|
|
Stress and burnout syndrome of nurses in pediatric inpatient wards
Rážová, Hana ; Javůrková, Alena (advisor) ; Průšová, Kateřina (referee)
Bachelor thesis called "Stress and burnout syndrom of nurses in pediatric inpatient wards" deals with the issue of stressful environment in healthcare, which contributes to the emergence of burnout syndrome. The main goal is to bring to concise overview about stress load and burnout syndrome of nurses working in pediatric inpatient wards and to analyze their access to this issue. Theoretical part of thesis give the reader brief definitions. They are describing informations about stress, self-compassion and for a last, burnout syndrome. All these phenomens are intepreted to nurses work and the way they are influnces their work in healthcare. In empiric part of thesis is brief description of thesis's methodic and results of own research. The method of research is four-parted standardized questionaire, which includes anamnestic questionare, Perceived Stress Scale (PSS), Self-Compassion Scale (SCS) and Copenhagen Burnout Inventory (CBI). This questionare was distribude in Facult hospital in Motol on pediatric inpatient wards. Research includes 107 correctly filled questionaries. From results emerges that 63, 55 % respondents from total file suffers from rate of stress called "Mild stress". The level of self-compassion that most respondents have towards themselves (62, 62 %) is labeled "Medium level"....
|
|
|
Analysis of antibiotic administration in open appendectomies in pediatric patients.
Šugrová, Kristína ; Rejmanová, Anna (advisor) ; Šorf, Aleš (referee)
Analysis of antibiotic administration in open appendectomies in pediatric patients Author: Kristína Šugrová Tutor: PharmDr. Anna Rejmanová, Ph.D. Consultant: PharmDr. Petra Rozsívalová Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and aims: Appendicitis represents the most frequent indication to a surgical abdominal intervention in population of paediatric patients. In case of complications, such as abscess, periappendicular infiltrate or perforation with peritonitis, it can even lead to a life- threatening condition. The aim of this study was to analyse antibiotic prophylaxis (AP) in paediatric patients undergoing open appendectomy, as well as antibiotic treatment of complicated appendicitis. Another aim was to compare the administration of antibiotics (ATB) before and after the implementation of recommended hospital procedures (RHP). Subsequently, to monitor the incidence of complications and length of hospital stay and their association with ATB administration and other risk factors. Methods: An unicentric retrospective study was carried out. Patients aged ≤ 18 years who underwent an open appendectomy at the Department of Paediatric Surgery and Traumatology at the University Hospital in Hradec Králové between years 2014 and...
|
|
|
Analysis of antibiotic administration in laparoscopic appendectomies in pediatric patients.
Opatovská, Tamara ; Rejmanová, Anna (advisor) ; Malá, Kateřina (referee)
Analysis of prescribing antibiotics for laparoscopic appendectomies in a paediatric patient population Author: Tamara Opatovská Supervisor: PharmDr. Anna Rejmanová, Ph.D. Consultant: PharmDr. Petr Domecký Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and aims: Appendicitis is one of the most common acute diagnoses in paediatric population. Incorrect diagnosis, poorly performed antibiotic prophylaxis (AP) or treatment can lead to life-threatening complications such as perforation, peritonitis, periappendiceal infiltrate or abscess. The aim of this study was to analyse the administration of antibiotics (ATB) as a part of prophylaxis before appendectomy and as part of the therapy of complicated appendicitis in the paediatric population and to compare the obtained results. Specifically, 2 periods were compared - before and after the introduction of the recommended hospital procedure (RHP; 22. 06. 2017). The partial goal of the study was to identify factors that influenced the occurrence of complications and length of hospitalization in the monitored population. Methods: An unicentric retrospective study took place at the Clinic od paediatric surgery and traumatology at the University hospital Hradec Králové. Data were collected from...
