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Risks in the emergency department in the light of the COVID-19 pandemic
SMÝKALOVÁ, Kateřina
The thesis focuses on the risks in the emergency department that may occur in newly emerging major epidemics, similar to the COVID-19 pandemic. The aim of the thesis was mainly to assess the risks of care and to identify the characteristic features of patients with COVID-19. The intention was to find out how positive (infectious) patients are identified. The final chosen aim was to develop recommendations containing measures for the management of patients with COVID-19 disease and minimizing risks in the emergency department. The method of research investigation to achieve the set objectives was by retrospective observational study and participating observation. The research was conducted in adult patients with a focus on positive patients in a low threshold emergency department. The data obtained from the prospective observational study were processed using the computer program STATISTICA 12. According to the results of the study, more positive patients were referred to the outpatient department from the waiting room, while significantly more positive patients were referred to the standard ward, ICU, CCU or ED from the observation hall. In both cases, more than 80 % of positive patients from the observation ward were admitted to the ICU and standard units. According to the average number of patients, 8 % more patients visited the low threshold emergency department on a weekday than on a weekend. From the observational cohort, the identification of positive patients in 112 (56.85 %) cases was done using Rapid Ag test, The results of the data analysis will be beneficial in terms of risk to make recommendations to the low threshold emergency department for the treatment of patient with COVID-19 and to minimize the risks both for patients and for healthcare professionals.
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Patient intimacy in the Emergency department
KUBÍNOVÁ, Jitka
This bachelor's thesis, named "Patient's intimacy at an emergency department", focuses on patient's intimacy, privacy, and human dignity during his treatment at the emergency department. We live in modern times, everything focuses on innovations, researches and mainly time demands. So, it is in the health service, the medical part is more interesting from the perspective of treatment methods and resources. The intimacy and human dignity topic lag behind the medical one but not so much as before. It is getting more and more into public awareness. In the intensive medicine, this topic is complicated. Hall type care system is developing even in emergency department and keeping patient's intimacy is being disturbed by many circumstances and factors. The theoretical part describes the development of the intensive medicine and emergency departments abroad as well as in the Czech Republic. Then there are being described fields such as intimacy, privacy, human dignity, holism, communication, patient's needs as well as patients' rights and their enforceability. In the practical part, the research was processed by a qualitative method using an interview and participating hidden observation. Interviews and observations took place in March 2021, in a selected emergency medical facility. A research cohort was formed by 10 paramedical workers. The practical part was purposely focused on paramedical staff. The goal was to find out their perception and respecting of intimacy. The results of the research showed that the medical staff at the emergency department have some theoretical knowledge about intimacy and human dignity but are not always able to demonstrate practice. This is a topic that every healthcare professional should work on a lot.
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Ensuring intimacy and dignity for patients in the Emergency Department, granted or extras?
POSPÍŠILOVÁ, Vendula
Abstract This diploma thesis, titled "Ensuring intimacy and dignity in patients on urgent reception, self-evident or a luxury?", highlights the issue of respecting human dignity and ensuring intimacy in treating patients on urgent admission. The above issues are currently lagging the prestige of modern healing and nursing practices. In intensive care and therefore in urgent arrivals, an inpatient health care system is being developed, where maintaining the dignity of a person and ensuring his intimacy is very complicated. At a slow pace, this issue moves to the forefront of the public's interests, both professional and lay, particularly from the point of view of patients who have some experience with healthcare. The aim of this diploma thesis was to map the provision of intimacy and respect for dignity in patients on emergency reception by treating staff. The theoretical part of this thesis describes areas such as dignity, intimacy, holism, the needs of the sick, as well as communication and burnout syndrome and the functioning of urgent income as such in a brief description. The practical part of the work was elaborated by the method of qualitative research using the techniques of semi-structured interview with patients who were treated for urgent income and with emergency care staff, combined with the secret observation of the work of the emergency care staff. Interviews and observation took place in April 2017, at the Emergency in Hospital. Permit for research was issued by the Deputy Minister for Nursing. The research group consisted of 10 nurses working on urgent admissions and 10 patients treated in this department. The research shows that nurses have a very good knowledge of dignified care and patient intimacy, but in terms of putting this knowledge into practice, this area is under the supervision of the department's staff to work on it and to deal with it more closely. In patients pointed out to insufficient awareness of the course of treatment, applied medications, and a lack of privacy in nursing. Almost the most discussed issue is communicating personal data and health problems in the emergency waiting room to a nurse, without any possibility of privacy. Some factors that interfere with dignified and intimate care relate to areas of rather structural and organizational adjustments to the department and will be proposed for further solutions.
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Quality of comunication in the emergency department for children
Nováková, Blanka ; Tomová, Šárka (advisor) ; Javůrková, Alena (referee)
Bacelor thesis called Quality of communication of The Emergency Department for Children deals with the matters of communication between the nurses and parents of children during the child's acceptance in The Emergency Department for Children. This bachelor thesis is composed of a theoretical and empirical part. Theoretical part describes communication at general and it is also focused on a communication in public health. Further thesis analyses development of a communication abilities during the childhood and describes specificity of a communication with ill or injured children. This chapter inclused also a communication with the parents of a ill child. Last chapter of theoretical part describes The Emergency Department for Children of University Hospital in the Motol. Empirical part is aimed on the survey focused on a quality of communication between the nurses of The Emergency Department for Children and the parents of children who are transported to Emergency. The goal of this bachelor thesis is to describe the satisfaction of parents with a communication skills of nurses with them and their children and to analyse deficiencies of this type of communication. During the survey, qualitative method of interview was used. Empirical part also contains a transcription of interviews between parents and...
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