|
|
Management heavily and extremely premature new - borns in the early o'clock post partum from nurse aspects
ŠIMKOVÁ, Barbora
This bachelor thesis focuses on management of heavily and extremely premature newborns, particularly in the first hours after birth and from the nursing point of view. The theoretical part of the thesis deals with premature birth and early treatment of heavily and extremely premature newborns after the birth and resuscitation. It also deals with necessary oxygen treatment of premature newborns and developmental psychology of heavily and extremely premature newborns. The biggest portion of the theoretical part is dedicated to thermal management of newborns as this is one of the crucial preconditions for survival of heavily and extremely premature newborns. Thermal losses can be prevented and subsequent complications resulting from thermal losses can be avoided by appropriate nursing care and timely measures. In the practical part of this bachelor thesis two objectives were set and two hypotheses were established relating to the objectives. The first objective was to find out about the current condition of nursing management of heavily and extremely premature newborns in the first hours after birth. The hypothesis established for the purposes was: Nurses primarily provide for thermal management of newborns. The second objective was to determine whether the nurses taking care of heavily and extremely premature newborns follow the nursing standards in effect at their workplaces and the related hypothesis was: Nurses taking care of heavily and extremely premature newborns follow the nursing standards in effect at their workplaces. The following part of the bachelor thesis consisted of a survey which employed a quantitative method of data collection, by means of anonymous questionnaires distributed in selected perinatology centers to pediatric nurses. 85 questionnaires were distributed in total and 71 were returned and subsequently processed. Both objectives of this bachelor thesis have been met by means of the questions in the questionnaire and both the hypotheses have been confirmed.
|
|
|
Nursing of puerpa apter discharced form hospital form family midwifeis perspective
FIEDLEROVÁ, Jiřina
Confinement period {--} puerperium {--} is a difficult period for a woman after childbirth in terms of somatic and psychological aspects. The thesis deals with the issue of confinement, care for the mother after discharge form hospital and the role of an outpatient midwife. Following objectives were stated to find out: if women after delivery will need the assistance outpatient midwives may provide them with; if mothers are interested in such assistance; if women need professional help in the treatment of episiotomy, breastfeeding, right lifestyle and child care after being discharged from hospital; if women have enough information where to seek professional help in the event of complications.
|
|
|
Communication with a prenatal individual and with child on first days after labour
PETROUŠOVÁ, Lucie
This bachelor work has been realised as a research work and consists of two parts, theoretical and practical. The theoretical part deals with the description of antenatal period, the interaction between mother and child and psychologic antenatal findings where antenatal communication with an unborn child plays an important role. A cardinal part of the work depicts the role and psychosocial attitude of the midwives who take care of mother and unborn child. In addition, the importance of the first mother-child contact soon after delivery is highlighted. The practical part represents the research work. Two questionnaires were used to prove the initial hypotheses. Hypothesis 1: ``Close family members communicate with their unborn child during the pregnancy`` and hypothesis 2: ``Mother-child communication is enabled to start soon after the delivery`` have proved. Altogether 250 questionnaires were distributed, 140 of them to pregnant women and 110 to women after delivery. 229 questionnaires, 92 %, were completed and given back. However, the final set of correctly completed questionnaires, which could be surveyed, consisted of 126 (100 %) given back by pregnant women and 103 (100 %) by women after delivery.
|
|
|
Observance of anti-epidemic measures by neonatal ward staff.
