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The quality of nursing care at selected department subsequent care
KRATOCHVÍLOVÁ, Eva
Current state: The goal of nursing is a quality of nursing healthcare. Each department has its own specific features and therefore has its own quality indicator. This work focuses on two quality indicators related to healthcare, specifically on patients with MRSA infection and their falls. Methodology: In the research were applied three methods of data collection: 1) statistical data from the hospital system; 2) intentional structured observation; 3) structured interviews. Research file: In order to evaluate the incidence of falls and cause of falls, were examined a total of 85 patients and a total of 98 patients for evaluation of decolonized patients with MRSA infection. The investigated group of people for observation and in-depth interviews were ONP nurses from the 6th floor of České Budějovice Hospital, plc. Results: The hypothesis that the most common cause of the fall is leaving the bed without any accompaniment has not been confirmed and the incidence of falls at the patients throughtout the observation period of the year 2015 dropped down significantly in comparison with the year 2014. The most common source of MRSA infection was a wound. Also, has not been confirmed the hypothesis that the number of decolonized patients with MRSA infection who were observing in the year 2015 will be statistically higher than in the year 2014. Most nurses know the cause of MRSA infection, but the problems they have are the precise definitions. By observing the practical activities and skills of nurses during the treatment of patients with MRSA infection were revealed certain shortages, especially the improper use of protective equipment and the improper disinfection of aids after their use. Conclusion: The results of the research show the need for more nursing education in this subject. Adverse events are a serious complication of the nursing process. The number of falls as well as the number of decolonized patients with MRSA infection is not successful significantly decrease in comparison year-on-year. The research also found inadequate theoretical preparedness of the nurses in the area of infectious diseases and a certain discrepancy between verbally presented experiences and the results of observation real activities.
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Esential principles affecting quality provided by nursing care in nurses at home care agencies
RAJTMAJEROVÁ, Pavla
The name this work is The Basic Principles that Affect the Nursing Care of Nurses in the Home Care Agencies. Its target was to find out whether observing the basic principles of a complex home care can, according to nurses, affect the quality of the nursing care. The above principles are: a principle of the support of the society health renewal, a principle of human rights observance, a principle of procedure standardization, a principle of the continuous education of the team members, a principle of ethical aspects and a principle of complexness. Within this work we focused mainly on the last three principles. There is the history of the home care in the present state, its developement and forms of such care, the individual principles have been analysed and the most important ones have been described in detail. A non-standard questionnaire has been used for the research, intended for nurses in the home care agencies. It has been distributed mainly in South Bohemian region and a few questionnaires also in the West Bohemian region. The research showed that all the set hypotheses have been confirmed. The nurses agree that the continuous education, standards application and observation of ethical principles affect the quality of the nursing care. This work can be used as a basis for teaching the communal nursing in all types of communal institutions, which deal with such problems. Further it can serve as a source of interesting information for nurses, who start working in home care agencies. It can also be used for presentations in seminars or conferences for nurses.
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