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Communication in hearing impaired people in primary care
SCHMIDTOVÁ, Adéla
The bachelor's thesis deals with the issue of communication for people with hearing impairment in primary care and is divided into two main parts: theoretical and practical. The theoretical part focuses on an overview of various hearing disorders, primary health care and specific aspects of communication with patients suffering from hearing disorders. It also deals with communication barriers and principles that can affect the quality of interaction between health professionals and patients. The goal of the research part of the bachelor's thesis was to map how communication between a patient with a hearing disorder and a nurse in primary care takes place. In addition, the work was focused on identifying the most common barriers and assessing patients' satisfaction with the level of understanding during the provision of nursing care. A combination of qualitative and quantitative research methods was used to achieve these goals. The qualitative part included semi-structured interviews with people with hearing impairment, and the quantitative part included a questionnaire survey among nurses. The analysis of the data from the interview part took place by recording on a dictaphone, with the fact that I obtained verbal consent from all respondents. Recordings were deleted after data collection was completed. All the obtained data were transcribed into literary language and the results of the research investigation were analyzed using the method of text coloring. The same words were searched for in the answers of the respondents and then they were classified into individual groups with a similar focus. These groups were then categorized. Four categories and fifteen subcategories were created. Data analysis from the questionnaire survey was performed using IBM SPSS statistical software. The validity of the hypothesis was assessed using the chi-square test of independence and Fisher's exact test. The first research group included 15 people with hearing impairments. The second research set included 100 nurses who work in the offices of general practitioners, dentists or gynecologists. The results showed that successful communication between nurses and hearing-impaired patients requires adaptation to the individual needs of patients. The key elements of effective communication are slow and understandable speech, face-to-face contact, avoiding complex expressions and allowing mouth reading. These factors are essential to ensure that patients can understand the information correctly. Furthermore, the interviews showed that although most nurses follow the principles of effective communication, patients with hearing impairment emphasized the importance of creating a calm and suitable environment without distractions. The combination of the spoken and written word together with visual aids was rated as very effective. Patients also expressed a need for greater empathy and patience from healthcare professionals, with some respondents reporting a reduced quality of communication if nurses were engaged in other activities during the interview. Although patient satisfaction with communication with nurses was rated positively, several areas where improvement is needed were identified, particularly in the area of health professionals' attitudes and direct eye contact. Furthermore, it was found from the nurses' questionnaires that time constraints and high workload often prevent nurses from thorough communication. Quantitative research has shown that the level of knowledge of the principles of communication with hearing impaired patients differs significantly according to the level of education. Health workers with higher education show better knowledge than those with less education or specialized courses, suggesting that advanced education contributes to better communication skills.
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Interaction between a patient and a nurse during a transfer of human biological material.
KOPŘIVOVÁ, Natálie
Abstract: This bachelor thesis is devoted to communication between a patient and a nurse during the collection of biological material. Aims of the thesis: To explore communication barriers from the nurses' side during biological material collection. To learn about the patients' experience with communication techniques used by nurses during the selected biological material collections. To find out which communication techniques are used by nurses during the collection of biological material. Methodology and research population: For the fulfillment of set goals, a qualitative research in the form of semi-structured interviews aided with observation was implemented. The interview-based data were then analysed using open coding and Pen-and-Paper method (PAPI). The research population consisted of 11 nurses and 6 patients from hospitals in the South Bohemian Region and Vysočina Region. The research was carried out from February to March 2023. The criteria for the selection of nurses for our research was the execution of collecting biological material as part of their work at the selected workplace. The minimal experience of the nurses was 5 years for interviews and 2 years for observations. The patients were to undergo a selected biological material collection. Three categories and six sub-categories were found during the data analysis. Results: The research through observation showed us that many nurses communicate with patients professionally and adequately but some nurses omit or unsuitably use certain elements of verbal and non-verbal communication. Those include inappropriate addressing, violation of hygienic guidelines, lack of patient identification or failure to divert attention during procedures. Of course, no communication with the patient throughout the material collection is easy and comes with many barriers, be it language, space, misunderstanding, patient's unwellness or staff shortage at the workplace. Patients' experience with positive and negative attitude of the nurses varies in each facility. The results of the interviews revealed that smiling, eye to eye contact, empathy, attention diversion or verbal communication during material collection are essential for the patients. Recommendations for practice: The results of this work can be used as study material or guidance for nurses already working in the healthcare sector, but also for non-medical students. This will enable nurses to develop patient-centred communication skills that are essential for the provision of quality nursing care.
