National Repository of Grey Literature 313 records found  beginprevious284 - 293nextend  jump to record: Search took 0.01 seconds. 
THE ASPECTS OF THE WORK OF NURSES- DEMOTIVATING ELEMENTS WITHIN THE WORK OF NURSES
HEPLOVÁ, Monika
The present paper deals with aspects of the profession of a nurse and the demotivating elements in the profession which makes up the most numerous group in the health care system. The mission of a nurse in the society is to help individuals, families and groups to satisfy their actual needs and to reach their maximum physical, mental and social possibility in agreement with the environment that she lives in. The system of providing health care is changing as well as the relationship of the society to health care workers. General nurses undertake responsibility for direct provision of nursing care, they work independently and they are responsible for the provided care. Their role changes to a full-value team member, to a physician's partner in performing the profession. We were interested in how nurses perceive the change. What are the biggest demotivating factors in the profession and on the contrary what is the motivation not to leave this demanding occupation.
Motivation for education of healthcare assistants with regard to their future practice
ŠMÍDOVÁ, Jaroslava
After accession to the European Union and adoption of Act No. 96/2004 Collection, on non-medical healthcare professions, changes occurred, which concern mainly nurses. These changes affect mainly administration and competences of the nurses. The act currently differentiates between and defines the procedures of secondary educated staff as procedures without special supervision and procedures with special supervision, and also defines the process for obtaining the certificate for the performance of a profession without special supervision based on the credit system. In practise this means that if the health care assistant does not achieve a higher or university level education, he/she cannot work independently without any special supervision. And it is the interpretation of the term without special supervision and with special supervision that is the subject of discussion. The nurses refuse to be responsible for the work of somebody else and present this attitude openly. The main goal of this bachelor thesis is to find out what motivates current healthcare assistants to work in healthcare and what their approach to education is, which should be an integral part of their life. There was also a discussion as to whether the information about the speciality, provided to basic school children, is appropriate for such a life-long decision as the selection of occupation. There were two hypotheses established during the investigation. H1: The pupils of the basic schools have no information about studying in Nursing Schools, H2: The students are motivated for further education and H3: The graduates of the Nursing Schools want to study in order to improve their qualification in the higher level schools. Based on a questionnaire, all established hypotheses were confirmed and the goal of the thesis was accomplished. The research was therefore successful. Obtained information may be used mainly for improving the approach while providing information to the pupils in the basic schools before their decision about the choice of profession, since the education advisers are interested in the results obtained. For teachers in the secondary schools, this knowledge will be useful to improve motivation of students for future professions
Providing the patient´s privacy after total hip replacement operation
RŮŽIČKOVÁ, Michaela
Abstract In our company the emphasis in the field of nursing care has increasingly been focused on preservation of a patient`s dignity and intimacy. In daily activities in a pacient the privacy and intimacy the patient may be affected which causes different reactions of such a patient. One might say that even after the routine procedure such as total hip replacement it is very important that the patient has enough privacy. The aims of this study were to assess how the intimacy in the postoperative care is ensured in patients undergoing total hip replacement at the intensive care units and to find out the level of knowledge of the nurses as for adherence to intimacy after total hip replacement. The research group consisted of patients who were hospitalized at the intensive care and standard units in the Hospital České Budějovice, a.s. (PLC), Faculty Hospital Olomouc and Military Hospital Olomouc. The second research group consisted of the nurses who worked at the intensive care and standard units in the Hospital České Budějovice, a.s. (PLC), the Hospital Šumperk, a.s., Faculty Hospital Olomouc and Military Hospital Olomouc. The research investigation was performed by the method using two ananymous questionnaires. The first defined hypothesis was confirmed. The patients at the intensive care units are more satisfield as for their intimacy compared to the patients at the standard units. The second hypothesis was also confirmed. The nurses have not enough time to ensure intimacy of the patient after total hip replacement. The third hypothesis was confirmed. The nurses have enough information of how to take care of the intimacy in the postoperative period. The fourth hypothesis was not confirmed. The nurses at the intensive care unit do not care about the intimacy with a higher interest compared to the nurses at the standard unit. The findings of this investigation show that the patients after total hip replacement at the intensive care unit are more satisfield with the provision of intimacy in the postoperative care compared to patients at the standard unit. Although the nurses do not have enough equipment to ensure the intimacy of a patient in the postoperative care, they know how to take care of intimacy in the postoperative care.
