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The issue of providing nursing care in acute psychiatric wards in connection with the covid-19 infection
TURKOVÁ, Lenka
This bachelor thesis focuses on the providing of nursing care in acute psychiatric wards in the context of Covid-19 infection. The theoretical part of the thesis starts with an overview of the organization of psychiatric care in the Czech Republic. It then focuses on selected acute conditions of patients admitted to acute psychiatric wards, including schizophrenia, neurotic, stress and somatoform disorders, and mental health disorders caused by alcohol and psychoactive substance use. Special attention is given to Covid-19 disease and its impact on acute psychiatric wards. The theory also addresses the providing of nursing care during the Covid-19 pandemic, including hygiene measures. The empirical part of the thesis is developed through a qualitative investigation with a semi-structured interview technique. Using open coding, the data was divided into three categories and six sub-categories. The research population, consisted of 10 informants. They were nurses, from different facilities, who work in acute psychiatric wards and who worked in this ward during the Covid-19 pandemic. Their experience in health care ranges from 4 to 49 years. The sample was selected by purposive sampling. The final part of the thesis focuses on the impact of the Covid-19 pandemic on acute psychiatric wards and nursing care. The results of the data analysis provide valuable insights into this issue. One of the key areas examined was changes in the operation of psychiatric wards due to the pandemic. Some wards were reconfigured into specialist covide wards, while others were divided into sections for patients with and without the disease. This measure involved intensive training of staff to work in an infectious environment and increased monitoring of patients for possible infection.
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Use of quantifying nursing care for acute psychiatric wards of general hospitals.
ŠIMEČKOVÁ, Marie
The bachelor thesis focuses on special nursing care performed by the nurses in the acute psychiatric ward of a selected general hospital. The theoretical part deals with the care provided in these departments, the most common mental disorders, the ward regime, the competencies of the nurses and the eligibility to carry out the performances and the nursing process that is related to the providing of nursing care. The aims of the thesis and the hypotheses: The aim of the bachelor thesis was to inventory special nursing performances, determine their average time demands and determine the duration of total nursing care in selected groups of patients. We have set three aims, one research question and two hypotheses. The research question was established to determine the special nursing care performances that are carried out the most frequently at the given department. The established hypotheses assumed different time requirements for selected nursing performances and nursing care in selected patient groups. Methodology: A quantitative survey was used in the research part using the Method for determining the number and quantification of the attending staff in the standard treatment units for adults from Pochylá and Pochylý (2008). Structured observation using a record sheet was employed. Research file: General nurses and nurses with specialized competencies working at the psychiatric ward of the general hospital. Results: Twenty special nursing performances were inventoried, of which 261 frequencies were recorded. The highest frequency was the submission of per os medication. Hypotheses have been verified. Average time values for individual nursing activities of special nursing care differ. The longest duration was established in patients with schizophrenia and the shortest duration was found in patients with depression. Practical Use: The results of a research survey can be used to update a methodology consistent with current trends.
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