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Selected nursing services in the context of Evidence Based Nursing
KRATOCHVÍLOVÁ, Gabriela
The thesis deals with the issue of selected nursing processes in the context of Evidence Based Nursing. The process in question is the care of central venous entry and peripherally placed central entry in relation to the incidence and prevention of central line associated infections. One of the aims of this paper is to map and analyse information on central line entry care. Other objectives are to determine which central line entry care is most effective in relation to infection incidence and to provide an overview of the interventions provided in central line care that are absolutely necessary and essential. The thesis is divided into several chapters which are structured around Evidence Based Nursing. The chapter describing the current state of the art outlines Evidence Based Nursing, invasive admissions and catheter infection. Chapters dealing with the education of general nurses in relation to central line nursing competency are presented, the area of infection and its prevention, the site and method of central line insertion, the type and characteristics of the central line catheter, dressing and draping techniques, disinfection, and the issue of flushing and needleless entry are discussed. The last chapter reviews education, care training and training in the care of central venous accesses. The information sources were searched from all over the Word in scientific databases. Several recommendations for practice have been established based on the development of this thesis. The thesis can be used as educational material and be an inspiration in the issues of different practices and education in this field.
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Evidence Based Nursing in internal nursing
ADAMCOVÁ, Eliška
Current situation:Evidence Based Nursing is seen as a new trend in Czech nursing. The appearance of Evidence Based Nursing (further EBN) started to develop hand in hand with Evidence Based Medicine. This term is mainly made known thanks to the nurse education on the university level. EBN not only helps to reduce the hospital costs, improves the patient results, rises the nurse satisfaction, but above all, it rises the quality of the executed nursing care. The diploma thesis is ment to support the development of EMB and its implementation into daily clinical praxis. Research Aim:The main focus of this scientific research is to find out whether the nurses with education on a university level are aware of EBN, whether they can implement the EBN in their daily business and know where to look for proper sources. Further target was to find out whether the nurses without university education can learn how to use the EBN and implement it in the clinical praxis and whether the nursing staff finds the EBN to be useful. To enable the EBN being introduced into the clinical praxis, the next two targets were aimed at the hospital management seeking the approval of the EBN introduction and assurance of the conditions that may help the implementation if EBN. Seven research questions were formed to cover the above mentionned focuses. Methodology:The research was conducted following the principles of quantitative method of data collection and analyses. This study was conducted by means of two thorough interviews. The interviews were conducted as individual and anonymous. Data collection took part from June, 15th until July, 12th 2017 in Jindřichův Hradec Hospital, Plc. Data classification was done via open coding, by means of "pen and paper" method. Following, the individual answers were sorted into graphic charts for the respective cathegory using the SmartArt software. Results:Within the empiric research it was found out that the university graduate nurses are well aware of the Evidence Based Nursing. This knowledge is further reflected in the questions related to the Boole opperators, databases and clinical questions. Among the mentionned databases, we can state PubMed, Medline, ČNB aka Czech National Bibligraphy, Ebsco and Embase. In our opinion, these are the most-known databases in use when searching for the individual proofs. At the clinical question the knowledge of PICOTS and PICo were interchanged what may be a result of limited use of the method. The university graduate nurses would not object to EBN implementation in the clinical praxis, because they see it as perspective. The main obstacle in this step is probably limited knowledge of foreign language that prevents the efficient search for proofs. University graduate nurses were able to state other sources that comprised the proofs verifies by the research activities. The willingness to adopt EBN with nurses without university education was very limited. These nurses follow the tradition, biomedical approach that seems to be sufficient to them and they don't see any prospect in EBN. In our oppinion, this is mainly caused by limited information on EBN available for this undereduated staff. On the other hand, there were several nurses that found some importance and were eager to learn how to implement EBN in their praxis. EBN was found prosperous as well at three managers, who would like to implement the EBN into the nursing praxis and thus support the wider implementation. But generally here the EBN faced most troubles and it was lack of nurses and lack of finance. Conclusion:Finally, the research shows that even though the managers find the EBN fruitful and would like to implement it in the nursing, as well as some employees on the nursing level, the Jindřichův Hradec Hospital has currently not enough finacial resources and personnel to provide sufficient conditions for EBN.
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