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The Influenece of the Permanent Carciac Stimulator on the Life of the Client
BALVÍNOVÁ, Hana
This work deals with the impact of permanent pacemakers on patients´ lives. Over 6,000 permanent pacemakers are implanted every year in the Czech Republic. Cardiac pacing is a method of medical treatment through slow hearth rhythms. Although pacemakers improve the health of their holders, the situation the patients have to face is quite demanding and affects every aspect of their life. The aim of this work was to examine and identify the care for the clients before and after pacemaker implantations, who instructed them and who helped them most to deal with the given situation. We inquired whether the patients had enough information about the life with a pacemaker and what kind of changes occurred in their lives after the implantation. We chose a qualitative research to achieve the above mentioned goals. We interviewed 7 clients who had lived with a pacemaker for more than one year. The interviews were held during the patients´ visits to the cardiac pacing clinic within their regular checkups. The research revealed that the care for these patients was very good. All the patients were satisfied. They had enough information both from the doctors and the nurses. Many clients found information in information leaflets and media, in particular on the Internet. Most of the clients found the necessity of an implantation quite stressful at the beginning and had to cope with it. Despite their initial worries and frequent monitoring of their heart rhythms, they managed to adapt to it and no longer think about it. Their life has grown better in most of the cases. The research proves that pacemaker significantly affects the health of the clients but does not significantly change their personal lives.
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Nurse cooperation in care for child with Down syndrome
SOUKUPOVÁ, Jiřina
Abstract We most often see a family as a social group characterised by interaction within itself. A family is linked through numerous relations and it is also affected by a child. This applies to any other family even a family with a disabled child. In the world, there are about five million people who are affected by Down syndrome. It is the most widespread of all forms of mental retardation. In the Czech Republic, approximately seventy children with Down syndrome are born each year. In this paper, I worked on ``Collaboration of nurses caring of children with Down syndrome{\crqq}. The diploma paper was to give comprehensive information on specialized care of children with Down syndrome, including information on diseases and problems that might occur in the phylogenesis and life of such a child. The purpose of the paper is also proper understanding these issues, linkages with nursing care, therapeutic and diagnostic procedures as well as but finding the right approach to a family, education of families, and communication with parents. As a result, the paper should provide information about the collaboration of nurses and parents in influencing health and development of a child with Down syndrome. The objectives of the paper to map the problem of collaboration of nurses and parents raising a child with Down syndrome and to map the impact of nurses{\crq} collaboration with parents on complex care of children with Down syndrome have been met. Quantitative research was conducted using a questionnaire for nurses in surgeries of paediatricians and general practitioners for adolescents in the South Bohemian and Pilsen the Region. The hypothesis that nurses educate the parents of children with Down syndrome in the field of nursing care has been refuted on the basis of evaluated questionnaires. For qualitative research the following question was specified: ``What is the role of nurses in complex nursing care of children of children with Down syndrome.{\crqq} The answer was assessed based on interviews with parents bringing up a child with Down syndrome. The role of a nurse is one of a care provider, educator, adviser and protector. The findings of this diploma paper could serve as feedback for self-reflection of nurses in paediatric surgeries and to improve collaboration between parents and nurses in complex care of children Down syndrome.
