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The care for physiological newborns in the period of postpartum adaptation from the point of view of parents and pediatric nurses.
MUSELOVÁ, Jitka
The bachelor thesis deals with the care of physiological newborns in the period of postpartum adaptation from the perspective of parents and nurses. The work is divided into theoretical and practical part. The theoretical part describes the care of physiological newborns in postpartum adaptation, the physiology of postpartum adaptation of the newborn, the role of nurses and birth plans. The practical part includes the processing and evaluation of the results obtained in the research survey. Two goals were set for the bachelor thesis. The first goal was to describe the key and most frequently discussed points of care for newborns in the delivery room and partly in the area of physiological newborns. The second goal was to identify those parts of care that are most often a source of discrepancies between the perception of parents and health professionals. A semi-structured interview was chosen to meet these objectives. The interview contained 42 questions and was conducted with ten participants. Five pediatric nurses working in the neonatology ward and 5 mothers hospitalized after giving birth at the sextuplet station were selected. Based on the results, it was found that the most common points discussed in newborn care are mainly communication about overall care and procedures. Mothers sometimes have specific wishes regarding decontamination of the conjunctival sac and the form of vitamin K administration to the newborn. The most common discrepancy was found in these points, and despite these the most common points, the examination of the newborn on the mother's chest is mentioned. Mothers sometimes have specific wishes regarding decontamination of the conjunctival sac or administration of vitamin K to newborns, and these areas of care are most often discussed. The research found that the most common source of disagreement between the idea of parents and health professionals is the lack of valid information about the overall care of the newborn.
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The knowledge of mothers in care about physiological newborn
Kohoutová, Petra ; Tomová, Šárka (advisor) ; Nikodemová, Hana (referee)
Bachelor's essay "The knowledge of mothers in care about physiological newborn" is divided into theoretical and practical part. The theoretical part includes summary of relevant information about first care about newborn after birth and next daily care. It deals with the means of education of mothers on neonatal ward and the role of paeditrician and a paediatric nurse on giving information about taking care of newborn. The practical part of bachelor's essay contains quantitative research. Through a questionnaire there were found ways of self - education of mothers in taking care about newborn as well as the degree and ways of providing information by a health team on neonatal ward and in a surgery of practictal pediatrician. The questions of questionnaire are also focused on evaluation of education by mothers. The research was carried out during a preventive examination of children's hips in a health centre Zelený Pruh. For the analysis there were used 66 questionnaires in total.
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The nurse's role in education of the mothers on how to the care for physiological newborn.
Burgárová, Kristýna ; Tomová, Šárka (advisor) ; Nikodemová, Hana (referee)
The Bachelor thesis describes the issue of education of mothers in the care of physiological newborns, the importance and the quality of existing facilities. It is divided into four parts. The education plays an important role in the nursing and it is the part of the quality care for physiological newborn, therefore the first part of the thesis devotes to it. It explains the principle of quality education and its impact on the state of health of child and mother. It also explains the specifics of the education of mothers at the puerperium department. The second part of the paper explains the concept of physiological newborn and then it describes the taking care of it. There are in succession described some techniques in infant feeding, such as correct breastfeeding technique, and the importance of the breastfeeding. Further, the chapter describes some principles of caring of newborn skin. There is also mentioned the sleep regime of the newborn, or the care for a newborn with neonatal diseases typical for the newborn age. The third part deals with the most common mistakes, which parents and also health care professionals do after the release of the newborn home. The fourth part is the empirical one, contained the quantitative research. The chosen form of the research was the survey. The questionnaire was...
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The knowledge of mothers in care about physiological newborn
Kohoutová, Petra ; Tomová, Šárka (advisor) ; Nikodemová, Hana (referee)
Bachelor's essay "The knowledge of mothers in care about physiological newborn" is divided into theoretical and practical part. The theoretical part includes summary of relevant information about first care about newborn after birth and next daily care. It deals with the means of education of mothers on neonatal ward and the role of paeditrician and a paediatric nurse on giving information about taking care of newborn. The practical part of bachelor's essay contains quantitative research. Through a questionnaire there were found ways of self - education of mothers in taking care about newborn as well as the degree and ways of providing information by a health team on neonatal ward and in a surgery of practictal pediatrician. The questions of questionnaire are also focused on evaluation of education by mothers. The research was carried out during a preventive examination of children's hips in a health centre Zelený Pruh. For the analysis there were used 66 questionnaires in total.
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Priorites of nurses and postpartum women in education.
