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Cooperation of nursing staff with the ostomy nurse
HÁLOVÁ, Kateřina
The bachelor thesis is focused on cooperation between stoma nurses and general nurses, their procedures in the education of stoma patients, and nursing problems related to stomas. The bachelor thesis is divided into two parts - theoretical part and research part. The theoretical part contains characteristics of a stoma nurse, stoma, stoma indications, complications and appropriate stoma care. It also defines cooperation among healthcare staff, and education of ostomates. The research part is focused on cooperation between stoma nurses and general nurses, education of ostomates, and the most common nursing problems related to stomas. Two objectives were set for the research part, namely: To explore cooperation between nursing staff and stoma nurses. To identify the most common nursing problems encountered by stoma nurses in the education of nurses. This part had the form of a qualitative research survey using semi-structured interviews. Interviews were taken with two research sets. The first set consisted of three stoma nurses and the other one of four general nurses. After theoretical saturation was reached, the information was processed in the form of open coding and was subsequently categorized into seven categories. The results show that cooperation between stoma nurses and general nurses in taking care of ostomates is very common. In most cases such cooperation involves professional help in dealing with complications, provision of stoma care supplies, or patient education. Concerning the second objective, it has been found out that the most common problem in the education of nurses is poorly cut holes in ostomy bags and subsequent occurrence of complications. It has also been found out that stoma nurses try to educate staff in accordance with their nursing procedures so that the education of patients is of the highest quality possible. The findings were used to create an information material for nurses and students of nursing professions.
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Quality of life of patients with intestinal stoma
Pištinková, Dominika ; Vachková, Eva (advisor) ; Zámečníková, Kateřina (referee)
ANOTATION Name and surname of the author: Dominika Pištinková Institution: Charles University in Prague Faculty of Medicine in Hradec Králové, Department od Non-mediacal Studies Title: Quality of life of patients with intestinal stoma Supervisor: Mgr. Eva Vachková, Ph.D. Number of pages: 165 Number of appendixes: 7 Year of defense: 2021 Keywords: quality of life, intestinal stoma, ostomy, nursing care, WHOQOL - BREF, Stoma - QOL The bachelor's thesis deals with the quality of life of patients with intestinal stoma. In the theoretical part, basic information related to the issue of stomas is interpreted, the concept of quality of life and the specifics of nursing care in patients with intestinal stomia are defined. The empirical part focuses on the results of the quantitative questionnaire survey, for which the standardized WHOQOL - BREF questionnaire and the Stoma - QOL questionnaire were used. A total of 144 respondents with intestinal stoma participated in the survey. Subsequently, in this part of the bachelor's thesis, the set goals are discussed, where the values of quality of life are compared with the population standard. Furthermore, the empirical part of the thesis focuses on the influence of selected variables, type, and time of foundation of stoma on quality of life and mapped the concept of a...
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The importance of the ostomy nurse for the surgical department
ZRONKOVÁ BROŽOVSKÁ, Alena
Surgical procedures of gastrointestinal diseases often lead to the creation of an ostomy. The number of clients with an ostomy is increasing as the Czech Republic ranks among the countries with the largest incidence of malignant colon disease. Health care professionals in any field can often encounter the client with a stoma. Therefore, it is essential for them to understand and manage this issue well. Nursing care of such individuals is very extensive and specialized. Nursing team usually focuses only on physical care but other problems associated with stomas are pushed aside. The only highly knowledgeable and qualified expert in this area is a stoma nurse specialist (an ostomy nurse). This thesis deals with the importance of the role of the stoma nurse specialist in the postoperative phase from the perspective of nurses from surgical departments as well as from the perspective of patients with a colostomy. The thesis is divided into theoretical and empirical part. The theoretical part is further divided into four chapters: colostomy, care about stoma patients, life with a colostomy, an ostomy nurse. Two objectives were determined for processing of the empirical part. We used a combination of quantitative and qualitative research to achieve our goals. The first objective was to determine whether general nurses have the knowledge to care for a client with colostomy in the postoperative phase. To obtain data for the quantitative part of the survey the method of anonymous interviews using a questionnaire, in which the research group was formed by general nurses, was selected. The survey results revealed that nurses have sufficient knowledge to treat and educate clients with a stoma. Although not all general nurses encounter colostomy patients, they widely believe the knowledge of this issue is important for the occupation of a nurse. For the quantitative part three hypotheses were selected and tested statistically. Hypothesis 1: General nurses have the knowledge to treat the client with a colostomy. It was confirmed. Hypothesis 2: General nurses have enough knowledge to educate the client with a colostomy. It was confirmed. Hypothesis 3: General nurses positively evaluate the benefits of an ostomy nurse in care for stoma patients in the postoperative phase in the surgical department. It was confirmed. The second objective was to determine the significance of the stoma nurse for clients with a colostomy. For the qualitative part of the survey the method of direct questioning by means of a semi-structured interview with open questions was chosen. The study group consisted of patients with a colostomy. For this part of the survey a research questions was specified: What is the importance of an ostomy nurse for the stoma patient in the postoperative period? We concluded that the ostomy nurse is viewed as an educator, counselor and psychological support. The ostomy nurse is the only one who can provide stoma clients with coherent and comprehensive information they need to live with a colostomy. Both groups of respondents agree that the stoma nurse is the irreplaceable specialist. Shift nurses fail to provide comprehensive care stoma patients need. An ostomy nurse needs to be a part of nursing care not only in the postoperative phase, but also in the preoperative period. There is need for closer cooperation between general nurses and the ostomy nurse. Nurses indicate their willingness to be educated in this area, while preferring seminars, lectures and conferences. The results also led us to create information material Care of the client with colostomy, as the nurses indicated that they would welcome a brief, clear, visual information material.
