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Communication as part of nursing care in the emergency department
KREJČÍ, Natálie
Abstract The aim of this thesis was to chart the specifics of communication between nurses and patients in the emergency department. Two research questions were formulated based on this goal: "What are patients' experiences with communication from nurses in the emergency department?" and "What communication problems occur between nurses and patients in the emergency department?" Additionally, two hypotheses were developed, namely: "Nurses' knowledge of communication principles differs according to their level of education" and "Nurses' knowledge of communication principles differs by length of experience." A mixed research strategy was used, including semi-structured interviews and an unstandardised questionnaire. The study involved 12 patients treated in the emergency department and 216 nurses working in the department. The interviews were evaluated with the open coding method, using pencil and paper, and the results were subsequently categorised. Hypotheses were tested using nonparametric correlation Spearman's correlation coefficient in IBM SPSS Statistics 28 program. The results of the qualitative research emphasise the importance of communication in the emergency department. Patients evaluate their experiences primarily based on the approach and communication from the staff. The most frequently reported communication issues are unsuitable communication from nurses, followed by the staff not having enough time, high numbers of patients in the waiting room, and insufficient information. The quantitative results demonstrate a statistically significant effect between nurses' educational level and knowledge of communication principles. The test result yielded a p-value of 0.01%. Thus, the higher the educational attainment, the higher the knowledge of communication principles. In contrast, there was no statistically significant association between the length of experience and knowledge of communication principles. According to the test result, the p-value was 19.6%. Therefore, knowledge of communication principles is not related to nurses' experience. The most common barriers from the perspective of nurses are aggression from patients and a lack of time. One of the solutions to the barriers is certainly to increase the number of staff and to ensure lifelong communication skills education for nurses.
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Social isolation of in-patients problems
GRIMM, Viktor
Abstract The presented diploma thesis explores the social isolation hospital and sanitary facility clients suffer from, raising a live issue to tackle. Research aims and questions: I framed three aims, including defining the needs of socially isolated hospital patients, assessing the impacts of social isolation on the patients, and analysing how to mitigate the feeling of loneliness. The goals involve three research questions: 'What are the needs of socially isolated hospital patients?' 'What are the impacts of social isolation on hospital patients?' and 'How can we mitigate social isolation of hospital patients?'. Research methods and sample: The empirical part involves a qualitative methodology - a semi-structured interview. The research sample comprises probands classified into three groups. They include nurses attending socially isolated patients, patients and their relatives. I addressed 17 probands within one hospital and sanitary facility in South Bohemian Region. The data analysis involved open coding - a paper-pencil survey, splitting the data into three main categories, each containing ten subgroups. Findings: The survey revealed that hospital or sanitary facility patients often feel lonely, unveiling critical psychosocial needs for alleviating these feelings. Nurses and relatives are highly instrumental in showing compassion, while family hospital visits are imperative to prevent social isolation. The findings also indicate that loneliness severely undermines patients' mental health. Contribution to practice: The study may contribute to educating students of health and social care and licensed practical nurses and informing the general public. As the thesis's outcome, I will hold a workshop with nurses to identify and deal with socially isolated patients.
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Interaction between nurses and family members and their view of patients admitted to the anaesthesia-resuscitation department
DAŇKOVÁ, Pavlína
The present Master's thesis examines the topic of anaesthesia-resuscitation ward visits, interactions, and communication, seen from the perspective and views of nurses and family members of the patients. The primary objective was to examine the interaction between nurses and family members of patients admitted to the anaesthesia-resuscitation wards; the second objective was to investigate the nurses' and family members' perceptions of these patients. The author has achieved the goals mentioned above through qualitative research using two methods: semi-structured interviews with family members of patients and questionnaires involving nurses working in the anaesthesiology-resuscitation wards. The research has established the following: nurses keep an open, positive attitude towards supporting the patient's family; nurses' cooperation with the family members does not depend on their shift difficulty; however, the demandingness of the shift can be influenced by the amount of time the nurse spends with the patient's family; and the nurse's view of the patient is not subject to their education or length of work experience. It is hard for families to see their relatives admitted to the anaesthetic and resuscitation ward; such experiences are associated with very negative feelings; moreover, the family members expect the nurse to behave and act in a role-defined manner. Families usually want to be involved in their loved one's care and appreciate when the nurse is helpful, proactive, supportive and does not shun them; on the other hand, the unfamiliar and strange environment of the ward, and their loved one fighting for life, impacts negatively on families. The present thesis has resulted in drafting an information leaflet that nurses can use for the education of anaesthesia-resuscitation ward visits, containing basic information about the ward, general instructions and a description of the patient, accompanied by illustrations.
