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Children's wards nurses knowledge of taking care of intermediate-term vascular access devices
Müllerová, Julie ; Hromádková, Jaroslava (advisor) ; Průšová, Kateřina (referee)
The bachelor's thesis is focused on mapping and researching the nurses knowledge of taking care of intermediate-term vascular access devices inserted to pediatric patients. The aim of the work was to find out, based on a questionnaire, the level of nurses knowledge of individual types of intermediate-term catheters and nursing procedures related to catheters. The theoretical part of the bachelor's thesis includes pediatric anatomical specifics, general characteristics of vascular access devices, specifically described types of intermediate-term vascular access devices and nursing care of these catheters. The empirical part presents classified data in the form of overviews of tables and sectional charts, which are then compared with hypotheses based on age, length of practice, type of workplace and specialized competence of the respondent in the field of intensive care. The research methodology consisted in distributing a self-designed structured questionnaire in the form of a didactic test to nurses working in the children's wards of The University Hospital in Motol Faculty Hospital. The examined sample consisted of 76 respondents. Based on the questionnaire survey statistically significant difference was found in three particular items depending on the type of workplace of respondents in favor of...
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Influence of Midline and PICC catheters use on frequency of complications associated with venous lines in hospitalised patients
Hromádková, Jaroslava ; Hocková, Jana (advisor) ; Kordulová, Pavla (referee)
Presented dissertation deals with the problematics of optimal choice of venous access for each hospitalized patient at standard internal wards. Introduction of vascular access must be safe for the patient and must allow the fulfillment of all the goals for which it was indicated. In recent years, in addition to peripheral cannulas and non-tunneled central catheters, introduction of midline catheters and PICC gets into everyday practice. The choice of optimal vascular access device since adminition can bring benefit to the patients in the form of decline of complications. Goal: The goal of master thesis was to prove that the use of new types of vascular access devices has influence on the decline of vascular access devices related complication occurence. Methods: To reach the goal we used a quantitative method of data collection during certain time period using created collection protocols. Research investigation took place from November 2017 to February 2018 at two standard wards of Department of Internal Medicine FN Motol. Results: A total of 350 venous access devices (271 peripheral cannulas, 54 midline catheters, 35 PICC) in 187 hospitalized patients was monitored. Prevalence of complications, average length of placement and reasons for extraction of individual vascular access devices was...
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The importance of the nutritional score in patients with the introduced PICC or Midline catheter
Pavelková, Kateřina ; Tomová, Šárka (advisor) ; Bratová, Andrea (referee)
The bachelor's thesis: "The Significance of Nutrition Score in the patients with the insertion of PICC and Midline Catheter," evaluates the impact of the nutrition status on the presence of complication in the selected venous devices - various types of Midline catheter and PICC. The presentation is divided into theoretical and empirical parts. In the theoretical part some basic information related to nutritional status and its assessment, malnutrition, nutrition screening, PICC and Midline catheter - indications and contraindications, introduction, complications and management is presented. The role of PICC team in the field of vascular access is mentionned. Data for the empirical part was collected at Medical department of the 2nd Faculty of Medicine of Charles University and Faculty hospital Motol in Prague, Czech Republic. The empirical part contains research methodology, the basic characteristics, the organisation of the investigation and data processing. A total of 206 patients participated in the follow-up, ranging in age from 26 to 98 years, mean age 72 ± 13.2 years and median 74 years. A quantitative exploratory method of a questionnaire survey was chosen for the bachelor's thesis. The above mentionned method monitors all variables that are sorted and measurable. Data related to the...
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Influence of Midline and PICC catheters use on frequency of complications associated with venous lines in hospitalised patients
Hromádková, Jaroslava ; Hocková, Jana (advisor) ; Kordulová, Pavla (referee)
Presented dissertation deals with the problematics of optimal choice of venous access for each hospitalized patient at standard internal wards. Introduction of vascular access must be safe for the patient and must allow the fulfillment of all the goals for which it was indicated. In recent years, in addition to peripheral cannulas and non-tunneled central catheters, introduction of midline catheters and PICC gets into everyday practice. The choice of optimal vascular access device since adminition can bring benefit to the patients in the form of decline of complications. Goal: The goal of master thesis was to prove that the use of new types of vascular access devices has influence on the decline of vascular access devices related complication occurence. Methods: To reach the goal we used a quantitative method of data collection during certain time period using created collection protocols. Research investigation took place from November 2017 to February 2018 at two standard wards of Department of Internal Medicine FN Motol. Results: A total of 350 venous access devices (271 peripheral cannulas, 54 midline catheters, 35 PICC) in 187 hospitalized patients was monitored. Prevalence of complications, average length of placement and reasons for extraction of individual vascular access devices was...
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