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Nursing diagnosis in intenzive care units
Bartošová, Simona ; Strnadová, Alice (advisor) ; Marunová, Alice (referee)
v AJ: This diploma thesis deals with the field of nursing diagnosis in internal intensive care units. The theoretical part describes the basics of the nursing process and mainly focuses on the nursing diagnosis. Subsequently, it informs the reader about history, development and structure of the NANDA Taxonomy II. The main part of the thesis consists of a quantitative survey which aims at general nurses' knowledge about the nursing diagnosis NANDA - International. It also comments on how nursing diagnoses are made and what opinion general nurses have about making nursing diagnosis and NANDA taxonomy II. Finally, it provides the reader with overview of nursing diagnoses that general nurses often come across in intensive care units. And these diagnoses create uniform file according to the NANDA Taxonomy I I. Klíčová slova v AJ: Nursing diagnosis, nursing process, nursing diagnoses, NANDA- International, intenzive care unit
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Nursing diagnosis in intenzive care units
Bartošová, Simona ; Strnadová, Alice (advisor) ; Marunová, Alice (referee)
v AJ: This diploma thesis deals with the field of nursing diagnosis in internal intensive care units. The theoretical part describes the basics of the nursing process and mainly focuses on the nursing diagnosis. Subsequently, it informs the reader about history, development and structure of the NANDA Taxonomy II. The main part of the thesis consists of a quantitative survey which aims at general nurses' knowledge about the nursing diagnosis NANDA - International. It also comments on how nursing diagnoses are made and what opinion general nurses have about making nursing diagnosis and NANDA taxonomy II. Finally, it provides the reader with overview of nursing diagnoses that general nurses often come across in intensive care units. And these diagnoses create uniform file according to the NANDA Taxonomy I I. Klíčová slova v AJ: Nursing diagnosis, nursing process, nursing diagnoses, NANDA- International, intenzive care unit
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Nursing diagnosis of a client with Amyotrophic lateral sclerosis
ŠVECOVÁ, Karolína
This bachelor thesis deals with the disease Amyotrophic lateral sclerosis (ALS). The theoretical part is focused on the anatomy of motor system, disease characteristics, etiology, symptoms, diagnosis, treatment and specific nurse roles in this issue are also included. It also deals with basic areas of nursing process for the client with this disease. The empirical part was based on research goals and questions, regarding nursing diagnoses and interventions occurring in case of clients with ALS. Qualitative research was used to obtain results. Clients with Amyotrophic lateral sclerosis were selected as a research group. The informations were investigated system of collecting data inspired by D. Orem´s self-care deficit theory. Subsequently, the open style for coding "pencil-paper" method for processing an anamnestic file was used. This method helped to received interventions and specific problems of individual clients, which were subsequently defined as a nursing diagnosis with the help of NANDA Taxonomy II. The publication Nursing Interventions Classification (NIC) was served for comparing of the above-mentioned interventions within discussion. The results provided answers to research questions. The basic nursing diagnoses were find out by the performing and processing of research survey. It dependent on the current stage of disease. The most affected region are universal self-care requirements for clients with ALS. The requirements for this category includes sufficient supply of air, food, fluids, toileting or balance of activity and rest. Subsequently, related interventions were mentioned in the individual nursing diagnoses.
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The most frequent nursing diagnoses in senior homes and the possibilities of their solutions.
PĚCHOTOVÁ, Blanka
The objectives of the thesis The objective of the thesis was to map out the most frequent nursing diagnoses used in homes for the elderly and nursing interventions for these diagnoses. The following research questions were chosen for mapping: What are the most common nursing diagnoses of clients in the selected nursing homes? What are the intervention for the most common nursing diagnoses? The methods used For gaining information, qualitative research by the interviewing method using non-standardized in-depth interviews was used. The research was conducted in February 2014 in the G - center in Tábor, a home for the elderly. Interviews were recorded in a notebook and then transcribed. When processing the results, encoding methods for searching for the most common phrases were used, on the basis of which categories and their subcategories were created, summarized in diagrams. The research sample The research sample consisted of 10 nurses from the home for the elderly in the range of 43-57 years, employed as nurses and ward sisters. The interviews were preceded by familiarizing the nurses with the topic of thesis and research purposes, and written consent of the Director of the facility. Results After analyzing the data from the processed interviews, 8 categories were created: The nursing process, using the nursing process, the nursing process in practice, the phases of the nursing process, nursing diagnoses, interventions, documentation of nursing care and care provided. Subcategories were assigned to the individual categories, in which phrases are encoded, and everything is shown in clear diagrams. The interviews revealed that the nurses are aware of the method of the nursing process, which was most often characterized as meeting the needs of the client. This method is used in everyday practice. The evaluation was based on the positives and negatives of this method for both nurses and clients. Conclusion The aim of modern nursing is the high quality of the care provided and the client's active participation in it. It is expressed in the final phase by the satisfaction of their needs with respect to the individual's quality of life, leading to maintaining health and alleviating physical and mental pain. The practical outcome of the Bachelor thesis is a pamphlet of the most common nursing diagnoses and their interventions in a home for the elderly, G center, Tábor.
