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Communication with elderly people with dementia in nursing care
Novotná, Michaela ; Kutnohorská, Jana (advisor) ; Vachková, Eva (referee)
Institution: Charles University in Prague, Faculty of Medicine in Hradec Králové Department of Non-Medical Studies Title: Communication with elderly people with dementia in nursing care Supervisor: doc. PhDr. Jana Kutnohorská, CSc. Number of pages: 107 Number of appendices: 15 Year of defense: 2023 Keywords: Communication, elderly, dementia, ethics, dignity, nursing staff, nursing care, burnout syndrome Bachelor thesis focuses on the communication of nursing staff with elderly people with dementia in nursing care. It deals with communication with respect to human dignity, and also looks at the prevention of burnout syndrome. The basis of the bachelor's thesis is a quantitative research on the way of communication of nursing staff with elderly people with dementia syndrome and methods of staff's respite from work. The personnel studied are direct nursing care workers in hospitals and homes for the elderly in a total of 11 facilities (4 hospitals and 7 homes for the elderly) in the Hradec Králové region.
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Dying in Medical Institution from the Point of View of Nursing Staff
VÁCHOVÁ, Agáta
The bachelor's thesis deals with dying in medical institution from the point of view of nursing staff. The thesis is divided into theoretical and research parts. The theoretical part of the thesis contains basic information and concepts related to dying and death, the impact of dying on nursing staff and the specifics of nursing care for dying patients. The main aim was to find out what support the nursing staff receives from the management and how the nursing staff provide for the needs of the dying patient. In order to achieve these objectives, five research questions were identified. The empirical part of the thesis was done through a qualitative research investigation in the form of a semi-structured interview, which included twenty-one questions. The research population consisted of nurse practitioners and general nurses in the selected hospital wards. The collected information was then processed in the form of open coding and then categorized into seven categories. From the results, it is clear that psychological support from the management is mainly provided to the nursing staff by the station or head nurse. In case of psychological need, the nursing staff refer more to family and friends. A large number of informants were identified with burnout syndrome, which can result from a lack of psychological support from the management, that could be provided for example in the form of seminars or through visiting a psychologist. The second objective revealed that the pain control, hygienic care adapted to the patient's health condition and the provision of food according to the patient's wishes are essential to ensure biological needs. The support from the staff is important to meet psychological needs, which is often neglected due to the lack of time and staff. The social needs are mainly provided by the family of the dying patient through visits or by a hospital chaplain. The most common obstacle is the arrangement of patient rooms, which is not suitable for ensuring the privacy of the dying patient and his/her family. The results of the thesis research were used to form the basis of a workshop for nurses.
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Cooperation of nursing staff with the ostomy nurse
HÁLOVÁ, Kateřina
The bachelor thesis is focused on cooperation between stoma nurses and general nurses, their procedures in the education of stoma patients, and nursing problems related to stomas. The bachelor thesis is divided into two parts - theoretical part and research part. The theoretical part contains characteristics of a stoma nurse, stoma, stoma indications, complications and appropriate stoma care. It also defines cooperation among healthcare staff, and education of ostomates. The research part is focused on cooperation between stoma nurses and general nurses, education of ostomates, and the most common nursing problems related to stomas. Two objectives were set for the research part, namely: To explore cooperation between nursing staff and stoma nurses. To identify the most common nursing problems encountered by stoma nurses in the education of nurses. This part had the form of a qualitative research survey using semi-structured interviews. Interviews were taken with two research sets. The first set consisted of three stoma nurses and the other one of four general nurses. After theoretical saturation was reached, the information was processed in the form of open coding and was subsequently categorized into seven categories. The results show that cooperation between stoma nurses and general nurses in taking care of ostomates is very common. In most cases such cooperation involves professional help in dealing with complications, provision of stoma care supplies, or patient education. Concerning the second objective, it has been found out that the most common problem in the education of nurses is poorly cut holes in ostomy bags and subsequent occurrence of complications. It has also been found out that stoma nurses try to educate staff in accordance with their nursing procedures so that the education of patients is of the highest quality possible. The findings were used to create an information material for nurses and students of nursing professions.
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Factors influencing turnover of nurses in the Czech Republic
Sedešova, Julie ; Heczková, Jana (advisor) ; Jeřábková, Lenka (referee)
Introduction: The shortage of nurses is a global problem of a multifactorial nature, to which demographic change in the world's population contributes greatly. In the future, a growing imbalance in the supply and demand of nursing staff can be expected, and according to WHO estimates (2015), the deficit of nurses and midwives will reach 7.6 million in 2030. The lack of nurses is largely due to their turnover, which is influenced by a number of interrelated factors and has a negative impact on the quality and safety of health care, the economy, health systems and the nurses themselves. The first step in solving this issue is to examine the causes of institutional and professional turnover of nurses and then create stabilization measures. Aim: Identify, characterize and analyse the factors that influenced the decision to change the current job position of general nurses with more than two years of experience. Methodology: Qualitative research was carried out through individual semi-structured interviews, phenomenological approach and method of purposeful selection was methodologically chosen. The research survey was attended by 14 general nurses from Prague hospitals aged 30 to 52 years. Data collection was terminated by reaching theoretical saturation. Data analysis was performed using open coding...