The differencis of nurse treatment by Patients with TEP(total hip replecament) and with CCEP(cerviko capital replecament).
BUKÁČKOVÁ, Kristýna
This bachelor thesis focuses on the differences in nursing care of patients after TEP (total endoprosthesis) and after CCEP (cervical-capital endoprosthesis). The reason that led me to deal with this subject was the fact that I consider the knowledge of this matter as well as observing its principles by nurses for necessary. The objective of the thesis was to find out whether nurses know the difference in the nursing care of patients after TEP and CCEP, and whether they observe the differences in the nursing care. These objectives were fulfilled in the bachelor thesis. Two hypotheses were laid down. Hypothesis 1: Nurses know the difference in nursing care of patients after TEP and CCEP. Hypothesis 2: Nurses observe the difference in nursing care of patients after TEP and CCEP. The hypotheses were confirmed. The theoretical part of the thesis is focused on the anatomy and physiology of the hip bone and the historical development of endoprostheses. Further, the subject of the TEP and CCEP is dealt with here. It contains descriptions of the differences in the nursery care that nurses should put a lot of emphasis on and observe them. In the research part, the quantitative investigation by means of the questioning method, in the form of a questionnaire, and the qualitative research by means of the method of participating hidden observation, were chosen to verify the hypotheses. In practice, this thesis may be used in seminars, in which even the results of investigations may be dealt with, thus increasing the quality of the nursing care of patients after TEP (total endoprosthesis) and CCEP (cervical-capital endoprosthesis).
Disinfecting fluid for urinary bladder catetrization as an nursing problem.
LINHARTOVÁ, Lucie
This Bachelor´s Thesis themed {\clqq}Disinfectant Solution in the Catheterization as a Nursing Problem`` concentrates both on urinary bladder catheterization and genitalia disinfection prior urinary bladder catheterization. Two objectives were set out for the Thesis. 1st objective: To find out if a recommended disinfectant solution for catheterization is used. 2nd objective: To find out how nurses ensure effectiveness of genitalia disinfection. A qualitative research was used to achieve the results, namely the method of structured observation of nurses and the method of non-standardized interviewing of observed nurses. A group of 10 nurses, working at the urology outpatient unit in the Hospital in České Budějovice and at the urology ward and the after-treatment physiotherapy unit in the Hospital in Pelhřimov, was observed. The research should contribute to the awareness of deficiencies in catheterization and the results should be used to formulate recommendations to be implemented in practice.
Prevention of catheter - related bloodstream infections
SVOBODOVÁ, Jitka
The infection of the blood flow represents a serious problem even at the beginning of the 21st century, and has been discussed over and over again. Such infectious complications affect in average 10 to 15 percent of patients. The theoretical part of this work describes various kinds of vascular catheters, local hospital contagions, barrier treating methods and a prevention of catheter infections of the blood flow. The empirical part contains the results of the audit and the questionnaire, focused on the problems of intravascular catheters, which were assessed in the form of diagrams and charts. The target of my bachelor diploma work was to find out, whether the nurses are acquainted with preventive measures of the catheter infections of the blood flow, and whether they observe the correct techniques when introducing the periphery venous cannulas. At the beginning of our research we set up two hypotheses. Hypothesis 1: The nurses are acquainted with the preventive measure of the catheter infections of the blood flow. Hypothesis 2: The nurses observe the correct technique of introducing the periphery venous cannulas. The carried out investigation has been a quantitative research. We used the method of questioning and observation for the data collection. The research in the form of an audit was carried out with 31 nurses (100 percent) and it concentrated on the introduction and the care of the periphery venous catheter. The nurses had a standard procedure ``Care of the periphery venous catheter{\crqq} at their disposal and the standard in the DySSSy form. The questionnaire of 31 nurses (100 percent) concerned the central venous catheters. The nurses of the hospital wards in the hospital in Trebic participated in the research. The results of the audit show that the nurses are acquainted with the principles of the catheter infection prevention and observe them in practical work when introducing the venous cannulas. All the nurses in the audit exceeded the minimum limit of success (84.10 percent). Within the questionnaire investigation 13 indexes of the nursing care concerning the care of the central venous catheter were followed. In 11 criteria the nurses achieved or even exceeded 80 percent of the correct answers and were able to prove their good knowledge of the central venous catheter care. Both hypotheses have been verified. The research results were offered to the management of the Trebic Hospital, as one of the indicators of the nursing care quality.
