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The role of nurses in follow-up and long-term intensive care
ŠNOKHAUSOVÁ, Anna
The diploma thesis entitled "The role of nurses in follow-up and long-term intensive care", consists of a theoretical and practical part. The theoretical part deals with a detailed departments description and explains the roles nurses fulfill in their profession. The aim of this work was to map the roles performed by nurses working in follow-up and long-term intensive care units and which of the roles they believe is the most important. In order to achieve that goal, a research investigation in the form of qualitative research was chosen. The empirical part of the diploma thesis was processed using the technique of semi-structured interviews with nurses who work in these departments throughout the Czech Republic. The research was carried out in January 2023. As part of the research, ten interviews were conducted with general nurses, nurses with a university degree or nurses with a professional specialization. After conducting and processing the interview in the MAXQDA 2022 program, the interviews were analyzed using data categorization and subsequent coding. The research shows that nurses know the basic roles, can specify them, but in practice they are not very aware of their fulfillment. The roles of nurses are intertwined, and thanks to them, nurses can adequately meet the needs of the patient.
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The nurses role in adult tracheostomy in intensive care - percutaneous versus surgical tracheostmy
Chvějová, Bronislava ; Hocková, Jana (advisor) ; Kulířová, Veronika (referee)
Breathing is one of the basic life functions and for its proper functioning it is necessary to have the airways free and clear. One way to maintain free and open airways is the tracheostomy. Tracheostomy may be performed either by surgical or puncture method. Nursing care and its quality in patients with tracheostomy are important factors that can significantly affect postoperative complications, their course and overall clinical outcome of treatment of patients. Sufficiently qualified, knowledgeable and experienced nurse applies her knowledge in practice with a holistic view of the patient and his needs. The theoretical part of the thesis introduces us to the anatomy of the respiratory tract, the history of tracheostomy, individual methods of tracheostomy - surgical versus puncture and nursing care for adult patients with tracheostomy for intensive care. Methods: In the empirical part, the data obtained on the basis of a quantitative survey in the form of a questionnaire will be evaluated. The sample of respondents will be nurses working in the intensive care department for more than 1 year with experience in nursing care for tracheostomy. Aim of the work: Analysis of nurses awareness about different tracheostomy methods - surgical versus puncture, role of nurse in these methods, their experience...
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Nurse and her choice of care for her own child
Holubová, Alena ; Jirkovský, Daniel (advisor) ; Vlachová, Marie (referee)
Bachelor thesis "Nurse and her choice of care for the owen child" deals with the question of work - life balance. The work has a usual structure composed of two parts, theoretical and empirical. The theoretical part focuses on a topics that could influence the choice of child care and brings the basic knowledge on the established work topic by Czech analysis and foreign literky and magazíne informatik sources. The main points discussed in it include the profession of a nurse, role, family, maternity and the opportunities that lead to harmonize like work and family, areas that can influence the choice of child care. The empirici part has a traditional structure and describes the own investigation that has taken place in Motol Universtity Hospital within the Gynecological Obstretrics Clinic. At the beginning the objectives and working hypotheses related to the given topic, the methodology, the owen questionnaire surfy and the characteristics of the studied sample were set. In the end, a discussion was conducted with previously conducted studies on simile topics and concluded with a final summary of the work. Anonymous questionnaire containing basic information for the respondents (addressing the respondents, topic purpose, filling and submitting the questionnaire and concluding the tanks for time and...
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The nurse's role in education of the mothers on how to the care for physiological newborn.
Burgárová, Kristýna ; Tomová, Šárka (advisor) ; Nikodemová, Hana (referee)
The Bachelor thesis describes the issue of education of mothers in the care of physiological newborns, the importance and the quality of existing facilities. It is divided into four parts. The education plays an important role in the nursing and it is the part of the quality care for physiological newborn, therefore the first part of the thesis devotes to it. It explains the principle of quality education and its impact on the state of health of child and mother. It also explains the specifics of the education of mothers at the puerperium department. The second part of the paper explains the concept of physiological newborn and then it describes the taking care of it. There are in succession described some techniques in infant feeding, such as correct breastfeeding technique, and the importance of the breastfeeding. Further, the chapter describes some principles of caring of newborn skin. There is also mentioned the sleep regime of the newborn, or the care for a newborn with neonatal diseases typical for the newborn age. The third part deals with the most common mistakes, which parents and also health care professionals do after the release of the newborn home. The fourth part is the empirical one, contained the quantitative research. The chosen form of the research was the survey. The questionnaire was...
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A nurse task in the stress test in a cardiology
FIŠEROVÁ, Andrea
The theme of this work is the role of nurses in the cardiology stress tests. The first part of this work is theoretical and the other is practical. We determine the role of nurses in the cardiology stress tests. We focused on how to nurse in the cardiology department in the ward and the nurse directly at the stress tests. We also wanted to map different types of stress tests and activity nurses. The research we selected nurses working in ergometry, spiroegometrie, stress echocardiography and positron emission scintigraphy of the myocardium. Research for this work were 3 research questions.