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Determining the level of nursing workload and the optimal number of nursing staff in selected standard hospital bed care departments
STACHOVÁ, Klára
Current situation: Educated and qualified nurse can fully do her job, give a patient bio-psycho-social-spiritual needs and satisfy them. This can happen only if optimal conditions are given to her, which means the optimal number of nursing staff. The aim of the study was to set the optimal number of nursing staff at surgical department in the Hospital of the Vysočina region, which was chosen. A standardized methodology of Pochylá and Pochylý (1999 and 2008) was used. Methodology and the research complex: Quantitative-qualitative method was used in the research. Detailed interviews were used in the first part of the study while talking to nurses of the surgical department of the Hospital of the Vysočina region. In phase two, 26 special nursing procedures were selected and divided into four thematic parts. 520 measurements were made in total, average time of making each special nursing procedure was set. In phase three, average values of nursing one patient in 12 hours at surgical department were set. Daily shots of the procedures were being taken for 14 days (Monday-Sunday). Optimal numbers of nursing staff and their qualified substitution in the Hospital of the Vysočina region were set in the last stage of the research. Results: The research question and three hypotheses were answered by performing and processing the research. The result is that there are statistically major differences in average value of basic and special nursing. 21 patients in average were treated in the hospital in the first week of research. The average nursing time for this number of patients in 12 hours was 3585 minutes 1027 minutes of basic nursing care and 1718 minutes of special nursing procedures. In the second week of research, 24 patients were treated at the department in average. The average nursing time for this number of patients was 3647 minutes in 12 hours 1036 minutes of basic nursing care and 1675 minutes of special nursing procedures. Statistically major differences were confirmed even during special nursing procedures. The longest average time was measured while incoming of patients, transferring, discharging (14,31 minutes) and the shortest average time was measure while applicating medicine into body cavities (0,5 minutes). Based on the research we can say that the number of staff at selected department is for a 12-hour shift optimal. Recommended number of full-time employees is 5, the real number is 5,4. Conclusion and recommendation: The output of this thesis is recommendation for management of nursing care regarding the issue of getting and maintaining the optimal number of nursing staff.
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Relationship of emotional attachment and empathy to burnout syndrome at nursing staff
Glombíková, Nikola ; Javůrková, Alena (advisor) ; Jirkovský, Daniel (referee)
This bachelor thesis deals with the relation of emotional ties, empathy and the burnout syndrome among health care personnal. And at the same time this thesis deals with the relationships between them with each other. The work is composed of two parts. The first part is theoretical, where the burnout syndrome, empathy and emotional attachment is characterized. The second part is devoted to the empiric research. This includes the results from the questionnaires that were filled in by a medical personnel. In the first of the questionnaire is examinened the burnout syndrome using the Copenhagen Burnout Inventory (CBI) for health personnel. In the next questionnaire, the Interpersonal Reactivity Index (IRI) is explored empathy and the Experiences in Close Relationships- Relationship Structures (ECR-RS) is about exploring avoidance and anxiety in relation to partner, friend and parents, mother and father. The content of the questionnaire investigation is inherently anamnestic questionnaire and informed consent. Anamnestic questionnaire is used for the processing of demographic data. All the results from the empirical research are included in the tables and graphs. A fully summary is in the discussion and in the final of bachelor thesis.
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Problematic aspects of knowledge and proficiencies for paliative care in retirement homes
Šefčíková, Simona ; Koťa, Jaroslav (advisor) ; Sedláčková, Daniela (referee)
This thesis is devoted to the topic of palliative care in nursing, particularly for the elderly. The theoretical part deals with basic issues of palliative care for the elderly, defines palliative care and its organizational forms,dealing with the basic principles of palliative care topics of gerontologic care. The attention is paid to the competencies of the nursing team to perform palliative care for geriatric patients as well. The research deals with finding out the level of workers' skills in the field of palliative care, and then it defines the forms ofhealthcare professionals aid in how to approach the matter of dying, and how to cope with the cause of clients death.
