|
|
Mapping nursing care issues from the perspective of nurses in patients with symptoms of aggression due to substance withdrawal in selected metabolic intensive care units
Kousalová, Hedvika ; Trnková, Ivana (advisor) ; Těšínský, Pavel (referee)
The thesis deals with the issue of nursing care in patients with manifestations of aggression due to substance withdrawal syndrome in metabolic intensive care units. A questionnaire survey was carried out among general nurses, paramedics, and nurse practitioners. Three sub-objectives were established: to identify the most frequently utilized nursing interventions related to the studied issue, to assess the perceived psychological and physical burdens on healthcare staff, and to gauge their interest in further education on this matter. The theoretical background of the thesis deals with definitions of substance use, types of substance abuse, withdrawal syndrome and specifics of nursing care for patients with manifestations of aggression, including education and legal aspects of the use of restraints in health care settings. To collect data for the research part, anonymous non-standardized questionnaires (see appendix) were used for general nurses and nurse practitioners working in metabolic intensive care units in selected university hospitals in Prague. The thesis concludes with a summary of recommendations for nursing practice in the area of nursing care of patients with manifestations of aggression after withdrawal from addictive substances based on a comparison of the results of the research...
|
|
|
Nurses experience with violence of patients side.
KREJČÍ, Natálie
The bachelor thesis deals with the nurse experiences with an aggressive patient. The objective of our bachelor thesis was to map the experiences of nurses with violence from patients. According to the stated objective, we set ourselves these research questions: What are nurses' experiences of violence from patients? What are the specifics of caring for an aggressive patient? We used qualitative research methods for our bachelor thesis. For ours nurses we devised half structured interviews. The research group was composed of twelve nurses, who have an experience with aggressive patient. The research results showed that nurses have experiences mainly with verbal aggression in the form of swearing and vulgarisms. Reaction of most nurses to verbal aggression was verbal reassurance, but nurses did not dedicate a lot of attention to nonverbal communication. In physical aggression, nurses usually use restraints, but most of nurses do not think that application of medication belongs to restraints. Further, nurses in physical aggression tried to call help, so they ensured their own safety. Nurses most often classify between restraints: protective belts and a room designed for the safe movement of patients. This restraints are most often used. In caring for a limited patient, nurses pay more attention to the patient's physical needs than to the mental ones. Furthermore, we found that nurses are not very often acquainted with the issue in the theoretical or practical part, for example through lectures or self-defence courses. However, all informants would like to be more educated in the given issue.
|
|
|
Using of Restraints in the Geriatrics
Lorencovičová, Eva ; Doskočil, Ondřej (advisor) ; Petr, Tomáš (referee)
In consideration of the demographic trends of our population, it is necessary to deal with the old age problems and problems of geriatric patients. The controversial topic of restraints, especially sensitive in association with old frail people, is closely related. The issue of restraints is defined by law. However, the ethical aspects of their application should also be considered. The theoretical part of this thesis deals with the topic of old age and serious problems of this period of life, including mental disorders. It introduces the field of geriatrics and geriatric patients. In further chapters, this thesis discusses the restraints and ethical issues related to their use. By using qualitative research methods, the empirical part of this thesis surveys the attitudes of healthcare professionals towards this issue. It discusses specific restraints and the reasons for which they are used. The results show that the most important value of healthcare professionals is health and the most respected ethical principle is the principle of beneficence. Key Words: old age, geriatric patient, health risk, restraints, ethical principle
|
|
|
Problematics of using restraints from the point of view of paramedical personnel
SIEBEROVÁ, Markéta
In the theoretical part of the Bachelor's thesis named "Problematics of Using Restraints from Paramedical Staff's Point of View" we dealt with using restraints in the Czech Republic, the issue of nursing care in patients where it is necessary to use restraints as well as reasons for using restraints. The research part focused on the attitudes of paramedical staff to using restraints and their feelings during application. Research goals: There were two goals set in this Bachelor's thesis. The first one was to compare the attitudes of paramedical staff to using restraints in chosen departments. The second goal aimed at finding out the experience of paramedical staff with using restraints in chosen departments. Research questions: There were two research questions set up to reach the goals of the work. 1. What are the attitudes of paramedical staff to using restraints in chosen departments? 2. What experience do paramedical staff have with using restraints in chosen departments? Methods: To achieve the goals, semi-structured interview method was used in a qualitative research survey. The interviews were held with nurses in different health-care facilities in the Czech Republic and the choice of respondents for the research group was calculated there were 9 respondents. Results: Based on a data analysis, we set up 3 categories of questions and subsequently 18 subcategories. The research survey shows that the attitudes of nurses differ but they have a common understanding that the restraint is salutary for patients in case of a potential imminent injuryof the patient, other patients or staff. Nurses have different experience depending on the department where they work as well as their practice duration in that department.
|
|
|
Using of Restraints in the Geriatrics
Lorencovičová, Eva ; Doskočil, Ondřej (advisor) ; Petr, Tomáš (referee)
In consideration of the demographic trends of our population, it is necessary to deal with the old age problems and problems of geriatric patients. The controversial topic of restraints, especially sensitive in association with old frail people, is closely related. The issue of restraints is defined by law. However, the ethical aspects of their application should also be considered. The theoretical part of this thesis deals with the topic of old age and serious problems of this period of life, including mental disorders. It introduces the field of geriatrics and geriatric patients. In further chapters, this thesis discusses the restraints and ethical issues related to their use. By using qualitative research methods, the empirical part of this thesis surveys the attitudes of healthcare professionals towards this issue. It discusses specific restraints and the reasons for which they are used. The results show that the most important value of healthcare professionals is health and the most respected ethical principle is the principle of beneficence. Key Words: old age, geriatric patient, health risk, restraints, ethical principle
|
|
| |
guest ::
