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Nursing and medicin - partners proffesion
PAVLÍKOVÁ, Lenka
Abstract The relation between nursing and medicine has been undergoing a number of changes in recent years. Optimization of synergy and competences between healthcare professions is one of the priorities of the healthcare system development. This research addresses the issue whether nursing and medical professions are partner professions in healthcare of clients. The objective of the thesis was to ascertain whether nursing and medical professions can be declared as partner professions in healthcare. This objective was fulfilled through a quantitative research using the method of a questionnaire survey. The questionnaire contained 17 questions for doctors and 18 questions for nurses. The respondents of this questionnaire survey were 132 nurses and 97 doctors. The data were processed by means of descriptive statistics using charts. It follows from the data analysis that nursing and medicine cannot be regarded as partner professions yet. According to nurses and doctors, the partner relation between these two professions is of crucial importance for client care. Higher education and professionalism of nurses contributes to improvement of mutual relations. The research has revealed that it is necessary to continue addressing this issue. Within the research we explored several areas that, as we believe, are closely connected with this issue, and we based the research on its theoretical part. This thesis is beneficial by exploring the opinions of nurses and doctors on the relations between nursing and medicine, and by ascertaining their opinions on the effect of the partnership between these two professions on quality improvement of client care. We also investigated whether nurses and doctors believe that higher education and professionalism of nurses contributed to improvement of the relation between nursing and medicine. It is apparent from the research that nurses and doctors realize that partnership between nursing and medicine is of fundamental significance for care of clients. If they endeavour to trust each other, communicate effectively and show mutual respect, nursing and medicine will become partner professions. The research may initiate drawing attention to problems in relations between nursing and medicine, and may provide guidance to finding the solution. It may also stimulate nurses, doctors, students of nursing and medical branches, and managements of healthcare facilities to think about the issue.
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Nursing care and compensation aids and their usage in patients suffering from rheumatoid arthritis
RAZIMOVÁ, Lada
The present thesis deals with the issues related to rheumatoid arthritis, the nursing needs of patients suffering from rheumatoid arthritis, the roles of a nurse while taking care of such patients, the collaboration of the nurse with physiotherapist, ergotherapist, and use of compensation aids by the patients while conducting private or self-service activities. The thesis has 4 defined goals. Goal 1: To find out whether the patients suffering from rheumatoid arthritis are familiar with compensation aids. Goal 2: To identify the areas of self-care where the patients suffering from rheumatoid arthritis need to use the compensation aids. Goal 3: To determine the availability of compensation aids for the patients suffering from rheumatoid arthritis. Goal 4: To find out whether the patients suffering from rheumatoid arthritis do have information about the compensation aids in hygienic care. All goals were met. Based on the goals, 4 hypotheses were defined. H 1: Patients suffering from rheumatoid arthritis are familiar with compensation aids. This hypothesis has been confirmed. H 2: Patients suffering from rheumatoid arthritis use compensation aids most often in hygienic care. This hypothesis has not been confirmed. H 3: Compensation aids for patients suffering from rheumatoid arthritis are easily available. This hypothesis has been confirmed. H 4: Patients suffering from rheumatoid arthritis have all the necessary information about compensation aids used in hygienic care. This hypothesis has been confirmed too. The survey was carried out at rheumatology clinics and at the League against Rheumatism. The data were collected in a quantitative research using the method of interview and the technique of questionnaire. All in all, 170 questionnaires were distributed among the patients. The research group contained 131 respondents. Analyzing the respondents{\crq} answers, it was found out that the patients suffering from rheumatoid arthritis are familiar with the compensation aids in hygienic care, defecating, catering, dressing, walking, and such aids are affordable and available to them. Most patients suffering from rheumatoid arthritis do not need or do not use such aids. Following the outcome of the thesis and the issues related, an information leaflet came into existence and is distributed to the patients suffering from rheumatoid arthritis in order to provide them with useful information or links. The leaflet distribution through rheumatology clinics seems to be very efficient. The outcome of the thesis is to give more background information to the clients of the League against Rheumatism. Subsequently, the thesis might serve as an additional material for students in nursing training.
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Standard of non-pharmacological relieve and evaluation of pain by newborn and suckling children
PAVLÁSKOVÁ, Ilona
The importance of this thesis lies in finding about the current state of pain assessment and palliation at neonatal and infant wards of selected hospitals, in finding out about the extent of use of standardized rating scales for pain, in identifying the obstacles in pain assessment and non-pharmacological pain palliation, and particularly in the development of a standard for pain assessment and pain palliation for neonatal and infant hospital wards.