Comprehensiveness and completeness of managing of nursing documentation in selected medical institution
ZÁMOSTNÁ, Barbora
This bachelor thesis deals with the topic ``Complexity and completeness of keeping nursing care documentation in a selected medical facility``. The thesis is drafted in the theoretical part and empirical part. The objective of the empirical part of the investigation was to survey the complexity and completeness of keeping nursing care documentation in a selected medical facility. In accordance with the objective, we set two hypotheses. H1: Nurses keep nursing care documentation in accordance with the applicable standard. A H2: Nurses in surgery units keep nursing care documentation more complexly than nurses in internal departments. To collect data we chose the quantitative method of research by means of nursing care audit. The research sample consisted of 60 pieces of nursing care documentation, 30 pieces of documentation in a surgery unit and 30 pieces of documentation in the internal department of the Tábor Hospital, a.s. The overall success rate in the audit ``Complexity of keeping nursing care documentation{\crqq} was 99.73 per cent in the internal department and 91.12 per cent in the surgery department. At the same time, no audit index results have dropped below 76 per cent in the entire set (60 pieces of documentation), and below 53 per cent in partial sets (30 pieces of documentation). H1 hypothesis: Nurses keep nursing care documentation in accordance with the applicable standard, has been, on the grounds of the results obtained, confirmed. The overall success rate of the audit of the nursing care documentation in the internal department was almost by 8.5 per cent higher than that in the surgery department. For that reason, it is possible to make the conclusion that the H2 hypothesis: Nurses in surgery units keep nursing care documentation more complexly than nurses in internal departments, has not been confirmed. In the final discussion, results from the conducted audit in the two departments were summed up and, subsequently compared with literature. Practical use was set in the final part. The results of the bachelor thesis were given at the disposal of the staff nurse of the Tábor Hospital, a.s., to conduct improvement in keeping documentation or to conduct subsequent audits. Last but not least, a local standard for keeping nursing care documentation as the basis for drawing up a new standard in individual departments of the team of nursing care, was drafted and subsequently submitted.
Task of nurse in support of care about ill senior in a family
MRÁZOVÁ, Lucie
Old age is a natural part of our lives. Poetically, it is considered to be its autumn. Aging is a natural process and in nature it can be observed at every living creature. Everything is aging, and also we are becoming old. These days, longevity is an indicator of how much civilized each country is. As a result of quality health care and the development of society, people are living to higher age. These days, men are on average expected to live up to 79 years, women up to 74 years {--} figures that would have been considered unthinkable in the past. Taking into account these figures, several questions arise: Are we adequately prepared? Do we have, today, a system of care for the elderly to assure a respectable life for us and our parents in future? In the most ideal world, it would be the family or a close relative who would look after the old, ill or the person with limited self-sufficiency. However, this is a very demanding claim on family environment in these nervous and fast-pacing days. My bachelor thesis analyses the question of old age and all the problems it brings. I have attempted to look deeper into the role of a nurse in homecare. The practical part aims to map the role of a nurse in a home-based care and to determine her possibilities (on the basis of a questionnaire technique) in treating the elderly with health problems at home. Another partial goal of this thesis is to ascertain what needs do the ill elderly people have at home and in what ways can the nurse satisfy these needs, and to determine the physical and social strain it creates on the caregiver. After analyzing the results, my conclusion is as follows: The role of a non-professional caregiver is very significant. Family has and will always have an irreplaceable place in the care for its dependant members. There is no way any medical organization can replace the role of a family in the care for its ill family members. Care, especially long-term care, can be both mentally and physically demanding and puts an enormous strain on the caregiver. Caregivers are threatened by the deterioration of family ties, loss of friends, limited social contacts leading up to social isolation, they are prone to suffer from health problems and, in many cases, great exhaustion. The solution is to make use of a home-based care: professional nursing care provided by professional nurses. The purpose of a home-based care is to leave the patient in his/her home environment as long as possible and, at the same time, to provide professional nursing care. This care is complementary to family care; the nurse is helping the caregiver - family member. Based on my analysis, it's a very gratifying fact that nurses working in this line of work provide it gladly and with loving care. The care for the elderly is based on the principle of gratefulness, love, on the principle of sharing mutual feelings and the joys of small improvements. If we manage to increase the quality of life of caregivers with an adequate help, we will also enable the elderly or ill people to lead a contended and better quality life.
