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Contact Precautions in Nursing Care in Patients with Infectious Diseases in a Medical Ward
Vanclová, Barbora ; Trojánek, Milan (advisor) ; Neugebauer, Jan (referee)
Bachelor thesis titled "Barrier Nursing Regime in patients with infectious diseases in standard bed ward" delves into the knowledge of non-medical healthcare personnel in the issue of barrier nursing care and barrier isolation regimes, their subsequent application in practice on individual standard wards, and possible ways to increase the motivation of this personnel to adhere to barrier measures. Aims: The aim of this study is to determine whether healthcare personnel adhere to barrier measures when caring for patients with infectious diseases and to assess their knowledge in this area, eventually, reasons for not adhering to these measures and explore potential motivations for adherence. Methods: The research was conducted using a questionnaire survey, which was carried out in 4 hospitals, namely in MMN a.s., Regional Hospital Jičín a.s., Regional Hospital Trutnov a.s., and Regional Hospital Náchod a.s. The questionnaire comprised a total of 23 questions, including 6 open-ended questions and 17 multiple-choice questions. A total of 69 respondents completed the questionnaire. Results: After statistical analysis of the data, it was found that the knowledge of non- medical healthcare personnel in this area is not entirely satisfactory, which often leads to incorrect utilization of barrier regimes....
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Sarcopenia screening at hospitalized patients on standard hospital ward
VÁCLAVÍKOVÁ, Monika
This thesis aims to map nurses' knowledge of sarcopenia and describe the current utilization of screening tools for its identification in practice. Two research questions were formulated: "What knowledge do nurses possess regarding sarcopenia?" and "What screening methods do nurses employ?" Furthermore, two hypotheses were formulated: H1: Nurses' knowledge in the field of sarcopenia varies depending on the department they work in. H2: Nurses' knowledge in the field of sarcopenia varies depending on the length of their practice. Additional hypotheses were formulated during the data analysis, allowing for a better understanding of the research issue. The empirical part of the thesis combined a mixed research strategy using semi- structured interviews and non-standardized questionnaires. Five nurses and one physician participated in the qualitative survey, while 179 nurses from various departments were involved in the quantitative research. The results showed insufficient knowledge of nurses about sarcopenia, which was confirmed in both qualitative and quantitative surveys. Minimal utilization of sarcopenia assessment tools in practice was also identified. Statistical analysis confirmed relationships between nurses' knowledge and their attitudes toward assessment tools, as well as between length of practice and preference for clinical observation over assessment tools. Age of respondents was found to correlate with reactions to assessment tool results. Representation of assessment tools used was consistent across all departments. The research survey results revealed weaknesses in nurses' knowledge and insufficient utilization of sarcopenia screening methods in practice. Based on the research findings, it is evident that improving nurses' knowledge in the field of sarcopenia, especially in departments with a high prevalence of patients suffering from this condition, is necessary. It is also important to train healthcare professionals and ensure that screening methods are actively implemented in practice.
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Nurses' approach to patients with dementia in general hospital wards
VAN HORIK, Nina
This bachelor thesis focuses on the approach of nurses to patients with dementia in standard wards. The thesis consists of a theoretical and an empirical part. The theoretical part contains the definition of the term dementia, distionction of individual types and stages, distinction of symptoms, pharmacologic and non-pharmacologic therapy. Furthermore, it deals with communication and attitudes towards patients with dementia and problematic behaviour stemming from the disease. In the empirical part of the thesis, the aim was to identify general nurses' approaches to patients with dementia, the factors that may influence their approach, and then compare approaches of nurses with each other. A quantative method using a non-standardised questionnaire was chosen to conduct the research. The questionnaire was used to examine the approach of nurses to patients with dementia and to their awareness of specific and modern methods used in the care of patients with dementia. The responses of respondents from four types of standard wards were then statistically analysed. The results show that neither the length of practice nor the highest educational attainment affects the approach of nurses to patients with dementia, on the contrary, what affects their approach is the type of ward. It was also found that the use of modern methods does not depend on the education of the nurses, but again on the type of ward. The results of the investigation highlight the divergent approaches of nurses to patients with dementia and what factors may influence the approach. The result of the thesis can be used to develop a seminar to inform about modern methods in the care of patients with dementia and how to communicate and treat the patients.