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Nurse Work Management in Septic Orthopedics
HRACHOVÁ, Jana
Abstract The diploma thesis deals with the work management of the nurse in septic orthopaedics from the point of view of the nurse and patient as the recipient of care. Since the operative medicine goes generally very fast ahead and surgeries are performed in different terrain, often in infected or potentially infected areas, the surgical wound can be infected by microorganisms from outside or inside. Therefore, it is essential that nurses working with such patients should know the management of the work on the patient with infectious complications. The aim of the work is to map the management of the nurse's work in septic orthopaedics. To achieve this, 3 hypotheses and 4 research questions were set. To achieve the aim, quantitative research was used in the form of questionnaires for nurses who encounter patients with septic diagnosis or complications in their work. 365 questionnaires were included in the research. The qualitative research was conducted in the form of semi-structured interviews with 9 participants who met the inclusion criteria. It can be said that although septic orthopaedic patients come in contact with nurses in all types of hospitals across the republic, it cannot be said that there is a single model in the provision of care. The truth is that the provision of care depends on the education, the length of the nurse's practice, but also on the type of hospital where the patient is hospitalized. A qualitative research survey found that the most important factor for patients is not the way of providing care, but the human approach to them, communication with them and the time that the staff is willing to devote to them. A happier patient is the one to whom the staff is dedicated. In conclusion, we would like to say that septic orthopaedics from the perspective of the nurse work management is under-discussed and it would be advisable to change this.
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The role of the nurse in regime measures for a migraine sufferer
PAPOUŠKOVÁ, Veronika
In the presented bachelor thesis were set two main gals. The first one was to map needs of the sufferer with migraine. The second one was to describe regime meassures of the sufferer with migraine. Four research questions were developed to adress the objectives, which are as follows: How do patients subjectively describe the course of migraine attacks? What are the needs of a patient with migraine attack? What factors influence the frequency and course of migraine attacks? How much are patients with migraine attack inform about regime measures? The Empirical part of bachelor thesis was developed by using qualitative research methods. To the process of collect datas was used semi-structures interview technique. The interview consisted 28 questions, which are presented in Appendix 1. The findings were processed using open coding, pencil-and-paper technique. The research population consisted of a total od 9 informants who suffer from migraine. The subjects had to be over eighteen years of age and their experience of migraine had to be at least five years. The results of the research part are presented in the bachelor thesis trough tree main kategories. The first category focuses on the subjective description of the course of migraine attacks of individual informants. This category includes the frequency of migraine attacks, the description of the period before the attack, the course of the attack itself, and finally the posta-attack period. The secon category delas with the needs of migraine sufferers. Here is description of the informants´ behaviour during the attack, how much the informants are affected by migraine, and how the informants manage migraines pain. The last category focuses on regime measures. In this category, migraine patients describe migraine triggers, the regime measures followed by migraine patients, how informed the yre about migraine conditions, and what information they miss about migraine. The results of the bachelor thesis will be used by health professionals to expand information about the needs of migraine sufferers. The information found cant hen be used by nurses to map out the regime measures of patients with migraine. The obtained informations can also be used by migraine patients who would be able to better understand migraine-related conditions and regime measures based on the thesis.
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The nurse's role in the education of patients on surgical ward
KUBEŠOVÁ, Miroslava
The theoretical part of the bachelor thesis defines the role of a nurse-educator, the education reality consisting of the educational process, constructs, and the environment, it also concentrates on more particular introduction of the individual education topics in the pre-surgery and the post-surgery periods on a surgical ward. Four research goals were set in the empiric part of the thesis. The goals of the thesis were to find out in what ways nurses educated patients in the pre-surgery and the post-surgery periods. Further goals were to map the educational needs of patients before and after the surgery. The qualitative research form and the technique of semi-structured interviews conducted with nurses from a surgery department and patients before and after a planned surgery were chosen for the implementation of a significant part of the thesis. The criterion for the selection of respondents was that they should be patients of a surgery department with planned hospitalization longer than 2 days. The same patients were also interviewed during the post-operation period. The criterion for the selection of the nurses-respondents was that they had really worked at the standard ward of a surgery department for more than 3 months. The research sample set consisted of 9 nurses and 5 patients. Final categories and subcategories were defined based on the analyses of the carried our interviews. Educational material was prepared based on the research carried out with the patients and the nurses as the outcome from this bachelor thesis. The material was prepared in a form that enables its availability for a patient for the whole time of hospitalization. The use of the educational material can support the patient education on the surgical ward.
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Interaction between a patient and a nurse during a transfer of human biological material.
