|
|
The Matter of Evaluation of Patient's Needs in Surgical Nursing
KULAJEC, Teťana
Current situation: An issue of evaluating needs of a patient hospitalised at the surgery department is an initial moment of nursing care. At present, a development of holistic approach in care of a patient occurs as well as a cooperation with a family. Aims of thesis: To determine a role of a nurse in meeting patient´s needs, to determine how a family participates in meeting patient´s needs and to evaluate what are the differences between the needs of a patient recorded in nursing documents and current needs of a patient at a surgery department. Methodology: For processing the research part of the diploma thesis, a quantitative research construct and interviewing methods were used, techniques of data collecting by a form of half-structured interviews. Nurses employed at the surgery department participated in the research construct. Furthermore, there were patients included hospitalised at the surgery department at least two days and members of families who take care of the patient. All the interviews were evaluated by open coding through a method pencil-paper; the results processed by this method were categorised. To this part also an analysis of nursing documents of a given patient belongs. The nursing documents were analysed by means of secondary data analysis. Results: The role of a nurse is based on identification and following saturation of needs. During an evaluation of meeting needs, all the patients agreed with an overall positive evaluation. However, according to the nurses, these have not enough time for saturation the needs. A family participates mostly in psychological support, financial support, household functioning, necessary items delivery and following care in the care of a relative. It emerged during an analysis of nursing documents that the nurses did not re-evaluated patients´physical condition during a change of his/her health condition. Conclusion: To a complex evaluation and recording of the needs of patients in nursing documents a higher number of nurses in health institutions can contribute as well as introducing training courses and seminars focused on this topic.
|
|
|
Brachytherapy treatment from the perspective of nurses and patients
KULAJEC, Teťana
Brachytherapy is a form of radiotherapy, where the source of radiation is placed in a short distance of the carcinoma. The most common indications for brachytherapeutic treatment are oncogynecological malignancies. This bachelor's work aimed to identify nurse's role in taking care of a patient treated with intracavitary brachytherapy, patient's experience with nursing care provided while being intracavitary brachytherapeuticaly treated and to map the specifics of nursing care connected with intracavitary brachytherapeutic treatment. Secondly, I focused on complications develope during brachytherapy and the possibilities of how a nurse can prevent these complications. To accomplish my aims I used quantitative research in half-structured interviews with nurses and patients. Then I analysed the results using open coding method pencil-paper, and so analysed results were categorized in consequence. The first research group was made up of four nurses, who are working at brachytherapeutic operating-room. The second group was made up of six patients, chosen with the method of intended selection, for whom there was a criterion of suffering from an oncogynecological illness, whether currently or in the past, which was treated with brachytherapy. There was found out, that the role of a nurse working at a brachytherapeutic operating-room is mostly about providing nursing care. She only fulfilled the educational role when introducing the process of brachytherapy itself, but not when introducing preventing complications. According to other statements, there was found out, that nurses only provide this kind of education when asked by the patient directly. When asked about the specifics of nursing care, answers from respondents did not differ at all. Despite the absence of education, the care provided by nurses and collaboration with patients was rated positively and their approach was found professional. Some patients claimed that the nurse also helped them to stay psychically stable. The results showed that the incidence of complications after brachytherapeutic treatment seemed a little wider to patients, than to nurses. The results of the research might be used as a topic of a suggestion to a seminar concerned about this problematic.
|
guest ::