|
|
|
Motivation of pediatric nursing students for the pediatric nursing profession
HRABOVSKÁ, Alžběta
The theoretical part of the thesis was divided into two parts: the first one introduces the field of pediatric nursing, the second one focuses on motivation. In the first chapter which is relates to pediatric nursing, the history of pediatrics is described, the concept of pediatrics role of pediatric nurse, pediatric nursing education, competencies and scope of pediatric nursing is explained. In the second chapter, which concerns motivation, the concept of motivation, sources of motivation, intrinsic and extrinsic motivation, need and motive, motivation to learn and to work are described.The aim of this study was to investigate students' motivation to study paediatric nursing and to find out whether paediatric nursing students' preferences for practice in the future profession of paediatric nursing change during their studies. Quantitative research methodology was emloyed for the empirical segment of the thesis, where data collection was conducted throught self-constructed questionnaire. The questionnaire survey was conducted at selected universities with a Pediatric Nursing program. The schools participating in the research are the Faculty of Health and Social Sciences of the South Bohemian University, the Faculty of Medicine of the University of Ostrava and the 2nd Faculty of Medicine. The research population for the research data consisted of 96 respondents.The quantitative results showed the following. The first hypothesis, that the greatest motivating factor for the profession of pediatric nurse is a positive relationship with children, was not confirmed. According to the graph, the strongest motivating factor for studying pediatric nursing is the response of helping children, which was converted with a score of 3.9 on the scoring scale. A positive relationship with children was converted to a score of 3.8. Job security was converted to a score of 3.5. Job prestige was converted to a score of 3.1 on the scoring scale. The least motivating factor (compared to the other responses) is financial reward, which was converted to a score of 2.6. The second hypothesis, that preferences for practice in the future profession of pediatric nursing vary with the length of study, was not supported. The third hypothesis, that preferences for practice in the future profession of pediatric nursing change depending on the form of study, was not confirmed. The second and third hypotheses were tested by questions that were only addressed to second and third year students. The statistical chi-square test was used to test the validity of hypotheses H2 and H3. The null hypothesis was tested against the alternative hypothesis at a significance level of 5 %. The bachelor's thesis can provide a closer look at the motivation for studying for a future career as a pediatric nurse directly from the perspective of pediatric nursing students. It can also serve as feedback for faculty to determine if students are satisfied with their studies. The results of this work were presented at the SVOČ and will be shared with the participating faculty.
|
|
|
Design of Digital Baby Scale
Trněná, Eliška ; Sládek, Josef (referee) ; Rubínová, Dana (advisor)
The topic of this bachelor thesis is the design of baby scales for medical facilities. The aim is a design with an unique shape that meets the technical, ergonomic and safety requirements associated with weighing children. The work is based on the analysis of the current state of knowledge, the shape fits into the environment of pediatrics. The design guarantees safety for infants, the possibility of comfortable handling of the device and emphasizes aesthetics and visual friendliness.
|
|
|
Children's wards nurses knowledge of taking care of intermediate-term vascular access devices
Müllerová, Julie ; Hromádková, Jaroslava (advisor) ; Průšová, Kateřina (referee)
The bachelor's thesis is focused on mapping and researching the nurses knowledge of taking care of intermediate-term vascular access devices inserted to pediatric patients. The aim of the work was to find out, based on a questionnaire, the level of nurses knowledge of individual types of intermediate-term catheters and nursing procedures related to catheters. The theoretical part of the bachelor's thesis includes pediatric anatomical specifics, general characteristics of vascular access devices, specifically described types of intermediate-term vascular access devices and nursing care of these catheters. The empirical part presents classified data in the form of overviews of tables and sectional charts, which are then compared with hypotheses based on age, length of practice, type of workplace and specialized competence of the respondent in the field of intensive care. The research methodology consisted in distributing a self-designed structured questionnaire in the form of a didactic test to nurses working in the children's wards of The University Hospital in Motol Faculty Hospital. The examined sample consisted of 76 respondents. Based on the questionnaire survey statistically significant difference was found in three particular items depending on the type of workplace of respondents in favor of...
|
|
|
Migrant Parents in the Czech Republic: Child Health Care Experiences and Attitudes Towards Childhood Vaccination
Dvořáčková, Lenka ; Smith, Simon (advisor) ; Hasmanová Marhánková, Jaroslava (referee)
This thesis presents data gained from qualitative research that took place in Prague, Czech Republic during winter 2022 and spring 2023. The aim was to find out how foreign mothers perceive the local health care system and mandatory immunization scheme. The theoretical part presents information and statistics related to immunization worldwide and in the Czech Republic. The sociological theoretical part discusses Parsons' and other researchers' work on doctor-patient relationship and Beck's risk society in relation to immunization. The research is based on in-depth semi-structured interviews with 14 women who are migrant mothers. All except one interview was conducted online via the Zoom platform. The analysed data presents, firstly, the informants' experiences with healthcare for children; secondly, their communication and relationship with paediatricians; and thirdly, their general attitudes and sources of information used to make immunization choices for their children. The results demonstrate the importance for these mothers' sense of agency and wellbeing of building trusting relationships, sharing decision making and choosing the appropriate language(s) for communication.
