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Cooperation parent, nurse, child in nursing process
PAPOUŠKOVÁ, Kateřina
This thesis concentrates on the problems of the cooperation between nurses and parents being hospitalized together with their ill children in a hospital. The factors influencing the experience of the illness by the children as well as the aspects in connection with the hospitalization of the parents and their children are described. Furthermore, specificities of the nursing process at the children´s ward and the possibilities of the cooperation between nurses and parents in different areas of the childcare are discussed. Moreover, this work determines the quality of the cooperation between nurses and parents being hospitalized together with their ill children in a hospital. In addition, it discovers the drawbacks of this cooperation and compares the involvement of the parents into the nursing process from the nurses´ point of view and from the parents´ point of view.
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High normal pressure and hypertension of children and adolescents
KRÁLOVÁ, Kateřina
In children and adolescents, high normal blood pressure is often present. People with high normal blood pressure show a short time prerequisite to the formation of arterial hypertension. Hypertension occurs most often in children as asymptomatic. Increased blood pressure in children is most often discovered during preventive examinations by a general practitioner for children and adolescents. This thesis contains information about the anatomy and physiology of the cardiovascular system, a blood pressure measurement sister, evaluation of blood pressure, high normal pressure, high blood pressure in children, the role of nurses in primary care pediatricians in the area of communication and education, and treatment of high normal pressure and hypertension. Objectives The first goal was to explore how children adhere regime measures for the prevention of high normal pressure and hypertension. It used this research question: How children adhere regime measures for the prevention of high normal pressure and hypertension? The second objective was to determine the role of nurses in the care of children with high normal pressure and hypertension. The second research question is: What is the role of the nurses in taking care of children with a normal high pressure and hypertension? Methods used In the research part of the thesis, we used the method of qualitative research, questioning method and technique-depth interviews. The interviews were recorded on a Dictaphone and then transcribed literally. Four sisters and three mothers did not wish to be recorded, so they were interviewed at polling literally written on paper. For research, two research files were created. The first sample consisted of six nurses, who were working in GP surgery for children and adolescents in the South Region. Second survey consisted of six people selected from among parents of children with high normal pressure and hypertension, also from South Bohemia. Results The transcribed interviews were investigated by open coding method, pencil and paper. Resulted in 9 categories: Cardiovascular disease, role of the nurse, pressure measurement, blood pressure, hypertension, pressure measurement, recommendation, Lifestyle, Leisure. Individual categories were assigned to subcategories, which are encoded core data. Conclusion The first research confirms nurses working in a pediatrician's office for children and adolescents, the most common cardiovascular disease in the general hypertension. They argue that the role of nurses in primary care pediatricians is properly measure blood pressure and make the education of children and parents in the area. The respondents concurred in the principles of how to properly measure blood pressure measurement are available for at least three cuff sizes. Informants have basic information about high normal pressure and hypertension, and said that, in the offices of primary care pediatricians to conduct checks blood pressure of preventive examinations or troubled child. Informants reported that blood pressure control and education on blood pressure occurs, but in the second research study showed that children and adolescents do not comply with the recommended recommendations in this area, perhaps because they are less motivated. Neither sister nor the parents have not mentioned, they would receive educational aids such as brochures and sample menus.The second research showed that parents most often found elevated blood pressure in primary care pediatricians, either for reasons of preventive examinations or difficulty a child. On the control measurements came at least three times. Respondents agreed on the recommendations they received in the office GPCY such as reducing the weight of the child, regular physical activity, restriction of salt and proper diet the child, but not all children and adolescents comply with these recommendations. The research results will be provided to the journal Pediatrics practice.
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Communication of medics with the parents of a child patient.
ŽÁKOVÁ, Nikola
The theoretical part is divided into eleven chapters. The first chapter deals with the definition of communication. The second chapter describes the kinds of communication, including verbal and nonverbal. The third chapter discusses the communication skills of nurses. In the fourth chapter we expanded on the communication of the nurse with a child patient. The fifth chapter describes the basics of communication between nurses and parents of child patients. The sixth chapter discusses a situation where the nurse communicates with parents of a disabled and dying child. The seventh chapter describes the communication of nurses at the pediatric department. The eighth chapter contains the specifics of the children's department. In the ninth chapter is divided into childage. The tenth chapter discusses communication as a part of nursing care. A final chapter describes the process of hospitalization of children and their parents. The thesis is divided into theoretical and empirical parts. Much of the theory is described above whereas the empirical section describes the results of the research. Objectives and research questions The first objective of this thesis was to investigate how the nurse communicates with the parents of a child patient. The second objective was to determine whether a parent understands the information given by the sister and the final objective was to determine any errors that the nurse makes when they communicate with parents of child patients. Research questions: 1. How the nurse communicates with the parent of a child patient? 2. How does the nurse inform parents of a child patient? 3. How a parent of a child patient assesses the clarity of the information provided by the nurse? 4. What mistakes nurse makes in communication with the parents of a child patient? Methodics For the research a survey was chosen to provide qualitative information, which was obtained via interviews. The second methodology used in this work is called participant observation. Data for the first part of the survey was obtained through semi-structured interviews with the parents of hospitalized children. Interviews were conducted on the basis of questions prepared in advance. If necessary, the interview was supplemented with other issues. The interview was to determine how children were admitted to the children's department, what information reached parents about the examination of the child, and also the overall impression of the nurses on the ward. We asked parents about the verbal and nonverbal communication of sisters. They described the errors they found in the communication and behavior of nurses. The second part of the research was anonymous on the pediatric ward of the hospital where nurses evaluated verbal and nonverbal communication skills. The research group The research set for the first part of the survey consisted of seven mothers of children hospitalized in the pediatric ward. The mothers were in different hospitals in the Czech Republic. The research set for the second part of the investigation, which was carried out by observation technique, consists of six nurses employed at the pediatric ward of a state hospital. Nurses were selected randomly. They are of different ages and they have different length of practice and other training.
