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The Problems of Application of Intramuscular Injection
Stejskalová, Martina ; Pavlíková, Pavla (advisor) ; Eislerová, Iva (referee)
This bachelor thesis deals with application of intramuscular injections that are carried out by nurses in all areas of health care as their frequent daily activities. The objective of this study was to determine whether nurses have sufficient knowledge of the intramuscular injections use, what needles they choose for application on cachectic and obese patients, what injection site they uses mostly, the degree of their knowledge of the Z - tract method, their experience with complications in practice, and finally whether they observe all the principles of the safe and effective application of the intramuscular injections. Parenteral drug injection, needles, preparing doses from bottles of medicines and ampoules are mentioned in brief in the theoretical part. The applications of the intramuscular injections, stab points, the patient positions for application, application procedures, the method of Z - tract, specific applications and special attitudes to children and possible complications are described in the following chapters. The methodology and organization of the survey are depicted and the research findings are drawn in the empirical part of the thesis. General conclusions and proposals how to remove identified deficiencies are summarized in the end.
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The Problems of Application of Intramuscular Injection
Stejskalová, Martina ; Pavlíková, Pavla (advisor) ; Eislerová, Iva (referee)
This bachelor thesis deals with application of intramuscular injections that are carried out by nurses in all areas of health care as their frequent daily activities. The objective of this study was to determine whether nurses have sufficient knowledge of the intramuscular injections use, what needles they choose for application on cachectic and obese patients, what injection site they uses mostly, the degree of their knowledge of the Z - tract method, their experience with complications in practice, and finally whether they observe all the principles of the safe and effective application of the intramuscular injections. Parenteral drug injection, needles, preparing doses from bottles of medicines and ampoules are mentioned in brief in the theoretical part. The applications of the intramuscular injections, stab points, the patient positions for application, application procedures, the method of Z - tract, specific applications and special attitudes to children and possible complications are described in the following chapters. The methodology and organization of the survey are depicted and the research findings are drawn in the empirical part of the thesis. General conclusions and proposals how to remove identified deficiencies are summarized in the end.
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The wound risks of nurses by injection needle at working process
REIDINGEROVÁ, Alena
To work in a field of medicine is a vocation in which we are helping other people to keep, to find and to maintain their health. In performing her job duties a nurse can be threatened by various risk factors. One of these factors is an injury caused by contaminated needle. This injury can consequently cause to transfer more than twenty different kinds of contagious germs, viruses, bacteria and moulds. Unfortunately there is a general tendency to underestimate and not report such thrusts. This happens despite the fact that every nurse is aware of the possible risks connected with injuries caused by contaminated needle. The injuries of medical workers represent a very relevant and up-to-date topic. And there are a growing body of literature monitoring injuries caused by needle, or by another sharp tool and general impact of it on society. In my Bachelor{\crq}s work I have chosen to address questions of thrust and needle injuries among nurses in the working process. The research included a participation of nurses from standard wards a from intensive care wards in the Hospital České Budějovice, a.s. All the collected information is based on direct observations and interviewing. The obtained data were compiled in the form of quantitative research analyses. In my research I have focused on frequency of needle caused injuries among the nurses. I have investigated whether the nurses know preventive procedures and, if so, they adhere to these safety principles. Particular results obtained from the questionnaire{\crq}s survey collected among the nurses were then compared in relation to different areas - within particular hospital wards, between the standard wards and the wards of intensive care. I have also evaluated the nurses as a whole. My hypothesis concerning the higher frequency of needle injuries among the nurses working in intensive cares wards were confirmed by my research. The number of injured nurses at the intensive cares wards was higher by 16% than among the nurses working in the standard wards. My second hypothesis assuming that nurses know all the preventive precautions regarding the needle injuries were disproved by my research results. The research has shown that nurses do not know the safety proceedings, as only 36% of the nurses were able to describe at least three such proceedings. My third hypothesis concerning nurses{\crq} adherence to the safety principles preventing them from such-like injuries were also questioned in my research. As a matter of fact, only 48% of nurses who know the basic safety proceedings always follow these guidelines. My fourth hypothesis addressing supposed differences (between nurses at intensive care unit and standard units) in adhering to the standard approaches in injecting peripheral venous cannula was also confirmed. The resulting difference between the adherences to the standard procedures between each particular unit is 4%. It is my intention to offer the results of my research to the management of the Hospital České Budějovice, but also to the nurses themselves in order for them to realize the risks of possible injuries caused by needles and to introduce security systems for manipulation with sharp tools used in common practice.
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