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Role of a nurse in the care of patients with post-puncture cephalalgia after an operation in spinal anaesthesia
KŘIVKOVÁ, Jana
The objective of this diploma paper was to answer the question whether nursing for patients after an operation in spinal anaesthesia has any effects on the occurrence of post-puncture cephalalgia and on the satisfaction of patients with spinal anaesthesia. The paper is divided into two parts: a theoretical one and a practical research one. The theoretical part sums up the current knowledge of spinal anaesthesia; it provides anatomic and physiological aspects, possible complications and the importance of nursing in this type of anaesthesia. It deals with the syndrome of post-puncture cephalalgia in detail, the mechanism of its origin, typical symptoms, its treatment, and the importance of nursing for patients suffering from this syndrome. With regard to the importance of education in nursing jobs, one chapter of the theoretical part deals with education and educational process. The research part consists of qualitative as well as quantitative surveys. The research was carried out with a group of patients who were hospitalized at the surgical and gynaecological departments of Domažlická nemocnice a.s. (Domažlice Hospital Ltd.) and have undergone an operation in spinal anaesthesia. The quantitative survey was done using a questionnaire that contained 27 questions. Seventy-eight patients, selected at random, took part in this research stage. The objective of the qualitative survey was to find out the following: whether patients were aware of the aspects of spinal anaesthesia, whether they have experienced any complications in relation to the administration of spinal anaesthesia, how have they been informed, and what was their overall satisfaction with spinal anaesthesia. The qualitative part involved 10 patients who had been divided randomly into two groups: a group with ``standard{\crqq} education and a group with above-standard education using a purpose-made brochure. A semi-standardized interview, consisting of 18 questions, was carried of with each patient. The patients in the latter group were also asked additional questions aimed at the benefit of the informative brochure and the completeness of the presented information. The former group was asked whether they would be interested in a brochure focusing on spinal anaesthesia. Based on the results of this survey, the basic research question of the paper can be answered. Nursing does have positive effects on the occurrence of complications and on the satisfaction with spinal anaesthesia. A detailed result analysis shows that patients do not feel any subjective need to be educated by a nurse and they are not interested in the brochure. Most of the patients think they are informed sufficiently and they do not want more information. However, the results of the qualitative survey into the group educated by a nurse show a higher informedness about the method, lower occurrence of complications, higher satisfaction, better observance of recommended regimen measures, and highly reduced level of stress in relation to spinal anaesthesia. The educative brochure was accepted by the educated patients as beneficial and useful. Based on the above-listed results, the informative brochure, being an integral part of this paper, will be introduced as a standard education tool for patients undergoing an operation in spinal anaesthesia at Domažlická nemocnice a.s.
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Perspective as structural common of nursing
POLÁKOVÁ, Lenka
Perspective and structural elements, as the pivotal part of a scientific analysis of nursing as a field of study, helps categorize and sort the above individual items into logical units. This thesis aims to contribute to the scientific grasp of the dynamics of selected factors and development trends in nursing. Starting from the above terms, we will be dealing with perspective and its structural impacts on nursing, with the main focus on the analysis of selected factors of influence and their potential use for the examination, view and implementation of individual steps in the further development of nursing.
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The care of a sickbed as a nursing problem.
PŘÍHONSKÁ, Lucie
Taking care of beds is part of nurses{\crq} everyday work. The way a bed looks influences the patient{\crq}s physical and mental state. Care of the bed involves its arrangement, exchanging used bed-linen and especially disinfection, which prevents the transfer of nosocomial infections. The objectives of the thesis was to survey the way nurses take care of beds, identify obstacles associated with the care of beds, and propose a basis for creating a standard care of beds. 3 research questions were set. Research question 1: How does the length of patients{\crq} stay on the bed depend on the frequency of its disinfection in practice? Research question 2: Do nurses consider the care of beds from the point of view of the work schedule or the patient{\crq}s comfort? Research question 3: What are the most frequent obstacles in the care of beds? The research was conducted by means of a structured observation, followed by a follow-up recording in the record sheet. An anonymous questioning was conducted to obtain results. 8 nurses present in the department took part in the observation and questioning in the course of research investigation. The research set consisted of nurses in the subsequent care of the CTM Hospital a.s. in Humpolec. The investigation results let us set hypotheses. Hypothesis 1: The overall disinfection of the bed is done after the patient is discharged from the hospital. Hypothesis 2: Nurses take care of beds according to work schedule. Hypothesis 3: An obstacle in the arrangement of the bed is the lack of clean bed-linen. The investigation results may be provided to the management of the department in which the investigation was conducted. They may result in an improvement of the care of beds. A proposal of the nursing standard of the care of beds was drawn up as the result of this investigation. This proposal may serve for unifying the care of beds in individual departments. Setting principles and the overall procedure in the care of beds.
