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The influence of nursing documentation audit on nursing care quality
MACHÁČKOVÁ, Eva
Abstrakt The keeping of nursing documentation is an inseparable part of the work of a nurse. It is an instrument of professional practice, which is intended to support the process of care. The quality of the keeping of the nursing documentation is a reflection of the level of professional practice. The nursing documentation is an invaluable manner of supporting communication within the framework of the health care team and between the health workers and their patients/clients. Well kept nursing documentation is thus the product of good teamwork and at the same time an important instrument for increasing the quality of care. An audit is one of the parts of the management process and its final aim is to incease the quality of the provided care. An audit can play an important role during the delivery of the quality of the provided care and this is also true for the process of the keeping of the nursing documentation. During an audit of the kept documentation areas are identified where it is intended to ensure the improvement and education of the staff. The theoretical part the work also includes chapters related to the given problems that is the nursing aim, the nursing process, the nursing documentation, the quality of nursing care and the nursing audit. In the research part I deal with the influence of the audit of the nursing documentation on the quality of the provided nursing care. The aim of my research is to ascertain the influence of the standard of the nursing documentation on the quality of nursing care and to ascertain whether the results of the audit of the nursing documentation help the nurses in the wards to improve the quality of the provided nursing care. During the research my first hypothesis that the quality of the nursing care is increased by the carrying out of a standard ``Unified keeping of nursing documentation`` was confirmed and 26 of the questionned nurses (57%) agreed with it. The second hypothesis, that the quality of the nursing care is increased by the introduction of an audit of the nursing documentation into practice, was not confirmed. Only 18 of the interviewed nurses (39%) think that the introduced audit of the nursing documentation into practice is an increase in the quality of the nursing care. In order to obtain the required data to accomplish the aims and answer the hypothesis of quantitative research I used a method of auditing and an enquiry method using questionnaires. The research sample made up 50 (100%) of the examination documentation from five selected wards of Pelhřimov Hospital. The body of research in the case of the questionnaires was made by the nurses, working in the wards, where the audit of the nursing documentation was carried out. In total 46 of the nurses (100%) from all the assigned clinics took part in the survey. The results of the research were placed at the disposal of the administration of Pelhřimov Hospital, as a pilot study for the creation of their own complex standard and audit of the nursing documentation.
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Vysokopovrchové hydrodesulfurizační katalyzátory MoO3/TiO2
Gulková, Daniela ; Kaluža, Luděk ; Vít, Zdeněk ; Horáček, Jan ; Macháčková, Eva ; Zdražil, Miroslav
MoO3/TiO2 were prepared by impregnation of TiO2 supports with surface areas of 140, 230 and 407 m2g-1. MoO3 loading was in the range 2-32wt.%. The point of zero charge of the supports was 5.0, 8.1 and 10.5, respectively, and decreased with MoO3 loading to the value for MoO3 (2.1). According to the point of zero charge the supports were saturated with a molybdena monolayer at approximately 12, 24 and 14 wt.%, respectively. Temperature-programmed reduction exhibited four peaks, which were assigned to the stepwise reduction (Mo6+ to Mo4+ to Mo0) of tetrahedral monolayer species, po
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