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Nursing inspections and their meaning.
DANIŠOVÁ, Veronika
Present situation Nurse ward round is held at presence of nurses and other carers. A nurse and a patient are in permanent contact so nurse ward rounds have importance both for the nurse and for the patient. Nurse ward rounds are very important to ensure quality nursing work and for satisfaction of biological, psychical, social and spiritual needs of patients. The bachelor thesis "Nurse Ward Rounds and Their Importance" is divided into a theoretical and a practical parts. The theoretical part focuses on nursing and the role of a nurse, a description of the nurse ward round and its types. It also deals with the relations between the nurse ward round, the nursing process, education and important communication. The goals and the research questions The aim of the bachelor thesis was to find out whether nurses know the nurse ward round and whether they hold it at their ward or not. The last but not least aim was to find out the opinions on the nurse ward round among nurses. Three research questions were set to achieve the goals. RQ1: What is the importance of nursing ward round for nursing care? RQ2: How do nurses perceive the nurse ward round for their work? RQ3: What type of nurse ward round is most frequently applied at the ward? Collection of the necessary data was based on the semi structured interview. Methodology The qualitative research form was chosen for elaboration of the thesis and verification of the research questions. The research was performed at wards where nurse ward round is held and at wards where nurse ward round is not held. The anonymous research was performed with the consent of the nursing care manager, the head nurses and with the consent of the respondent nurses. Results The research has shown that the nurses that perform the nurse ward round at their ward are able to explain the term nurse ward round. On the other hand the nurses that do not perform the nurse ward round were convinced that they did perform it and started to describe a nurse report when asked what the nurse ward round is. After being given study materials and after some time they were able to explain the term nurse ward round as well. The research has shown that the nurses that perform the nurse ward round at their ward are very satisfied. Most of them stress better information on patients and coherence of the information. They appreciate the work in a team where each nurse has a sense for something different and they can give advice to one another in the team or plan further patient intervention together. They also like cooperation with the carers during the rounds. The nurses claim that the carers spend more time with the patients than the nurses themselves and thus the participation of the carers in the nurse ward rounds is important. The only see disadvantage in the time stress. The nurses that do not perform the nurse ward round think that it might improve their information on patients. Only one nurse is convinced that the nurse report is sufficient. They also stress that the ward nurse and the head nurse should have better awareness of her ward. Most of them are nevertheless unable to imagine that they could hold nurse ward round at their ward for insufficient time. Another finding was that at the wards where nurse ward round is held the big nurse ward round is used, in which the ward nurse, the shift nurses, in some cases also the carers and the nutrition specialist participate. The nurses also mention patient satisfaction. They claim that patient trust them more and more and they feel their involvement. Patients have also the opportunity to ask nurses questions that they allegedly otherwise would not ask anywhere else. Conclusion The bachelor thesis "Nurse Ward Rounds and Their Importance" outlines what the nurse round actually is and its importance for nurses as well as for patients. A brochure called "Pros & Cons of Nursing Ward Round" is going to be prepared from the
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Benefits and barriers to the transfer of information nurses at the bedside of patients.
MERUNKOVÁ, Michaela
The nursing handover report belongs to everyday activities of nurses. In the work of a nurse it is important to know exactly who, when, where, what and how. This is what the following activity and responsibilities of the duty period are derived from. This diploma thesis, focused on the Nursing Handover Report at a Patient´s Bedside, has a theoretical and practical part. The first, theoretical part, is composed of three chapters, the modern trend of nursing, the nursing report and legislation. The second, practical part, is based on quantitative and qualitative surveys with three defined objectives and four hypotheses. The first objective was to determine what nurses regard as a major contribution of the nursing handover report at a patient´s bedside. The second objective was to define the greatest obstacle in the nursing handover report at a patient´s bedside. The third objective was assessing the patients´ attitude towards the nursing handover report at their bedside. All three objectives were met by the research. The qualitative part of this diploma work was based on a conducted kvasiexperiment and subsequent questions for patients and nurses. The research sample was 5 nurses and 5 patients from the intermediate care unit (IMCU) and 5 nurses and 5 patients from the resuscitation station (RES) of the České Budějovice hospital, PLC. The semi-structured interview consisted of six to eight questions, surveying the feelings, contents, visualization, integration, advantages, disadvantages, departments, nursing handover at the bedside and the quality. The data collection was carried out by means of an anonymous questionnaire designed for nurses to find out how nurses hand the report over or how they would like to hand it over. 303 nurses from the České Budějovice Hospital, PLC, and the Příbram Hospital, PLC, took part in the research. The results were used to confirm or to reject the hypotheses. The first hypothesis: Nurses do not consider an oral handover report as a quality one when done without a visual completion, this has not been confirmed by the investigation. The second hypothesis: In terms of the risk of the patient's damage, the quality of the handover report done by the nurses in the IMCU and the RES is better than that done by the nurses in a standard unit, this has been confirmed. The third hypothesis: Nurses consider the time consuming nature of the handover report at the patient´s bedside as the greatest difficulty, this has not been confirmed. The fourth and last hypothesis: Patients have a positive attitude towards the nursing handover report at the bedside, this has been confirmed by the research. The output of this thesis is to suggest a standard for the nursing handover report at a patient´s bedside. The results can be used for nursing managers, deputy directors of nursing, medical students and nursing professionals.
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