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The use of restraints in internal branch departments in Hospitals of the South Bohemia Region
RŮŽIČKOVÁ, Monika
This Bachelor thesis is both theoretical and practical. The first part of the theory focuses on an aggressive patient, the causes of aggression, expression, prevention, treatment and access to an aggressive patient. It also mentions aggression in hospitals. In the second part, the theme is restrictive devices, which are often used precisely in aggressive patients. It discusses in more detail the types of restraints, the principles in their use, the laws governing them, the documentation and the nursing care of the patient under restriction. Research goals: In this bachelor's thesis, 3 goals were set. The first was to map the nurses' experience with restrictive devices in practice. The second aim was to explore the nurses' attitude to these means. The third aim was to identify what shortcomings nurses saw in the issue of the use of restraints. Research questions: Three research questions were identified on the objectives of the work. 1. What experience do general nurses have in the use of restraints? 2. What is the general nurse's position on restraints? 3. Do general nurses perceive any shortcomings in the use of restraints? Methods: A qualitative research strategy was used in the practical part. The data collection took place through semi-structured interviews conducted with general nurses in the internal departments of hospitals of the South Bohemia Region. The selection of informace was deliberate, with a total of 12. Results: Using the pencil paper method of data analysis, we created 3 categories of questions and 21 subcategories. All nurses have experience of using curtsies and medication from their practice. The frequency of their use varies according to the ward they work in. Almost half of the nurses had a bad experience concerning the improper use of restrictive medication. Nurses' attitudes are slightly more positive positive mainly due to patient and staff protection. From the nurses' perspective, the positives outweigh the negatives when it comes to restrictive measures. Half of the nurses expressed that they were aware of the shortcomings of this issue. The most frequently mentioned was the lack of availability of orderlies or security guards on the ward.
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Violence and aggression in healthcare professionals with a focus on workplace of acute psychiatric care
Němec, Tomáš ; Jirkovský, Daniel (advisor) ; Haluzíková, Jana (referee)
The aim of the bachelor thesis was to provide basic information on aggressiveness at selected workplaces of Bohnice Psychiatric Hospital. In the framework of this work, a questionnaire was submitted to 194 respondents performing general nurses or health care professions, acute care departments and subsequent psychiatric, anti-toxic and gerontopsychiatric care. The investigation took place during December 2016 and January 2017. The main results showed that respondents from PN Bohnice encounter high frequencies with aggressive patients, i.e. daily or weekly in 60% of cases. Most respondents (92%) encountered verbal and physical aggression. The most common kind of physical aggression is the destruction of property (52%), the assault of a health care professional (40%) and self-harm (39%). The most common type of aggressor is male (50%) and female (44%), less frequent visits and the patient's family (3%). For men, physical aggression is higher than for women by more than 13%. According to medical professionals, the most common cause of aggression is the disease (67%), fear and anxiety (32%), and the third is environment (27%). Physicians deal with conflicting situations most often by appointment (97%), and secondly in cooperation with other health workers, i.e. they call service (55%) or doctor (44%)....
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