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The administration of risky drugs as a nursing problem
KOUKALOVÁ, Kristýna
This bachelor thesis deals with an issue of hazardous medication administration and with risks in their storage, ordering and disposal. The aim of the thesis was to find out a quality of experience and knowledge of nurses in the field of hazardous medication as well as their knowledge of the specifics connected with administration of this medication. To fulfil the aim, two research questions and two hypotheses were set. What is the nurses´ experience in the field of hazardous medication administration? What is the nurses´ knowledge of the specifics of hazardous medication administration? Hypothesis no.1: General nurses´ knowledge of specific administration of hazardous medication is influenced by the length of their practical work. Hypothesis no.2: General nurses´ knowledge of specific administration of hazardous medication is sufficient. The research survey was performed through a combination of qualitative and quantitative research methods. In the framework of the qualitative technique, a half-structured interview with individual general nurses was performed (11 respondents) and in the framework of the quantitative research, a non-standardised questionnaire for general nurses (100 respondents) was used. From results of the quantitative research survey is obvious that the general nurses (87%) have knowledge in the field of hazardous medication and they are sufficiently informed about the specifics connected with hazardous medication administration. They know the whereabouts of internal directives of their hospital in the case of emergency, which instruct them how to react in a particular moment or situation. Only one respondent stated that she had been informed only perfunctorily and signing the directive had been the most important. Results of the qualitative research survey revealed that most of the respondents know the hazardous medication, where and how they are stored and what is the right way of their disposal. Four respondents admitted no knowledge of LASA medication. This fact was surprising because the respondents were general nurses with a long practical experience. It was presumed that they would know this field after so many years. In the conclusion, it is possible to state that most of the respondents have very good knowledge of an issue of administration, storage and disposal of hazardous medication. It is possible to state that those respondents who have no sufficient knowledge of hazardous medication issue, have insufficient or missing training in this field. Following this, the thesis was supplied with an information leaflet with a clear outlook of principles of dealing with medication, its storage and disposal, which is inserted as a supplement in the bachelor thesis.
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Urinary tract infections in children from the perspective of nursing care.
BUDÍNOVÁ, Eliška
The bachelor thesis is focused on urinary tract infection in children from the perspective of nursing care. Despite the fact that the quality of prevention and nursing care are constantly improving, urinary tract infection continues to rank among one of the most common childhood diseases. For this reason, it is very important to introduce the problems of this disease, familiarization with nursing care of a child and all of its specifics regarding the work of a nurse. The theoretical part deals with the actual disease, urinary tract infection in children, from the anatomy and symptoms to diagnosis and treatment. It also focuses on the work of nurses taking care of a child with a urinary tract infection. In the survey there were two main objectives. The first objective was to map the nursing problems of children with urinary tract infections. The second goal was to determine the principles of nursing care of a child with IMC, both goals were set from the point of view of nurses and parents. The empirical part of the thesis was determined by qualitative research. The used method was non-standardized semi-structured interview. The research sample consisted of 10 respondents. The first half of the respondents consisted of nurses working at a children's hospital and the other half of parents of children with urinary tract infections. During the interviews a method of open coding was used, especially method of pencil and paper. The survey was based on 4 research questions. Research question 1: What are the principles in the context of nursing care of children with urinary tract infections? Research Question 2: What basic knowledge have parents about urinary tract infection? Research Question 3: What nursing problems have children with urinary tract infection? Research Question 4: What knowledge have parents about the nursing care of children? Results of the research showed the most common nursing problems which were further subdivided according to respondents' answers. From the results of interviews of nurses emerged the 3 most common nursing problems. It was an issue of hyperthermia, acute pain and a risk of infection. In relation to this issue the solutions were similar. This mainly involved the administration of analgesics and antipyretics, according to the doctor and compliance with barrier nursing care for prevention of infection.From the interviews with parents emerged the most common problems related to the child. These were mainly pain and hyperthermia. Furthermore, there also appeared a trouble-free urinary tract infection. With this topic were also connected ways of solving the problem, the most frequent response was targeted antibiotic therapy for urinary tract infection. From the research came out principles of nursing care provided to a child with a urinary tract infection. These results are also divided according to respondents' answers. Nurses consistently stated that for a child with a urinary tract infection are not specific policies for nursing care. The care is performed in the same manner as for children with other diseases. The interviews also showed specific procedures in nursing care such as hygiene, medication administration, measurement of body temperature, urine and blood collection, drinking regime and patient enrollment in the documentation, etc. An interesting part is a part about the education of patients and parents. Nurses stated that they don´t educate patient´s parents. Only a doctor does that kind of care. According to the survey majority satisfaction regarding care, education, etc., is obvious from both the nursing staff and the family. However, these results could serve to a partial change especially in improving nursing education. In the future this change could cause even greater satisfaction for patients and their families and reduce the incidence of this disease in children.
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