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Nurses´ awareness of causes of syncopal states
FOUSKOVÁ, Jitka
Introduction: Syncope is a symptom occurring with disorder of the cardiovascular or autonomic nervous system. It is manifested by a transient loss of consciousness caused by insufficient blood supply to the brain, usually it is associated with loss of balance. After regaining consciousness, there is no impairment of neurological function. Syncope occurs at all age categories. A large portion of the population experiences it during their lifetime. It is important for nurses to be familiar with the underlying causes of syncope so that they can be an equal partner to physicians in the diagnosis, treatment and care of such patients. Methodology: The quantitative research method was used to achieve the stated aims. The research was conducted in 4 South Bohemia hospitals with written permission of the head nurses. The results were collected using non standardised questionnaire to measure the level of nurses´ awareness of the causes of syncopal states. The obtained data were analysed and statistically processed using Microsoft Excel 365. Results: The research sample was made up of 242 respondents, which included nurses working in internal, cardiology, neurology, surgery, traumatology, orthopaedic and emergency departments. The results show that nurses do not have sufficient knowledge about causes of syncopal states. Better awareness is among nurses working in internal medicine departments and emergency departments (p = 0,007), nurses with higher education (p = 0,004) and experienced nurses with longer work experience (p = 0,032). Conclusion: The diploma thesis points out the importance of nurses in the care of patients with syncope, from which the need for nurses to be familiar with this issue is also evident. It emphasises the irreplaceable role of nurses in the multidisciplinary team.
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The nurse's role in the care of clients with schizophrenic disorders.
DOLEJŠÍ, Aneta
The empirical part of the thesis is processed by means of qualitative research with the technique of semi-structured interview. Subsequently, the data generated was processed using open coding, pencil paper method where the data was divided into five categories and eighteen sub-categories. The research population consisted of a total of 10 informants. They were nurses providing care to persons with schizophrenia disorders in inpatient acute, follow-up, as well as outpatient and community psychiatric care settings. The health care experience of these informants ranged from 2 to 30 years. The research population was selected by purposive sampling.
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The nurse´s role in the care of clients´ nutrition in retirement homes
SATRAPOVÁ, Štěpánka
The bachelor thesis is title "The nurse´s role in the care of clients´ nutrition in retirement homes." It contains four objectives. The first objective is to find out how general nurses evaluate the nutrition of nursing home clients. The second objective focuses on nurses' knowledge of the subject. The third objective determines whether the general nurse adheres to standards in the nutritional care of the elderly. The fourth objective is to find out what are the specifics of nutrition of the elderly. The bachelor thesis is divided into theoretical and practical part. The theoretical part describes nutritional specifics of the elderly, organ changes in old age, nutritional components and drinking regime. It also focuses on nutritional disorders in the elderly, malnutrition, obesity and dehydration. The last part is nutritional support for the elderly. The role of the nurse in nutritional care of the elderly, nutritional assessment, enteral and parenteral nutrition are described. The practical part includes results obtained from a research investigation. This part was conducted by qualitative investigation, semi-structured interview method and observation. The interview includes twenty-two open-ended questions and four questions involving identification of probands. For the observation, a table was previously created which includes thirteen aspects. The research sample consisted of ten general nurses working in a nursing home. From the results of the qualitative survey it is evident that most nurses use nutritional screening and physical examination in the form of measuring the client's weight to assess the nutritional status. It was also found that the level of knowledge of nurses is sufficient. The nurses are knowledgeable in the subject matter. They are knowledgeable about malnutrition and dehydration. It is also evident from the interviews that they are knowledgeable about the standard that deals with nutrition care for the elderly. The observation revealed the mistakes that nurses make when serving meals to the elderly. The main errors include not using clothing protection and lack of communication with the senior. Some of the more unimportant specifics of nutrition include a balanced and varied diet. It is important that the diet is adequately represented by all nutritional components.
