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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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Application of the element of basal stimulation in the nursing practice
WEISSOVÁ, Eva
Abstract The use of elements of the basal stimulation in nursing praxis The actual state Nowadays this concept belong among very accredited and very used concepts in nursing praxis and pedagogy in the countries of Europe. This concept deals with all areas of human needs and is used especially in taking care of premature infants, children and adults with intellect and somatic disability, people with different acute and chronic diseases, patients after brain injuries and clients with dementia. The aim of the concept is to organize the conditions of health care users in order to support their development, autonomy, and provide them with a chance to live their life in a highest possible quality. Objectives of the work: In this bachelor thesis there were stated two goals. The first objective of my work was to find out how the nurses orientate in the area of the basal stimulation. The second one was to find out how the nurses use the basal stimulation in different departments. The methodology: To gain and to process all the data needed for the empirical part we used qualitative research and we executed the semi-structured interview with the surveyed respondents on chosen departments. The research group consisted of 16 respondents. All of it were nurses working on internal, traumatology, and rehabilitation inpatient department of South bohemian region and nurses working at a Hospice of St. Lazarus in Pilsen. Results: After executing the analysis of the received data two main categories appeared. In the first category: "Orientation of nurses in application in area of basal stimulation elements in nursing praxis" appeared 8 subcategories of results of interviews with nurses. It was found out that nurses on the chosen departments know the term "basal stimulation", some elements of BS, but only 3 of them completed the course of basal stimulation. Within the second category "the use of basal stimulation by nurses on the chosen departments" appeared 5 subcategories. First half of the surveyed nurses do not apply elements of BS and the second half do apply only some of them. It implies that if all the nurses would have finished the course of BS they could have used the BS and significantly improve the nursing care with the application of the most appropriate elements of BS. The conclusion: The research implies that the medical staff is inadequately informed about the concept of BS. The results confirm that the concept is applied mainly by nurses who have finished the course of BS. Other nurses apply only some parts of it which they know from observing the educated medical staff applying the BS in their nursing praxis or thanks to the information they have from school or other sources. There is therefore no chance of quality provision of BS elements and correct education and communication with family which is very important when providing BS. Subsequently, there was created a summary of "Ten of the basal stimulation commandments".
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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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Nursing intervencion with middle age patients suffering from arrhythmia.
KOLÁŘOVÁ, Libuše
Current rapid development medical science is already at such level that its aim is to meet need of patients in maximum possible extend and there are significant achievements in modern medical treatment. It does not promise full recovery, however quality of patients life may improve earlier or acute problems can be eliminated on time thanks to early diagnostics, well chosen treatment or early medical action and last but not least approach of entire attending medical staff and professional attitude of a nurse, who is an essential part of complex care, since he/she is often the first one in contact with patients, can recognize a problem and make sure it will be looked at.
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