|
|
Nursing procedures as the essentials of respiratory tract in clinical praxis.
SVÁROVSKÁ, Tereza
The main goal of this bachelor thesis was a comprehensive mapping of airway care in clinical practice. Before entering practice, we must become nursing students and gain the appropriate knowledge and skills in care, so this research is focused not only on the hospital environment, but also on campus in teaching nursing procedures to teachers and students. The goals of the thesis were to map the Standards in nursing care of the respiratory tract, which can serve as a theoretical and practical basis for students and nursing staff. Another goal was to examine the theoretical teaching of students and, if necessary, to discover gaps in the teaching of respiratory care and to suggest improvements in teaching. The last stated goal of the research was to search for innovations that are used in respiratory care. The methods of semi-structured interview and non-participant observation were used in the quvalitative survey. The first research method involved a semi-structured interview has been addressing 3 groups of participants and adding subcategories to them. The first group of participants was consisted of nursing staff and the subcategory was focused on the characteristics of the research group of participants, who were selected from the internal medicine, infectious and surgical departments. The condition was to work with the AIRVO 2 device and the tracheostomy cannula. The research questions focused on the specifics of respiratory care. The introductory research question was set in such a way as to map the specific care of the nasal cavity in modern high-flow oxygen therapy using the AIRVO 2 device. This is confirmed by the results of nurses who do not know these specifics and are therefore not sufficiently trained about possible complications and their solutions. Another issue examined was the study of the Standards in the care of the oral cavity with an established tracheostomy cannula. The research has shown that most nurses motivate the self-sufficient patient to take care of themselves and contribute to the aids that the patient uses. This research with students showed that oral care in a patient with an established tracheostomy cannula is not taught at all. Means that reduce bacterial colonization in the oral cavity are little used. The third question focused on the time allocation for teaching nursing procedures focused on respiratory care. The research has shown that most participants perceive the time allowance as sufficient. Teaching is realized in 4-hour blocks. My research also included mapping the tools that students have available to teach this issue. Students and teachers presented selected aids, all aids were sufficient, except for the model of the Trachcare system at tracheostomy cannula, which lacks an outlet for airway lavage and flushing of the Trachcare system. According to research, It is perceive the AIRVO 2 medical device as an innovation, which reduces care costs, time and, most importantly, is easy to handle. The last question which was mapped the students' knowledge. All the research could serve not only as a support for students, but also for nurses in practice.
|
|
|
Issues related to nursing process utilized with tracheostomized patients in Intensive Care Units.
FIEDLEROVÁ, Miroslava
Breathing is an integral part of the life as such. Some illnesses or injuries may endanger this necessity of life or make it start to fail. In such cases, the organisms in question face possible death. Up-to-date medicine allows to solve such issues by way of artificial ventilation of the lungs. Improvements in medicine and medical technologies have made the group of the states that require securing the airways and artificial ventilation of the lungs grow bigger. Free and unobstructed airways are the fundamental prerequisites for securing efficient ventilation. The aim of the thesis was to determine the most frequent issues faced by the nursing staff while taking care of the patients with tracheostomy cannula, and also to find out what tools are used by the said staff while communicating with such patients. Furthermore, the theses focused on finding out what procedures are utilized by the nursing staff so that tracheostomy cannula contamination is avoided. There was carried out a qualitative survey by way of two structured interviews. The first one was made with ten nurses picked at random who work in the Intensive Care Units of surgery and internal medicine departments and in the department of anesthesiology and resuscitation. The second interview was made with ten tracheostomized patients picked at random in the same departments. The outcome of the interviews shows that communication remains the biggest problem for both, the patients and the nursing staff. Further, the survey proved the nurses followed the prescribed standards concerning the maintenance of the tracheostomy cannula. The interviews with the patients revealed that food and fear of a cannula getting obstructed with consequent suffocating count among their biggest issues. The objectives of the thesis have been met. The outcome of the survey will be submitted to the collaborating departments and the results may be utilized to improve the nursing care for people with trachostomy cannula. It is recommended to educate and train nurses in communication techniques and rehabilitation provided to the ill. The best possible solution would be to arrange and organize a training dealing with such issues which would be meant for nurses. It is also recommended to establish a research concerning prevention of nosocomial infection in patients with tracheostomy cannulas.
|
guest ::