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Paediatric nursing care of patients with type 1 diabetes mellitus on insulin pumps.
MARŠÁLKOVÁ, Blanka
The purpose of this thesis was to familiarise the care for the child patient with diabetes mellitus type 1, which is treated using an insulin pump. To highlight not only the positive aspects of this therapy, but also the difficulties that cause the paediatric patients and their parents' fear of change in treatment. The theoretical part comes from academic literature, credible scientific articles and Internet resources. It explains the nature and cause of the disease, highlights the acute and chronic complications, further clarifies the treatment using the insulin pump while it precedes the treatment of insulin pens and does not forget the role of a nurse, who is an irreplaceable element in the treatment and should be an equal partner of the physician and a support for the child and their parents. The empirical part establishes research goals, on which four research questions were based. Data were analysed by qualitative research using half standardized interview techniques, secret observation with content analysis of data. The first objective was to determine whether the family caring for a child with type 1 diabetes mellitus notice differences in care during the transfer from the insulin pen therapy to treatment with insulin pump. The second objective was to set out to determine the readiness of children with type 1 diabetes mellitus and their parents for treatment with an insulin pump. The third objective was to identify complications occurring in a paediatric patient with type 1 diabetes mellitus treated using an insulin pump. The fourth objective examined the role of nurses in treating children with type 1 diabetes mellitus using an insulin pen, insulin pump, and the transition from insulin pen therapy to treatment with an insulin pump. The research questions were as follows: 1. What are the differences in perception of family caring for a child with type 1 diabetes mellitus in its transition from Treatment using insulin pen to treatment using insulin pump? 2. Are the children with Type I diabetes and their parents using the given information relating to the change of treatment? 3. What complications occur in a child patient with Type 1 diabetes mellitus treated with insulin pump? 4. What are the roles of nurses in caring for a child with Type I diabetes mellitus treated with insulin pen, insulin pump, which has been transferred from treatment with insulin pen to an insulin pump therapy? Results of the investigation will help children with type 1 diabetes mellitus and their parents with better understanding of insulin pump therapy and will be used as a form of presentation during one of the educational meetings.
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The use of assistive devices for patients with Bechterev disease
KULHÁNKOVÁ, Barbora
The theoretical part of the thesis describes the actual disease. It is a rheumatic disease which includes inflammatory processes located in the spinal area. The disease is also called Ankylosing spondylitis. Typical symptom of the Bechterew's disease is stiffness and consequent back pain. Successful treatment must include use of nonsteroidal antirheumatic drugs and pain-relievers. However, the most crucial element is regular physical training, which must not be avoided otherwise the client may become permanently disabled and need assistance. The successful treatment also in cludes repeated spa stays. The thesis also deals with the role of a nurse, who together with a professional team, including physiotherapists, ergotherapists and social workers, care for the client's needs as well as for his/her education and his/her family members' education. The nurse should emphasize the importance of regular physiotherapies and use of prescribed drugs to the patients with such diagnosis. The most crucial part of the thesis deals with compensation aids which allow the clients relieving pain when moving and which get the patients back in their common lives. The patients start to use the compensation aids, such as walking sticks, wheeled walkers, and hygienic aids with long handle, in advanced stages of the disease, when common movements are difficult and painful for them. Furthermore, I am writing about the possibility of renting or purchasing such aids. There are compensation-aid rental companies and shops which offer such aids. Another part of the thesis deals with compensation allowance, which the clients may receive from their insurance companies.It also describes changes in the patient's life and environment, which may occur after receiving the compensation aids. The major goal of the thesis is to describe the possibilities of usage of compensation aids by the Bechterew's patients. To reach that I have chosen two survey questions. The first one reveals the type of compensation aids the clients prefer using and the way how they get these. The latter question explores influence of the compensation aids to the clients' lives. The survey was done by qualitative research method. For this purpose, semistructured in-depth interview was conducted with clients who suffer from the Bechterew's disease and who use compensation aids for their everyday routines. The obtained information shows that the most used aids are those which we are typical for people with movement disorders. Mostly, the clients pay for their aids by themselves. Vouchers prescribed by doctors are only used to get the forearm crutches. The Bechterew's disease is still an incurable disease. It may have very serious consequences for the patients unless they execute regular physiothe rapy, repeated spa curative stays and use the medicaments. The thesis may be used as a source material for special brochures created for mobility-impaired clients.
