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Quality of Patient Education in the Home Parenteral Nutrition Programme
Koťátková, Michaela ; Tomová, Šárka (advisor) ; Hromádková, Jaroslava (referee)
The bachelor thesis deals with the quality of education of clients who were included in the home parenteral nutrition program. The thesis is divided into the theoretical and empirical parts. Indications, contraindications, and history of home parenteral nutrition are described in theoretical part. Also, its division by types and the most often used vascular entrances. The characteristics of education in nursing, the educational process, its goals, evaluation, and method of creating documentation for the implementation of all phases of the educational process are also described. The method of the survey investigation is described in the empirical part. It was conducted by using of a quantitative method by distributing non-standardized questionnaires to clients who have already been educated or will be educated during the survey. The purpose of this thesis is to gain the knowledge about how clients perceive the way of education conducted at our workplace, what information they consider to be insufficient, missing, or incomprehensible, and on what information or educational materials they would still like to have. Based on the information obtained in this way, the comprehensive information brochure will be created, to serve clients a clear and understandable whole about home parenteral nutrition. And,...
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Problems of dosing during aplication gravity infusion.
PAVLOVÁ, Šárka
This bachelor thesis deals with the issues of gravity infusion dosage. The thesis is divided into a theoretical part, which describes the infusion therapy, techniques of infusion and invasive inputs. Two research goals were set - to map the differences in the incidence of errors in the dosing of gravity infusions in relation to the focus of the field of nursing (surgical and internal medicine) and to find out the specifics of the work of a nurse in the application of gravity infusions. In terms of the first goal, the hypothesis was set: H1: There are differences in the incidence of errors in the dosing of gravity infusions in relation to the focus of the field of nursing (surgical and internal medicine). The second goal is related to two research questions, RQ1: What are the principles of gravity infusion? And RQ2: What are the major problems with gravitational infusions? The research survey of the quantitative part took the form of a questionnaire on the social aspects, with a total of 105 respondents. The results were graphically processed and supplemented with verbal commentary. The hypothesis was verified using a chi-square test. For the H1 hypothesis, the chi-square test result was p = 1.70 %, which was compared with a significance level of 5 %. The result therefore shows that HA is right: There is no difference in the incidence of errors in the area of gravity infusion dosing in the surgical and internal medicine departments. The qualitative part of the research took the form of a non-standardized structured interviews with four nurses working in the internal medicine or surgery department. This part was used to get acquainted with the principles of application of gravity infusions and fundamental problems in the field of infusion therapy. Research has shown that nurses do not have enough information about the possibilities of calculating the rate of gravitational infusion, or do not use it due to its length or complexity. This bachelor thesis can serve as an inspiration for nurses to provide quality nursing care for patients.
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PICC catheters and their use in healthcare
POTUŽÁKOVÁ, Tereza
This Bachelor's thesis focuses on peripherally inserted central catheters (PICC) and their use in health care. Peripherally inserted central catheter is a form of central venous access. This catheter is inserted into a vein in the upper arm using ultrasound navigation (Charvát et al., 2016). The aim of the Bachelor's thesis was to determine the level of experience of the medical personnel with the PICCs and the specifics of nursing care for patients with PICCs in selected departments (oncology, ICU). Next, the goal was also to identify the patients' experience with the inserted PICC. The empirical part describes a qualitative research survey that was carried out in the form of semi-structured interviews. The research group was selected intentionally and consisted of eight nurses experienced in PICC care and eight patients with PICCs. The interviews were processed by an open coding technique using a pen and paper method. When evaluating the interviews with the respondents, nineteen categories were created and further elaborated based on the area of focus. The results of the research show that the experience of medical personnel in various medical institutions differs. None of the nurses participating in the research took a special course or were educated in care for PICCs. Only three interviewed nurses took part in training, where they obtained the basic information needed to properly care for the catheter. The specifics of nursing care also varied slightly, for example in the intervals of rinsing the catheters, the type of material used for dressing, or the education of patients. The patients' experience with PICCs seemed to be very good. The patients were satisfied with the catheters and the treatment was very comfortable.
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