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The issue of communication with patients with hearing impairment as part of nursing care at a hospital with inpatient department.
DEKICKÁ, Petra
Abstract The bachelor thesis deals with the issue of communication of nurses with patients with hearing disadvantages within the framework of nursing care. Objectives of work: Find out what are the barriers in communication between the nurse and the patient with hearing disadvantage. Map the experiencedness of hearing-impaired patients in nursing care. Map nurses' communication knowledge and specific approaches to patients with hearing disadvantage. Find out the availability of accessibility tools and an interpreter in the inpatient department. Methodology and research set: Four research questions have been selected to achieve the objectives. What barriers occur in communication between nurse and patients with hearing disadvantage? What is the experie of patients with hearing disadvantages in nursing care? There are concerns about the communication between the sister and a patient with a hearing disadvantage? What is the nurse's experience and knowledge of communicating with patients with hearing disadvantages in nursing care? What form of communication will nurses choose in communication with patients with hearing disadvantage? What is the availability of facilitation or an interpreter in the department? The research investigation will be carried out by a qualitative research strategy, a form of anonymous semi-structured conversation will be used. The research package was made up of The data was converted into a text form, then the data was encoded. 9 nurses from three departments of two selected South Bohemian hospitals. The second set consisted of 8 patients with hearing disadvantage. The interviews obtained were recorded on a digital answering machine. Recommendations for practice: Include courses in nurses' education that can show the sisters how to communicate with a patient with a hearing disadvantage. Include in practice also pictograms, pictures of the finger alphabet, brochures that can facilitate communication with patients with hearing disadvantage. Last but not least, courses on how to use tools to facilitate communication. Use and contact of interpretation services in the treatment of such a patient.
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The barriers to communication with hospitalized seniors
Poklopová, Martina ; Kutnohorská, Jana (advisor) ; Vachková, Eva (referee)
Author: Martina Poklopová Institution: Charles University in Prague, Faculty of Medicine in Hradec Králové, Department of Social Medicine, Department of Nursing Title: The barriers to communication with hospitalized seniors Supervisor: doc. PhDr. Jana Kutnohorská, CSc. Number of pages: 104 Number of attachments: 5 Year of defense: 2016 Key words: communication, old age, senior, barriers to communication, dementia, hearing-impaired senior, visually impaired senior This Bachelor Thesis deals with the most frequent barriers to communication with hospitalized seniors from the perspective of nursing staff. The theoretic part of the thesis deals with communication in general, it defines words: old age, senior, aging, it acquaints with the specifics of communication with seniors. Special attention is paid to the communication with seniors with sensory and cognitive disorders. The empiric part of the thesis is comprised of the quantitative research focused on the detection and analysis of the barriers to communication with hospitalized seniors. The research took place in Rehamedica Žacléř, a. s., the medical facility for the long-term nursing care, and in Oblastní nemocnice Trutnov, a. s. The surveyed file is represented by nursing staff - nurses, nursing assistants, hospital attendants and orderlies. The survey...
