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Nutritional care about immobile patient on standard department of internal type
AMBLEROVÁ, Michaela
Nutritional care for immobile clients at a standard department of internal type becomes still more important, because nutritional care is important for maintaining good health and supporting quality of life. Nutritional status of immobile clients is very important to diagnose as early as possible in order to avoid all risks of potential complications. Adequate nutrition is also very important to maintain good mental health. The central objective of this work was to explore the specifics of nursing care in the field of nutritional care for immobile client at a standard department of internal type. Following this goal, three research questions were set up: How is the nutritional status of patients at a standard department of internal type assessed? What are the possibilities of application of nutrition for immobile client at a standard department of internal type? What are the specifics of nursing care in the fields of nutrition of immobile client at a standard department of internal type? The empirical part of the thesis was processed using qualitative research, which was realized through semi-structured interview technique. The interview contained 3134 questions, which focused on nutrition care for immobile clients on standard unit of internal type. The research sample consisted of nurses working in the standard department of internal type in the České Budějovice Hospital, a.s. Overall, this study leads to two findings, both positive and negative. Within the positive findings we can say that nurses provide adequate care in the application of nutrition per os. Negative findings relates to the fact that the interviewed nurses provide only basic care in case of the introduction of enteral and parenteral nutrition. They do not know more detailed specifics of enteral and parenteral nutrition. Based on this finding, we think it would be useful to organize regular seminars and trainings for nurses to expand their knowledge about this type of care, or at least remind it. This thesis can serve as an informational material for nurses in practice or students of other health professions. This work can serve also as a basis for further research.
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The influence of nurses communication skill in the patient care at Department of internal medicine.
RŮŽIČKOVÁ, Zuzana
The Internal Medicine Department (IMD) is servicing a wide spectrum of clients. Communication with this type of clients is putting high demand on nurses in the area of communication competencies. My diploma exam is focusing on this subject and is targeted to map the issues of mutual communication between nurses and their clients and point out the frequent errors which the nurses are making. The diploma exam is divided in two sections. The first section is purely theoretic and is focused on communication as such, communication barriers and communication competencies of the nurses. It analysis how the type of the patient´s ilnesses influences formation of communication barriers between the nurses and patients. My main effort in this section was to present summarised information concerning the problems of communication, provide description of the IMD, describe a profile of the nurse and define the types of ilnesses that are most often treated at the IMD. The second section of my diploma exam is describing the results of my qualitative research which I conducted. I have set three objectives for my research. The first objective did focus on communication competencies of nurses in the communication with the patients treated at the IMD. The target of my second objective was to establish how the seriousness of the patient´s illness influences the communication between nurses and patients. The third objective was focused to establish recommended improvements in the communication between nurses and patients, based on the research outcomes. To achieve the targeted results, I have created three research focused questions based on my pre-set objectives. I have used two types of methods of qualitative research to acquire and evaluate the desired data a structured interview and observation. The research sample consisted of two groups of respondents. The first group was represented by four health nurses working in the department selected South Bohemian hospitals. The second group was represented Eight patients who at the time of the research were hospitalized in the internal medicine department. The structure of observation of the behavior of one nurse in relation to two patients allowed me to define the divergencies of the nurse´s behavior in relation to different types of patients. Following the observation I have conducted a targeted interview with the concerned patients. I have collected the data at the IMDs in the hospital in Pisek and České Budejovice during the period from February 2014 to March 2014. The results of my research have been thoroughly analysed. To analyse the data I have applied the method of coding. The core results of the research have been summarised in tables and graphs. The results of the research questions and answers are allowing to determine following four hypothesis. The first hypothesis says: the communication competence of nurses consists of verbal and non-verbal communication. The second hypthesis says: the communication of nurses with patients is influenced by the frequency and the duration of the admission of the patients. The third hypothesis says: effects influencing the communication between the nurse and the patient include noise and co-patient sharing the room. The fourth hypothesis says: the nurse´s behavior is not influenced by the seriousness of the illness of the patient. The results of my research are highlighting the effects occuring in the mutual communication between the nurses and patients. The outcome of this diploma exam enables application of useful communication techniques in the daily contact of the nurses with the patients during their admission. Those techniques are supposed to improve and increase the efficency of the mutual communication between nurses and patients.