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Caring for patients on High-Flow Nasal Oxygen therapy during the COVID-19 pandemic from the standard ward nurses perspective
Škodová, Tereza ; Arientová, Simona (advisor) ; Míca, Patrik (referee)
The thesis examines the experience of standard ward nurses in caring for COVID-19 positive patients who were on high flow oxygen (HFNO) support due to respiratory failure. The research was conducted in the Infectious Diseases Clinic Department at the Military University Hospital Prague where this treatment method was implemented during the COVID-19 pandemic. This thesis is divided into two parts. The theoretical part deals with COVID-19 disease, HFNO therapy, AIRVO 2 divide and the primary care of patients during the pandemic. The practical part was conducted as quantitative research through a questionnaire survey and qualitative research through interviews with nurses. The main goal of the thesis was to find out how nurses of the standard ward perceive the care of patients requiring HFNO support and also to find out whether it is appropriate and adequate for the nurses to have these patients hospitalized in the standard ward department. Key words: HFNO therapy, COVID-19, standard ward, nurses, experience
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Use of nursing competencies in surgical department
HARAZINOVÁ, Lucie
The aim of my bachelor thesis is to map the work of nurses in the surgical department. For a comprehensive view, attention is paid to the standard inpatient department, surgical intensive care unit and surgical outpatient clinic. Determining the specifics of the work of nurses in these components was defined as the second goal. To meet the goals, 3 main research questions were set: "What is the role of a nurse in the surgical department?", "What are the specifics of work in individual departments?" and "What is the continuity of care between departments?". Due to the diversity of surgical components, the theoretical part of my work specifies their spatial arrangements and equipment, describes the expected condition of patients, the role of the nurse and other aspects. It also discusses the history of surgery as a field. The research group consists of a total of 19 informants, of which 8 informants working in the standard surgical department, 6 informants from the surgical intensive care unit and 5 informants from the surgical outpatient clinic. The results show that the addressed informants generally perceive their role as part of their job position and in the provision of nursing care. The specifics of the standard ward are described by nurses from its septic part in the more difficult state of health of patients, other informants mention the diversity of diagnoses or concern for a higher number of patients. Informants from the intensive care unit agree on the increased need for patient monitoring. The informants from the surgical outpatient clinic mainly take care of patients with acute problems, while the outpatient clinic is usually their first point of contact with a medical facility. The output of this work is a professional article providing information for medical staff and students of medical disciplines.
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The rate of stress load on standard nursing wards and intensiv care units.
Brzicová, Věra ; Kulhavá, Miluše (advisor) ; Ptáček, Radek (referee)
This thesis deals with the stress, strain and stress level of stress. It examines what more burdens on JIPu sisters and what the standard department, what are the specifics of their work. Compares the work load and nursing department and the standard JIPu. It looks at how the situation affects of stress nurses. It outlines the causes and manifestations of stress effects on the human organism. He is also the burnout that often occurs among workers in the helping professions. The thesis is focused on the shift operation (especially on night shift), relationships at work (sister-sister, sister-doctor), the aggressive behavior of patients, or the lack of sufficient time for patient care. Research method is a questionnaire distributed to the nurses and the internal standard surgical wards and ICU. The evaluation questions of the questionnaire confirms or overthrows the hypothesis that I set at the beginning of research. The hypotheses were confirmed hypotheses 2 and 5 of the hypothesis was not confirmed. It was confirmed that the exchange operation and overload nurses, patient aggression, care of confused patients and bad interpersonal relations a high burden on medical personnel and contributes significantly to the stress load of nurses. In conclusion, I mention that a large role in preventing and...