Human dignity and nurse
HRŮZOVÁ, Marcela
The aim of the thesis is to find out the conception of human dignity at medical staff. At nurses, in addition, with a hidden observation to verify to what extent they meet their statements in practice, whether for nurses a patient does not become only an object of relevant therapeutic and nursing acts. The empirical part of this thesis was processed in form of a qualitative research. The data collection technique was a non-standardised interview with nurses at standard in-patient departments, students of the nursery Master study programme, students of a higher nursing school and patients at a standard department. At nurses it was verified, using the technique of hidden observation, to what extent their actual behaviour in practice corresponds to the information mentioned in interviews. Therefore in their interviews we differentiated the mentioned and non-mentioned elements. The interviews were anonymous. They were recorded in writing because only in one case the respondent agreed for us to use a dictaphone. Collection of empirical data proceeded from June to August 2008. Unlike our expectations the research showed that respondents have no conception of human honour and have no complex conception of its keeping in practice. We categorised the rather poor information into five basic categories that covered 92% (intimacy, communication, individuality, empathy and equality of approach). Statements that we did not manage to categorise here create other 5 categories (worthy dying, consider seriously, pain calming, lege artis process and faith). Most often the respondents mentioned the following categories: intimacy (80.4 %), communication (76.8 %), individuality (60.7 %), empathy (39.3 %) and equality of approach (33.9 %). The hidden observation showed that most nurses (13 out of 16, i.e. 81 %) adhered to their fundamentals of keeping human dignity when working with ill people in a satisfactory way. The other 3 nurses made mistakes in all categories except keeping intimacy; here only one of them did wrong. Results of the thesis should contribute to improvement of quality of care and help to better respect for human dignity.
Vietnamese patient in the Czech health system
DOLÁK, František
Vietnamese minority has been living in the territory of the Czech Republic already for several decades. It is discrete, flexible and has its closed community. It is clear, however, that it is not easy for Vietnamese to incorporate in society of other country. The reasons are a different culture and language barrier. All this is also valid in the environment such as medical facility which can have a stress effect on an appropriate individual. Several tens thousand Vietnamese have currently been living in our territory. Therefore there is a high probability that a citizen of Vietnamese nationality can become a client in any of Czech medical facilities. The aim of this work was to elaborate specialities of nursing care which members of Vietnamese minority wish to respect. Before the beginning of the research we defined 4 research questions. Research question No. 1: Do members of Vietnamese minority use health care in the Czech Republic? Research question No. 2: What specifics do members of Vietnamese minority have in connection with hospitalisation? Research question No. 3: How do members of Vietnamese minority understand situation when a member of their family becomes sick? Research question No. 4: What do members of Vietnamese minority expect from a nurse? We answered these questions in the research part in the qualitative form of research using the method of an interview. The interview contains in total 138 questions and as the base material for its composition served the conceptual models of M. Gordonová, M. Leiningerová and the model of J. Gigerová and R. Davidhizerová. It also contained a model situation which led the respondents to the imagination of themselves being a patient/client at hospital. The interview was fully anonymous and in Czech language. On the basis of the data obtained there were created case reports from which categorisation tables and diagrams with the most important research data were made. It was found out from the results that members of Vietnamese minority expect almost the same like most patients/clients using Czech health service. However, there are areas such as family or catering in which they have their specifics. If nurses know these areas they are able to provide a multicultural/trans-cultural care.

National Repository of Grey Literature : 313 records found   beginprevious284 - 293nextend  jump to record:
Interested in being notified about new results for this query?
Subscribe to the RSS feed.