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Informedness of stomia patients before the surgery
SOUKUPOVÁ, Alena
In this bachelor thesis, we discuss the awareness of ostomates prior to an operation. The awareness and education is considered an integral part of quality and professional care for the patient. If the patient receives sufficient and comprehensible information, they become part of treatment, diagnostics and overall health care process, thus assuming a proactive role in their health care. The objective of our thesis was to find out how ostomic patients are informed prior to an operation and map the education process and compare information for a planned and acute operation. A quantitative method was selected to achieve the objective, using an anonymous question form. We approached ostomic patients as respondents. The results show that even though awareness has quite improved since the past years, deficiencies are still seen in many cases. Some information is not understood or sufficient for the pacient. As we expected, patients coming for a planned operation are better informed than patients arriving in acute cases. But in spite of an acute operation, the patient should be briefed and educated. The education process prior to a resection operation is again Better quality for planned operations. Unfortunately, pacients coming for an acute operation are deprived of such education. The education process can make the patient less afraid and their vision of future life is clearer.
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Status of stoma nurse in the Czech Republic
MÁTLOVÁ, Monika
Abstract The Czech Republic is one of the states where the occurrence of colorectal cancer is very high, we are the leading state in Europe. 8 new occurrences come up every year and 5000 patients die of colorectal cancer each year. In spite of progress in surgical treatment applying new methods, temporary or permanent stoma is being created. Nursing stoma patients and the extent of the care is so specialized that a qualified expert, called stoma nurse is required. This paper deals with the ``position of stoma nurse in the Czech Republic{\crqq}. The paper aims at describing the position of the stoma nurse in the Czech Republic, to determine the position of the stoma nurse in medical institutions and find out about the competences and conditions stoma nurses have for carrying out their specialization and to find out about the specialized education stoma nurses must have. To fulfill this goal a quantitative survey was applied by means of a structured interview with 30 open questions. 6 stoma nurses took part in the survey. The interviews were written down in a anonymous record, authorized by the stoma nurses. The analysis of the interview was carried out by means of tables. The analysis has shown that the majority of stoma nurses carry out their specialization as their main workload. In medical institutions where the nurses do not carry out this specialization as main workload, more nurses work in parallel in the capacity of stoma nurse. The nurses do not have appropriate conditions to carry out their specialization. They lack appropriate premises, a clearly described duties and competences. However cooperation in a multidisciplinary team runs well. Education and training of stoma nurses is done by means of courses organized by particular medical firms. Stoma nurses improve their knowledge in courses and seminars.
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Sexuality of the stomics
SLOVÁKOVÁ, Erika
The Abstract Sexuality is mostly neglected aspect rehabilitation after operation. Of late years question sexuality slowly opens. People with stomii are confident, do you stomie threaten their sexual life. Patients, but also medical personnel often shilly talk about this aspect quality of life. Sexual activity is one of the normal function daily life. Theoretic part bachelor work covers piece of knowledge about stomis and sexuality, about their complication and cure. In first parts are inclusion universal piece of knowledge about stomis, description separete type, their attendance, but also setout for stomiks and psycho-social incidence stomii and work stomanurse. Alternative part covers piece of knowledge about sexuality. / It is here included definition sexuality, but also sexual life individuals and sexual disturbances stomiks. It is here mentioned part nurse in satiation needs in the field sexuality. To qualitative research I used techniques questionnaire. The questionnaire was frame on basis gained information of literature. The aim of this work was to find out, what problems in the area sexuality have stomiks, whether they are able to gear fast to the intimate life and to what degrese their intimate life switched. Were fixed term three hypothese. Hypothesis one confirmed, do you most often problem stomiks in the area sexuality is shame. Hypothesis two, confirm, do you stomiks to the sexual life actively switch.Hypothesis three confirm, do you stomiks their sexual life switched. The results show, do you sexuality belong every one of us and is not reason, why should making stomii have her exercise decline.
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