CEAOIOVÁ, Jana
At the neonatology department the anti-epidemical regime from the nursing point of view is focused particularly on the blockage of possible infection transfer ways and prevention of the hospital infection at the newborn baby who has hypo-immunity during this period and therefore he/she is more sensitive and endangered by the infection occurrence. Individual parts of the anti-epidemical regime create a barrier system of the newborn nursing care which is necessary to be regarded from the nursing point of view as a complex of precautions. They have to be followed in their complexity as this is the necessary condition which guarantees that the barrier system will provide the baby with the safe protection against the hospital infection during his/her stay at the neonatology department. The Bachelor thesis with the name Observance of the anti-epidemical regime by the nursing staff at the neonatology department is divided into two parts. The theoretical part describes particular components of the nursing barrier system preventing from the infection transfer focused primarily on disinfection and sterilization, hygiene and disinfection of hands and handling with sanitary linen. The research part of the work deals with the results of the nursing research. The research investigation was carried out by means of the qualitative research. Methods of the non-standardized interview and the involved hidden observation were used for data gathering. The research group consisted of five children´s nurses and one midwife working at the neonatology department in the Hospital České Budějovice a.s. In the Bachelor thesis there were set three aims and three corresponding research questions. The first aim tried to find out if the nursing staff knows and follows disinfection and sterilization precautions, the second aim established if the nursing staff knows and follows standard procedure for hand washing and disinfection and the third aim stated if the nursing staff knows and follows the correct handling with the sanitary linen. The first aim involved the research question how the nursing staff knows and follows disinfection and sterilization precautions, the second research question connected with the second aim asked how the nursing staff knows and follows standard procedure for hand washing and disinfection and the third aim involved the research question how the nursing staff knows and follows handling with the sanitary linen. The author tried to find out whether the nursing staff working at the neonatology department knows and follows some performances from the selected parts of the barrier nursing system concerning the disinfection and sterilization, hand washing and disinfection and handling with the sanitary linen. On the basis of the provided interviews and observations the Bachelor work concludes that the nursing staff working at the neonatology department knows and also follows the principles of the selected parts of the barrier nursing system care for the newborn babies. The author supposes that the results of the Bachelor thesis research investigation could be used as information material for a seminar concerning observation of the anti epidemical regime held for midwives and children´s nurses working at the neonatology departments.
|
|
|
Nursing care for newborns with most common inborn developmental defects
KALOUSOVÁ, Michaela
The topic of the bachelor thesis is the nursing care for newborns with most common inborn developmental defects. Inborn developmental defects undoubtedly represent a significant problem of the neonatal age. Children with inborn developmental defects make up 3,5-6 % from the total number of children born and only one third of the defects is found out in the neonatal age. Inborn developmental defects vary from insignificant deviations to defects threatening life. Although the care for newborns with inborn developmental defects is conferred on specialized neonatology workplaces it is very important for all those who provide the first treatment of the newborn baby to master the basic principles of this specific nursing care and to master among others also its theoretical part. The treatment of a newborn with a an inborn developmental defect is always specific for the particular defect and it is therefore vital to secure correctly the newborn baby's needs and to avoid all risks that could be caused by unprofessional treatment. On this basis the goal of the paper was set. It is the goal of my research to find out the level of theoretical preparedness of children's nurses and midwives for care for newborns with inborn developmental defects. To determine this goal two hypotheses were set on the basis of which was prepared an anonymous questionnaire aiming at finding out the theoretical preparation of children's nurses and midwives for the care for newborns with chosen inborn developmental defects (IDD). There where 35 questions in the questionnaire. The surveyed group were children's nurses and midwives working with newborns in chosen hospitals. In total 140 questionnaires where handed out of which 59 % where handed back. The interpretation of results is based on the number of 83 respondents. The research proper was carried out in 7 hospitals in different regions of the Czech Republic. The results of the research were, according to my opinion very good. The premise of the first hypothesis was that children's nurses and midwives are well prepared for the immediate postnatal care for newborns with IDD. This premise was confirmed. Almost all questions concerning the care for newborns and theoretical knowledge were answered correctly by more than 75 % of respondents. In many questions the correct answers varied between 80-100 %. The means of correct answers is 86 %. The premise of the second hypothesis was that children's nurses are better prepared for the immediate care for newborns than midwives. The total number of correct answers of children's nurses was 1485 (50,24 %) and the total number of correct answers of the midwives was 1471 (49,76 %), which cannot be considered a significant difference. The second hypothesis is therefore not considered confirmatory. The research has shown that the level of theoretical preparedness for care for newborns with IDD is very good in both the children's nurses and the midwives. However there are always areas where the knowledge could be further promoted.
|
|
|
Newborn hearing screening in the hospital České Budějovice.
