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Nurse education as a part of comprehensive nursing work at bone marrow transplant unit in the Motol University Hospital
Angerová, Hana ; Tomová, Šárka (advisor) ; Nikodemová, Hana (referee)
The bachelor thesis will deal with the educational process in the children's bone marrow transplant unit at the Motol University Hospital. The educational process takes place in 4 stages, where both the doctor, psychosocial worker, nurse, as well as the patient and his family participate in the educational process itself. The work will focus on specifying nursing care in this department and education within this educational process, where the nurse herself already participates in educating the patient and his family when the patient is admitted to the transplant unit. The bachelor thesis will be divided into a theoretical part and an empirical part. The theoretical part will describe basic concepts in education and educational process in general. Furthermore, there will be a chapter on topics of education specific to bone marrow transplant units. The conclusion of the theoretical part will be devoted to the topic of bone marrow transplantation. The empirical part will present the results of an anonymous questionnaire survey conducted at the Department of Pediatric Hematology and Oncology at Motol University Hospital. The aim of the bachelor thesis will be to determine the quality and satisfaction with the current state of education in bone marrow transplant units from the perspective of patient...
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Pressure ulcer as an adverse event
Vydrová, Ivana ; Klokočková, Šárka (advisor) ; Nikodemová, Hana (referee)
The bachelor thesis "Decubitus as an adverse event" deals with the comparison of the modified Norton scale and the Braden scale. Furthermore, the thesis deals with the frequency of decubitus in the Central Military Hospital in Prague. The aim of the work was to compare the accuracy of both scales. Another aim of the work was to monitor the preventive measures introduced. Part of the work was to determine and describe the frequency of occurrence of decubitus in the selected medical facility. The theoretical part of the thesis explained the basic definitions and essential concepts related to decubitus, adverse events and departmental safety objectives. The empirical part contains the results of the actual research investigation and its comparison with the results of studies focusing on similar topics. Method: a mixed methods research design was chosen. Results: 48.48% of the respondents rated the risk of decubitus according to both scales in agreement. In 51.52 % respondents the evaluation according to one scale did not correspond to the evaluation according to the other scale. The Braden scale had a sensitivity of 100% and specificity of 59%. The Norton scale also had a sensitivity of 100%, but a significantly lower specificity of 3%. Of the preventive measures used, skin care, pain assessment, and...
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Educational material for children before cardiac surgery
Hoštičková, Kateřina ; Tomová, Šárka (advisor) ; Nikodemová, Hana (referee)
Quality education of children before hospitalization is an important factor in reducing their stress from hospitalization and hospital environment. This bachelor thesis on "Educational material for children before cardiac surgery" discusses in more detail about congenital heart defects and the effect of hospitalization on the child in the theoretical part. In the empirical part, the results of quantitative research, their evaluation and graphical processing in Microsoft Excel including statistical hypotheses are written. The research method was a questionnaire survey at the inpatient ward of the Children's Cardiac Centre of the 2nd Faculty of Medicine and Motol University Hospital. The aim of the study was to determine the quality of education of children before hospitalization by parents and on the basis of our own research and the preferences found to create a proposal of educational material for the given age group, which could be used for practice. As a result, the proposal came out in the form of a book with a story. This preferred educational material was chosen by more than half of the parents. In conclusion, this paper discusses the evaluation of the findings and highlights the assumption of most parents that the quality of their children's education is sufficient, but that age-appropriate...
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Specifics of education in a patient with cystic fibrosis
Novotná, Hana ; Tomová, Šárka (advisor) ; Nikodemová, Hana (referee)
1 Abstract Theme: The bachelor thesis "Specifics of education of a patient with cystic fibrosis" deals with the issue of education of a patient with this diagnosis. Aims: The aim was to find out the quality and method of education. To check the knowledge of nurses educating these patients. Compare education between hospitals, departments but also between age groups. And as a result, to improve the education carried out so far. Methods: The thesis is divided into two parts into theoretical and empirical. In the theoretical part, the thesis focuses on the description of the disease, its diagnosis, symptoms and treatment. Furthermore, on the specifics of education in the disease, methods of implementation and possible aids to education. The empirical part is processed on the basis of quantitative research using a non-standardized questionnaire survey of one's own creation with open and closed questions. Results: The questionnaire survey shows that there is a link between the age group of nurses and the frequency of education of patients with CF. The questionnaire survey showed interesting facts showing certain areas in which education needs to be improved, expanded or more controlled. Conclusion: The questionnaire survey shows that there is a link between the age group of nurses and the frequency of education...
