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Nurse's knowlege how to care for peripheral or central catheter
Fialová, Denisa ; Tomová, Šárka (advisor) ; Nikodemová, Hana (referee)
One of the basic skills of nursing staff is the knowledge of how to care for venous catheters. It is one of the important aspects of the care process. The aim of this work was to compare two different treatment units. III. Chirurgickou kliniku 1 LF UK a FN Motol and Interní kliniku 2 LF UK a FN Motol. The research was planned at I. Chirurgická klinika 2. LF UK a FN Motol, but I didn't receive an answer with an agreement. The next goal was to compare which clinic has a richer experience. To find out, whether the intensive care unit has higher quality care compared to the standard unit. The theoretical part describes different options for how a venous catheter gets inserted. There are introduced kinds of venous catheters, that are available nowadays. They have also mentioned their benefits for patients. Venous catheters may be divided based on the duration they can remain in the human body. In this chapter, there are described convenient locations for inserting, indications, contraindications, and correct techniques of how to care for the venous catheters. In the empirical part, there is the research of my own design included. It contains graphs and tabular protocol with results. The questionnaires were distributed among employers of mentioned clinics. The results of this research point out that...
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The observance of nursing processes during the care of vascular inputs focusing on the prevention of catheter infections.
TŘEŠNIČKOVÁ, Nikola
This bachelor's thesis on the topic ,,The observance of nursing processes during the care of vascular inputs focusing on the prevention of catheter infections" consists of a theoretical and a research part. The theoretical part focuses on vascular access in general and on individual peripheral and central catheters. Firstly, it provides information on nursing care for vascular access. The thesis also deals with infections associated with health care. And finally, the work informs about catheter infections, sepsis and septic shock. The research part was processed in the formo f qualitative research. The aim was to find out how nurses following nursing processes during the care of vascular inputs with a focus on the prevention of catheter infections. Five research questions were identified for this purpose. Qualitative data collection was realized by semi-structured interviews and covert observation. The research group consisted of ten nurses working in internal departments. The selection of informants was intentional and carried out using the snowball method. The results show that nurses have experience in nursing care of peripheral venous catheters rather than central venous catheters. The results also show that nurses have theoretical knowledge of the specifics of nursing care. However, based on observations, it was found that some nurses do not follow the specifics of nursing care. The results of bachelor's thesis research can be beneficial for all nurses across all departments. But they can be also used as information materiál for medical students.
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Nursing care of vascular access focused to prevention of catheter sepsis
Prošková, Michaela ; Heczková, Jana (advisor) ; Chvojková, Kateřina (referee)
Ensuring the bloodstream is one of the most frequently indicated invasive procedures, especially in the pre-hospital emergency and intensive care. All invasive inputs are nowadays an integral part of intensive care. Despite careful daily care, vascular accesses are at risk of complications, which annually effects many patients institutionalized at intensive care units. Catheter sepsis is undoubtedly one of the most serious. Although a significant proportion of these infections are considered highly preventable, they still contribute to high morbidity and mortality among these patients. The aim of this diploma thesis is to analyse nursing care for vascular inputs. One of the partial goals is to evaluate and compare the relevance of the nursing standard of a medical facility with scientific knowledge and current recommendations of professional societies. The research method is a quantitative questionnaire survey focused on nursing staff working in the Department of Anesthesiology and Reanimation. The analysis of the vascular inputs re-dressings was performed in patients hospitalized in the same ward, where the research itself took place. The results of the research survey show a discrepancy between the given procedure in the nursing standard and common practice in the ward. In view of the...
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Treatment of vascular input for patients on hemodialysis department as a nursing problem
ŠTRBOVÁ, Kateřina
The bachelor?s thesis focuses on current problems of dialyzed patients with a dialysis catheter. A properly functioning catheter and minimum complications during its use form essential preconditions of the dialysis treatment. Emphasis is put on observance of aseptic approach when handling the dialysis catheter. The aim of the thesis is to find out whether nurses observe the treatment standard when treating the blood vessel entries and if the nurses of a standard ward find the handling of the catheter for hemodialysis problematic. The objective is also to map the most problematic area of blood vessel entries from the nurses? view. The following research queries result from the objectives set above. 1. Do the nurses observe the treatment standard when treating the blood vessel entries? 2. Do the nurses of a standard ward find the handling of the hemodialysis catheter problematic? 3. What is the most problematic area of blood vessel entries treatment from the view of the nurses? The qualitative research was carried out by means of hidden observation. Participants of the research included 5 nurses from the dialysis centre of Fresenius Medical Care in Benešov and 5 nurses from the internal medicine ward of Nemocnice Rudolfa a Stefanie a.s. (Hospital of Rudolf and Stefanie) in Benešov. The observation was supplemented by an anonymous survey carried out also at the dialysis centre and at a standard internal medicine ward. Hypotheses can be set based on the obtained results. The medical treatment standard for treatment of blood vessel entries is not observed by all nurses, the standard ward nurses find handling the hemodialysis catheter difficult and the most problematic area of the treatment of blood vessel entries is the failure to observe the aseptic procedures during the treatment as well as the fact that patients do not get extra bandage material for home use. The research results shall serve for preparation of a draft for the medical treatment standard ??Medical treatment for dialysis catheter??. The draft can be presented to medical management of the given wards to achieve higher quality of treatment of patients with dialysis catheter.
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