ČÁCHOVÁ, Jana
This bachelor{\crq}s thesis deals with the screening of hearing of newborns in the Hospital of České Budějovice a. s. The results of the screening of hearing of all the children born in the Hospital in České Budějovice from 1.1. 2007 to 31.12. 2008 are stated here. The screening was performed by the method of establishment of presence of transiently evoked oto-acoustic emissions by Echo Check and Echo Screen devices. During the examination of newborns, the Hospital of České Budějovice a.s. and the Faculty of Health and Social Studies of the University of South Bohemia co-operated closely. The examined newborns were divided into two groups. The first of them, physiological newborns (not endangered group) are children, hospitalized at the station of physiological newborns. These children were born without apparent risks and their adaptation after the birth succeeded without complications. The second group, pathological newborns, (endangered group) are children hospitalized in the stations for pathological newborns; each of them has at least one of the following risks: positive family anamnesis, prenatal infection, weight under 1500 g, perinathal hypoxia, controlled and supporting ventilation, long-term oxygeno-therapy, jaundice VT or limit jaundice, neuro-infection, aminoglykosides, glykopeptides, diuretics, inherent impediments of the head and neck. The target of the thesis was the timely finding of hearing impediments of babies born in the Neo-nathological Department of the Hospital of České Budějovice a.s. This target was reached successfully. It follows from the results of this thesis that the share of endangered newborns with the absent transiently evoked oto-acoustic emissions at least on one ear is higher in the group of endangered newborns in comparison with non-endangered newborns, and there is a higher share of hearing defects in the group of pathological newborns in comparison with the physiological newborns. The postulated hypotheses were confirmed by these findings. This bachelor{\crq}s thesis shows the feasibility of the blanket screening in our conditions and its necessity for the timely discovery of hearing impediments and malfunctions.
|
|
|
Expectations of mothers hospitalized at childbed ward, in newborn-care area
KÁLALOVÁ, Andrea
Bachelor{\crq}s thesis entitled ``Expectations of mothers hospitalized in the maternity ward in the field of newborn care{\crqq} has a research nature. The work is divided into two parts {--} a theoretical part and a practical part. The theoretical part has seven main chapters. The first chapter is devoted to the psychomotor development of the newborn. The second chapter is devoted to newborn care in the labour ward. The third and fourth chapters are devoted to nursing care in the newborn ward and to the needs of a newborn. The fifth and sixth chapters are devoted to breastfeeding and formula milk. The last chapter is devoted to discharge and care at home. The practical part is devoted to research. The aim of the work was to map out expectations of mothers hospitalized in the maternity ward in the field of newborn care and to find out the level of satisfaction with the nursing care of the newborn among mothers after childbirth. In order to prove or reject the hypotheses, I used a questionnaire with 16 questions. 115 questionnaires were handed out, 105 were returned. The rate of return was 91%. The results were translated in to graphs. The sample for the questionnaire research consisted of mothers on the third day after childbirth hospitalized under the rooming-in system; there were 100 mothers in the end sample. In the first hypothesis I presumed that mothers expect to gain basic information {--}especially practical - on providing basic needs in the care of the newborn. On the basis of processing the data obtained it was found that mothers prefer individual theoretical discussions with practical examples. The first hypothesis was therefore rejected. In the second hypothesis I presumed that mothers are satisfied with the provided nursing care of the newborn. The second hypothesis was proven; mothers are satisfied with nursing care provided. I would like to inform the nurses in the newborn ward about the results of my research.
