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Standardization of nursing care as an integral part of preparation for the accreditation survey
ŠIMÁČKOVÁ, Alexandra
The Diploma thesis deals with standardisation of nursing care in the context of preparatory work for accreditation survey, i.e. a mutual harmony between standards developed in health care institutions and those developed by the SAK ČR accreditation commission. Standardisation is a process of setting essential rules which should guarantee providing a high quality nursing care. These rules (standards) enable to evaluate the quality of all nursing activities. Nurses should be aware of standardisation process and be actively engaged in it. The theoretical part describes the part of Czech nursing system concept focused on the quality of nursing care, defines the quality itself, maps the systems which help improve the quality of nursing care in health care institutions and refers to the formation of nursing standards. Practical part deals with five aims stated at the beginning: To map the quality of standardisation in nursing care as a preparatory part of accreditation survey. To find out if nursing care in hospitals is carried out through the method of nursing process. To find out if nursing care is supported by properly kept documentation. To find out if the needs of education were considered for all patients. To find out if nurses are aware of the importance of nursing care standardisation. We chose a quantitative research method. To collect the research data we used anonymous questionnaires. Each of the hospitals was given 50 questionnaires, i.e. 250 in total as the research group was made by respondents from the hospitals in Jindřichův Hradec, Pelhřimov, Tábor, Písek a Havlíčkův Brod. 230 completed questionnaires were returned and 204 of them represented then the research group. Within the research, we accomplished the aims stated, and proved these hypotheses: Hypothesis 1 (H1): The hospitals meet all requirements of accreditation survey of nursing care standardisation. H2: Nursing care in the hospitals is carried out through the method of nursing process. H3: Nursing care in the hospitals is supported by properly kept documentation. H4: The needs of education were considered for all patients and recorded in the nursing documentation. H5: The nurses are aware of the importance of nursing care standardisation. The quantitative research resulted into the statement that all hospitals meet the requirements of accreditation survey of nursing care standardisation. Nursing care in the hospitals is carried out through the method of nursing process which is properly recorded in nursing documentation. It was also found out that the needs of education were considered for all patients and properly recorded in the nursing documentation. The nurses are aware of the importance of nursing care standardisation. The facts resulted from the research prove that the quality of nursing care in the chosen hospitals is very high and meets the requirements of accreditation standards. The research findings will be offered to the hospital managements as an educational material for nurses and midwives.
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Monitoring of the pain of the patient after the operation from nurse´s view
ŠIMÁČKOVÁ, Alexandra
The bachelor paper aims at monitoring pain during the post surgery period and it is concentrated on the attitude of nurse to it. When a nurse is capable of finding out pain, its quality and intensity in the shortest time possible, he/she promotes the comfort of a patient, improves his/her psychical state and can thus help significantly to successful healing of the surgery wound and total improvement of the health condition of the patient. A nurse{\crq}s active attitude to pain monitoring is in her/his own interest. She/he should be able to offer alternative ways of calming pain and to opt for an individual attitude to every patient. The theoretic part describes the origin of pain, its kinds, the nursing attitude towards it and different modes of monitoring of pain.Within the practical part we have set up two goals: to find out whether nurses monitor pain by patients after surgery and whether they use in practice the evaluating scale of pain. On this basis we have set up three hypotheses. H1: nurses at post surgery units monitor pain in patients having been operated on; H2: Nurses have no knowledge on scales evaluating pain; H3: Pain in patients hospitalized at post surgery units is not evaluated according to the evaluating scale. A quantitative method of research was chosen in the form of questioning and data collection using anonymous questionnaires.
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