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Stress situations and nursing personnel
MAREŠOVÁ, Lucie
This thesis deals with the stressful situations in the profession of the nursing staff. The occupation of the nurse belongs to the most demanding ones. In this occupation, the nurse is permanently affected by many stressors of different types. She faces death, the suffering, dying and incurably ill people very often. She is there in times of pain, agony and suffering. Personal encounters with these difficult situations require highly professional approach but most of all, they present immense work stress for the nurse. The theory section describes mainly the stressful situations that are the most common and most difficult in the work of the nursing staff. The next part of the theory section describes possible consequences of the stressful situations and methods of managing them including the support by the management. This thesis has two objectives. The first objective was to map the manners used by the nursing personnel to cope with the stressful situations brought by their profession. The second objective was to find out the difference in the coping with the stressful situations between the hospital staff and hospice staff. The research section of this thesis contains the quantitative research done using the technique of an anonymous questionnaire with 20 question prepared by ourselves. The questionnaire was distributed to the nursing staff of all categories in the hospital and hospice care. It was completed by 269 respondents in total. The data was statistically processed using systems Microsoft Excel 2010 and Software R, version 3.0.2 (Chi-squared test, Fisher´s exact test, and Wilcoxon test). We determined four hypotheses. H1: Manners of coping with the stressful situations depend on the qualification of the nursing staff reached; not confirmed. H2: Manners of coping with the stressful situations are influenced by the length of practice of the staff; not confirmed. H3: Manners of coping with the stressful situations differ between the hospital staff and hospice staff; confirmed. H4: The nursing staff views their own mental hygiene as more efficient than the support from the management concerning the coping with the stressful situations; confirmed. The research results show that the nursing staff faces the stressful situations very often. They see as the heaviest stress the care of the suffering and aggressive patient, conflicts with the patient´s family, conflicts at work and workload. The manners of coping with the work burden which proved as the best for them are relax, rest and sleep. There were no differences proved in the manners of coping with the stress among respective members of the nursing team. Nevertheless, the coping with the work burden of the nursing staff in the hospital and hospice care is different. A minimum of the respondents notices any support during the stressful situations from the employer. On the other hand, certain support by the management could be viewed in the form of trainings, supervision or contribution to a "recovery" which are granted to the respondents from the employer according to their answers. However, the respondents would prefer, as the support by the management, the increase in pay or more days off. The respondents view as insufficient the preparation of the graduates for the future stressful situations in their profession, as well. They would recommend mainly various trainings dealing with the stress and its management. A good solution to alleviate the work burden of the nursing staff and quality enhancement of the services provided could be investments into better work conditions, both in terms of sufficient human and material resources and the very organization of the work processes.
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The Perception of Work Motivation Moderate Medical Staff
Červenková, Kristýna ; Lešetický, Ondřej (advisor) ; Pupková, Ivana (referee)
The aim of this thesis is an analysis of motivating and discouraging elements influencing the contentment of nursing staff of the Hospital in České Budějovice a.s. The theoretical part is focused on the motivation in general, that means what the known and used theories of motivation are. Furthermore I will introduce the profession of the nurse itself and its development. I will outline the system of rewarding and lifelong education and last but not least I will mention the burnout syndrome. In the practical part of the thesis I will evaluate the results of the survey of motivation, focusing mainly on the real motivations and discouragements for the nurses, I will compare various variables, ascertain their dependencies and confirm or disapprove my own stated hypothesizes. At the end of thesis, there is a discussion, where I analyse the results and I try to suggest possible solutions regarding the gained facts.
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The role of pediatric nurse and midwife in the laboratory screening of newborns
CHVÁTALOVÁ, Lenka
Newborn laboratory screening represents a pro-active blanket search for diseases in their early, pre-clinical stages. It uses an analysis of a dried blood drop on filtration paper. The blood is taken under specific conditions from all newborns born on the territory of the Czech Republic. The blood samples are collected by midwives and pediatric nurses, who are responsible for correct execution of the test. In 2009 the number of screened diseases increased from nine to thirteen. The samples are accompanied with double NCR cards to record all data about the newborn and the conditions of blood collection, including an NCR copy of demographical data. The midwife or pediatric nurse shall instruct the mother who should be present during the blood collection. In the theoretical part the author deals with the history of newborn screening, characteristics of the newborn screening and its principles, tested diseases, preparation, procedure and care after the test. The practical part used a combination of quantitative and qualitative research survey. The quantitative survey used inquiring with a questionnaire technique. The objective number 1 of the survey was to map the knowledge of pediatric nurses/midwifes about laboratory screening of newborns. The objective 1 was fulfilled. The hypothesis formulated in connection with the objective was: Pediatric nurses and midwives are familiar with the principles of laboratory screening. The hypothesis was confirmed. The research technique used for the qualitative survey was an in-depth interview. The objective number 2 was to map obstacles to the laboratory screening of newborns from the viewpoint of pediatric nurses and midwives. The objective 2 was fulfilled. The research question formulated in connection with the objective was: What are the obstacles to the collection of samples for laboratory screening of newborns? The research question was answered. The most frequent obstacles are poor blood flow, necessity to make more than one puncture and the fact that one prescribed drop of blood may not be sufficient for the testing. This bachelor degree thesis may serve as a source of information and study material for students of midwifery. The results of the research may be used as a teaching material at the University of South Bohemia.
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