LUDAŠOVÁ, Tereza
Education in nursing is very important, especially after childbirth when woman is exposed to a whole new point of her life. Midwife should be supportive, be able to provide advices and help new mother needs. The theoretical part of my work is dedicated to definitions in education, its concept and learning. Most of my theoretical part focuses on puerperium period, further divided into physiological, pathological and late. In physiological puerperium period are discussed involutional changes mainly and changes of body overall. Physiological puerperium also contains a chapter of lactation and breastfeeding, which are briefly described in two separare sections. Another chapter is pathological puerperium which describes the most frequent problems mothers can experience after childbirth, like bleeding, infection, vascular complications, emotional changes, lactations disorders and breast diseases. The further topics are dedicated to the newborn. The practical research part focuses on finding the most important areas of education from the perspective of mothers and nurses and compares their priorities. The survey was carried out using a quantitative survey, data collection was conducted in six hospitals of the South Bohemian region through anonymous questionnaires. All of them were distributed separately to postpartum/puerperium women and separately to nurses. The research sample consisted 100 (100%) of mothers after childbirth and 100 (100%) of nurses. All the results of the survey were processed using graphs and tables. Hypotheses were verified by statistical Chi-squared test in Microsoft excel. To assess whether the differencce observed and expected frequencies is statistically significant was achieved by using calculating level of statistical significance ie. p-value using functions CHITEST. P-values were converted to percentages and compared with a significance level of 5 %. The aim of the thesis was to identify the most important areas of education from the perspective of midwives, nurses and postpartum women. Another objective was to set out to determine the differences in priorities of education for women after childbirth, midwives and pediatric nurses. Hypothesis 1 There are differences in priorities of education among mothers after childbirth and midwives. This hypothesis was confirmed. Midwive´s priority is hygiene and postpartum mother´s priority is newborn nutrition. Hypothesis 2There are differences in prioritiesof education among mothers after childbirth and pediatric nurses.This hypothesis was not confirmed. The priority of both mothers after childbirth and pediatric nurses is newborn nutrition. Hypothesis 3Priority of education of mothers after childbirth varies depending on previous experience with motherhood. This hypothesis was confirmed. The priority of 63% of all primiparas is newborn nutrition and knowing how to breastfeed. The other mother´s priorities are in 18% newborn manipulation and in 12% self- hygiene. Hypothesis 4Priorities of education of midwives varies depending on the lenght of experience. This hypothesis was confirmed. The priority of midwives working in the postpartum department between 0-10 years is hygiene in 66%. The priority of midwives working in the postpartum department for longer than 11 years is in 14% nutrition. Hypothesis 5Priorities of education of pediatric nurses varies depending on the lenght of experience. This hypothesis was confirmed. The priority of pediatric nurses with 0-10 years of experience is newborn safety in 32%. The priority of nurses with more than 11 years of experience is newborn nutrition in 22%. The results of this thesis can serve as material for midwives such as recommendations for improving the education of mothers after childbirth. Or can be served as an educational material to mothers. Findings of the research can be presented as seminars and scientific conferences of midwives and pediatric nurses.
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The most common nursing diagnoses and interventions in physiological newborn baby
LAPÁČKOVÁ, Zuzana
This bachelor thesis is focused on the most frequent nursing diagnoses and interventions in physiological newborn. First aim was to map the most frequent nursing diagnoses at physiological newborn ward in hospital Nemocnice České Budějovice a.s. Two hypotheses were proposed. H1: The most frequent nursing diagnosis in physiological newborn is ineffective breast-feeding. H2: Nursing diagnoses in physiological newborn will differ in connection to the type of delivery. The second aim was to learn how the nurses and midwives decide on nursing diagnoses, aims and interventions. The research question posed for this aim was: How are nursing diagnoses, aims and nursing interventions decided in physiological newborns? A combination of qualitative and quantitative research was used in order to obtain quality data. Its collection was conducted through nursing documentation analysis and in-depth half-structured interviews. This research was conducted in March 2015 at Physiological newborn ward at hospital Nemocnice České Budějovice a.s. The interviews were analysed by open coding using pen and paper method. Individual codes were collected into subcategories and then categories.The first research group comprised of 5 paediatric nurses and 1 midwife working at the physiological newborn ward of České Budějovice hospital aged 26 to 46. The second research group consisted of 107 physiological infants born either naturally or by caesarean section. The answers of the respondents show their general knowledge about nursing diagnosis but also about some shortcomings in their de termination. Insufficient knowledge was found regarding stating aims and interventions due to the midwives and nurses trusting predefined nursing diagnoses, aims and interventions most often used at the ward and usually choose from them. Nursing diagnoses were also found the same for infants born to first-time mothers and multigravidas and the generally most frequent diagnosis is ineffective breast-feeding. Obtained results can serve as basis for simplification of working with nursing diagnoses and preventing making mistakes in the determination. Considering the insufficiencies in determination of nursing diagnoses, aims and interventions found in the nurses and midwives, we suggest they use this work as model basis. The research results also show that the most frequent nursing diagnosis is ineffective breast-feeding. A form for expecting mothers, that can simultaneously function as educational material was created as a response to the results. We hope this form will enable easier determination of nursing diagnoses and interventions.
