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Nursing education (in practice)
KAŠKOVÁ, Markéta
Increasing the education of nursing staff is a society-wide issue, influenced by continuous development of medicine and medical technologies. The provision of nursing care is rightly demanding. The only way to keep up with new trends is lifelong nursing education. Nursing education in a particular workplace primarily aims at addressing current problems of the department and nurses? needs. The theoretical part deals with the influence of education on the quality of nursing care. We present a structure of education of paramedical professions. We define and clarify terms such as pedagogy, didactics, education and learning. We deal with the specifics of education, didactic principles and principles of adult education. In addition, we specify instructional strategies for nursing staff. For the purposes of this thesis, four objectives were set. In the first one we wanted to find out what the system and process of nursing education in the department looks like. The research showed that educational events are held in all departments. The organizing departments mostly report irregular or monthly frequency. The aim of the second objective was to obtain an opinion on the effectiveness of education in the department. We found disparity between the views of ordinary nurses and head nurses. The third objective was to answer the question of whether the organized educational events are initiated by the nurses? requests. Based on the answers of head nurses and ordinary nurses, we found out that this is not always the case. The last objective was to determine whether nurses implement the knowledge and skills gained to routine nursing care. The questionnaires showed that ordinary nurses try to incorporate the knowledge and skills to routine nursing care. For the purposes of this thesis, the combination of qualitative and quantitative research was selected. In order to carry out the qualitative part of the research, the method of questioning, using the technique of semi-structured interview with open questions was chosen. For the issue of quantitative research, the method of questioning, using the questionnaire technique with closed and semi-closed questions was used. For qualitative research, we set two research questions. In the first research question we wanted to find out what impetus the management uses when planning education in the hospital and the department. We found out that most often it is initiated by head nurses and ward nurses. In the second research question, we examined what obstacles the management sees to the effectiveness of education and implementation of the knowledge and skills gained into practice. Head nurses identify a problem in the actual participation in education in the department. For quantitative research, we set five hypotheses. Hypothesis 1 was: Nursing education in the workplace is an activity organized by the management regardless of the ordinary nurses? requests. The hypothesis was not confirmed. Hypothesis 2 was: Management, unlike ordinary nurses, sees the effectiveness of education in the workplace positively. The hypothesis was not confirmed either. The third hypothesis was: Education is seen as a necessary, routine activity, not as motivating factor for improving the quality of nursing care. The hypothesis was not confirmed. The last hypothesis was: Implementation of the knowledge gained from the educational events into nursing care is monitored by the management. The hypothesis was not confirmed, the implementation of knowledge is monitored, but not to the extent we expected. When evaluating the results we came across other very interesting facts, which we believe deserve more attention. Finally, it is surprising that the organization of educational events does not reflect nurses? shifts. One of the reasons for this might be the fact that some head nurses do not prepare the plan and time schedule for nursing education. We tried to propose the time schedule of nurses education in deparments.
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The specifics of nursing care for patients with brain injuries
KAŠKOVÁ, Markéta
The incidence of brain injuries, their complications and consequences are very serious medical issues. Nurses who meet these injuries in everyday practice are irreplaceable here.The objective of this study was to determine whether nurses have sufficient knowledge of the specifics of care for patients with brain injuries and whether nurses are able to detect possible complications in time. Information necessary to assess the quantitative survey were obtained by collecting data through questionnaires in the departments of Traumatology, Neurosurgery and Anaesthesiology resuscitation at Nemocnice České Budějovice a.s. (České Budějovice Hospital). Based on the results, it was found out that nurses still do not have sufficient knowledge on the specifics of nursing care for patients with brain injuries. The first hypothesis was not confirmed. Another area examined was the knowledge of the symptoms of brain injury. Here, the respondents were well informed and answered most of the questions correctly and consistently. Therefore, the second hypothesis can be considered to be confirmed. Regarding the issue of whether nurses can detect complications of brain injury in time, there were some great differences in the responses of respondents from each individual department. Generally, it can be said that the knowledge of nurses about the complications of patients with brain injuries are sufficient and the hypothesis was confirmed.
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