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Dying in Medical Institution from the Point of View of Nursing Staff
VÁCHOVÁ, Agáta
The bachelor's thesis deals with dying in medical institution from the point of view of nursing staff. The thesis is divided into theoretical and research parts. The theoretical part of the thesis contains basic information and concepts related to dying and death, the impact of dying on nursing staff and the specifics of nursing care for dying patients. The main aim was to find out what support the nursing staff receives from the management and how the nursing staff provide for the needs of the dying patient. In order to achieve these objectives, five research questions were identified. The empirical part of the thesis was done through a qualitative research investigation in the form of a semi-structured interview, which included twenty-one questions. The research population consisted of nurse practitioners and general nurses in the selected hospital wards. The collected information was then processed in the form of open coding and then categorized into seven categories. From the results, it is clear that psychological support from the management is mainly provided to the nursing staff by the station or head nurse. In case of psychological need, the nursing staff refer more to family and friends. A large number of informants were identified with burnout syndrome, which can result from a lack of psychological support from the management, that could be provided for example in the form of seminars or through visiting a psychologist. The second objective revealed that the pain control, hygienic care adapted to the patient's health condition and the provision of food according to the patient's wishes are essential to ensure biological needs. The support from the staff is important to meet psychological needs, which is often neglected due to the lack of time and staff. The social needs are mainly provided by the family of the dying patient through visits or by a hospital chaplain. The most common obstacle is the arrangement of patient rooms, which is not suitable for ensuring the privacy of the dying patient and his/her family. The results of the thesis research were used to form the basis of a workshop for nurses.
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