|
|
|
Occupational Therapy Practice Guidelines Proposal for Children Aged 3-18 with Developmental Coordination Disorder
Homolková, Simona ; Dvořáková, Petra (advisor) ; Angerová, Yvona (referee)
Thesis abstract Name, Surname: Bc. Simona Homolková Supervisor: Mgr. Petra Dvořáková Thesis Title: Occupational Therapy Practise Guidelines Proposal in Children aged 3-18 years with Developmental Coordination Disorder Abstract: Developmental Coordination Disorder (DCD) is a neurodevelopmental condition with a prevalence of 6 % among children in the population. The cause of this condition is unknown, but there are known risk factors, such as very low birth weight or maternal exposure to drugs and alcohol during pregnancy. Symptoms include coordination difficulties, impaired motor learning and planning, executive function challenges, and overall mental health vulnerabilities. Each child exhibits different manifestations, and comprehensive care is required, provided by an interprofessional team, which includes occupational therapists. Occupational therapists should base their practice on high-quality care standards. Just like in medicine, there are currently global trends in occupational therapy towards developing Clinical Practice Guidelines (CPG), which are still lacking, especially in the field of occupational therapy. CPGs primarily serve to improve and standardize care. The main goal of this work is to create a proposal for clinical practice guidelines in occupational therapy for developmental...
|
|
|
Atresia of gastrointestinal tract and possibilities of physiotherapeutic intervention
Zdobnická, Barbora ; Šonská, Kristýna (advisor) ; Štefanová, Petra (referee)
This bachelor thesis deals with atresia of the gastrointestinal tract and possibilities of physiotherapeutic intervention. The thesis is presented in the form of a review with a case study. The review part contains information about the development and anatomy of the parts of the gastrointestinal tract that are most often affected by atresia. The classification, diagnosis and surgical treatment options of individual atresia are also mentioned. The options of physiotherapy intervention include scar treatment, respiratory physiotherapy, physical therapy, basal stimulation and orofacial stimulation. The practical part of the bachelor thesis is presented in the form of a case study of a patient after gastrointestinal atresia surgery. The content includes the examination before and after the therapy in the physiotherapist's ambulance and the follow-up after 2 months of regular therapy. The positive effects of physiotherapy are documented by photodocumentation and by using the Alberta Infant Motor Scale to evaluate motor development. The practical part also includes an educational handout for parents about the implementation of respiratory physiotherapy after discharge from hospital, which will be subsequently used in the Department of Paediatric Surgery at FN Motol.
|
|
|
The role of the pediatric nurse in providing laboratory newborn screening
STEINBAUEROVÁ, Julie
This bachelor thesis focuses on the role of the pediatric nurse in newborn laboratory screening. The pediatric nurse has an indispensable role in the entire process, educating parents prior to collection, obtaining informed consent from parents prior to testing, preparing supplies, performing the actual collection, checking and preparing the collected specimens for shipment to the screening laboratory. Although the thesis is primarily focused on maternal education prior to collection and possible errors during collection that may negatively affect the results of the examination, the theoretical and practical part of the thesis also covers other topics related to newborn laboratory screening, not least the description of the methodology of the correct collection procedure and subsequent verification of knowledge of its principles in a research investigation with nurses. The first objective was to describe the process of maternal education by the pediatric nurse prior to collection. The second objective was to determine the knowledge of pediatric nurses about the negative impact of substandard blood collection on screening outcome. The research part of the study was based on qualitative research, using the interview method. Data collection was carried out using the technique of in-depth semi-structured interviews with nurses from neonatology departments of selected Prague hospitals. Data analysis was done by pencil paper method, then the results were divided into three categories and described in diagrams. The survey found that nurses perceive the language barrier as the biggest difficulty in educating mothers before delivery, but they have resources available to help them overcome this barrier in practice. It was also found that nurses are well informed and have sufficient knowledge about the principles of dry drop blood collection. The most common errors in collection were described by nurses as insufficient or incorrectly filled in targets on the filter paper and illegible data on the screening card. This work can be used to educate pediatric nurses, and recommendations for practice include focusing on non-pharmacological methods of procedural pain relief for newborns during collection and checking specimens before sending them to screening laboratories to avoid unnecessary repeat collections.
|
guest ::
