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Demands put on the nurse during the communication with the aphasic patient
VIDENSKÁ, Magdalena
Aphasia is defined as a systemic speech disorder which is caused by organic brain damage and on different levels it affects the organisation of speech. It is caused bz the damage of the dominant hemisphere associated with tumours, injuries, brain stroke, haemorrhage, meningitis and the like. Aphasia can affect people of all ages. The communication with an aphasic patient is difficult and the demands required from nurses are high. In my work I suggest alternative way of communication which would facilitate and improve the communication of an aphasic patient with other people. My work is based on the methodological handbook ``Pictograms{\crqq} written by Mgr. Kubová. This book deals with using communication picture system {--} pictograms {--} for education and developement of social communicative skills of children and adults with either mental or multiple handicaps, and it is used in many western countries. I decided to provide nurses and aphasic patients with these pictograms. The aim was to help aphasic patients to express their feelings and needs. By using the pictograms I tried to cover the basic human needs {--} the need of bowel movement, the feeling of thirst, pain, cold and so on. After about a three month use of pictograms I asked the nurses to complete a questionnaire and express their opinion on using the pictograms and on the pictograms benefit to the aphasic patients. The research was quantitative. For the data collection I chose the method of a questionnaire. The data obtained are processed in the form of tables and charts. The research group were the nurses who, when working with aphasic patients, were using the pictograms. The research was carried out in the Hospital of České Budějovice a.s., at the Nerve ward and the Follow-up care ward. The Charity Nursing Service in České Budějovice also used the pictograms in home nursing. The best of results with the pictograms were definitely reached in home nursing. 87,5 % of the nurses recommend using pictograms. When filling in the questionnaire the nurses included not only their own experience of using pictograms but also the experience of the family members taking all-day care of their aphasic relatives. The family members were able to say how well the pictograms served their purpose. The pictograms are recommended to be used by 73 % of the nurses of the Nerve ward and 62,5 % of the nurses of the Follow-up care ward. The results say that the pictograms were best used in home nursing aphasic patients. I believe that pictograms will become an important part of the communication with an aphasic patient and that they will be used effectively even though their use is time and patience demanding. The nurse{\crq}s reward is better quality nursing care and happier patients.
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Nursing inspections and their importance from view nurse and patient
BENISKOVÁ, Lucie
My thesis, Nursing Rounds and Their Importance from Nurses and Patients Points of View, is divided into a theoretical and practical part. The theoretical part consists of three main chapters. The first chapter describes nursing as a field of science; the second deals with the nursing process in connection to nursing rounds; and the third presents nursing rounds. Nursing rounds are very important to provide patients with high quality care. They enable patients to get more information about their illnesses, following examinations, nursing processes, rehabilitation, etc. There is a continuous contact between nurses and their patients that is why nursing rounds are important for both, patients and nurses. The practical part deals with nursing rounds. The aim of this work was to find out if nursing rounds are practised at standard wards in Písek Hospital, Inc.; investigate about their importance for nurses and clients; and see patients{\crq} opinions on these rounds. There were three hypotheses: Hypothesis no. 1: Nursing rounds are not usually practised at wards; Hypothesis no. 2: Nurses do not consider these rounds to be important; Hypothesis no. 3: Patients/ clients are not sufficiently informed about nursing rounds. The file for my questionnaire research was created by nurses and patients of standard wards (surgery, internal medicine, orthopaedic, gynaecology- obstetric, urologic, and neurological ward) in Písek Hospital, Inc. There were two different questionnaires; one of them contained 19 questions for nurses, and the other one 15 questions for patients. According to the results, hypotheses 1 (nursing rounds are not usually practised at standard wards in Písek Hospital, Inc.) and 3 (most of the patients do not know the term nursing round and have never heard about it) proved valid. Hypothesis 2 (nurses and patients do not consider these rounds to be important) did not prove valid.
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Providing the patient´s privacy on regular wards and intensive care units
ŠVAGROVÁ, Soňa
Providing the patient´s privacy on regular wards and intensive care units Abstract At present, dignity and intimacy of a patient has been increasingly put in the shade. The issue of security of intimacy differs at each ward. The objective of the bachelor thesis on the topic ``Security of intimacy of a patient at a standard ward, an anaesthesiology-resuscitation ward and an intensity care ward{\crqq} is to map out the knowledge of nurses in the field of intimacy and its observance at various sorts of wards. Conducting a number of activities, a nurse enters the intimate zone of a patient and disturbs their intimacy. Therefore we intended to ascertain whether nurses have sufficient knowledge in this field. In a number of cases, patients are not able to defend themselves so their protection is to be secured by the health workers who should behave in the manner respecting the patients in any situation and state. They must do anything not to disturb their intimacy at all or only to a minimal extent. For this reason we raised the questions: Do nurses observe intimacy of patients sufficiently? Do the nurses working at an anaesthesiology-resuscitation ward (ARO) and an intensity care ward (JIP) observe the intimacy principles more than the nurses at standard wards? The research group consisted of the nurses working at ARO, JIP and standard wards of surgical sections in Nemocnice České Budějovice a.s. and Nemocnice Český Krumlov a.s. The research method I used was a questionnaire. Hypothesis No. 1 that nurses have a sufficient knowledge in the field of intimacy was confirmed on the basis of the knowledge test results. Regrettably, hypothesis No. 2 that nurses observe patient intimacy insufficiently was confirmed. Hypothesis No. 3 that the nurses working at ARO and JIP wards observe the principles of intimacy security more than the nurses working at a standard ward was not confirmed. It follows from the results of the research that while nursing the patients, nurses observe the principles of intimacy security insufficiently at all the types of wards. On the basis of the undertaken research, the hospitals that have not internal regulations (guidelines) on this issue elaborated should do so e.g. in the form of ``Ten Rules of Patient Privacy{\crqq} and should pay attention to observance of principles of patient intimacy protection. It is necessary that the nurses serve as defenders of the patients{\crq} rights in this field.
