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The administration of risky drugs as a nursing problem
KOUKALOVÁ, Kristýna
This bachelor thesis deals with an issue of hazardous medication administration and with risks in their storage, ordering and disposal. The aim of the thesis was to find out a quality of experience and knowledge of nurses in the field of hazardous medication as well as their knowledge of the specifics connected with administration of this medication. To fulfil the aim, two research questions and two hypotheses were set. What is the nurses´ experience in the field of hazardous medication administration? What is the nurses´ knowledge of the specifics of hazardous medication administration? Hypothesis no.1: General nurses´ knowledge of specific administration of hazardous medication is influenced by the length of their practical work. Hypothesis no.2: General nurses´ knowledge of specific administration of hazardous medication is sufficient. The research survey was performed through a combination of qualitative and quantitative research methods. In the framework of the qualitative technique, a half-structured interview with individual general nurses was performed (11 respondents) and in the framework of the quantitative research, a non-standardised questionnaire for general nurses (100 respondents) was used. From results of the quantitative research survey is obvious that the general nurses (87%) have knowledge in the field of hazardous medication and they are sufficiently informed about the specifics connected with hazardous medication administration. They know the whereabouts of internal directives of their hospital in the case of emergency, which instruct them how to react in a particular moment or situation. Only one respondent stated that she had been informed only perfunctorily and signing the directive had been the most important. Results of the qualitative research survey revealed that most of the respondents know the hazardous medication, where and how they are stored and what is the right way of their disposal. Four respondents admitted no knowledge of LASA medication. This fact was surprising because the respondents were general nurses with a long practical experience. It was presumed that they would know this field after so many years. In the conclusion, it is possible to state that most of the respondents have very good knowledge of an issue of administration, storage and disposal of hazardous medication. It is possible to state that those respondents who have no sufficient knowledge of hazardous medication issue, have insufficient or missing training in this field. Following this, the thesis was supplied with an information leaflet with a clear outlook of principles of dealing with medication, its storage and disposal, which is inserted as a supplement in the bachelor thesis.
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Preparing and administering medicaments by hand or by an instrument
ŠEBENDOVÁ, Jana
I found out in this thesis the way nurses handle medicaments. What preparing and administering medicaments is like, and whether they prefer their own hands or an instrument in their work. This subject started to attract me for the reasons of an untraditional view of nurses{\crq} everyday work because they get in contact with preparing and administering medicaments several times a day. It was also interesting to compare the theoretical part with the practical aspects of the matter. In the theoretical part I outlined the entire knowledge nurses are to have not to endanger themselves or the patients in the course of handling medicaments. Nurses have to know the terminology related to medicaments, further what forms of medicaments there are, what effects may be expected, they are also supposed to know the manner of the application of medicaments, the manner of preparing and administering medicaments, what mistakes nurses may meet with when working with medicaments and what roles nurses have when administering medicaments. I am focusing especially on administering medicaments orally. The objectives of my thesis was to survey in what way nurses conduct hand hygiene before preparing and administering medicaments, whether they use aids intended for handling medicaments, in what way medicaments are prepared and administered to patients. To obtain results, I used the qualitative research. In total, 2 techniques were used. The first technique was hidden observation based on an observation list prepared beforehand, with activities connected with the subject in question. This observation was completed with a second technique {--} a structured conversation with open questions. Both the observation and the structured conversation were conducted in the intern section of the České Budějovice Hospital, a.s. The results may be given to the management of the hospital in which the research was conducted. They may also serve as a basis for a new standardisation of the subject in question.
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