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Impact on life quality in patients with vitiligo
MALČICOVÁ, Jana
This bachelor thesis focuses on vitiligo and its impact on the life quality of patients suffering the disease. Vitiligo is a relatively frequent acquired disorder which causes depigmentation of parts of the skin. The depigmented spots can be of different shapes and extent. Vitiligo is a chronic disease process and the actual cause of the disease is still unknown. One of the presumable causes is the immune system; this is why it is not easily cured. The treatment is a long-term process and requires great patience from both the patient and the medical team. Vitiligo is a major problem for the patient as it disturbs their physical appearance and thus influences the psychological well being of the patient; so vitiligo can also have a psychosocial impact. In our research we set two main goals. The first of them was to define the role of nurses in the treatment of vitiligo. The other goal was to enquire about the impact of vitiligo on the life quality of the patients. For the research we formulated two questions: 1.What is the role of a nurse in the treatment of a vitiligo patient? 2. What is the impact of vitiligo on the life quality of the patient? For the empirical part of the bachelor thesis we used a qualitative research method based on a semi-structured interview. The first interrogated group consisted of four nurses from the South Bohemian and the South Moravian region; these nurses work in dermatology centres that offer phototherapeutic treatment. The other group comprised patients suffering vitiligo; we interviewed three patients from Austria and one patient from the Czech Republic. The respondents suffering from vitiligo were also to complete a Dermatological Index of Life Quality questionnaire. The questionnaire was then evaluated according to a key and the results were filled into a chart. The interviews consisted of 18 questions for the vitiligo patients and 10 questions for the caring nurses. The interviews were recorded on a dictaphone and later written down and brought into a Word document. For the evaluation of the data we used the open coding method using a pencil and paper. After the data analysis we defined the following categories: The Role of Nurses with the subcategory Alterations to the Role of Nurses, category Psychological Support with subcategories Attitude of Nurses, Psychical Needs of Patients, Alterations in Psychical Condition of the Patient, category Reaction to Detection of Vitiligo with the subcategories Reaction of the Patient, Reaction of Patient´s Environment, category Psychological Problems with the subcategories Patients´ Feelings and Solution to the Problems, category First Visit to the Doctor and category Significance of Vitiligo. The research suggests that the most important aspect of the nurses´ help during the patient´s treatment is the educational aspect. The other aspects are in the opinion of our respondents the health care providing aspect, and the help of a nurse as a manager. The evaluation of the life quality questionnaire brought the following results: two respondents saw only a small impact of the disease on their life quality. One respondent stated a slightly worsened quality of life and in one of the respondents the life quality was worsened significantly. According to the interviews, the vitiligo patients are slightly restrained during activities when exposed to sun due to an easy sunburnt. None of the respondents stated an influence on their relationships or hobbies. Two respondents mentioned worries concerning finding a partner and establishing a family. Our research showed that the greatest impact of vitiligo is on the psyche of the patient. Thus we assume that a psychological support should be an essential component of the treatment. I would like to present the results of this bachelor thesis as a review in some professional magazine. I would also be glad if the thesis could be an inspiration to a quantitative research on the topic.
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The role of nurses in the primary prevention of cardiovascular diseases
CICHROVÁ, Lenka
The thesis seeks to examine the role of nurses in primary prevention of cardiovascular diseases (CVD). Today, CVD are one of the most frequent causes of death in adults worldwide. In Europe they are involved in up to 40% of deaths annually. These diseases affect the heart and blood vessels and can occur in several forms, such as ischemic heart disease, stroke or high blood pressure. Therefore, primary prevention is a vital part of nursing interventions. Prevention of CVD is closely linked to the awareness of risk factors. Hence, it should be aimed at proper handling of such factors or possible treatment. The work is composed of two parts, the first part being theoretical and the second practical. Two objectives were set for this thesis. Firstly, to map out the role of nurses in primary prevention of cardiovascular diseases; secondly, to determine whether nurses in GP surgeries are involved in primary prevention of cardiovascular diseases. The following research questions were defined: ?What is the main role of nurses in primary prevention of cardiovascular diseases???How do nurses in GP surgeries engage in primary prevention of cardiovascular diseases???Do nurses in GP surgeries use the SCORE risk charts??The qualitative research revealed that nurses are most often involved in the prevention of CVD as proper lifestyle educators and monitors of blood pressure, cholesterol and blood glucose. It was also found that nurses in GP surgeries engage in primary prevention of CVD. The thesis records interviews carried out with nurses, describing the interviews in the results. The most common and most interesting responses are given in tables. The results of the thesis can be used as a source of information on proper primary prevention of CVD in GP surgeries. This information was used to create guidelines for nurses on how to proceed in the primary prevention of CVD.
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The educational Role of a Nurse in Caring for a Patients with Glaucoma.
HLÁVKOVÁ, Blanka
In my Bachelor thesis with the topic ``The Educational Role of a Nurse in Caring for Patients with Glaucoma{\crqq} I dealt with the issue of glaucoma disease, education, and what the role of a nurse in this issue is. The theoretical part is focused on the term glaucoma, how it is shown, diagnosed and treated. I have described very valuable advice for patients with this disease. Another point of this theoretical part is education focused on the topic of what the patient should imagine under this term and what education brings from the point of view of the nurse. The Practical part is focused on the quantitative and qualitative survey. The objective was to make a survey of the intervention into the nurse´s educational activity during the care for a patient suffering from glaucoma disease.
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