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Interpersonal relationship development between children's nurse and mother in the neonatology department by means of the H. E. Peplau model
AMBROŽOVÁ, Helena
The dissertation objective on the theme {\clqq}Interpersonal relationship development between children's nurse and mother in the neonatology department by means of the H. E. Peplau model`` is to chart individual phases utilization in the process, professional relationship development between children´s nurse and mother according to the H. E. Peplau model. Further through created documentation to find out differences at the approaches during professional relationship connecting between children´s nurse and mother in the neonatology department in the Hospital JSC in České Budějovice. To meet these objectives the dissertation is divided into theoretical part which focuses on differences at the care of developed and underdeveloped infant, nursing model H. Peplau including its application into practice. The second, practical part is divided into quantitative and qualitative parts. The quantitative part concentrates on factors finding out which influence professional relationship between children´s nurse and mother in compliance with the H. E. Peplau model and concurrently specifies individual nurse roles changing during professional relationship children´s nurse and mother. The data of the quantitative research part have been learned by means of questionnaire disquisition. By the dissertation results summarizing I found out facts regarding H. E. Peplau model individual phases utilization at the children nurse {--} mother relationship establishing in neonatology. Hypothesis 1 {\clqq}Children nurses with own children establish faster the professional relationship with mother`` {--} has come true. Hypothesis 2 {\clqq}Children nurse practice length influences the ability to establish the professional relationship with mother`` {--} has come true. Hypothesis 3 {\clqq}Children nurses undertake the role of the mentor in most cases`` {--} hasn´t come true. The data of the qualitative research part were identified by observation, conversation with children nurse, creating of the documentation own proposal at the mothers of prematured children hospitalized by ROOM IN system and its application in practice. Mothers were divided into two groups, the common way of the interpersonal relationship establishing with mother was used in the first group, the way of the interpersonal relationship establishing with mother according to the H. E. Peplau model was applied in the second one. At the quasiexperiment it has been identified the interpersonal relationship establishing with mother proceeds better at the nursing H. E. Peplau model utilisation. The dissertation knowledge can be partly utilised by neonatology department of the Hospital JSC in České Budějovice, in particular by children nurses to master the abilities for professional relationship establishing with mother and to provide subsequently mother and child with the complex nursing care. Further to students and other interested people in this issue.
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Message nurses and ward sister in practice.
NOVÁKOVÁ, Jana
The ward sister round presents an integral part of the nursing profession. The ward sister round comprises a regular visit of the nurse directly at the patient´s bed. Its objective consists in determining and satisfying the unsaturated needs of patients, further in ensuring and providing a high quality and efficiency nursing care in a close link with medical care. Nursing handover can be divided into two main sections: written and oral handover. The oral handover takes place directly in the patients´/clients´ room under the use of nursing documentation. Its advantage consists in the direct involvement of the patient/client in the handover process. The written handover is then entered by the nurses into the Handover Book. The significance of my diploma work consists in increasing the nurses´ standard of knowledge related to the modernization of ward sister rounds and nursing handover as an integral part of the nursing profession.
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Level of Quality Management and Safety Survey in Selected Hospitals in the Czech Republic.
MRÁZOVÁ, Iveta
Quality of care has become an important concept in present nursing. Accreditation is proper evidence and also the most efficient means to achieve high-quality care. Procedure of accreditation in the Czech Republic is most frequently administered at national level by the Joint Commission on Accreditation of the Czech Republic. The main objective of my thesis was to survey the setting of quality management and safety in selected hospitals in the Czech Republic. I used quantitative research and quantitative method {--} interviews and questionnaires in hospitals in České Budějovice, Český Krumlov, Písek, Prachatice, Tábor, Jindřichův Hradec from January to March in 2010. The qualitative part had the form of interviews with staff-nurses from above mentioned hospitals. For this part of work I set seven survey questions that had stemmed from the standards of accreditation of the Joint Commission on Accreditation. These questions referred to implementation of Programme of Quality Improvement and Safety of Provided Services, to the process of auditing, to the quality and safety data collecting, to the process of observing clients/patients´ satisfaction with nursing care, to the setting of report system of unusual and abnormal situations, to the setting of efficient system of complaints solving and to the standardization of health care. On the grounds of these interviews 9 hypotheses were set. These hypotheses were acknowledged in the quantitative survey among head nurses from above mentioned hospitals. 111 questionnaires were handed out, 82 questionnaires returned. The first hypothesis (proved) was: Head nurses play active parts in the Programme of Quality Improvement and Safety of Services Provided. The second hypothesis (not proved) was: Head nurses who perform the function of an auditor, have the certificate of accredited course. The third hypothesis (proved) is: The most frequent indicator of quality of nursing care is observation of patients´ satisfaction with provided care. The fourth hypothesis (proved) is: Head nurses have a form for reporting unusual/abnormal situations available. The fifth hypothesis (proved) is: Patients/clients have questionnaires available to express satisfaction with the care. The sixth hypothesis (proved) is: Corrective measures are taken at wards, on the grounds of patients/clients´ satisfaction with care. The seventh hypothesis (proved): Head nurses participate in preparation of nursing care standards. The eighth hypothesis (not proved) is: Head nurses engage nurses with advanced education in preparation of the standards. The results proved that only those nurses are engaged, who display interest, regardless of their education. The ninth hypothesis (proved) is: Nursing care provided at individual wards has a form of nursing process. Neither nursing process nor nursing documentation is used in one hospital only. The results of the survey will be provided to staff-nurses of the hospitals as a background for continuous quality improvement of provided care.