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The issue of sexual dysfunctions in patients with cancer
HLAVEŠOVÁ, Blažena
The bachelor thesis deals with the issue of sexual dysfunctions in patients with cancer. Objectives: To determine the influence of cancer on the sexuality of patients and the quality of their lives, to describe the issue of sexual dysfunctions. To find out whether nurses are educating patients on sexuality. Methodology and research set: Four research questions were identified. How do cancer diseases and their treatment affect the sexuality of patients and the quality of their lives? How are patients informed about the issue of sexual dysfunction in connection with cancer and its treatment? What is the level of knowledge and experience of nurses with education in cancer patients in the field of sexuality? The qualitative research was used. Two research files were processed by open coding using the pencil-paper method and the data were categorized. The first group consisted of 10 patients determined by the snowball method. Five categories and 13 subcategories were identified. The second sample consisted of 10 nurses selected by the method of deliberate selection of nurses working in the oncology department or outpatient department in the South Bohemian Region. 4 categories and 11 subcategories have been identified. Results: It has been found that nurses do not educate patients in the field of sexuality. They do not have enough experience with education or knowledge, patients are rather taught by a doctor. Oncological diseases affect the sexuality of patients and the quality of their lives. Patients are not sufficiently informed about the issue of sexual dysfunctions related to cancer, they would welcome more information. In most cases, they are shy to ask their problems, the most common sexual dysfunction is the lack of appetite, thus manifested by a lack of interest in sex. They are more often informed about the treatment. Patients are greatly assisted by a partner or family. Use in practice: The obtained results can be used as a possible educational material for nurses to improve communication with cancer clients in the nursing process or as a suggestion for further research investigations.
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Communication with hospitalized seniors
Krausová, Jana ; Kutnohorská, Jana (advisor) ; Vachková, Eva (referee)
Name and surname of the author: Jana Krausová Institution: Charles University Faculty of Medicine in Hradec Králové, Department of Social Medicine, Departmemnt of Nursing Title: Communication with hospitalized seniors Supervisor: doc. PhDr. Jana Kutnohorská, CSc. Number of pages: 93 Number of attachments: 3 Year of defense: 2019 Keywords: communication, seniors, barriers to communication, old age, stroke, nonverbal communication, recommendation for communication The Bachelor's thesis deals with communication between nursing staff and hospitalized senior citizens with the primary diagnosis of stroke. The theoretical part focusses on clarifying the term old age and its manifestation. Furthermore, it discusses communication as a process both verbal and non-verbal which focuses on recommendations for communication in certain groups of patients. The last part of the bachelor's thesis provides an overview of patients with stroke. The practical part was evaluated with the help of the qualitative research method. The research was done in Oblastní nemocnice Jičín in the Department of Neurology. A number of six respondents were chosen. The researched sample only consists of patients of a senior citizen's age with diagnosed stroke. Predetermined research questions are evaluated based on the respondents' answers.
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The problems of communication between nurse and patients with dementia
CARDOVÁ, Lenka
This bachelor thesis deals with the problems of communication between nurses and patients with dementia. Aims of the Thesis: To find out what barriers there are in communication among nurses and patients suffering from dementia - mental, physical, and duration difficulties. To map out nurses´ experience in communicating with patients suffering from dementia. To find out how nurses communicate with patients suffering from dementia. Methodology and Research File: To reach goals set, three research questions have been posed. What barriers are there in nurses´ communication with patients suffering from dementia? What is nurses´ experience with communicating with patients suffering from dementia? How do nurses communicate with patients suffering from dementia while nursing? To carry out the survey, a qualitative approach was chosen, using a semi-structured interview as the data collection method. The semi-structured interview was accompanied by a long-term direct observation carried out in the after-care department. The research file consisted of 11 nurses from three departments of a chosen South-Bohemian hospital. A deliberate choice of nurses was carried out, the main criterion of being included within the research file was minimal nursing practice of 3 years of working in the given department. The data was processed using the pen-and-paper method using open coding, and the data was subsequently categorized. 6 categories and 14 subcategories were set. Results: The survey has proven that nurses are experienced in communicating with patients suffering from dementia, they have theoretical knowledge, as well as proven methods for communication purposes. Some nurses do use these communication methods in practice. Other nurses have (theoretical) knowledge of how to communicate, however they do not use these communication techniques in practice. Practical Recommendations: We recommend to include self-experience courses in communication with patients suffering from dementia as part of nurse education, where the nurses would not only gain theoretical knowledge, but also be enabled to rehearse their communication with that specific group of patients in simulated model situations, getting a feedback.
