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Wound care in Namibia, Ireland and the Czech republic
FRANKOVÁ, Šárka
Wound care is an important part of the daily work of nurses in all facilities like hospitals, institutes for long-term patients, social care institutions, or ambulances. In recent years, the treatment of wounds puts more and more emphasis on modern methods, mainly in the Czech Republic (CR) and Ireland. As already mentioned, nursing is constantly evolving, and possibilities for wound treatment are wide. Our aim will be to compare the ways and methods of wound treatment in three different countries. We will focus on the General Nurse, as a nursing care provider. In the theoretical part, the work was focused on characteristic of wounds, their distribution, general healing as well as concrete treatment in the countries concerned, specifically according to the competence of nurses. A major part was devoted to the education of nurses The main purpose of the research was focused on the way nurses treat wounds in Namibia, Ireland and the Czech Republic. Based on the research subject the following research questions and goals were set: Identify and describe how nurses treat wounds in the selected countries. How are wounds healed in Namibia, Ireland and the Czech Republic? How is the wound care in Namibia, Ireland and the Czech Republic? What kind of education does a nurse have to have in the countries concerned, in connection with the wound care? For the empirical part of the thesis, a qualitative approach was selected. A semi-structured interview with nurses from the selected countries was used. Further records of the wound treatment were used. These were obtained during the internship in Namibia, a personal visit to Ireland and my experience during my studies in the Czech Republic. Respondents were recruited by purposive sampling, the condition of which was wound care requiring hospital treatment. The interviews were conducted using a range of questions addressing nurses in those countries during their working hours and if needed, supplementing the required information via Skype. The research sample consisted of nine respondents - nurses from Namibia, Ireland and the Czech Republic and then records of the wound treatment of 9 patients from Namibia, the Czech Republic and Ireland were drawn. The countries have their competencies relating to this issue. In Ireland, Czech Republic there is a re-bandaging nurse, who creates a nursing plan and, if needed, consults everything with the physician. In Namibia, due to lack of nurses and physicians, only competences of local nurses which they acquired during their university studies, are sufficient. These competences lead to decisions and choice of care and wound treatment. In the Czech Republic, nurses shall consult the healing process and the course of treatment with the physician. In the area of education of nurses from the surveyed countries in connection with wound care the research investigation showed that university education is required in Namibia, in the Czech Republic as well as in Ireland. The third mentioned research question related to methods of care with clients suffering from acute or chronic wounds. Wound care in Namibia, Ireland, and in the Czech Republic does not differ in some specific procedures; however, in most cases it is very different. In severe cases of wounds, for many patients it is an unforgettable memory, which requires a professional approach, consisting of knowledge and experience. The nurse provides a unique support to the patient, education is therefore very important and unconditional in order to enable the patient coping with the situation. The results of this thesis can serve as information and study material to other grades of the surgical block and for further research on a similar topic.
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Meeting the Leeds of patients for Subsequent Care Department and cooperation with their family
FRANKOVÁ, Šárka
Objective - The focus of this thesis was to explore how nurses in the Subsequent Care Department collaborate with the patients families and vice versa, and to find out how needs of patients are satisfied. Based on the objective of the Bachelor's Thesis, the following targets have been established: Target 1: To find out whether the nurses in the Subsequent Care Department involve the family members in the nursing care. Target 2: To find out whether the family is satisfied with the meeting of patients needs in the Subsequent Care Department. Question No. 1: Do the nurses involve the family members in the provision for the needs of their hospitalized relatives? Question No. 2: Is the family satisfied with the meeting of needs of their relative hospitalized in the Subsequent Care Department? Question No. 3: Are the family members willing to participate in the provision of corresponding care for those who are close to them? Methods - To complete the practical part of the Bachelor's Thesis a qualitative research was performed. Data were collected from individual respondents by means of conversations with family members whose relative is hospitalized in the Subsequent Care Department on the one hand, and with staff members of the respective department on the other hand. Both groups of respondents were asked to verbally respond to open questions. With the consent of the respective Senior Nurse, staff members were questioned in the Subsequent Care Department during their working hours while family members were questioned when visiting their relatives in Subsequent Care Department of Nemocnice České Budějovice (České Budějovice Hospital). Moreover, while questioning the individual respondents, I observed the operation of the respective department and applied this experience, together with nursing knowledge acquired from my praxis placement when I studied at the Faculty of Health and Social Studies branch General Nurse. Research File - A cohort study of 6 staff members of the Subsequent Care Department and 6 family members of patients hospitalized in this department was undertaken. Staff members were recommended to me by the Senior Nurse of the 1st Subsequent Care Department of Nemocnice České Budějovice, a.s. To protect anonymity of the chosen respondents, they were identified by letters in alphabetical order. Family members were randomized during visiting hours in the individual divisions of the Subsequent Care Department irrespective of their age or sex. They were assured in advance that the information revealed by them will be considered private and their anonymity will be protected. Results - The results show that, in the future, nurses should focus their attention to improved collaboration between family members and staff members. Both groups of respondents agreed that such collaboration will produce a new understanding between the patients, those close to them and staff members which would be most beneficial for the patients. In meeting needs of their patients, the staff members primarily provide for their physical because, according to their statements, there is no time to address additional needs of the patients. According to the research, the nurses rely on family members? help in satisfying psychological, social and emotional needs of the patient. Family members are rarely included in the provision for the physical needs of their hospitalized relatives, satisfying other needs of their relatives at different levels, according to their willingness and readiness to do so. Family members would be willing to participate in the provision of corresponding care for those who are close to them, but they have to be encouraged by nurses. Conclusion - The results could assist in motivating the nurses to involve more family members in the provision of effective support for their hospitalized relatives, and to promote effective and professional communication process between the patient and their relatives.
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