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National Repository of Grey Literature 2 records found  Search took 0.01 seconds. 
The physical handling of the patient with self-sufficiency impairment in home care.
 ZAVADILOVÁ, Leona
The Bachelor thesis deals with the physical handling of a patient with a self-sufficiency disorder in home care. It defines physical handling as part of everyday nursing care. It presents the care of patients with self-sufficiency impairment in rehabilitation treatment using the kinaesthetic concept and handling aids. Unskilled handling carries risks that can negatively influence the physical and psychological well-being of all involved. The aim of the study was to investigate the use of handling aids in home care when physically handling a patient with impaired self-sufficiency. The research questions focused on the handling aids available to home caregivers and the complications of physical handling. The implementation of qualitative research using a semi-structured interview method with eight home care nurses provided information on the handling aids used as well as complications of physical handling in the home care setting. Five categories were created by categorizing the data using the pencil-paper method. Research shows that information for safe handling is provided to the patient's family by the nurse. Caregivers use a positioning mat for care. Very important, but sometimes unavailable, in home care is the reclining bed. Physical handling then becomes risky. Nurses do not use a slide sheet. Two of them do not know the aid at all. Complications of physical handling that occur to nurses and patients include musculoskeletal or skin injuries. The results of the research show the need to popularize the topic of safe physical handling. A leaflet has been produced for agencies involved in physical handling research. Another way to prevent the risk factors of physical handling in home care and to make it safe for the patient and the caregiver are courses and conferences with theoretical and practical content on safe physical handling for professionals and lay people.
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Manipulation with patient as a nursing problem
 BLÁHOVÁ, Kateřina
Current status Patient handling is a comprehensive process. A nurse handles patients many times a day throughout the entire time of hospitalization. The range of processes that require patient handling is very broad. Patient handling takes up a relatively big part of time and efforts in the course of positioning. While handling patients the nurse´s motoric system is loaded and this may result in musculoskeletal diseases and subsequent incapacity to work. Incorrect handling also increases the risk of damaging the patient. The risk may be eliminated to a certain extent by the use of handling aids and by observation of barrier nursing care and occupational health and safety rules. An important role is also played by education of nurses and healthcare workers in the area of motoric communication concepts. Objective of the work and research questions Three objectives were set for the research survey. The first objective was to identify the issues faced by nurses in the process of patient handling. The second objective was to map aids most frequently used by nurses for patient handling. The third objective focused on education of nurses about patient handling. Six research questions were formulated to achieve the objectives: 1. Which undesired events may occur in the process of patient handling? 2. Which problems do nurses see in the process of patient handling? 3. Do nurses have aids available to ensure safe handling of patients? 4. Are nurses able to use aids for patient handling? 5. Which methods do nurses use to facilitate patient handling? 6. Do nurses have opportunities for /are they willing to get education about patient handling? Method The method of qualitative research was used for the empirical part of the bachelor thesis. The data were collected by means of two techniques: semi-structured interview and covert participant observation. The interviews were conducted, using a previously prepared set of questions, with nine nurses who work in three in-patient wards in a hospital in the South Bohemian region. Observations were conducted in the same wards as the interviews. The resulting data were categorized and evaluated. A precondition for the research survey was to keep all the respondents and the healthcare facility anonymous. Results The results of the survey indicate that the most frequent undesired events which may occur during patient handling are injuries of the patients or personnel. The principal issues seen by the nurses are the weight of patients and limiting conditions of the environment. Despite the fact that the nurses reported sufficient quantity of aids for safe handling of patients they would appreciate a different structure of the aids. Moreover, the observations have shown that they are not always able to use the aids correctly. The nurses use simple non-technical aids to facilitate patient handling and they also use methods of handling by several persons. Conclusion The empirical survey has shown that patient handling is the activity performed on everyday basis by nurses performing their jobs and providing nursing care. Such activities expose nurses to physical load and they also need to deal with a number of problems. They approach patient handling in a quite conservative manner and they only use a few basic handling aids. They do not have more sophisticated aids available at their workplaces and by now they have not shown any interest in getting them. The nurses fail to use any motoric communication concept in the handling process, such as kinaesthetics. An overwhelming majority of the nurses have never heard about kinaesthetics or their notion about it was totally incorrect. We can conclude from the obtained results that most of the nurses are interested in education about correct patient handling techniques.
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