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The most common nursing diagnoses and interventions in physiological newborn baby
LAPÁČKOVÁ, Zuzana
This bachelor thesis is focused on the most frequent nursing diagnoses and interventions in physiological newborn. First aim was to map the most frequent nursing diagnoses at physiological newborn ward in hospital Nemocnice České Budějovice a.s. Two hypotheses were proposed. H1: The most frequent nursing diagnosis in physiological newborn is ineffective breast-feeding. H2: Nursing diagnoses in physiological newborn will differ in connection to the type of delivery. The second aim was to learn how the nurses and midwives decide on nursing diagnoses, aims and interventions. The research question posed for this aim was: How are nursing diagnoses, aims and nursing interventions decided in physiological newborns? A combination of qualitative and quantitative research was used in order to obtain quality data. Its collection was conducted through nursing documentation analysis and in-depth half-structured interviews. This research was conducted in March 2015 at Physiological newborn ward at hospital Nemocnice České Budějovice a.s. The interviews were analysed by open coding using pen and paper method. Individual codes were collected into subcategories and then categories.The first research group comprised of 5 paediatric nurses and 1 midwife working at the physiological newborn ward of České Budějovice hospital aged 26 to 46. The second research group consisted of 107 physiological infants born either naturally or by caesarean section. The answers of the respondents show their general knowledge about nursing diagnosis but also about some shortcomings in their de termination. Insufficient knowledge was found regarding stating aims and interventions due to the midwives and nurses trusting predefined nursing diagnoses, aims and interventions most often used at the ward and usually choose from them. Nursing diagnoses were also found the same for infants born to first-time mothers and multigravidas and the generally most frequent diagnosis is ineffective breast-feeding. Obtained results can serve as basis for simplification of working with nursing diagnoses and preventing making mistakes in the determination. Considering the insufficiencies in determination of nursing diagnoses, aims and interventions found in the nurses and midwives, we suggest they use this work as model basis. The research results also show that the most frequent nursing diagnosis is ineffective breast-feeding. A form for expecting mothers, that can simultaneously function as educational material was created as a response to the results. We hope this form will enable easier determination of nursing diagnoses and interventions.
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Sleep disorder as a nursing diagnosis
HANZALOVÁ, Erika
This bachelor's work deals with somnipathy as a nursing diagnosis. This topic has been current problem for many hospitalized patients. This bachelor's work is divided into the following two parts: theoretical part and empiric part. The theoretical part deals with sleep as such, specifying its phases, factors affecting sleep, identifies individual sleep disorders, sleep diagnosis and its therapy, which is divided to the following two: pharmacological and non-pharmacological. As last but not least the theoretical part deals with nursing process and its phases with regard to a patient who was diagnosed nursing somnipathy. In the empiric part the following goal has been set. The aim has been to find out specific items of nursing within the scope of nursing somnipathy diagnosis with patients. The following two research questions have been set meeting the goal: 1. What are the specific things of nursing care within nursing diagnosis of somnipathy with patients? 2. What are sleeping troubles solved by nurses who are the integral part of our research group? For the purpose of elaboration of the empiric part of the work it was the qualitative examination that was used. Data acquisition was performed by semi-structured interviews. Standard questions were expanded when necessary by using supplemental questions. The research itself took place in Neurological and Gynecological-Maternity Ward of the Hospital of the City of České Budějovice, The chief nurse of the aforementioned hospital was approached beforehand and asked for permission. Both workplaces were submitted both prepared intended topics and questions for their consideration, the whole group of respondents consisted of 12 respondents of which there were 6 nurses working in Neurological and Gynecological-Maternity Ward of the Hospital of the City of České Budějovice and 6 patients hospitalized in the ward. S far as the patients are concerned it is important to mention that these patients were diagnosed nursing somnipathy and of course the nurses were those who diagnosed the somnipathy. In the very beginning of interviewing all respondents were informed about the purpose of the research and assured that everything in connection with the research was anonymous and all pieces of information gained should be used only for this bachelor's work. At the same time i.e. at the very beginning all respondents were informed about the purpose and basis of the research examinations to be carried out. To types of interviews were applied one for nurses and the other for patients. The results achieved in these research examinations are compared with the same or similar results published in professional literature and of course discussed. The results can be summarized as follows. The nurses for their patients perform the following measures taken to improve quality of sleep for their patients: airing the patient's rooms, making their beds, keeping their eyes on observing night silence and assistance with evening hygiene. Majority of the patients interviewed were informed about the measures to be taken for improving the quality of sleep and they showed positive attitude resulting in positive effect. All of the interviewed were satisfied with nursing care provided in last two days. Moreover the tables in the case reports show that the nurses were solving the following problem regarding the patients sleep: the problem arising from falling asleep and frequent waking up during the night. The knowledge that I have gained by elaborating this bachelor's work I will do my best to make use of it in my future work as a nurse. The results can be used by students as a basis for elaborating their works and higher level of nurse information regarding the problems of somnipathy of the hospitalized patients. Furthermore the results may be used as a feedback for the hospital itself in which the research work has been performed.