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The role of a midwife and a pediatric nurse in ensuring termomanagement by a physiological newborn
BARTŮŠKOVÁ, Lucie
The theoretical part is focused in ensuring thermal management for a physiological new-born baby. To ensure the optimum thermal management for a new-born baby is very assential in order he/she can adapt to the external environment after the birth as a new-born baby is prone to loss of heat in the first moments after the birth. Body temperature regulation after childbirth is not sufficient and stable and therefore a new-born baby can get quickly cold when the surrounding temperature is low or, on contrary, he/she can get overheated when the temperature is high. That is why the nursing staff should minimize heat losses of a new-born baby and prevent his/her overheating. The first goal was to map out the knowledge of the nursing staff at the Department of Neonatology of ensuring thermal management of a physiological new-born baby at the labour ward. The other goal was to map out the way of ensuring thermal management of a physiological new-born baby at the labour ward. The research investigation was conducted by means of a qualitative survey using in-depth interviews and hidden observations of paediatric nurses at the Department of Neonatology at the Hospital in České Budějovice. All interviewed nurses have proved they know the way of ensuring thermal management of a physiological new-born baby at the labour ward correctly and at the same time all nurses observed have followed the Nursing Care Standard in Neonatology No. 513 Thermal management of a new-born baby when ensuring thermal management. This bachelor thesis could be used as a study material for students of the following years of midwifery studies. Further, it could be used as information material for the already experienced or fresh midwives and paediatric nurses. The outcome of the bachelor thesis is a leaflet providing information on ensuring thermal management of a physiological new-born baby.
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Nursing care of physiological newborns nowadays ane future trends
LÍZALOVÁ, Karolína
This bachelor thesis has two parts: the theoretical and practical ones. The theoretical part describes the care of physiological newborn infants from the moment of their birth until discharge from hospital. It also includes the physiology of newborn infants and a summing up the history of this subject. In the practical part, investigations focused on the opinions and the common practice of nurses taking care of physiological newborn infants were conducted. Investigation reveals that nurses working in departments of physiological newborn infants mostly work according to present-day trends of care of physiological newborn infants.
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Current priorities in the care of physiological newborn infants as perceived by mothers in the Maternity Ward.
KUBÁTOVÁ, Klára
The Bachelor paper titled the "Current priorities in the care of physiological newborn infants as perceived by mothers in the Maternity Ward" has the character of a research. The paper itself is split into two sections - the theoretical one and the practical one. The theoretical section offers a comprehensive picture of care given to physiological newborns in Maternity Wards. Moreover, this section provides a general outline of problems encountered in establishing a profound emotional bond between the mother and the baby during their first moments together. The practical section aimed to disclose the mothers' wishes and expectations for their time spent with the baby in the Ward. The paper's objective of revealing the priorities in the care of physiological newborn infants as perceived by mothers in the Maternity Ward has been met. To tackle the subject and to attain the objective specified above, the author chose to apply the qualitative method of investigation supported by non-standardized interviews held with three women coming through the postnatal period of puerperium and five women who delivered the year before. The results allowed for answering these research questions: Are the mothers interested in obtaining more information from the medical staff on the care of physiological newborns while they stay in the Maternity Ward? Are the mothers satisfied with the current system of providing care to physiological newborns in the Ward? What do the mothers see as priority one in the care of physiological newborns delivered in the Ward? Results of the Bachelor paper and the related findings can be beneficial for future students of midwifery. Besides, the paper can be found a useful source of information by even experienced children's nurses. Included in the paper is a piece of material intended to educate the beginner midwives in the basic principles of communication with the mothers of physiological newborns.
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Informedness of primiparas about the care of newborn.
KRATOCHVÍLOVÁ, Eva
The topic of the bachelor thesis is the informedness of primiparas about a newborn child care. The theoretical part of the thesis explains terms physiological newborn child, his/her postnatal adaptation and basic care of a newborn child. It describes the basic acts that the nurses aim to teach all mothers in hospital, such as changing nappies, bathing, caring of the umbilical scar and handling a newborn child. It also describes the equipment needed for basic care of a child. The practical part of the thesis raised five objectives and five hypotheses. The first objective was to compare the level of informedness of primiparas in two hospitals in the Czech Republic (Oblastní nemocnice Příbram, a.s. and Nemocnice České Budějovice, a.s.). The hypothesis that the informedness of primiparas in Oblastní nemocnice Příbram, a.s. is lower has not been confirmed. The other objectives were to ascertain the level of informedness of primiparas about bathing techniques, treatment of the umbilical scar and handling a new-born child, and the sources from which the primiparas obtain most information. The hypothesis that primiparas have sufficient information about bathing techniques, care of the umbilical scar and the ways how to take a new-born child from the cot and how to hold the child correctly, and the hypothesis that they obtain most information from the nurses in hospital and, when being out of hospital, from the Internet have been confirmed. The results of the research are presented in charts and compared with technical literature in the respective chapter. The bachelor thesis could serve as a source of information both for students and for mothers-to-be.
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