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Impact of mental well-being of the nurses at selected wards during SARS-CoV-2 pandemic and the impact on the quality of care
VÁVROVÁ, Eliška
This bachelor thesis examines the impact of mental well-being of nurses in selected wards during the SARS-CoV-2 pandemic and the impact on quality of care. The SARS-CoV-2 pandemic has affected the health and lives of millions of people worldwide. The burden was particularly high for frontline nurses who provided care to patients with SARS CoV 2 disease. Long-term psychological strain can cause nurses to make mistakes and reduce the quality of nursing care. The theoretical part of the thesis is devoted to the characterization of SARS-CoV-2 disease, the development of the pandemic and risk factors. It also focuses on job performance of nurses during the pandemic and its impact on their mental health. Furthermore, the thesis deals with risk management of healthcare facilities, communication and management of adverse events in healthcare, and especially quality management in nursing during SARS-CoV-2. The practical part of the Bachelor's thesis is based on a qualitative research investigation, which was conducted using a semi-structured interview technique. A total of 10 nurses who worked in the so-called covid unit were interviewed. The practical part includes the establishment of four objectives. The first objective was to map the nurses' personal experience of the SARS-CoV-2 pandemic. The second objective was to explore the prevalence of mental health problems among nurses during the SARS-CoV-2 pandemic. The third objective was to take a closer look at the challenges of the nursing profession during the SARS-CoV-2 pandemic from the nurses' subjective perspective. The last objective was to pin down the extent of the impact of the SARS-CoV-2 pandemic on the quality of nursing care from the subjective perspective of nurses. The research data show that SARS-CoV-2 disease itself causes the greatest stress. The nurses asked perceived stress and emotional exhaustion very intensely during the pandemic. The support from their loved ones, family, friends or ward colleagues played a major role in their lives. The nurses considered the impact of the pandemic to be a new experience of caring for patients with SARS-CoV-2 disease and an art of adapting to change. Good communication and collaboration with supervisors are important to ensure quality care for patients with SARS-CoV-2 disease. The interview revealed that the nurses experienced a lack of support from their supervisors during the SARS-CoV-2 pandemic. The research data include unexpected insights into the good teamwork that all nurses agreed on. Regarding the quality of nursing care, uncertainty in disease progression was found to be the greatest complication, but the nurses asked differred in their view on a deterioration in the quality of nursing care. This undergraduate thesis is meant to contribute to the research on the mental health of nurses working with SARS-CoV-2 infected patients, and to offer a simplified overview study of the impact of quality of nursing care during the pandemic. This work offers nurses a resource summarising all relevant information on the impact of well-being on the quality of health care.
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The role of nurse in pain management after major orthopedic surgery
LUDVÍKOVÁ, Marie
This thesis is concerned with the role of the nurse in pain management after major orthopaedic surgeries. The thesis covers the topic of pain and its division and describes the role of the nurse in pain history and pain assessment as well as their role in postoperative pain management. Last but not least, the thesis focuses on the topic of alloplasty of large joints and anaesthesiology, namely the types of anaesthesia. The three main objectives set prior to the research were to map the role of the nurse in the management of postoperative analgesia after major orthopaedic surgeries, to assess the effect of different types of anaesthesia during surgery on postoperative pain intensity and the subsequent analgesic consumption, and to map the usefulness of epidural catheters in pain management in patients after major orthopaedic surgeries. Based on the stated objectives, the research question was established: What is the role of the nurse in the management of postoperative analgesia after major orthopaedic surgeries? This research was conducted using semi-structured interviews with nurses working in orthopaedic ICUs. The quantitative part of the research was conducted using two questionnaires to test hypotheses regarding whether there is a difference in postoperative pain intensity and subsequent analgesic consumption related to the type of anaesthesia used and whether pain is better managed in patients after major orthopaedic surgeries who have an epidural catheter in place. The first questionnaire was completed by nurses working in the orthopaedic ICU, but it was aimed at collecting the patient data so the patients' nursing records were needed for completion. The second questionnaire collected data from nurses working in orthopaedic ICUs and standard beds.
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The role of nurse in the pharmacotherapy team
Hašková, Martina ; Heczková, Jana (advisor) ; Jeřábková, Lenka (referee)
This diploma thesis deals with current pharmacotherapeutic care with a focus on activities that nurses take part in. The aim was to collect and evaluate the views and experiences of selected nurses regarding their role in pharmacotherapy team, particularly what activities they perform in such team and how their pharmacotherapy teams work in general. SWOT analysis was then used firstly to evaluate the current role of nurses and secondly to suggest a way of implementation of possible extension of nurses' competencies in pharmacotherapy. In order to collect the required data, semi-structured interviews were conducted. These were recorded, so they could be easily processed afterwards. During transcription of the interviews into written text, all the collected data was briefly analysed. The data was further analysed using the open coding method, when three main categories with specific subcategories and subcodes were identified. All the selected men and women, which were asked for cooperation, are people working as a nurse without supervision and mentoring. Based on their career history all of them were expected to have a more specific experience with the issue. The respondents were mainly nurses with long-term working experience, often working in middle or senior management. When selecting the future...
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Management of nursing care of the patient with intracranial hemorrhage
LESÁKOVÁ, Barbora
The diploma thesis deals with a problematic of management of the nursing care by a patient with intracranial hemorrhage. Most of the patients who survive intracranial hemorrhage stay permanently reliant on the care from others. That is why it is so important for this care to be as qualitative as possible and to have a fluent continuity. The aim of the thesis was to find out what is the role of a nurse by the patient with intracranial hemorrhage, then also find out, if the nurses know the warning signs of a worsening state of such patient, how do they cooperate with his/her family and what are the possibilities of the following care. In the empirical part of the diploma thesis, qualitative-quantitative research was used. For a complex view on a management of nursing care, the chosen technique of research was semi-structured questionnaire with patients with intracranial hemorrhage and non-standardized questionnaire with nurses who take care of these patients. For the quantitative part of the research, two hypotheses to two aims of the diploma thesis were set. Both hypotheses weren't proven by statistical methods. For qualitative research, four research questions were set. The respondents described the role of a nurse, especially in helping the patient, in rehabilitation and in also her role in educating the patient. Addressed respondents agreed on appropriate and swift reactions of the nurses in case the state of the patient starts to worsen. The cooperation of nurses and families is according to the patients without problems. It showed in the interviews with respondents, that there is a problem with insufficient awareness of the patients about the existing possibilities of following care. The outcome of the diploma thesis is a coherent educational material about nursing care by a patient with intracranial hemorrhage, which can serve to either the students or the nurses taking care of these patients.