|
|
|
Prevention of Precipitous Labour and Possibilities of Its Encompassment before Hospital Care
SÁKOVÁ, Erika
This thesis is aimed at mapping the possibilities of precipitate birth prevention outside medical institutions and the possibilities of its managing by ambulance service members. The term prevention covers a set of theoretical, organizational knowledge and practical skills in pre {--} hospital deliveries. The results of this thesis points out that the secondary health {--} care staff is theoretically prepared to assist at birth, but in practice they are not so sure. It is thinkink as subject matter for their dispersion They are able to attend the newborn after birth.
|
|
|
To what Serve the Babyboxes?
TOMÁŠKOVÁ, Pavla
The work is dealing, first of all, with establishing babyboxes in Czech republic. It interprets pro-and-con arguments from specialists, which are describing moral, law and technical aspects of that equipment. One part is devoted to the historical progress of social attitude to problem with unwished babies, in the Czech republic and in the Europe. Work is closing by a chapter of another alternatives to babyboxes. The main goal is to help the reader with making complete opinion of mentioned questions.
|
|
|
Nursing care and nourishment of premature baby
LONGÍNOVÁ, Ilona
NURSING CARE AND NOURISHMENT OF PREMATURE BABY A newborn baby isn´t a little adult, a newborn baby is basically a defenceless creature demanding a very complex care that aims at creating secure conditions for its life. It requires love, tenderness and a lot of devotion for the whole period of 24 hours. The bachelor´ s dissertation paper is dealing with the subject `` Nursing care and nourishment of a premature baby{\crqq} In the theory section the difference between a physiological and high risk newborn baby, the principles of care on the intermediary ward, the nourishment problems and the favourable consequences of breast feeding and breast milk not only on these children are described. Some of the aspects of the care are pointed out aiming at satisfying the basic needs of a baby. Dissertation objective: The paper itself is engaged in finding out something about how well mothers of high risk newborn babies, who are hospitalized on intermediary wards in Jindřichův Hradec and České Budějovice, are informed on a suitable care and nourishment procedures in their children. It should find out how far they have gone with their knowledge of the way their children should be taken care of before they leave the hospital. It is supposed to highlight the drawbacks of the staff , to remove these drawbacks and thus to improve the quality of care. Hypotheses: Two positive hypotheses were formulated referring directly to the particulars goals. 1/ The mothers who are hospitalized on the intermediary wards for newborn babies in Jindřichův Hradec and České Budějovice are aware of the necessity of properly nourishing the child. 2/ The mothers who are hospitalized on the intermediary wards for newborn babies in Jindřichův Hradec and České Budějovice are sufficiently informed about the proper care leading to meeting the needs of their children. Data Collecting: The research mentioned above was carried out on the intermediary wards in Jindřichův Hradec and České Budějovice. A questionnaire was composed to collect the relevant data. There were 22 questionnaires handed out in each ward and the research group was set up including 37 mothers of the hospitalized children. The questions included in the questionnaire referred predominantly to how well the mothers are informed about the child´s care and nourishing problems and they were supplemented with some identification. The gained information was properly processed and evaluated. The results were put in graphs. To get a more distinct picture of the results a pie chart was selected. The research results are assessed in the discussion and confronted with the hypotheses. Conclusions: Both the nourishing care and the nourishment of a premature baby are a subject involving a lot of medical, psychological and social problems. A maternity ward nurse plays a very important and definite role in the care of a premature baby. Supported by her profesonal abilities she is able to initiate such a method of work that reacts immediately to the needs of a child in a positive way. The educational contact with the child´s parents is eqally important and plays a very precise role. The fact how well mothers are informed is influenced by their age, by how much they are interested in getting information and its resources and how much they are willing to be educated by the medical staff on the intermediary wards in Jindřichův Hradec and České Budějovice where they are hospitalized with their children. The research results are very good.
|
guest ::
