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Prevention of errors during drug administration by nurse
KUBÍKOVÁ, Nikola
Current status: Currently, the safety of patients is a key element in the provision of safe and high quality care. The drug administration is the main danger fro the patiens which is neccessery to be mentined. (Buchini and Quattrin, 2012). Each provider of health care services should follow specific internal regulation of medication process. Morover, it is necessary to support employee to report possible misconduct in the adverse event to the reporting system, which is used to create functional corrective measures. However, we have to realize that it is impossible to forget the role of the patient in the prevention of medication errors. Goals: The main aim of the research was to find out whether the nurses know the recommended nursing procedure of medication to patients.Not only, mentioned the most common misconduct during the administration of drugs, but also identify the most common causes of these misconductions. After that to describe preventive mechanisms for reducing the risk of medication errors. In conclusion it was necessary to point out the cooperation of patients in the process of safe medication administration. Methodology: The research was conducted using a qualitative research method. The data were collected the polling method, along with in-depth interview technique. The qualitative data was coded using ,,paper and pencil" and semantically organized into groups along with the categorization schemes. Research file: In order to archieve the highest level of objectivity the research was carried out with a group of nurses and patients only from the Surgical Department of a particular nursing unit. First, the research consisted of six nurses working in the surgical Department at the hospital České Budějovice a.s. and the second research file consisted of six clients admitted to the same Department. Due to the fact that the respondents were genrally reluctant to cooperate the researched sample is limited.
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Nursing care for long-term bedridden patients with urinary incontinence.
KUBÍKOVÁ, Nikola
Bachelor thesis titled ,,Nursing care for long-term bedridden patients with urinary incontinence" deals with the nursing care of clients with urinary incontinence has long restrained on a bed on the aftercare department. Urinary incontinence is a condition of involuntary leakage of urine, which is a major health and social problem (Kalvach and team, 2004). According to the International Continence Society (ICS) urinary incontinence is classified into extraurethal and urethral. Extraurethal incontinence can be divided into innate and fistulas. The congenital disorder contains atrophy and ectopic urethra. We can divide fistulas into uretral, vesicular and ureteral fistulas. Urethral incontinence are further divided into stress, reflex, urgent and paradoxical ischurii (Locksmith and Macek, 2012). From a nursing perspective is urinary inkontinence divided into nursing diagnoses : Functional incontinence 00020, then Urinary incontinence with overflow 00176, Reflex incontinence 00018, Stress urinary inkontinence 00017, Urge urinary incontinence 00019, Impaired excretion of urine 00016, Urinary retention 00023, Risk of urge urinary incontinence 00022, Efforts to improve the excretion of urine 00166 (Herdman, 2013). The theoretical part of the thesis is talking about the definition of the concept of urinary incontinence and its further division. Also is solving the role of nurses in the diagnosis of myocardial infarction, therapy, nursing process for clients with urinary inkontinence and classification of urinary incontinence by nursing diagnoses with nursing interventions. The practical part of my thesis contains the results of qualitative research, which were obtained by interviews, in-depth interview technique, then content analysis of nursing documentation and comparison of two standards of nursing care of selected hospitals of the Sought Bohemia. The practical outcome of the thesis will be finished client's care plan which is dealing patient long-term bedridden with urinary incontinence.
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