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Failure of nurses in the care of patients
MUSILOVÁ, Saskie
Theoretical basis: Every patient has the right to safe nursing care. If health care professionals make mistake, it is perceived very negatively by the health care professional and the general public. Objective: I specified three object of research in this thesis. The first one is to find out, how nurses face to providing care fails. The second one is, what are they able to do to avoid faults. And the last one is, how can they solve this situations, is described in this thesis. Research questions: The question, which could be answered, were specified. I asked with first question, how could nurses solves the situation when the nursing fail is happened. the second one is, which fails are most common, in nurses opinion. And the last one is, how could nurses faces their own fails? Methods used: To achieve the main research was used the qualitative research, in form of semistructured dialogues. Results: Results which emerged from the interviews were transcribed and arranged subsequently and after that were results categorized.In the research work, I have also dealt with the most common errors in internal and surgical department. The most common mistakes on both departments were: nurses prepared the wrong medication, they have not identified and brought wrong cure for the patient, performing occasional incompetent performance. On the internal medicine department most frequently occurring errors as failure of standard procedures for the exercise of individual performance, due to simplify the work. The surgical ward nurse overwritten in the documentation office for the doctor, who then signed. The most common cause of error is the human factor, when during a hectic day nurses feel stress and tideness. Conclusions and Recommendations for Practice: This research may serve as a reference for nurses practice what to do if the nurse is forced from higher positions perform incompetent performance. Furthermore, nurses can learn and realize their most frequent errors in the department. And based on advices, which are given in this work to avoid it.
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Nursing - autonomous profession in a care
PETRŮ, Štěpánka
Nursing has undergone major changes under the influence of recent social events. Due to the influence of new circumstances, it was also necessary to radically approach to the new concept of nursing fields. Then we can register attempts to make the nursing profession independent. That is why the main representatives of this profession have adopted more efficient approach to the care for the patient. The development of the research in nursing helps them significantly, as well as high level of education of nurses, new management techniques and monitoring of the quality of provided nursing care. All mentioned elements lead to support and strengthening of autonomy of the nursing field. We dealt with this issue, because we perceive the position of nursing and the social status of nurses as unsatisfactory. With creating our diploma thesis we would like to contribute to a few literary sources, that are directly engaged in the issue of autonomy of the nursing field. The theoretical part of our thesis was divided into two parts. In the first part we focus on the explanation of the concept of autonomy of nursing and the impact of activity of the nurse with regards to the autonomy of the profession. The second part of the thesis makes clear elements, which significantly strengthen the autonomy of the nursing field. The aim of this thesis is the following: 1. To explore whether nurses and doctors consider nursing as an autonomous scientific field. 2. To map barriers preventing the perception of nursing as an autonomous scientific field. 3. To determine current possibilities for strengthening the autonomy of the nursing field. The empirical part of the thesis is formed by the combination of quantitative and qualitative research. In the quantitative part of the investigation, we were interested in three research hypotheses. 1. Nurses perceive education as a potential acquisition of skills in order to ensure the autonomy of the profession for the benefit of the patient. 2. Nurses present nursing in public as a separate profession. 3. Status of the autonomy of nursing allows to promote results of the research in providing the nursing care. The method of querying with the assistance of questionnaire was used for the data processing of the quantitative part of the research. It contained 41 questions. There were used closed, half-open and open questions in the questionnaire. There were used pie charts and tables for processing of responses. The 2nd degree classification was used for the statistical evaluation of the results. The researched group for the quantitative part of the investigation were nurses from ambulant and bedded sectors of two health care facilities. There were distributed 220 questionnaires in total, 134 (100 %) correctly completed pieces were kept for processing. The querying method using the technique of semi-structured questionnaire containing seven open questions was used for the qualitative part of the research. Four chairwomen of sections of ČAS, who received the questionnaire via e-mail, actively participated on the investigation of the research. Individual responses were analyzed and subsequently processed into diagrams. In this empirical investigation we identified the answers to three research questions. 1. What is the position of chairwomen of sections of ČAS for promoting and defending nursing as an autonomous profession? 2. What obstacles perceived by chairwomen of sections of ČAS slow down the enforcement of autonomy of the nursing field? 3. What can be done to strengthen the autonomy of nursing in the group of other science or professional disciplines? The research questions sent in the form of half-structured questionnaire were answered by four chairwomen of sections of ČAS. We found out on the basis of obtained results, that nurses do not consider nursing as an autonomous scientific field.
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