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Determination of the number and qualification representation of nursing staff at standard departments of Nemocnice Písek, a.s.
MUŽÍKOVÁ, Eva
As the title of the thesis indicates, I addressed the number of the staff and their qualification representation at the individual departments of the hospital in Písek. I cooperated with head nurses as well as other nursing staff in the hospital and acquired information from them. The first hypothesis was that the number of the nursing staff work load at standard surgical departments corresponds with the recommendations of Karla Pochylá{\crq}s method. This hypothesis was not confirmed as the average number of staff at surgical departments was higher than the methodology states. The second hypothesis was that the number of the nursing staff work load at standard internal departments corresponds with the recommendations of Karla Pochylá{\crq}s method. The number of staff at internal departments was also higher than the recommendations of the method; neurology was the only department where the number of staff was lower than recommended. The second hypothesis also was not confirmed. The third hypothesis was that the number of the nursing staff work load at nursing beds corresponds with the recommendations of Karla Pochylá{\crq}s method. The number of the staff at nursing beds was higher than recommended by the method. This hypothesis was not confirmed. The fourth hypothesis was that the qualification representation of the nursing staff at standard surgical departments corresponds with the recommendations of Karla Pochylá{\crq}s method. This hypothesis was not confirmed. The fifth hypothesis was that the qualification representation of the nursing staff at standard internal departments does not correspond with the recommendations of Karla Pochylá{\crq}s method. This hypothesis was confirmed. The last, sixth hypothesis was that the qualification representation of nursing staff at nursing beds does not correspond with the recommendations of Karla Pochylá{\crq}s method and this hypothesis was also confirmed. I believe that the thesis can be used in practice as a template and groundwork for determining the correct number and qualification representation of nursing staff at various medical facilities.
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Community care in psychiatry
BÍNOVÁ, Romana
Abstract Diploma thesis deals with the issue of community care in psychiatry and its objective is to describe the importance of a nurse in providing this care. Community psychiatric care is a very wide area of an intermediary patient assistance designed to help the patients in any areas of their lives. Although in the Czech Republic community care has not achieved the appropriate development yet, its benefits for patients are important now and its importance has been growing. In the theoretical part, after a brief introduction to community care issues, history, principles, but also community care connection with nursing care, are mentioned. Subsequently, attention is paid to particular areas of community care that are important for the mentally ill and the role of a nurse in these areas is described. The approach to the mentally ill, the issue of stigmatization and psychiatric care organizations are mentioned. In the theoretical are part, psychiatric illnesses that may occur in community care are also analyzed and it is explained how community care may be beneficial for psychiatric patients. In the practical part, the objective was to find out the level of psychiatric nurses´ awareness of community care and to determine if they see the sense of community care in psychiatry. Making a survey of community care in which nurses can be involved was another objective of the work. The nurses´ responses to the stated hypotheses were statistically analyzed within quantitative research. The purpose of hypotheses stated was to determine whether nurses with the work experience longer than ten years are more likely to believe that psychiatric care is more beneficial for patients than hospitalization., And also, if nurses with an education higher than secondary have better awareness of community services provision. Other hypotheses were focused on finding out whether nurses consider the most common community care services issue in the Czech Republic to be housing promotion and if nurses aged over thirty years are more aware of the nurses´ role importance in community care. None of those hypotheses were confirmed. The hypothesis assuming that nurses obtain more information on community care from the Internet and literature than at workshops was confirmed. Psychiatric nurses working in mental homes in the South Moravian region and the Vysočina region took part in this research. A component of the practical part is also an analysis of community services in these regions. In both the regions 13 civic associations and community centers were mapped.