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The influence of nursing care on the course of hospitalization of the patient with MRSA diagnosis
ŠTVERÁKOVÁ, Martina
The aim of work to find out, how clients with diagnosis MRSA hospitalized in isolation, perceive nursing care from medical staff. Results emerged from the questionnaires are: Patient diagnosed MRSA hospitalized in isolation are well-informed about reasons of their isolation and about rules of nursing care provided. Epidemiological protection during the nursing care in isolation are perceived by clients in a positive way like needed safety precautions to prevent illness transmission.
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Specialities of nursing with representatives of Church - dignitary
ŠEVČÍKOVÁ, Kateřina
The main theme of our thesis was the Specificity of church representants´ treatment {--} church dignitaries. We set 3 targets: 1. to allocate the specificities when treating church dignitaries of various religious directions, 2. to describe daily schedule of various religious directions, 3. to find out, how much are the church representants of various religious directions satisfied with provided health care. We devided the thesis into two parts, theoretical and practical. In the theoretical part, nurses, but even general public, can get the basic information about five religions, whose representants we can meet in our hospitals: Roman catholic, protestant, orthodoxy, judaism, islam. Within our thesis we also deal with the treatment of nuns´ treatment. Chaptres are clearly ranged, in the inroduction we always mention short world history of the particular religion, then history in Bohemia, followed by brief history and important dogmas of the particular belief. At the end of each chapter we mention daily schedule of a church dignitary and specificity of his treatment. In the practical part, we discuss the results of our research. To obtain necessary information, we used two methods. By questionnaire method, we found out the nurses´ level of knowledge about mentioned religions and their opinion concerning the necessity of a specific attitude when treating church dignitaries. The level of their knowledge was satisfactory. Hypothesis, in which we supposed that the health personnel, taking care of church representants of various religious directions, do not make any difference between them and other patients, was not after statistic elaboration confirmed. To obtain information from church dignitaries we used a method of a standard interview. After evaluation of obtained information there were following hypothesis: church representants of various religious directions are satisfied with offered health care. Upon the results of this research we recommended to insert this theme, specificity of church representants´ treatment, to curriculum of health schools (for health assistants, nurses Bachelor and nurses Master). Then also impose this theme to programs of specific conferences, retraining courses or educational seminary, in order to inform even graduated nurses about this new disscused theme. It would be also convenient, if educational institutions used more often various offers from jewish or islamic fondations, which willingly offer conferences and closer approach to the particular religion. Nurses should be motivated to get new information about various religions in order to be generally more cultivated, which is indispensable for a nurse.
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Satisfaction of patients with hospital routine, diet and staff approach
PAVLÁSKOVÁ, Ilona
This bachelor thisi´s explores how is the client´s satifaction with regime, diet and approach of staff in hospital. I hawe found out using the research that most of the client´s is satisfied with approach of hospital staff and that sex and age influence the client´s satisfaction with diet and regime. The clients satisfaction with regime, diet and approach of staff in hospital can significantly improve general treatment results.
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The method of wound treatment by nurse in primary care
HAVLOVÁ, Lenka
My bachelor thesis deals with problematic of curing wounds through the ``wet therapy{\crqq} in agencies of home care in South Bohemia. It finds out if nurses working in home care in South Bohemia identificate with method of curing wounds through the ``wet therapy{\crqq} and if that method used in profession.
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Using the compensative aids helping with movement and handling at an immobile patient
JAROLÍNOVÁ, Romana
This BA thesis looking at "The Use of Compensatory Aids Enabling Movement and Handling of Immobile Patients" describes the reaction of the organism to immobility, the compensatory aids and handling of immobile patients. The practical part takes form of a quantitative research. The research compares nurses' experience with handling immobile patients correctly in hospitals and the homes for the elderly. Furthermore, the research states which establishments use lifting equipment and if nurses are aware of the existence of compensatory aids.
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