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The barriers to communication with hospitalized seniors
Poklopová, Martina ; Kutnohorská, Jana (advisor) ; Vachková, Eva (referee)
Author: Martina Poklopová Institution: Charles University in Prague, Faculty of Medicine in Hradec Králové, Department of Social Medicine, Department of Nursing Title: The barriers to communication with hospitalized seniors Supervisor: doc. PhDr. Jana Kutnohorská, CSc. Number of pages: 104 Number of attachments: 5 Year of defense: 2016 Key words: communication, old age, senior, barriers to communication, dementia, hearing-impaired senior, visually impaired senior This Bachelor Thesis deals with the most frequent barriers to communication with hospitalized seniors from the perspective of nursing staff. The theoretic part of the thesis deals with communication in general, it defines words: old age, senior, aging, it acquaints with the specifics of communication with seniors. Special attention is paid to the communication with seniors with sensory and cognitive disorders. The empiric part of the thesis is comprised of the quantitative research focused on the detection and analysis of the barriers to communication with hospitalized seniors. The research took place in Rehamedica Žacléř, a. s., the medical facility for the long-term nursing care, and in Oblastní nemocnice Trutnov, a. s. The surveyed file is represented by nursing staff - nurses, nursing assistants, hospital attendants and orderlies. The survey...
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Barriers in communication between nurse and terminally ill peadiatric patient
IMRAMOVSKÁ, Simona
Nursing care for paediatric terminally ill patients in the Czech Republic is continuously evolving and developing. It is important for the nurses to learn to use suitable communication. Theoretical part of this work includes information on terminal stages of illnesses in children and the corresponding care that should be provided. It further focuses on communication with the child and his/her parents. The theoretical background for this work is the conceptual Callista Roy Adaptation model for nursing applied on a paediatric terminally ill patient. The main aim of this work was to focus on revealing features in nurse communication with a child patient with regard to his/her medical diagnosis. We have focused on mapping medical diagnosis for paediatric patients in terminal stage of their illness that evoke communication barriers in nurses involved with the patients. Further step of this research was obtaining the information about the type of barriers the nurses evolve. Another aim was to create educational material for nurses based on information obtained from the research that would lead to improved communication between the nurse and the terminally ill child. A personal aim was also set in this work to gain necessary information and experience for the starting carrier as a paediatric nurse. Five research questions were posed to reach the aims of this work aimed at identifying communication barriers with regard to medical diagnosis child patient in the terminal stage of the disease, barriers in communication with a child patient in the terminal stage of the disease, evaluation of the quality of nurse communication with terminally ill child patients, use of communication aids in nursing care for these patients and we also wanted to know what changes in the communication with the terminally ill children the nurses experienced since the beginning of their working practice. The practical part is divided into two qualitative research investigations. In the first phase of this research eleven nurses working at paediatric oncology wards and eight nurses from hospice care aimed at child patients participated. Half-structured interview technique was used for the research. Based on the practical aim, second phase of the research consisted of evaluation of the impact educational material created as a result of the first phase of the research had on the nurses. The first phase of the research showed that the communication barriers are evoked in nurses by the following diagnoses: bone tumours, brain tumours and multiple sclerosis. Further barriers found in nurses regarding communication with terminally ill patients included: children above 12 years of age, lack of knowledge about suitable communication and about the patient, unsolved issues with own mortality, fear and embarrassment of possible mistakes and the patient personality. Nurses use many means of communication. Nurses noticed changes in communication that happened during their carrier; they mentioned more reassurance, more knowledge, better assessment of the children and suitable timing. They also feel better during the time of mourning, understanding the role of the parents; they feel more humble and respectful towards life itself. Nurses evaluate their level of communication with child patients very positively and have a will to educate themselves further. The nurses showed signs of psychological load. It was also revealed that a psychologist is not functional or altogether missing in their place of work. The second phase of the research showed that nurses welcomed and appreciated the educational material created for them, they found it useful in their nursing practice, they evaluated it as useful for beginner nurses. Based on this material a children book was purchased for the ward. The recommendation for practice is the use of the Callista Roy Adaptation model for nursing. I have personally gained both wide theoretical knowledge and experience from the interviewed nurses.
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