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Quantification of basic and special nursing care on ICV (Intensive care unit)
VEBEROVÁ, Nikola
The topic of the Bachelor Thesis is ?Quantification method of basic and special nursing care at an anaesthetic/resuscitation department?. Resuscitation and intensive care provides treatment to patients threatened or affected by failure of basic life functions and ensures their inevitable support or temporary substitution. In most cases this is a reversible state. These patients fully depend on health care staff that provides complex nursing care. The basic nursing care requires general skills and specific ability to recognize urgent clinical situations and respond to them properly. According to the Maslow?s hierarchy of needs these are physiological needs and safety needs. Specialized nursing care ensures diagnostic, therapeutic and monitoring procedures. The extent of the nursing care depends on the patient?s clinical condition. The thesis consists of a theoretical part and a research part. The theoretical part deals with development of the field of anaesthesiology and resuscitation from the very beginning in antiquity to the present, its organizational structure and the nursing care provided at an anaesthesiology/resuscitation department. The ?Therapeutic Intervention Scoring System? (TISS) method was used in the research, which is connected with the ?Nursing Care Quantification Method? elaborated by PhDr. Karla Pochylá and Ing. Otakar Pochylý. The research examination was performed by qualitative and quantitative methods. Data collection method, namely observation, was used as the qualitative method. The research sample consisted of 7 respondents whose respiration insufficiency was the main reason for resuscitation care involving artificial lung ventilation. The activities of the basic nursing care (not related to TISS scores) and the activities of special nursing care (related to TISS scores) were determined by the quantitative method. Time measurements of these activities were performed, and average values and standard deviations were determined from them. The aim of the work was to determine the average time demand of basic nursing care as well as the average time demand of special nursing care. The research shows that the basic care not related to the TISS method has a large proportion in working hours and insufficient remuneration of nurses. The contribution of the obtained results for the practice is in updating of the average time demand of the basic and special nursing care in the conditions of the present nursing care at an anaesthetic/resuscitation department. The basic care has proven to be more time consuming than special care. However we should also mention that these results were obtained from a relatively small sample of patients, which is why such measurements should be performed on a larger group of patients to gain more precise results. As the measured values depend on patient?s current condition as well as on his/her additional health problems (obesity, renal insufficiency, bronchial asthma etc) determination of the average time demand of the individual procedures on model groups of patients would be appropriate. Inspiration by the system elaborated in neighbouring Germany would also contribute to improvement of basic and special care quality. It is able to respond flexibly both, to patient?s clinical condition and to the caring staff needs, thanks to continuous everyday analysis of nursing care time demand.
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