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Cooperation between nurses and physicians from the perspective of nursing management
KADLECOVÁ, Ivana
Cooperation of nurses and physicians from the perspective of nursing management Master's thesis was focused on the cooperation of nurses and physicians from the perspective of nursing management. Nursing care and nursing management has an irreplaceable role in health care. The world of medicine, nursing care and health care is an extremely complex organizational system, which is not surely represented only by physicians and nurses, but these, however, are still the dominant persons on the scene. The first objective of this thesis was to make a survey of cooperation between nurses and physicians during the nursing process in the care of patients from the perspective of nursing management in departments of surgery and internal medicine. The second objective was to identify problem areas in cooperation between nurses and physicians from the perspective of nursing management in departments of surgery and internal medicine, and the third objective was to find out the way the nursing management tackles problem situations in cooperation between nurses and physicians in departments of surgery and internal medicine. To meet these objectives four research questions were stated: 1. In what areas do nurses and physicians cooperate during the nursing process while providing care for patients from the perspective of nursing management in their respective departments? 2. How do nurses assess and perceive cooperation with physicians from the perspective of nursing management in their respective departments? 3. Are there problem areas in cooperation of nurses and physicians from the perspective of nursing management in their respective departments? 4. How does nursing management tackle problem situations in cooperation between nurses and physicians in their respective departments? The research was conducted in the hospital, where I was given information under the condition of anonymity of the respondents interviewed. The responders were chief nurses and senior staff nurses working in departments of surgery and internal medicine. The investigation conducted is a qualitative research. Interviews with the structure of questions to non-standardized interviews were conducted with the respondents according to question structures of the non-standardized interview. Subsequently, transcripts of interviews and data categorization in tables according to the Ritchie and Spencer´s framework analysis were made. The survey suggests the following conclusions. Nurses and physicians cooperate within the nursing process in providing care for patients from the perspective of nursing management in departments of surgery and internal medicine at the stage of problem solving. Nurses appreciate cooperation with physicians on the basis of mutual respect, but they still feel the prevailing dominance of physicians. From the perspective of nursing management there are problematic areas in cooperation between nurses and physicians. Nursing management tackles problem situation in cooperation between nurses and physicians by seeking common solutions. It will be possible to provide the health care facilities, where the research was conducted, with the outcomes of the research. Thinking about the possible improvement in mutual cooperation as early as during physicians´ and nurses´ studies, to introduce various measures to improve cooperation between nurses and physicians by organizing joint seminars and cultural events could lead to meeting the purpose. It is necessary to raise physicians´ awareness of nursing process and to carry out further research on this topic.
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The use of evaluation methods in the practical nursing care.
KUBÁTOVÁ, Jitka
The aim of this study was to survey evaluation and measurement techniques that are used in practice. I have chosen this topic because demands on individual work of nurses are increasing and evaluation techniques and rating scales may help nurses in their work.Through the quantitative survey using questionnaires, opinions of 354 nurses at the bedside, and 61 nurse managers from 22 hospitals in the Czech Republic were surveyed. We wanted to identify the most common scales used in our hospitals and to find the reason why those specific scales are used. What problems nurses find in evaluation by scales, or what benefits the scales bring about. The respondents were also asked questions relating to risk management and the use of scales in this field. If prevention is the primary objective by which nurses try to anticipate more serious complications, what benefits the system brings to patients. The results of the investigation could be a clue to the efficient use of scales in practice and suggestions for managerial decisions when choosing suitable, acceptable parameters that will meet patients´ as well as medical staff members´ requirements.
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