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Dying in Medical Institution from the Point of View of Nursing Staff
VÁCHOVÁ, Agáta
The bachelor's thesis deals with dying in medical institution from the point of view of nursing staff. The thesis is divided into theoretical and research parts. The theoretical part of the thesis contains basic information and concepts related to dying and death, the impact of dying on nursing staff and the specifics of nursing care for dying patients. The main aim was to find out what support the nursing staff receives from the management and how the nursing staff provide for the needs of the dying patient. In order to achieve these objectives, five research questions were identified. The empirical part of the thesis was done through a qualitative research investigation in the form of a semi-structured interview, which included twenty-one questions. The research population consisted of nurse practitioners and general nurses in the selected hospital wards. The collected information was then processed in the form of open coding and then categorized into seven categories. From the results, it is clear that psychological support from the management is mainly provided to the nursing staff by the station or head nurse. In case of psychological need, the nursing staff refer more to family and friends. A large number of informants were identified with burnout syndrome, which can result from a lack of psychological support from the management, that could be provided for example in the form of seminars or through visiting a psychologist. The second objective revealed that the pain control, hygienic care adapted to the patient's health condition and the provision of food according to the patient's wishes are essential to ensure biological needs. The support from the staff is important to meet psychological needs, which is often neglected due to the lack of time and staff. The social needs are mainly provided by the family of the dying patient through visits or by a hospital chaplain. The most common obstacle is the arrangement of patient rooms, which is not suitable for ensuring the privacy of the dying patient and his/her family. The results of the thesis research were used to form the basis of a workshop for nurses.
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Faith in a terminal stage of disease
ZIKMUNDOVÁ, Eliška
This work examines faith development of people in the terminal phase of illness. The theoretical part of this work describes faith from the theological point of view and from the perspective of the psychology of religion. It also aims to characterize the meaning of terminal phase and focuses on dying patients. The practical part consists of interviews with dying patients situated in the Hospice of Saint Lazarus in Pilsen. The practical part also describes human approach towatds faith in the last part of their life. It addresses the importance of faith in this uneasy situation.
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Communication with dying patient in the department of internal medicine
KUBĚNOVÁ, Nikola
One of the most important aspects of a nurse's work, which is an integral part of this profession, is communication. It is the basis of health and social care in general. Each of us learns to communicate with our whole lives. More specific to our profession is to be able to communicate with a dying person in the terminal stage and his close family. To look at the patient in this situation as a bio-psycho-socio-spiritual model and respect his needs. Shyness is often an obstacle for nurses, the topic of death is too taboo for them and they are unable to provide support to the client in his mental, physical and social condition. . Find out whether the nurses in the Internal Medicine approach patients in the terminal stage individually.
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Dying patient from a wiew of nurses at homecare
Macharáčková, Jitka ; Kutnohorská, Jana (advisor) ; Votroubková, Michaela (referee)
76 Annotation Author: Jitka Macharáčková Institution: Ústav sociálního lékařství LF UK v Hradci Králové Oddělení ošetřovatelství Umírající pacient v domácí péči z pohledu sestry doc. PhDr. Jana Kutnohorská, CSc. 93 3 Title of the thesis: Supervisor: Number of pages: Number of attachments: Year of thesis defence: Keywords: 2014 homecare, dying patients, death This bachelor thesis describes topics about patient dying at home care. The theoretical part includes specification of nursery team and relevant legislation. Next part focuses on frequent diagnoses, patient's needs, evaluation of treatment and tools used. Also nurse's stress prevention is not overlooked, including effective communication and burn out syndrome prevention. The empirical part offers the answers of nurses working in home care. This thesis is not the manual or instructions how to handle the care of a dying patient, but rather opens the mind with respect to the dying process in order to allow patient to chose the way he would like to spend his last moments.