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Administration of medication in hospital wards
Fuková, Tereza ; Hošťálková, Monika (advisor) ; Pavlíková, Pavla (referee)
This thesis concerns the administration of medication in hospital wards. The theoretical section describes the process followed by the nurses, the most common types of medication, and drug classification. The thesis then assesses the level of pharmacological and legal knowledge among the nursing staff, and the incidence of clinical mistakes. The data was obtained by means of a 19- question questionnaire, in a survey of 100 nurses in medical, surgical, geriatric and psychiatric wards. Key words: Nurse, medicine, medicament, administration of medication, hospital ward
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A patient with a mental disability on a standard hospital ward.
VÁCLAVÍKOVÁ, Monika
This bachelor thesis deals with specifics of nursing care of patient with mental disability on a standard hospital ward. The thesis is divided into theoretical part where the basic information about mental disability are described including nursing care. The analytical part is aimed on experiences and knowledge of nurses who are caring of this patients and the other aspects which influence nursing care. The aim of the bachelor thesis is find out possible problems which occur during the hospitalization. Qualitative research using semi-structured interviews was selected for the analytical part. It was supplemented by direct, hide, participant observation. Ten nurses working at different standard wards in different hospitals were intentionaly selected for the research. The given interviews were processed by the open coding technique using pencil and paper. 7 categories and some subcategories were created and were further elaborated according to their specialization. Observation was performed on the Internal Department in one South Bohemian hospital. Seven nurses were observed. The analysis of observation was made by describing the individual record sheets and the situations and their comparison. The research shows that nursing care of patients with mental disability is difficult and have to be individualized. The most common problems in these patients are impaired adaptability, self-care deficit, disturbed verbal communication, incontinence, the risk of a violence and impaired social interactions. Nurses encounter all degrees of mental disability. The grade of mental disability is one of the aspects that greatly affects nursing care. Quality communication and sufficient patient information are essential for proper nursing care. The results of this bachelor thesis could be used for nurses or nursing students. The results can serve as an information material for anyone who wants to learn more about mentally handicapped patients.
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Nursing documentation of anesthetist nurses
Prošková, Lenka ; Di Cara, Veronika (advisor) ; Chvojková, Kateřina (referee)
Nursing documentation of anesthetic nurses is not an common type of documentation in our country. In some workplaces, the medical record of anesthesia is supplemented with data needed to identify the nursing care provided. Therefore, nurses do not have their own nursing documentation at these workplaces, but they record the data in the documentation with the doctor, or continue the records on the decree sheet. Each medical facility in our country has its own system of health documentation, which makes a logical, continuous unit. The aim of my research was to find satisfaction of the nurses in the examined medical facility with the established system of medical documentation, more precisely anesthetic nursing documentation, which is related (not only) to surgical procedures. Describe how many documents are created in connection with the operation and which of them affect nursing care records. Whether they are clear, readily available, and capture the necessary data for all nurses involved in patient care in the operational fields. The choice for research was a quantitative survey using a questionnaire prepared in writing. Respondents were surgical nurses, ARO, ICU, adult room and anesthetist nurses. Part of the research was the study of existing papers, which fill anesthetist nurses and documents...
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The rate of stress load on standard nursing wards and intensiv care units.
Brzicová, Věra ; Kulhavá, Miluše (advisor) ; Ptáček, Radek (referee)
This thesis deals with the stress, strain and stress level of stress. It examines what more burdens on JIPu sisters and what the standard department, what are the specifics of their work. Compares the work load and nursing department and the standard JIPu. It looks at how the situation affects of stress nurses. It outlines the causes and manifestations of stress effects on the human organism. He is also the burnout that often occurs among workers in the helping professions. The thesis is focused on the shift operation (especially on night shift), relationships at work (sister-sister, sister-doctor), the aggressive behavior of patients, or the lack of sufficient time for patient care. Research method is a questionnaire distributed to the nurses and the internal standard surgical wards and ICU. The evaluation questions of the questionnaire confirms or overthrows the hypothesis that I set at the beginning of research. The hypotheses were confirmed hypotheses 2 and 5 of the hypothesis was not confirmed. It was confirmed that the exchange operation and overload nurses, patient aggression, care of confused patients and bad interpersonal relations a high burden on medical personnel and contributes significantly to the stress load of nurses. In conclusion, I mention that a large role in preventing and...
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