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The specifics of nursing care in a child with a middle ear inflammation
KANDĚROVÁ, Marie
Current situation: Besides the issues of nursing care and areas that are directly associated with the inflammation of the middle ear, the research deals with these areas - diagnostic procedures, aetiology, treatment and prevention. Medial ear inflammation usually develops from the respiratory system inflammation. The inflammation of the middle ear has several complications that can interfere with the healthy development of the baby, among those complications are hearing disorders and speech disorders. Objective of the thesis: The aim of the thesis was to describe the specifics of nursing care of a child suffering from the medial ear inflammation and to evaluate the knowledge of nurses regarding the problem of this disease. Methodology and research sample: A qualitative research was selected for the research, achieved by the technique of non-standardized interviews with a total of eight nurses working at a paediatrician's, in the specialized ENT surgery and at a children's ward in the hospital. The selection of a nursing sample was deliberate. Open coding technique "pencil and paper" carried out the analysis of the data obtained. The results were then interpreted by the technique "cards explanation". Results: Among the specifics of nursing care for children with the middle ear inflammation are: maintaining the cleanliness of the ear canal and airways including the nose. Observing the overall condition of the child, monitoring the secretion from the auditory duct. The ability to assist during the diagnostic therapeutic and curative process and also the interventions in nursing diagnoses, acute pain (00132), ineffective airway passage (00031), hyperthermia (00007), or risk of infection (00004). Nurses from children's ward are well informed in all areas concerning the middle ear inflammation (characteristics of the disease, pathogenesis, treatment, prevention and general nursing care). According to the nurses's statements, it is obvious that the premature intervention of the nursing activities in the primary preventive care includes the early identification of the primary symptoms of middle ear inflammation in children with this health problems and to educate the parents about the prevention of this disease. Nurses working along with specialists have logically demonstrated good knowledge of specific healing practices such as the application of the drug to the ear canal or paracenthesis. Nurses in nursing homes focus on planning and implementing comprehensive nursing care for a child with this disease. Conclusions and recommendations for practice: The nurses, who were questioned, have proved good knowledge of nursing care for children with the middle ear inflammation. An integral part of their competencies is the education and involvement of parents in the treatment and prevention of children's middle ear inflammation. Part of the thesis is a suggestion for recommendations concerning the early recognition of the first symptoms of the middle ear inflammation in children and the prevention of their recurrence.
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