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Design of Bed for Anesthesiology and Resuscitation Hospital Department
Andrášová, Lenka ; Buganská, Tamara (referee) ; Rubínová, Dana (advisor)
The thesis focuses on analysis and design of a special hospital bed designed for the department of anesthesiology and resuscitation. The design was based on the rules set by the ČSN EN 60601-2-52 norm. The bed is adjusted for the use at the department of anesthesiology and resuscitation not only with its look but also with its functions. The design emphasizes the ergonomics of the bed, safety and the needs of the patient as well as of the staff and also an easy maintenance of the bed. Some of the main innovative elements are: basal stimulation system placed directly in the bed, used colors, more infusion-rack holders or a headboard fixed to the construction of the bed if not needed. The bed was designed especially to provide more comfort to the patient.
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Monitoring of hemodynamics in the departement of Anesteziology and Intensive Care
ZMEŠKALOVÁ, Marie
Monitoring the haemodynamics serves for monitoring and evaluation of data from patient's cardiovascular system by using various technology. At the department of anaesthesiology and resuscitation, it is primarily a nurse who observes the monitoring of the haemodynamics, since she is present at the patient's bed for the whole time of the work shift. She operates and calibrates the invasive monitoring of the haemodynamics. I focused on this department to get the information straight from paramedical staff, about their awareness, abilities to solve the problems related to the haemodynamics and overall orientation. It is the mapping of knowledge of paramedical staff, about the monitoring of the haemodynamics at the department of anaesthesiology and resuscitation. It means to find out the difficulties of monitoring the haemodynamics at the department of anaesthesiology and resuscitation. The hypotheses: The knowledge of paramedical staff about the monitoring of the haemodynamics at the department of anaesthesiology and resuscitation is influenced by the length of professional experience. The knowledge of paramedical staff about the monitoring of the haemodynamics at the department of anaesthesiology and resuscitation is influenced by the education. The research question: What are the difficulties of monitoring the haemodynamics at the department of anaesthesiology and resuscitation? The group of respondents (105) and informants (5) consists of paramedical staff which works at the A&E. In the period between 20.4. - 15.5. 2020. The respondents were not limited neither by the age nor by the professional experience, except for the place of work. There will be used a qualitatively quantitative strategy of the research survey in the empiric part of the diploma thesis. All the research questions and hypothesis were answered by making and processing the research survey. Most of the questions were answered correctly and most of the paramedical staff have sense of their work in the area of the haemodynamics and they understand gained information, which they evaluate in favour of patients. This diploma thesis is dedicated to nurses within the examination of monitoring of the haemodynamics at the department of anaesthesiology and resuscitation. A handbook for newly arrived staff focusing on the monitoring of haemodynamics will be created based on the results of the research. This material will be suggested as a part of basic data for adaptation process.
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The rate of stress load on standard nursing wards and intensiv care units.
Brzicová, Věra ; Kulhavá, Miluše (advisor) ; Ptáček, Radek (referee)
This thesis deals with the stress, strain and stress level of stress. It examines what more burdens on JIPu sisters and what the standard department, what are the specifics of their work. Compares the work load and nursing department and the standard JIPu. It looks at how the situation affects of stress nurses. It outlines the causes and manifestations of stress effects on the human organism. He is also the burnout that often occurs among workers in the helping professions. The thesis is focused on the shift operation (especially on night shift), relationships at work (sister-sister, sister-doctor), the aggressive behavior of patients, or the lack of sufficient time for patient care. Research method is a questionnaire distributed to the nurses and the internal standard surgical wards and ICU. The evaluation questions of the questionnaire confirms or overthrows the hypothesis that I set at the beginning of research. The hypotheses were confirmed hypotheses 2 and 5 of the hypothesis was not confirmed. It was confirmed that the exchange operation and overload nurses, patient aggression, care of confused patients and bad interpersonal relations a high burden on medical personnel and contributes significantly to the stress load of nurses. In conclusion, I mention that a large role in preventing and...
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Competency of nurses working in intensive care in The Czech republic and Gerat Britain
Baletková, Lenka ; Hocková, Jana (advisor) ; Jurásková, Dana (referee)
Summary: The diploma thesis compares competency of nurses working in intensive care in The Czech Republic and Great Britain. Theoretical part of the thesis gives compact look to regulation of nursing profession, education of nurses and nursing registration in both countries. In this part are highlighted main differences of the legislation which nursing competency is based on in each country. There is also mentioned the public opinion of the nursing as a profession and its prestige related to both countries. Practical part of the thesis focuses on the interpretation of analysis of the research regarding the above mentioned topic. For the research have been used the method of collecting data by structured questionnaires. There was a questionnaire for each country in its own language. The aim of the practical part is to compare divergence of knowledge, skills and competency of nurses working in intensive care in both countries. Alternatively to assess any reason for exceeding nursing competency and to find out the explanation for that Key Words: Competency, Nurse, Critical Care, Education, Qualification, Great Britain
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Nursing documentation of anesthetist nurses
Prošková, Lenka ; Di Cara, Veronika (advisor) ; Chvojková, Kateřina (referee)
Nursing documentation of anesthetic nurses is not an common type of documentation in our country. In some workplaces, the medical record of anesthesia is supplemented with data needed to identify the nursing care provided. Therefore, nurses do not have their own nursing documentation at these workplaces, but they record the data in the documentation with the doctor, or continue the records on the decree sheet. Each medical facility in our country has its own system of health documentation, which makes a logical, continuous unit. The aim of my research was to find satisfaction of the nurses in the examined medical facility with the established system of medical documentation, more precisely anesthetic nursing documentation, which is related (not only) to surgical procedures. Describe how many documents are created in connection with the operation and which of them affect nursing care records. Whether they are clear, readily available, and capture the necessary data for all nurses involved in patient care in the operational fields. The choice for research was a quantitative survey using a questionnaire prepared in writing. Respondents were surgical nurses, ARO, ICU, adult room and anesthetist nurses. Part of the research was the study of existing papers, which fill anesthetist nurses and documents...