KOPŘIVOVÁ, Natálie
Abstract: This bachelor thesis is devoted to communication between a patient and a nurse during the collection of biological material. Aims of the thesis: To explore communication barriers from the nurses' side during biological material collection. To learn about the patients' experience with communication techniques used by nurses during the selected biological material collections. To find out which communication techniques are used by nurses during the collection of biological material. Methodology and research population: For the fulfillment of set goals, a qualitative research in the form of semi-structured interviews aided with observation was implemented. The interview-based data were then analysed using open coding and Pen-and-Paper method (PAPI). The research population consisted of 11 nurses and 6 patients from hospitals in the South Bohemian Region and Vysočina Region. The research was carried out from February to March 2023. The criteria for the selection of nurses for our research was the execution of collecting biological material as part of their work at the selected workplace. The minimal experience of the nurses was 5 years for interviews and 2 years for observations. The patients were to undergo a selected biological material collection. Three categories and six sub-categories were found during the data analysis. Results: The research through observation showed us that many nurses communicate with patients professionally and adequately but some nurses omit or unsuitably use certain elements of verbal and non-verbal communication. Those include inappropriate addressing, violation of hygienic guidelines, lack of patient identification or failure to divert attention during procedures. Of course, no communication with the patient throughout the material collection is easy and comes with many barriers, be it language, space, misunderstanding, patient's unwellness or staff shortage at the workplace. Patients' experience with positive and negative attitude of the nurses varies in each facility. The results of the interviews revealed that smiling, eye to eye contact, empathy, attention diversion or verbal communication during material collection are essential for the patients. Recommendations for practice: The results of this work can be used as study material or guidance for nurses already working in the healthcare sector, but also for non-medical students. This will enable nurses to develop patient-centred communication skills that are essential for the provision of quality nursing care.
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nomophobia in nurses
GROMSKÁ, Veronika
Nomophobia in nurses Abstract Introduction: this bachelor thesis focuses on the prevalence of nomophobia in nurses. The theoretical part deals with addiction, anxiety, description of nomophobia and the occurrence of nomophobia in healthcare. Nomophobia in nurses is a very serious problem, as due to the frequent use of mobile devices, negative consequences such as postponing important tasks, hoarding tasks or distraction occur. Aim: The aim of this study was to map the prevalence of nomophobia in nurses working in intensive care units and standard wards and also to map the effect of nurses' education on the prevalence of nomophobia. Methodology: Data were collected using a standardized Nomophobia questionnaire (NMP-Q). 80 (100 %) questionnaires were distributed and the overall return rate was 61 (76.25 %) questionnaires. Results: out of the total 61 nurses (100 %), every nurse showed some degree of nomophobia. The largest number of nurses, namely 36 nurses (59 %) were found to have a moderate degree of nomophobia. 22 nurses (36 %) were found to have a moderate degree of nomophobia and 3 nurses (5 %) were found to have a severe degree of nomophobia. The results also showed that nurses from standard wards showed a higher degree of nomophobia than nurses who worked in intensive care units (p = 3,9 %). It was also found that the degree of nomophobia did not differ among nurses according to their level of education. Nurses with both secondary and tertiary education showed the same degree of nomophobia (p = 20,5 %). Conclusion: The contribution of this bachelor thesis should be insight into the topic of nomophobia in nurses and the impact of nomophobia on the quality of care provided. This thesis should offer nurses a material that summarizes everything that is related to this issue and at the same time the thesis can serve employers of health care institutions to motivate nurses more.
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The issue of prevention and treatment of pressure ulcers among the geriatric patients
BERNATÍKOVÁ, Andrea
Abstract: This bachelor thesis deals with the issue of prevention and treatment of pressure ulcers among the geriatric patients. Aims of the thesis: Find out which interventions nurses are practicing to prevent pressure ulcers among the geriatric patients. Explore the nurses' experience in treating pressure ulcers among the geriatric patients. Methodology and research set: To achieve the objectives, research questions were created. What are the interventions used to prevent pressure ulcers among the geriatric patients? What is the experience of nurses in treating pressure ulcers in the selected institutes? The empirical part of this bachelor´s thesis was created using a qualitative research method. The data was collected using semi-structured interviews which were conducted with nurses at selected departments of three hospitals in the South Bohemian Region. The research sample "nurses" consists of 15 nurses in total, each with a minimal experience of 3 years. The interviews were complemented by a long-term direct, participant observation involving 5 nurses from one of the three South Bohemian hospitals in the selected department. The data obtained were processed using the pen and paper interviewing method (PAPI). Open coding was used and the data were then sorted into eight categories and 15 subcategories. Results: The results of the survey showed that the nurses encounter the issue of pressure ulcers among the geriatric patients almost on daily basis. Nurses were able to list the interventions used in the prevention of pressure ulcers among the geriatric patients. Our investigation revealed that some nurses did not take the same action in practice when compared to their statements and described their practices in treating pressure ulcers among geriatric patients only in theory. They are knowledgeable about treating pressure ulcers patients but in practice they do not abide by certain principles. These include the use of protective equipment during bandaging, adherence to indications, communication with the patient, monitoring the patient's general condition, maintaining sterility, supervision and care of the area around pressure ulcers. Recommendations for practice: We recommend the inclusion of more courses about the topic of pressure ulcers in nurse education as it is essential to have sufficient information and regular education to provide quality care. We also recommend that in addition to theoretical knowledge nurses should be given practical training in the prevention and treatment of pressure ulcers.
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