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Venous port from the perspective of the medic and from the perspective of the client
PŘEDOTOVÁ, Jana
The theoretical part deals with a complex problematics of venous port systems, its history, indications.. The empirical part focuses on the knowledge of the nursing staff and their attitude towards their own skills in this area and also the majority of this part deals with client´s awareness and their experience. In order to elaborate this thesis a combination of quantity quality examination has been chosen. To realize a quantity research we selected a survey based technique and for the quality one we used a semi-structured conversation system with open questions. There was a survey assorted for a quantity research which was destined for the general nurses working at the surgical and intern departments within Southern Bohemia region. The quality research was conducted by 9 interviews with clients with the ports implanted. There were four goals being focused on in the thesis. The first one was to chart the nurses´ awareness regarding the port problematics. From the results came clear that the nurses don´t have the corresponding knowledge. The second focus was to find out the own attitude of the nurses towards their skills regarding the port care. The results proved that the nurses assess their skills mostly like insufficient. The third focus was trying to estimate the clients´ awareness about ports and their appreciation of nursing care. By means of these clients´ interviews we found out that they are well informed about the problematics and their care appreciation with ports is excellent. The fourth focus was searching for particular clients´ needs regarding their ports and their saturation by the nursing staff. From the clients´ responses were we able to find out that they don´t have. H1 The general nurses working at the surgical departments treat the clients with ports more often than those from the intern departments. It also shows that both nurses from surgical and internal departments meet the clients with ports equally. The first hypothesis has not been proved. H2 The general nurses working at the surgical departments have more knowledge about nursing clients with ports than those from the intern departments. The analysis has shown that nurses from intern departments have more knowledge than those from the surgical ones. The second hypothesis has not been proved. H3 The general nurses working at the surgical departments assess their skills regarding the care of client with implanted port better than those from intern departments. Nurses from both departments assess their skills mostly as insufficient. The third hypothesis has not been proved. H4 General nurses are interested in increasing their knowledge about the port problematics. The nurses proved interest about increasing their knowledge, e. g. by attending a special course. The fourth hypothesis has not been proved.Survey questionnaire: VO1 Do the clients have enough information about the ports? VO2 Does the port obstruct your daily activities? VO3 How is the port being estimated by the clients? VO4 What pros and cons have the ports from their point of view? VO5 How do the clients assess the nursing care? VO6 What particular needs do the clients with ports have? VO7 Are these needs saturated by the nursing staff? The survey research proved that the clients are satisfied with the ports. The care of ports is assessed perfectly by clients and it attests that the provided medical care is superior. Despite all those positive outcomes it´s essential that the nurses from oncology but also from other departments are being further educated in the port problematics as the results of quantity research points to a lack of knowledge of nurses and the number of clients with ports is increasing.The thesis can be used as an information source for nurses and management. We recommend regular education seminars and creation of nursing standards.
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The role of nurse in education of patients with implanted intravenous port catheter
VODIČKOVÁ, Petra
Intravenous port catheter is a special type of central intravenous catheter ensuring a reliable, safe and longterm access into the central vein by means of hypodermic injection. In recent years the intravenous port catheters have become common part of treatment and they are mainly used in patients suffering from oncological malignities for repeated doses of chemotherapy and pain killing medicine. Intravenous port catheters are also applied in other chronic states when a quality and reliable vein access is necessary. The care for intravenous port catheters is very special and the attitude of the nurse plays an important role. It is important to include the patient in the care for the intravenous port catheter, communicate with him/her effectively and to provide him with sufficient information. Thus a good cooperation between the patient and the nurse can be ensured the result of which is a fully functional intravenous port catheter with a long use. This paper deals with the role of the nurse in educating patients with an intravenous port catheter. It is divided into a theoretical and a practical part. The theoretical part contains information on the intravenous port catheter and education of patients. The practical part consists of a qualitative research. The method of individual, partially prepared interviews with patients with intravenous port catheter was applied to data collecting. Three research questions were set: 1. Are patients with an intravenous port catheter interested in receiving information on this system? 2. Are patients with an intravenous port catheter interested in receiving printed information material? 3. Is printed information material beneficiary for patients? 12 patients made up the research file. The research was carried out at the haematological-oncological department of the University Hospital in Pilsen. The first goal of the paper was to find out what information patients with an intravenous port catheter need. The second goal was preparation of a printed education material for the patients based on the information found out. The third goal was to find out whether the prepared information material is a help to the patients. These goals were fulfilled. Based on the information from the first group patients an information leaflet was prepared. This leaflet was then applied to educate the second group patients. Patients acquainted with the leaflet and the information it provided were satisfied. Patients consider the benefit of the leaflet in that they can check the needed information and that they can write down in the leaflet questions for the nurse and write down notes. The analysis of the interviews has also shown that patients wish to complete information in the leaflet by a discussion with the nurse. The role the nurse is irreplaceable and the most effective method is to use the printed material together with a discussion. The results of this paper shall be applied in the work of nurses to provide quality information to patients with an intravenous port catheter.
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