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The role of nurses in the nursing care for a deceased child
KOUTNÍKOVÁ, Radka
This thesis deals with the nursing care for a deceased child and it focuses on the role of nurses, their attitudes and the way nurses care for a deceased child. In a highly professional care, it is necessary to humanize the last moments of life of a child; therefore, there are rituals that are acceptable for the dying child, the family and nursing staff. Caring for dying children is a very demanding task for medical staff and it may be divided into medical, social, psychological and spiritual care. In case of severely ill or dying children, we must identify real and potential problems, set short and long term goals, set out plans of care, provide specific nursing activities and evaluate their effectiveness and efficiency. All health professionals must work together and with the whole family. To say that life has ended is a challenging and difficult moment in the medical profession. Talking with the bereaved families requires a high level of communication skills. The entire medical team must manage this situation with dignity. The results and the theoretical part of the thesis will serve as an information resource for nurses who care for dying and deceased children. Nurses may be inspired by the thesis results, which may serve to improve nursing care in these situations. The benefits of this thesis lie in the recognition of the need for expanding the education of nurses and subsequent utilization of the acquired knowledge and skills in practice. It could also serve the employer?s reflection over the care for the staff working in such a demanding profession.
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The nursing process in a child patient with epilepsy
Dvořáková, Martina ; Voleníková, Ivana (advisor) ; Paulasová - Schwabová, Jaroslava (referee)
The target audiences for the bachelor thesis, Medical Care Process in Pediatric Patients with Epilepsy, are physicians and other health care professionals, nurses and health care assistants in particular. The thesis outlines both theoretical and practical aspects of epilepsy in children patients. The theoretical part summarizes what epilepsy is and what are its causes and symptoms. A list of various kinds of epileptic seizures and syndromes experienced in childhood is provided including a brief description of diagnosis, treatment and prognosis. The practical part covers a case report - nursing aspects of treatment of a child aged 3 years and 9 months, recently diagnosed with epilepsy. The nursing history of the case has been corroborated based on the Virginia Henderson model. The thesis includes thirteen nursing diagnoses highlighting conditions experienced by the patient. Each diagnosis description includes an outline of the goal, nursing interventions, goal achievement process and evaluation. Powered by TCPDF (www.tcpdf.org)
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The nursing process in a child patient with portal hypertension
Zemanová, Lenka ; Voleníková, Ivana (advisor) ; Mitrová, Katarína (referee)
My work called "Nursing process at a child suffered from portal hypertension" have been devided into two basic parts. The first part is theoretical, the second one is practical. In the first half of my work I deal with anatomy and physiology of liver, gallbladder and gallbladder ways. In the second part I mention characteristics of the disease, a clinical picture of portal hypertension, a general assessement leading to diagnosis of this disease. In the first part I have mentioned basic information about the disease, course of hospitalization, investigative methods and therapy survey. In the practical part I use the investigative process model, which goes out from the "Functional health" by Majora Gordon. Thanks to gained infromation from the medical documentation, from the patient, patient's mother and other medical stuff I analyzed all problems and set out actual and potential nursing diagnosis before and after the surgical intervention. I describe realization and evaluation of nursing interventions. In the end of my work I delt with the patient's education and also with patient's mother'education. The aim of the education was to advice and to adhere to medical and nursing instructions, to hand over sufficient of information about consequences and answering all questions, that have been in my competence....
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Children attachment to adult care providers in children homes - analysis of conditions and possibilities
Esterková, Manuela ; Matoušek, Oldřich (advisor) ; Pazlarová, Hana (referee)
The thesis tries to find the answer to the basic question: "What are the possible ways to strengthen attachment between children at the age from 9 to 18 months and their caregivers at the facilities of institutional care, nurses in particular?" The work also aspires to map the external conditions influencing formation of the attachment. In order to explain the topic, some theoretical findings of developmental psychology, attachment theory and information about the system of institutional care in the Czech Republic have been presented here. The answers concerning the strongest factors of attachment behavior and different attachment of one child to various caregivers and vice versa were being sought with the help of the method of an involved observation of the interaction child-caregiver during specific activities of feeding and bathing. Pieces of information about external influences of the attachment behavior and the possibilities to nurture it were being gathered by the method of semi-structural interview with the caregivers and the directors of the visited institutions. The activities of feeding and bathing, which were being observed, have been split into individual elements of attachment behavior (on the side of a child: visual attention, vocal reactions, smile and stretching arms towards the caregiver;...
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