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Well-informed patient - better colleague for glaucoma treatment
Hájková, Olga ; Mareš, Jiří (advisor) ; Gigalová, Veronika (referee)
in English Intitution : Institute of Social medicine LF UK in HK Department of nursing Title of the thesis: Well informed patient - better colleague for glaucoma treatment Supervisor: Prof. PhDr. Jiří Mareš, CSc. Number of pages: 72 Year of the presentation: 2015 Key words: glaucoma, intraocular pressure, glaucous, glaucoma medication, education, role of the nurse, questionnaire, range of question, research My bachelor's thesis deals with the glaucoma disease which appears in the population all over the world. Literature states that it is the second-leading cause of blindness of people over 40 years old in the world. The most important prevention of such an impact as blindness is to detect and treat the glaucoma as soon as possible. The theoretical part of my work describes this disease, its subtypes, methods of investigation, diagnosis, and medical treatment.
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Health literacy in patients with diabetes mellitus of the second type
VLČKOVÁ, Markéta
The aim of this diploma thesis was to assess a level of health literacy of patients with diabetes mellitus type 2, describe the nurse's competences in the field of patients' level of health literacy and map the occurrence of podiatric outpatient clinics in Czech Republic. In theoretical part, we were discussing the health literacy in nursing, what the health literacy means and why it is important to improve it. We mentioned the education and the role of nurse in nursing and how this role is related to health literacy. Then we focused on diabetes mellitus type 2, its characteristics, prevention, development of disease, treatment and the most common complications related to this disease. The lifestyle is closely related to this disease, therefore the rules of a healthy lifestyle are mentioned in the last section of theoretical part. Research part was divided into three areas. The first areas consisted of interviews with general nurses working in general practitioner's outpatient clinics. The second area consisted of two research groups. One group consisted of nurses working in inpatient wards and nurses working in specialized diabetological outpatient clinics. Second group consisted of patients with diabetes mellitus type 2. Third area was created with two interviews and participant observation. The research was conducted in cooperation Professor Kvapil and two nurse educators who are actively engaged in education of patients with diabetes mellitus and they are trained by Lilly Company. The research showed that increasing of health literacy depends by the greatest part on patient him-/herself, his/her interest, cooperation and attitude to change of his/her lifestyle. The most active nurses in the field of increasing health literacy were nurses working in specialized diabetological outpatient clinics, who are trying to increase the health literacy particularly by educational sessions with patients. Mapping the presence of podiatric outpatient clinics showed that these clinics are available in each region of Czech Republic. It is very important to improve the health literacy of patients with this disease thereby strengthening their health and reducing the risk of complications associated with this disease. The results of the research provide information about increasing the health literacy in relation to diabetes mellitus type 2.
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Insulin Therapy from A Nursing Perspective
JELÍNKOVÁ, Kateřina
Diabetes mellitus is a serious and incurable disease prone to specific complications, known since 1550 BC. Recent international studies have shown that approximately 347 million people suffer from diabetes and the number is still increasing. Diabetes is treated by taking dietary measures; in addition to diet and oral antidiabetic medication, exogenous insulin intake is the ultimate treatment option. It was the exogenous insulin administration in 1922 that brought up a revolution in the treatment of diabetes mellitus. Since then safer and user-friendlier insulins have been and still are developed. Insulin is stored in liquid form in vials or cartridges and is only administered intravenously; however, it is assumed that an equally effective application method will be found in the future. The aim of the thesis is to map out the specifics of nursing care of insulin therapy clients and to answer the following research question: ?What are the specific needs of clients with insulin therapy?? ?How is the nurse involved in the education of the client in terms of insulin therapy?? ?Do insulin therapy patients have enough information about diabetes mellitus and insulin therapy?? The thesis consists of a theoretical and research part. The theoretical part deals with information about diabetes mellitus, insulin, insulin therapy and the role of nurses in care of diabetic patients. The research part encompasses an inquiry carried out as an anonymous interview where ten diabetic patients with insulin therapy were asked semi-open and open questions. The acquired data were transformed into case studies and categorization tables. The research questions were answered and the objective was achieved. In conclusion, the research suggests that patients do not have enough information about diabetes and insulin therapy. Specifics of the nursing care of diabetic patients with insulin therapy depends on the patient's needs. Most patients mentioned the need for contact with other diabetic patients. Nurses are involved in the education of patients with insulin therapy primarily as teachers of application and handling the insulin pen. This thesis served as the basis for the creation of an educational material for nurses. This material may prove helpful for nurses as a guide in the process of training diabetic patients to use the insulin pen. Alternatively, it can be used by medical care students as a learning resource.
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