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Nursing diagnosis in current experience
MÍKOVÁ, Lucie
Title of the thesis is Nursing diagnosis in current practice. Objective of this thesis was to find what nursing diagnosis is determined on a standard department nurses most often, and determine the specifics of work with nursing diagnoses from the position of head nurses of a particular department. Nursing diagnosis is the name of the patient's needs, which are diseases violated.
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The difficulty of the work of nurses at standard level internal wards
KOLÁŘOVÁ, Markéta
This Bachelor's Thesis deals with the issue of the difficulty, or level of physical and psychological demand, of nurses at standard level internal hospital wards. The internal ward is one of the basic wards included in hospital care. It is here that patients with internal organ ailments are hospitalized, and treatment lies in a conservative approach. The work of nurses at a standard level internal ward consists in providing quality health and nursing care. The nurse knows all the illnesses that occur here as well as their treatment and complications. She is also expected to be empathic and patient. Because she is in daily communication with doctors, patients, and their families, she must know all the principles of assertive communication. The job description of the nurse includes satisfying the needs of patients, participating in diagnostic operations, fulfilling the orders of the doctor, and preparing nursing documentation. The sister does not always witness a happy ending to each treatment. All these factors place a burden on the entire organism from both a psychological and physical standpoint. The objective of this Bachelor's Thesis is to map out the difficulty of the work of nurses at a standard level internal ward. To achieve this objective, qualitative research investigation was carried out using a semi-structured interview. The research base was formed by nurses from the internal wards of the hospital in České Budějovice (Nemocnice České Budějovice a. s.) and the Jindřichův Hradec hospital (Nemocnice Jindřichův Hradec a. s.). The interviews with the respondents were transcribed into case reports and further processed into categorization tables. The results clearly show that the work of nurses at standard level internal wards is very difficult and demanding from both the physical and the psychological side. The case reports and tables also show another piece of important information ? signs of ?burn-out? syndrome and the influence of stress on the work of the nurses, relaxation techniques of the nurses, satisfaction with financial compensation, and much more. On the basis of the results, an informational brochure for nurses was drawn up that includes relaxation techniques such as autogenous training, meditation, and yoga.
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Coping with nurses´stress
PAPEŽOVÁ, Marta
The present bachalor{\crq}s thesis focuses on mental stress management among nurses working in departments of surgery and internal medicine. Today, when the health care has become more and more demanding in terms of professional expertise and social skills, this issue cannot be omitted. The thesis tries to observe the methods used by nurses in order to cope with mental stress while performing their job, it analyzes how such stress may influence the health care given, and lastly it tries to find out what the nurses are missing so that they can manage the mental stress. The survey was carried out by way of quantitative method. The data were collected from questionnaires. The survey focused on the target groups of nurses in the surgery departments in hospitals in Havlíčkův Brod, Jihlava, and Pelhřimov, and in the department of internal medicine in the same hospitals. First, there were defined three hypotheses. The survey outcome showed that the nurses in question give preference to using effective strategies in order to manage stressful situations than using inefficient and ineffective ones. They often make an effort to analyze the situation rationally and if needed, they ask for help, which proves correct the first hypothesis: Nurses try to analyze the situation objectively and solve the problem effectively. Most nurses are sure that the mental stress often influences the quality of the health care provided, that it has a negative impact on the relations with patients and communication between them and health care staff. The survey also found out that nurses who are mentally stressed out make mistakes. This proves the second hypothesis: Mental stress has a negative impact on the health care provided by nurses. The third hypothesis presumed that a lack of health care staff is the main cause for mental stress among nurses. This hypothesis has not been confirmed.The conclusion found out that all nurses lack auxiliary staff, qualified nurses, and quality personal background; some nurses also lack technical equipment, interest shown by management in their mental health, and enough relaxation because of time stress. Alarming number of nurses stated they increasingly do not find their work meaningful which leads to long-term feelings of exhaustion. A few nurses added that such situation makes them feel negative towards co-workers and clients which might be related to burnout syndrome. The outcome of the survey shall be handed to nurses in the departments of surgery and internal medicine in all hospitals to provoke more thoughts and also to the managements for further feedback and possible improvements in working conditions so that the nurses are healthier and the quality of health care better.
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