooperated both with general nurses and with other members of the nursing team. Most often, it was auxiliary work, such as helping with morning hygiene, anti-decubitus care, assistance with meals, etc. The general nurses explained what the soldiers were most beneficial to them, but also described the tasks that were problematic activities for the soldiers. General nurses also described in detail the experiences they gained from this collaboration, and stated both positive and negative opinions and comments about this collaboration. The work also includes recommended changes in case another wave of the Covid-19 pandemic follows. In the discussion chapter, the obtained results of the empirical part are then compared with professional literature and global database articles.
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Life of a patient with ankylosing spondylitis
ŠÍMOVÁ, Markéta
The bachelor thesis deals with the life of a patient with ankylosing spondylitis. The thesis is divided into a theoretical part and a practical part. The theoretical part presents anatomy and physiology of the spine, ankylosing spondylitis, its diagnosis and therapy. Furthermore, attention was paid to nursing care, communication and needs in everyday life of a patient with ankylosing spondylitis. The practical part of the bachelor's thesis was conducted through a qualitative research investigation, using the method of questioning, the technique of individual semi-structured interview. The study sample consisted of 7 patients with ankylosing spondylitis in a healthcare facility. Three objectives were chosen for the bachelor thesis. The first aim was to find out in which areas of normal daily activities ankylosing spondylitis affects the patient. The second aim was to investigate the role of the patient's family in the integration of the patient into normal daily activities. The third aim was to explore patients' perceptions of nurses' support in relation to their illness. In line with the objectives, research questions were set. Based on the results, it was found that patients with AS manage normal daily activities independently or with only minor assistance. Patients use compensatory aids to help them cope better with everyday activities. Treatment has a big impact on the patient's life, even though they use spa treatments and exercise daily. The research also showed that the support of family and friends plays a big role in the patient's life. Patients require more information from the nurse in collaboration with the doctor about treatment options, compensatory aids, exercise and social support.
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Use of barrier nursing care techniques in outpatient services
ŠAFÁŘOVÁ, Marie
This bachelor's thesis is about using barrier nursing care techniques in outpatient services. The first part describes the present situation, which includes single techniques of barrier nursing care, namely mechanical washing of hands, using personal protective equipment, disinfection, sterilization, and manipulation with used medical materials. The next part of the thesis is about applicable legal norms which are related to these issues. The thesis also has a part about the role of the nurse in outpatient services and the nursing process. The separate chapter is also devoted to nosocomial infections. In the second part are definitions of three targets. The first is to find out which types of protective equipment are used by nurses in outpatient services. The second target is to find out how nurses use hand hygiene techniques and the third is to find out which way nurses are manipulating used medical materials. The third part describes research methods. For qualitative research, the investigation was by deliberately selecting seven outpatient services in the territory of the capital city of Prague. The data collection technique is a semi-structured interview and participatory observation of a nurse working in outpatient services. The research was focused on the use of protective equipment, hand hygiene by nurses, and manipulation of used medical supplies. The fourth part contains the results of the research investigation, which are analyzed in the subsequent discussion, which provides a comparison of current legislation, literature, and results from practice. The conclusion of this thesis is that some techniques of barrier nursing care, namely proper hand hygiene, use of protective equipment, and compliance with some legislative standards in the field of prevention of the risk of infection, are not yet so included in the automatism of nurses working in outpatient services. The output of this thesis is a draft of a workshop on the topic of the thesis, especially hand hygiene and prevention of infection transmission.
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Health promotion management among patients with chronic kidney disease
PUMPROVÁ, Johanka
Introduction: The bachelor thesis deals with the management of health promotion of patients with chronic kidney disease. It highlights the importance of health promotion for patients with chronic kidney disease. Aim of the work: The aim of this work is to investigate the management of health promotion of patients with chronic kidney disease. Methodology: The research part of the thesis was carried out by quantitative research using two unstructured questionnaires. The first questionnaire was designed for patients with chronic kidney disease attending a dialysis center, it included 30 questions focused on health promotion and 5 questions on demographic data. The second questionnaire developed for nurses working in the dialysis center and consisted of 20 questions, 4 of them were related to demographic data. The first questionnaire was answered by 74 respondents and the second by 32. The data that came out of the questionnaires was processed into graphs and then the research questions were answered. The results: It was found that patients support their health mostly in the areas of diet, drinking and rest. On the other hand, physical activity and participation in educational sessions is a critical area. Education on stress avoidance is the critical place for most nurses. Further, the research revealed that patient's unwillingness to listen is the biggest problem that hinders nurses from imparting health promotion information. There are only few patients who are not supported by their friends and relatives other or general nurses. Conclusion: Health promotion is very important both as a prevention of chronic kidney disease and as an effort to prevent disease progression. Engaging in leisure time physical activities, eating vegetables regularly, being supported by loved ones or finding out new information about their disease are simple actions that are not that demanding and through which the patient can promote their health.
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