|
|
Mapping nursing care issues from the perspective of nurses in patients with symptoms of aggression due to substance withdrawal in selected metabolic intensive care units
Kousalová, Hedvika ; Trnková, Ivana (advisor) ; Těšínský, Pavel (referee)
The thesis deals with the issue of nursing care in patients with manifestations of aggression due to substance withdrawal syndrome in metabolic intensive care units. A questionnaire survey was carried out among general nurses, paramedics, and nurse practitioners. Three sub-objectives were established: to identify the most frequently utilized nursing interventions related to the studied issue, to assess the perceived psychological and physical burdens on healthcare staff, and to gauge their interest in further education on this matter. The theoretical background of the thesis deals with definitions of substance use, types of substance abuse, withdrawal syndrome and specifics of nursing care for patients with manifestations of aggression, including education and legal aspects of the use of restraints in health care settings. To collect data for the research part, anonymous non-standardized questionnaires (see appendix) were used for general nurses and nurse practitioners working in metabolic intensive care units in selected university hospitals in Prague. The thesis concludes with a summary of recommendations for nursing practice in the area of nursing care of patients with manifestations of aggression after withdrawal from addictive substances based on a comparison of the results of the research...
|
|
| |
|
|
Self-defense for medical staff
JANŮ, Dominik
The bachelor's thesis Self-Defense for medical staff deals with an attack on medical staff and the readiness of medical staff for this attack. The theoretical part is focused on the basic definitions of self-defense, its classification and legal aspects. The research part of the bachelor's thesis detects the frequency of attacks on medical staff, their verbal and physical resolutions of conflict situations, experience with self-defense and means of self-defense. It also explore the ability of healthcare professionals to prevent conflict situations and examines the efforts to increas knowledge about self-defense and communication with aggressive patients.
|
|
|
Nurses experience with violence of patients side.
KREJČÍ, Natálie
The bachelor thesis deals with the nurse experiences with an aggressive patient. The objective of our bachelor thesis was to map the experiences of nurses with violence from patients. According to the stated objective, we set ourselves these research questions: What are nurses' experiences of violence from patients? What are the specifics of caring for an aggressive patient? We used qualitative research methods for our bachelor thesis. For ours nurses we devised half structured interviews. The research group was composed of twelve nurses, who have an experience with aggressive patient. The research results showed that nurses have experiences mainly with verbal aggression in the form of swearing and vulgarisms. Reaction of most nurses to verbal aggression was verbal reassurance, but nurses did not dedicate a lot of attention to nonverbal communication. In physical aggression, nurses usually use restraints, but most of nurses do not think that application of medication belongs to restraints. Further, nurses in physical aggression tried to call help, so they ensured their own safety. Nurses most often classify between restraints: protective belts and a room designed for the safe movement of patients. This restraints are most often used. In caring for a limited patient, nurses pay more attention to the patient's physical needs than to the mental ones. Furthermore, we found that nurses are not very often acquainted with the issue in the theoretical or practical part, for example through lectures or self-defence courses. However, all informants would like to be more educated in the given issue.
|
|
|
Self defense for medical rescuers
ŠILHAVÝ, Václav
Bachelor thesis titled "Self-defence for paramedics" concerns itself with opportunities of self-defence of paramedics in the Czech Republic. In the theoretical part this work focuses on contemporary structure of ambulance service and a composition of the ambulance crews in the Czech Republic. It also defines the "self-defence" term and delimits the difference between martial art and self-defence, its aspects and divisions. The theoretical base of the work also considers the psychological factors of the self-defence, explains the conflict and aggression and describes a body stress reaction. It also defines the legal terms related to the self-defence issues. The final chapter of the theoretical part shows model principles used in self-defence by J. Cooper. Practical part was elaborated in a form of qualitative research using the half-structured interview method. There is a comparation of the statements of nine members of the paramedic team in the South-bohemia. The major target of this work is establishing the statements of paramedics for self-defence and discover a level and possibilities of paramedic self-defence. Using these targets there were established two research questions: Which possibilities offers an employer in this area? Which possibilities do paramedics use and on which level? The research results show, that just a minimum of the informants concerns themselves with a self-defence. It can be caused by low appearance of aggressive patient contact. The most of informants mentioned that they experienced attacks very rarely. The employer does not provide any possibilities to improve the self-defence skills and level of their skills is not high, despite the fact that they get through some education during their studies. According the research the majority of the informants would like to attend any course or educate themselves in this area. This thesis could be used like a base for another research or like an educational text for final year students of paramedic programme.
|
|
| |
|
|
Comunnication between paramedics and aggressive patients in prehospital care.