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Dying patient from a wiew of nurses at homecare
Macharáčková, Jitka ; Kutnohorská, Jana (advisor) ; Votroubková, Michaela (referee)
76 Annotation Author: Jitka Macharáčková Institution: Ústav sociálního lékařství LF UK v Hradci Králové Oddělení ošetřovatelství Umírající pacient v domácí péči z pohledu sestry doc. PhDr. Jana Kutnohorská, CSc. 93 3 Title of the thesis: Supervisor: Number of pages: Number of attachments: Year of thesis defence: Keywords: 2014 homecare, dying patients, death This bachelor thesis describes topics about patient dying at home care. The theoretical part includes specification of nursery team and relevant legislation. Next part focuses on frequent diagnoses, patient's needs, evaluation of treatment and tools used. Also nurse's stress prevention is not overlooked, including effective communication and burn out syndrome prevention. The empirical part offers the answers of nurses working in home care. This thesis is not the manual or instructions how to handle the care of a dying patient, but rather opens the mind with respect to the dying process in order to allow patient to chose the way he would like to spend his last moments.
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The readiness of students of the first grade of nurse to meet with the dying person
BOLKOVÁ, Ilona
Title: Preparation of First-Year Students of the General Nurse Field of Study for Dealing with a Dying Patient. Theoretical foundations: Vocational preparation for a career as a nurse is not among the easiest. Beside the considerably difficult theoretical courses, the students must also undergo many hours of practical training. During the training, the students deal with child, adult and elderly patients. Each patient experiences different problems; usually, the patients reach full recovery or at least a significant improvement. Unfortunately, even in these highly advanced times, medicine is not all-powerful and students often have to deal with a terminal patient, a patient who is dying. This situation is undoubtedly very complicated, especially for a young person. Death, as the final stage of a human life, both directly and indirectly influences life around us, and encountering death makes every person feel differently. The study of nursing care has recently transitioned to the university level. The undertaking of this type of qualification studies strives to establish an educational programme that is comparable to other countries of the European Union and to secure more efficient care for the sick. It is assumed that the higher age of the students and their higher maturity will facilitate a more mature perspective on the studies. The goal of this work: The principal goal of the bachelor thesis was to offer a comprehensive overview of the area of vocational preparation of first-year students of the General Nurse Field of study for dealing with a dying patient. Two research questions were established: How prepared are first-year students of the General Nurse Field of study for encountering a dying patient, what is their theoretical knowledge of the issue of dying? What is their assessment of their preparedness for dealing with a dying patient? With the help of these questions we aimed to find out whether the students encountered a dying patient during their first practical training and obtain an assessment of their current knowledge gained during the first semester at the Faculty of Health and Social Studies. Methodology used: To obtain information, a qualitative research was carried out that used non-standardized semi-structured interviews. The interviews were based on 18 research questions prepared up front. Ten first-year students of the General Nurse Field of study at the Faculty of Health and Social Studies in České Budějovice were approached. Before starting the interviews, the respondents were assured that their anonymity was guaranteed and that the interviews would be recorded on a voice recorder. Afterwards, they were placed into separate categories and subcategories. The research was carried out in March, 2014. Results: The results of the bachelor thesis show the real degree of preparedness of first-year students of the General Nurse Field of study for dealing with a dying patient. Answers to the main research questions were processed in detail in the research section, the set goal was met. The results showed that the theoretical knowledge of the students has significant shortcomings. Most of them lack a basic understanding of the stages of dying, of certain and uncertain signs of death and of taking care of a dead body. Nor are they sufficiently prepared for communication with a terminal patient and his or her family. Acquiring these skills should be a matter of course for exercising the profession of a nurse. Yet, the majority of the students stated that they find their training sufficient and that they consider its extension unnecessary. Most of them think that they will learn the right approach towards a dying patient while carrying out their duties and from their own experience; nonetheless, it is certainly worth considering whether it would be desirable to at least partially expand the scope of education in this particular area. Conclusion: The principal benefit of the bachelor thesis
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