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Hostile and aggressive behaviour of patients towards nurses in clinical practice
ŠMEJKALOVÁ, Alžběta
Current state: Aggressive and hostile behaviour of patients towards nurses in clinical practise is an alarming and common phenomenon that jeopardizes the safety and well-being of healthcare personnel. Objectives: The first objective of this thesis was to evaluate the number of adverse events in the "Behaviour of Individuals" category reported to the "National Portal for Reporting Adverse Events" during the period 2018-2021. The second objective was to assess the occurrence of aggressive behaviour of patients toward nurses in clinical practise. The third objective was to describe a spectrum of preventive nursing procedures that minimize the risk of aggressive behaviour of patients towards nurses. Methodology: The first research method involved a secondary analysis of statistical data from the National Portal for Reporting Adverse Events (ÚZIS ČR, 2022). The second research method utilized a quantitative study conducted through the administration of a standardized questionnaire called "Aggression of Patients towards Nurses in the Course of Their Profession (Lepiešová et al., 2015) ". This survey technique involved nurses from internal and surgical departments. Additionally, third research method was used, and it involved qualitative research through in-depth interviews with nursing care managers. Results: The results indicated that the most frequently reported event to the National portal of Reporting Adverse Events was category called "pressure ulcers ". The results of the qualitative study showed that patient aggression was not related to the field of care (p= 0.587). Furthermore, the results revealed that nurses with longer clinical experience encountered aggression from patients more frequently (p< 0,001). The results of the qualitative study described the most common preventive measures to minimize the risk of patient aggression towards nurses, including training and education of nurses and proper reporting of adverse events, addressing staff shortages, use of restraining measures and pharmacological interventions and appropriate communication with patients and their families. The hospital management prepares for the risk of patient aggression through staff training. Conclusion: The practical outcome of this diploma thesis is a set of recommendations for non-medical healthcare personnel.
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Prevention of complications arising during stoma from the nursing point of view.
ŠMEJKALOVÁ, Alžběta
This bachelor thesis explores nurses' perspective on the prevention of complications arising during a stoma. A stoma is a temporary or permanent opening of a hollow organ on the surface of the body. The condition of stoma complications can be prevented by a correct and early treatment of it. The aim of this bachelor thesis is to determine the specifics that allow nurses to prevent any complications arising from stoma. To address this aim, the following research questions were formulated: How do nurses educate patients with a stoma? What care options currently exist for a patient with stoma complications? The research sample consisted of ten nurses. Four of those nurses had completed a course or training on stoma care. Qualitative research was chosen for the implementation of the empirical part. To collect data for this research, a number of semi-structured interviews were conducted with both general and stoma care nurses. The interviews were transcribed verbatim, and the obtained information was then coded and categorised. The research took place in March 2021. The results of this bachelor thesis are divided into eight individual categories: education of nurses, types of stoma, stoma dressing, stoma aids, stoma complications, education of patients with stoma, organisations cooperating with stoma patients, and disadvantages of people with stoma. The results that emerged from the interviews with the nurses showed that they regularly treat stomas and have limited knowledge on how to educate patients about stoma and how to prevent stoma complications. The research revealed that the nurses were aware of the key elements of stoma education and regularly educated their patients. Furthermore, the data also showed that they actively tried to overcome stoma complications. If any stoma complication occurred, the nurses consulted the relevant professionals. The findings of this research can be used as study materials for students of medical major and medical staff.
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