ČÁP, Jakub
The thesis is entitled: Communications between paramedics and aggressive patients in prehospital care. The theoretical part thoroughly deals with the characteristics of a paramedic and patient as well as elaborating a definition of communication with subsequent divisions into communication structures, functions and forms. The topic is further developer and the issue of communication between aggresive patients and paramedics is introduced is the theoretical part. Subsequently, this chapter describes aggresion, its types, causes and solutions on the part of paramedics. Two objetives are defined in the theoretical part. The first objective maps out the procedures paramedics use when handling and aggressive patient before hospital admission. The second objective reveals the problems paramedics encounter when communicating with an aggressive patient. Three research questions were established to the above objetives: 1. Which method do paramedics use when dealing with an aggressive patient during their first contact at the scene of incident? 2. What communication techniques are used by paramedics when communicating with an aggressive patient? 3. Which problems do paramedics encounter in communicating with an aggressive patient? A qualitative research approach was used when elaborating the research part. Data was gathered in the formo of semi-structured interviews conducted using 14 questions. The target group consisted of 10 paramedics from South Bohemia. The results revealed that the paramedics are partly aware of the processes they can use when communicating with an aggressive patient. In terms of the communication issues the respondents agreed on the fact that their most common mistake consists in their failure to control their own emotions, and losing their temper when verbally attacked by the patients. The results of this thesis could help to increase or supplement paramedics´ awareness of the options for best practice when communicating or handling aggressive patients. Furthermore, the thesis could be used as source material for lectures on issues related to communication between paramedics and a patient.
|
|
| |
|
| |
|
|
Problems of Nursing the Patients Self-intoxicated in Suicidal Intention.
DRÁBKOVÁ, Iveta
Suicide as an individual event as well as a social phenomenon attracts great interest and attention in various spheres, both in the immediate environment of the self-murderer and in broader public. The definition of suicide differs according to authors and changes in the course of historical development. Most definitions are identical in two essential aspects of suicidal behavior. These are a voluntary individual's intention to terminate his life and a purposeful behaviour leading to death. Suicide is the conscious and intentional killing of oneself. About 95% of suicidal attempts are just acute intoxications by any amount or kind of a poisonous substance. Acute intoxication belongs to a group of serious conditions threatening human health and life. Acute poisoning is one of the frequent admission diagnoses in the Departments of anesthesiology and resuscitation and Intensive care units. 80% of poisonings are caused by drugs. Damage to the organism by ingesting a poisonous substance is the more significant the longer is the interval between the exposure to noxae and the professional medical assistance provision. For the future fate of the patient the medical equipment and the competence of health professionals who provide intensive care for these patients is crucial. After stabilization of all physiological functions, balancing inner environment of the patient and after the time that may have led to late complications of intoxication, the following phase of treatment is provided by psychological and psychiatric interventions. Determination of suicidal risk among the most common challenge in urgent psychiatry is suicide risk assessment. The aim is to prevent further suicide attempts. The objective of the thesis was to determine, with regard to the competence of nurses, the predominant character of patients´ experience after intoxication, and also the reasons for aggressive behavior of intoxicated patients towards the nursing staff. The third objective was to establish a standard of nursing care of intoxicated patients. The research was designed as explorative with the goal to map the nursing process in intoxicated patients and to provide information for the establishment of the standard of nursing care, which should include both somatic and psychological aspects. Quantitative and qualitative methods were combined. The outcomes of the thesis should lead to detection of the most frequent problems in nursing care for patients with intentional intoxication with suicidal tendency and the establishment of nursing standards to help improve the care of these patients.
|
guest ::