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Usage of NANDA II Classification in Nursing Care for Senior Citizens in the Old People´s Home
ČERVENÁ VRÁTNÍKOVÁ, Michaela
Old People´s Homes represent one of the options of caring for senior citizens. They focus on senior citizens over 65 who, due to deterioration of their physical and mental status or unfavourable social situation, need permanent assistance from another person. The role of Old People´s Homes is to enable the clients to spend their old age in a worthy and satisfying way, and to keep and support their self-sufficiency. Senior citizens there are looked after by a multidisciplinary team of experts comprising doctors, nurses, physiotherapists, ergotherapists, attendant care workers and social workers. Nurses in Old People´s Homes work according to standards of nursing and social care, and they work using the method of nursing process. Nursing diagnostics is its integral part. It works on careful collection of information about a client and serves for exact and brief naming of his/her state of health ? current or potencial nursing problem, and subsequently helps to choose appropriate interventions that will lead to maintenance or restitution of client´s health. Theoretical part of the thesis describes ageing and old age, options of caring for senior citizens, care in Old People´s Homes. It also deals with geriatric syndroms, NANDA classification, its history and importance, and making nursing diagnoses.Practical part of the thesis is divided into two parts. The first part aims to discover how NANDA II classification is used in nursing care in Old People´s Homes, and to find out the attitude of nurses in Old People´s Homes to use of NANDA II classification. To reach these objectives, two research questions were asked: ?How do nurses use NANDA II classification?? and ?What is the attitude of nurses to use of NANDA II classification?? The aim of the second part of the research is to discover how education of nurses affects their attitude to use of NANDA II classification. To reach this objective, the following research question was asked: ?How do nurses change their attitude to use of NANDA II classification after the educational training course??To find out the necessary information, the qualitative research, the method of asking questions and true experiment, and the technique of in-depth interview were used. The interviews were recorded on a voice recorder, their exact transcription followed. Data gained from the interviews were processed by the technique of open coding using the method of pencil and paper, and classified into particular categories and subcategories. Education of nurses by giving a presentation in PowerPoint was an integral part of the research investigation.Analysis of data gained from the interviews, which were held before the educational training course, resulted in categories Nursing Process, Nursing Diagnostics and Attitude of Nurses to Nursing Diagnostics; these categories were divided further into particular subcategories. Research investigation showed that nurses had basic knowledge of nursing process and that they used methods of nursing process in their work. However, they had unsatisfactory knowledge of nursing diagnostics, they didn´t regularly work with nursing diagnoses and their attitude to nursing process was mostly negative. Analysis of data from interviews held after the educational training course resulted in the category Change of Attitude of Nurses, which revealed a change of nurses´ attitude after education about NANDA II classification, making nursing diagnoses and its importance. Nurses mostly responded that a properly and exactly defined diagnosis is beneficial for a nurse and client as much as a properly chosen intervention. All five respondents agreed that preconditions of good quality work with nursing diagnoses are to use them in a cohesive way by all nurses, revise them regularly, and promote the knowledge of NANDA II classification and nursing diagnostics among nurses who work in the Old People´s Home.
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Use a common nursing language
HLAVÁČOVÁ, Lucie
The common nursing language includes in particular classification, which include, inter alia, Nanda taxonomy. Nanda taxonomy (originally Nort American Nursing Diagnosis Association - North American Association for the nursing diagnosis) is a professional organization of nurses to standardize nursing terminology. Founded in 1982. Its task is to organize a nursing diagnosis according to certain principles. The aim is to create a uniform standard names. 2 Nanda taxonomy based on the functional patterns Marion Gordon. Contains 13 diagnostic domains, 47 classes and 172 diagnoses.
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