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Contact Precautions in Nursing Care in Paediatric Patients with Acute Gastroenteritis
Kulinová, Eliška ; Trojánek, Milan (advisor) ; Jirkovský, Daniel (referee)
The bachelor's thesis on the topic "Barrier nursing regime in pediatric patients with acute gastroenteritis" deals with the use of certain principles in the prevention of the spread of acute diarrheal diseases as nosocomial infections. It focuses on the knowledge and habits of nurses providing nursing care for hospitalized children in the children's ward, emphasizing the importance of using personal protective equipment and overall compliance with the barrier nursing regime. Objective of the work: The aim of the work was to find out and evaluate the knowledge and attitude of nurses towards compliance with the barrier nursing regime. The aim of this bachelor's thesis was to find out whether respondents with a university education demonstrate greater knowledge and a stronger attitude towards compliance with set principles than respondents with a secondary education. The set of respondents was also compared according to age and length of practice. Sample and methods: The actual investigation took place in the form of a self- constructed questionnaire. Data collection took place in nine district-type hospitals throughout the Czech Republic. The research group consisted of 87 respondents. Results: Individual answers to each of the questions are described by a table or a picture, where the distribution...
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Risks in the emergency department in the light of the COVID-19 pandemic
SMÝKALOVÁ, Kateřina
The thesis focuses on the risks in the emergency department that may occur in newly emerging major epidemics, similar to the COVID-19 pandemic. The aim of the thesis was mainly to assess the risks of care and to identify the characteristic features of patients with COVID-19. The intention was to find out how positive (infectious) patients are identified. The final chosen aim was to develop recommendations containing measures for the management of patients with COVID-19 disease and minimizing risks in the emergency department. The method of research investigation to achieve the set objectives was by retrospective observational study and participating observation. The research was conducted in adult patients with a focus on positive patients in a low threshold emergency department. The data obtained from the prospective observational study were processed using the computer program STATISTICA 12. According to the results of the study, more positive patients were referred to the outpatient department from the waiting room, while significantly more positive patients were referred to the standard ward, ICU, CCU or ED from the observation hall. In both cases, more than 80 % of positive patients from the observation ward were admitted to the ICU and standard units. According to the average number of patients, 8 % more patients visited the low threshold emergency department on a weekday than on a weekend. From the observational cohort, the identification of positive patients in 112 (56.85 %) cases was done using Rapid Ag test, The results of the data analysis will be beneficial in terms of risk to make recommendations to the low threshold emergency department for the treatment of patient with COVID-19 and to minimize the risks both for patients and for healthcare professionals.
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The impact of Covid - 19 on paramedic's work
VYBÍRALOVÁ, Adriana
In this bachelor thesis I am dealing with a question of the impact of the COVID-19 pandemic on paramedic 's work in prehospital emergency care. In the theoretical part I am mentioning the COVID-19 disease itself. Furthermore, concepts of prehospital emergency care including emergency operations centre, paramedics, and specifics of their work during the pandemic of COVID-19 are defined. Concepts from the field of human needs are also included in the thesis. And because of the COVID-19 psychological impact on paramedics the issue of burnout syndrome is mentioned too. The research part consists of a qualitative research based on a semi-structured interview. The research sample are employees of the medical rescue service from the Vysočina Region with at least 2 years of working experience. The first goal of this thesis is to find out in which work activities the pandemic of COVID-19 has affected paramedics in providing prehospital emergency care. The second goal is to find out if paramedics perceive a difference between providing prehospital emergency care to patients before the pandemic and during the pandemic of COVID-19. The final goal of the thesis is to find out what fields of human needs paramedics are not satisfied in providing prehospital emergency care during the pandemic of COVID-19. Results of the bachelor thesis will be given to the Chief Executive of the Vysočina Region Medical Rescue Service to show support to their employees not only during the pandemic of COVID-19.
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Preparedness of medical ambulances on Covid-19
KYMLA, Tomáš
The topic of the bachelor's thesis is the Preparedness of medical ambulances on Covid19. Three research objectives were set. First, to map both the initial and the current work experience of paramedics with calls throughout the Covid-19 pandemic. Second, to investigate the material preparedness of the emergency medical services for Covid-19 and third, to study the methods of health care offered by paramedics to the Covid-19 positive patients. In addition, three research questions were identified, which were answered during the research survey. The theoretical part of the bachelor's thesis examines the Emergency Medical Services, and then it focuses on infectious diseases and the process of disease spreading, followed by highly dangerous diseases that are similar to Covid-19. The work also introduces the history, diagnosis and treatment of this disease. The work does not forget the pandemic plan of the Czech Republic and the preparedness of medical ambulances for Covid-19. The practical part was carried out by using a qualitative method of semi-structured interview, which contained 27 questions. The research group was created by 10 paramedics from individual regional centers of the Emergency Medical Service of the South Bohemian Region. For the sake of clarity, the research results were divided into 8 categories and compiled into tables. The results of the research survey showed that paramedics often encountered calls to patients with Covid-19, especially at the time when the emergency service did not have a sufficient amount of personal protective equipment (which led to using uncommon protective equipment). The methods of emergency care for Covid-19 patients were also mapped and it was shown that the paramedics proceeded in the same way as to non Covid patients, with a few exceptions. With Covid-19 positive patients, paramedics emphasize increased personal protection and the usage of personal protective equipment, which is also based on saturation and temperature values. Furthermore, the work showed that the Emergency Medical Service of the South Bohemian Region is nowadays very well prepared for a possible next wave of Covid19. The objectives of the work were met and research questions were also answered.
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Planning and solving of measures for protection of the population in selected territorial self-governing units
RYTÍŘOVÁ, Karolína
The aim of this diploma thesis is an analysis of planning and solving for protection of the population during the coronavirus SARS-CoV-2 epidemic and a comparison in the municipalities with extended powers of Liberec Region. The theoretical part is focused on protection of the population and problems of worldwide coronavirus SARS-CoV-2 pandemic are outlined here. The research part is performed in the form of controlled interviews with six crisis management workers in Liberec Region. After gaining the data from interviews, a SWOT analysis follows, and the results are interpreted. The research refers to a serious problem with the shortage of personal protective equipment and disinfectants at the beginning of the epidemic in Liberec Region. On the other hand, it refers positively to the effective communication by the President of Liberec Region with the municipalities with extended powers and next it refers to the satisfactory availability of information about the governmental orders. Based on the data obtained and the SWOT analysis performed, an alliance strategy is chosen to take advantage of opportunities to eliminate or mitigate the weakness of planning and solving. The discussion summarizes the course of planning and solving for protection of the population, possible comparison among the municipalities with extended powers and it summarizes the improvement proposal for next similar situations.
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