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Influence of Religiosity on Quality of Life of patients with Epilepsy
Kolská, Marta ; Javůrková, Alena (advisor) ; Nikodemová, Hana (referee)
Objectives: The aim of this thesis is to investigate how the variables Locus of Control, God Locus of Health Control and religiosity predict the quality of life of patients with epilepsy and whether these variables differ in prevalence in a healthy control group. Methods: The research group consisted of 275 patients with epilepsy examined within the neuropsychological Centre for the Treatment of Epilepsy of the Department of Neurology, 2nd Medical Faculty and Motol University Hospital. The comparison group consisted of a group of 182 healthy respondents. Respondents were interviewed using WAIS-III, EPQ R abbreviated version, BDI-II, VAS, QOLIE-89 (version 1.0) and GLHC. The t-test and the Mann-Whitney test were used to determine differences between groups. Contingency tables were used for discrete quantities. The relationship between the variables was demonstrated by Spearman's correlation coefficient and multiple linear regression. The research was approved by the Ethics Committee of the Motol University Hospital. Results: The resulting model of stepwise linear regression prediction of the Mean score showed that by including the variables Neuroticism HS and GLHC˃6 in the overall model, these significant variables can explain 21.44 % variability of Locus of control (R2=0.2144). It was also found...
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Quality of life and pain in patient with epilepsy
Došlová, Dana ; Javůrková, Alena (advisor) ; Nikodemová, Hana (referee)
Bacground: The bachelor thesis deals with the subjective and objective evaluation of the relationship between pain and quality of life in patients with epilepsy based on the questionnaire survey Quality of Life in Epilepsy Inventory (QOLIE-89), Visual Analogue Scale (VAS). Objectives: The aim of this qualitative study is to assess the relationship between pain and quality of life in patients with epilepsy based on scoring in the scale Pain in the questionnaire QOLIE-89 and examination of pain intensity using VAS, validation of results in the examined patient sample, assessment of pain presence and intensity and others. cognitive, affective and functional variables depending on sociodemographic and clinical variables., determining whether pain is a variable that significantly predicts quality of life in patients with epilepsy. Early understanding of the relationship between pain and quality of life helps to set up appropriate nursing care and to ensure a better quality of life for patients with epilepsy. Methods: The study population comprised 150 patients from the Center for Epilepsy Treatment of the Neurological Department 2nd Medical Faculty Charles University and the Motol University Hospital, who met inclusive and exclusive criteria. All patients were examined neurologically and...
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Opioid Risk Tool (ORT) in Patients with Chronic Nonmalignant Pain receiving long-term opioid therapy
Maršíková, Veronika ; Raudenská, Jaroslava (advisor) ; Nikodemová, Hana (referee)
Background: This bachelor thesis focuses on the topic of chronic pain in connection with long-term treatment with opioid analgesics and the associated risk of developing addiction and the possibility of screening this risk using the Opioid Risk Tool (ORT) in nursing. Objectives: The aim of the cross-sectional, quantitative study was to validate the ORT questionnaire in the Czech version, to evaluate its individual items by performing a factor analysis and assessing the impact of socio-demographic and clinical variables. Methods: A total of 411 patients on long-term treatment with opioid analgesics met inclusive and exclusive criteria and were included in the study. The patients were administered with an anamnestic questionnaire and the ORT, ET (Emotional Thermometers), COMM (Current Opioid Misuse Measure) and VAS (Visual Analogue Scale) questionnaires. The data were statistically processed using the determination of internal consistency, sensitivity, specificity, negative and positive predictive values, parametric and non-parametric tests, exploratory factor analysis and logistic regression. Results: A medium correlation was found between the ET and ORT questionnaires. Significant differences in selected socio-demographic and clinical variables between the opioid misuse group and the group without...
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Nurse's knowlege how to care for peripheral or central catheter
Fialová, Denisa ; Tomová, Šárka (advisor) ; Nikodemová, Hana (referee)
One of the basic skills of nursing staff is the knowledge of how to care for venous catheters. It is one of the important aspects of the care process. The aim of this work was to compare two different treatment units. III. Chirurgickou kliniku 1 LF UK a FN Motol and Interní kliniku 2 LF UK a FN Motol. The research was planned at I. Chirurgická klinika 2. LF UK a FN Motol, but I didn't receive an answer with an agreement. The next goal was to compare which clinic has a richer experience. To find out, whether the intensive care unit has higher quality care compared to the standard unit. The theoretical part describes different options for how a venous catheter gets inserted. There are introduced kinds of venous catheters, that are available nowadays. They have also mentioned their benefits for patients. Venous catheters may be divided based on the duration they can remain in the human body. In this chapter, there are described convenient locations for inserting, indications, contraindications, and correct techniques of how to care for the venous catheters. In the empirical part, there is the research of my own design included. It contains graphs and tabular protocol with results. The questionnaires were distributed among employers of mentioned clinics. The results of this research point out that...
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Pressure ulcer prevention strategies
Kovandová, Lucie ; Mádlová, Ivana (advisor) ; Nikodemová, Hana (referee)
Aims: The aim of the bachelor thesis was to determine the level of knowledge of general nurses in the field of prevention and treatment of pressure ulcers. Methods: The target group of respondents were general nurses employed at the Intensive Care Unit of the Orthopaedic and Traumatology Clinic of the University Hospital Kralovske Vinohrady in Prague. There were 21 respondents in total. Results: The overall success rate - knowledge of the monitored criteria was 62.33 %. The results of the actual survey are presented in clear bar charts. Conclusions: On the basis of the findings, we make recommendations for clinical practice. KEYWORDS pressure ulcers, nursing care, prevention, treatment, nurses' knowledge
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