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Risks of infection for nurses at the department of internal medicine
JIRÁČKOVÁ, Anna
This bachelor's thesis addresses infectious diseases, especially their risk of transmission, to which nurses are exposed in the exercise of their profession. The thesis is divided into two parts, the first theoretical part describes the issue of professional infections and health care associated infections, including hygienic-epidemiological measures. The second empirical part, it contains both qualitative and quantitative research. Qualitative data collection was carried out through interviews and covert observations with several members of the sister staff. For the qualitative investigation, research questions were established. What are the risks of transmitting infectious diseases in nurses working in an internal department? How do nurses prevent the development of infectious diseases in the department of the internal type? How do nurses follow preventive measures for the risk of transmission of infectious diseases to an internal type department? On the contrary, quantitative research was carried out using a questionnaire survey involving 206 respondents from the general public. Hypotheses were established together with the objective for quantitative research. The perception of the risk of transmission of infectious diseases in nurses working in an internal department varies according to the age of the lay public. The perception of the risk of transmission of infectious diseases in nurses working in an internal department varies according to the experience of the general public with nursing care. The results showed that nurses are at considerable risk of transmitting infectious diseases, with most adhering to preventive measures. The results of the quantitative examination show that older respondents perceive the risk of transmission of infection as higher than respondents at a younger age. On the contrary, the experience of respondents with nursing care has no effect on the perception of the risk of transmission of infectious diseases. The results of the work can highlight what activities and procedures in nursing care need to be put more emphasis on. The opinion of the lay public allows a more comprehensive view of the issue, nurses can also gain a higher motivation for the performance of their profession thanks to feedback from society.
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Usage of personal protective equipment in nursing practice
KULAJEC, Lilija
Current situation: Nurses' health can be endangered by various influences. One of the possibilities of prevention is personal protective equipment (PPE) which provides effective protection against infectious agents and other risk factors, both for the nurse and the patient. The aim of the thesis was to find out the nurses' awareness of PPE and its use. Find out which PPE nurses use and evaluate whether they use it properly. Methods: The research was carried out using a qualitative method, a technique of non-standardized in-depth interviews and observation. 16 nurses attended the interviews and were observed during 112 nursing activities. Qualitative research was supplemented by an interview with the institutional epidemiologist and a nurse from the department of epidemiology. Results: Nurses use PPE to protect their health and are well-aware of the risks. They realize that it also protects the patient. Nurses commonly use gloves, face masks and protective aprons. When choosing proper PPE, they base their choice primarily on the standard of nursing care, legislation, the nature of the activity performed, the specifics of the department, the risks involved or the type and method of transmission of the respective disease. At workplaces there are a sufficient number of several types of PPE and nurses have the opportunity to educate themselves on the issue. However, there are some obstacles to the correct use of PPE. These obstacles include: lack of information, lack of staffing, pressure on performance and time stress. During the observation the most frequent errors were found in the use of gloves and taking off PPE. Recommendations for practice: The introduction of comprehensive training on individual PPE, increased checks by managers, regular updating of standard nursing procedures, sufficient staffing and sufficient spare protective equipment at the department may contribute to increasing the level of use of PPE.
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