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Difficult life situations and coping with them within the medical profession at the Department of Anesthesiology, Resuscitation and Intensive care
Gruszka, Bernardeta ; Tomová, Šárka (advisor) ; Nikodemová, Hana (referee)
Bachelor thesis Difficult life situations and coping with them within the medical profession at the Department of Anesthesiology, Resuscitation and Intensive care is divided into two main chapters. First chapter puts theoretical basis of the thesis and consists of four main parts. First one defines difficult life situation as: frustration, deprivation, stress and conflict. Next part focuses on coping with these situations and as well provides principles for restoration of inner serenity. Third part deals with emotions, which are undoubtedly connected to our experiences, perceptions and expression of our experiences. Second chapter of the thesis explains empirical methods together with methodological elaboration of questionnaire survey and with following processing of results
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The rate of stress load on standard nursing wards and intensiv care units.
Brzicová, Věra ; Kulhavá, Miluše (advisor) ; Ptáček, Radek (referee)
This thesis deals with the stress, strain and stress level of stress. It examines what more burdens on JIPu sisters and what the standard department, what are the specifics of their work. Compares the work load and nursing department and the standard JIPu. It looks at how the situation affects of stress nurses. It outlines the causes and manifestations of stress effects on the human organism. He is also the burnout that often occurs among workers in the helping professions. The thesis is focused on the shift operation (especially on night shift), relationships at work (sister-sister, sister-doctor), the aggressive behavior of patients, or the lack of sufficient time for patient care. Research method is a questionnaire distributed to the nurses and the internal standard surgical wards and ICU. The evaluation questions of the questionnaire confirms or overthrows the hypothesis that I set at the beginning of research. The hypotheses were confirmed hypotheses 2 and 5 of the hypothesis was not confirmed. It was confirmed that the exchange operation and overload nurses, patient aggression, care of confused patients and bad interpersonal relations a high burden on medical personnel and contributes significantly to the stress load of nurses. In conclusion, I mention that a large role in preventing and...
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Competency of nurses working in intensive care in The Czech republic and Gerat Britain
Baletková, Lenka ; Hocková, Jana (advisor) ; Jurásková, Dana (referee)
Summary: The diploma thesis compares competency of nurses working in intensive care in The Czech Republic and Great Britain. Theoretical part of the thesis gives compact look to regulation of nursing profession, education of nurses and nursing registration in both countries. In this part are highlighted main differences of the legislation which nursing competency is based on in each country. There is also mentioned the public opinion of the nursing as a profession and its prestige related to both countries. Practical part of the thesis focuses on the interpretation of analysis of the research regarding the above mentioned topic. For the research have been used the method of collecting data by structured questionnaires. There was a questionnaire for each country in its own language. The aim of the practical part is to compare divergence of knowledge, skills and competency of nurses working in intensive care in both countries. Alternatively to assess any reason for exceeding nursing competency and to find out the explanation for that Key Words: Competency, Nurse, Critical Care, Education, Qualification, Great Britain
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Securing the airway in pediatric patients at ARO
KUBEKOVÁ, Martina
The thesis titled Securing airways in pediatric patients on ARD deals with the specifics of nursing care of airways. Care of airways of children hospitalised at the Anaesthetic Resuscitation Department is an integral part of comprehensive nursing care. Each nurse must have a sufficient theoretical and practical knowledge, as well as experience to independently perform nursing care of airways of pediatric patients. Free and patent airway is a prerequisite for ensuring one of the basic life functions. The aim of the theoretical part of the thesis was to summarise the issue of securing airway in children and to focus on nursing care for airways in pediatric patients. The aim of the research was to determine the specifics of nursing care for children hospitalised at the Anaesthetic Resuscitation Department due to impaired breathing. Based on the aim of the thesis, the author set out four research questions: 1. What nursing activities are performed by nurses when securing an airway in a child? 2. How nurses treat airways of intubated children? 3. What nursing care do nurses provide for children before, during and after extubation? 4. What nursing care do nurses provide for children with a tracheostomy? In the empirical part of the thesis the author employed qualitative research. Data collection was performed by the use of individual interviews with nurses. The survey was conducted at a pediatric ICU and a children's Anaesthetic Resuscitation Department. Based on the research questions and information obtained from literature sources the author drew up the basic points for interviews with nurses. The interviews were supplemented by an observation performed on a children's Anaesthetic Resuscitation Department. Interviews and observation were complemented with two case reports of pediatric patients. The reports were processed in accordance with Henderson's model. The thesis's results show specifics and difficulties of nursing care of pediatric patients hospitalised at an Anaesthetic Resuscitation Department. The thesis maps nursing care for pediatric patients when securing airway, it focuses on intubation, tracheostomy tube, extubation, aspiration, and care for oral and nasal cavities. The objective of the thesis is to show not only the specifics of this kind of nursing care and also to demonstrate the importance of communication and emotional support to pediatric patients before, during, and after the medical intervention. The intensive nursing care is continuously improving thanks to new methods and devices. The results will be provided to the nursing management of the pediatric ICU and the children's Anaesthetic Resuscitation Department. They will also be presented at professional seminars and in professional journals.
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