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The support of lifelong learning register of nurses
SMOLOVÁ, Kateřina
This work deals with the issue of registration of non-medical health care workers as the system of documentation of lifelong education. Contemporary world lays increased demands in all disciplines, particularly in health care. In order to ensure provision of high-quality nursing care by competent workers, conditions for authorization to execute health care profession independently without professional supervision had to be set. And those conditions are defined by the registration system specified by law. Our goal was to ascertain the practical nurses{\crq} opinions on registration. To find out what the influence of registration on further nurse education is and to map what prevents nurses from education. To ascertain which forms of lifelong education are preferred by nurses and whether the employer supports nurses in lifelong education and in what manner. We selected quantitative research to process such information. A questionnaire for nurses was drawn up for data collection and 106 respondents reacted to it. The research showed that nurses prefer passive participation in events like seminars and conferences in education. Most nurses think that it is necessary to educate themselves in their discipline. Further we have found out that more than a half of the nurses inquired want to have general knowledge and educate themselves also in other disciplines than their specialization. Most inquired nurses have stated that they educate themselves more frequently than before the introduction of registration. The biggest obstacle for nurses consists in financial and time demandingness of the educational events.
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Problems for ensurance of treatment and illpersons´needs who are treated in a hospital for a long time or at home-care as seen by nurses
GUIDOVÁ, Hana
Abstract The objective of nursing care is to maintain an individual self-sufficient for as long as possible, to improve their quality of life and to provide orientation or life programme in psychical and social activities. A need arises from a feeling of insufficiency or excess in biological, psychological, social or spiritual fields. This thesis addresses the issue of provision of nursing care and satisfaction of patients{\crq} needs in sanatoriums and in home care from the view of nurses. The thesis comprised quantitative research made by means of questionnaires completed by 64 nurses from 6 addressed sanatoriums and 9 home-care agencies. The bachelor{\crq}s thesis attempted to ascertain opportunities for provision of health care and satisfaction of lower and higher needs. Three hypotheses were raised. The first hypothesis was focused on nurses providing home care and claimed that they provided their clients with more comprehensive nursing care. The results of the research have confirmed this hypothesis. Nurses from home-care agencies provide professional health care and satisfy lower and higher needs at the same time. Nurses working in sanatoriums satisfy lower and higher needs less than nurses providing home care. The second hypothesis addressed influence of the type of organization on satisfaction of clients{\crq} needs. This hypothesis has been confirmed by the results of the research. Nurses providing home care have more room to meet the needs than nurses working in sanatoriums. The third hypothesis concerned the question whether nurses providing home care have more room for satisfaction of higher needs than nurses in sanatoriums. This hypothesis has also been confirmed on the basis of the results. The research revealed that a part of nurses working in sanatoriums have little time for satisfaction of lower and higher needs. Regrettably, the answer that satisfaction of these needs is not necessary and even if it was, there would not be time for that was not exceptional. An approach to nursing care and patients{\crq} needs has been undergoing continuous development. What used to be sufficient in former times is not sufficient at present. I believe that it would be useful for nurses to recommend them making use of education to a larger extent. They should realize the needs arising from illnesses since satisfaction of these needs is a part of the therapeutic process. I would also recommend that heads of sanatoriums and home-care agencies should obtain more quality compensation equipment and modern medical supplies, and consider the number of nursing staff as compared to the number of treated clients since provision of quality nursing care is the aim of every nurse.
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Educational methods in surgical branches
KADLECOVÁ, Iveta
Educational processes in surgical branches include not only remote or direct client´s education before an operation or after an operation but also the client´s preparation for check {--} ups.In my work there were two objectives. Objective 1 : to find out whether clients hospitalized in the surgery ward are educated by surgical nurses. This objective has been determined. Nurses educate clients during hospitalization in a surgery ward. Objective 2: to find out educational processes used by nurses in the surgery ward. This has also been determined. Nurses use mainly interviews, practices, booklets, prospectuses, handbooks. There were set two hypotheses:Hypothesis 1: I suppose that nurses in surgical branches educate clients hospitalized in the surgery. This hypothesis has been confirmed. Hypothesis 2: I assume that nurses in surgical branches use mostly interviews as the educational process. This hypothesis has been also confirmed.
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