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The needs satisfaction of children hospitalized in psychiatric hospital.
BLAŽKOVÁ, Eva
This thesis deals with the issue of meeting the needs of pediatric patients who have experienced hospitalization in one of the medical institutions providing pediatric psychiatric care. Development in childhood and adolescence is considered to be very complex, not only because of developmental changes. We can witness for ourselves the impact on our mental health of not having some of the basic or higher needs of life met. In the childhood period, the limitation of saturation of some of the needs is even more accentuated, and we therefore encounter situations where this lack of saturation can lead to the development of mental illness. These are then forced to be dealt with by hospitalisation in one of the psychiatric hospitals in the Czech Republic. These hospitalisations are often repeated, and the child patient spends a large part of its time in the facility. It is therefore important that during the hospitalization, he or she is supported by a medical team, of which nurses are an essential part, who will actively try to identify his or her needs and help him or her to meet them, and who will be empathetic and assertive throughout the time present. The aim of this study was to describe the satisfaction of bio-psycho-social needs of hospitalized pediatric patients, from the perspective of nursing staff, and from the perspective of pediatric patients themselves. This issue should continue to be addressed in order to prevent negative experiences with hospitalizations and thus to form a negative image towards health care. This thesis is divided into two parts. The first part, theoretical, deals with the history of psychiatry and child and adolescent psychiatry, the training of psychiatric nurses, mental illness in childhood, the division of childhood, the life needs of the child and the nursing process of the child with psychiatric illness. The second part, the practical part, consists of the results obtained from semi-structured interviews that were recorded with an electric tape recorder and then transcribed and categorized. Consequently, 5 categories emerged: the Physiological Needs, the Need for Safety and Security, the Need for Love and Belonging, the Need for Recognition and Self-esteem and the category Need for Self-Realization. Each of these categories was then divided into several subcategories, according to the informants' responses, and translated into tables and charts. Five paediatric patients and 3 nurses working in one of the child and adolescent psychiatry departments participated in the research survey. The results of our investigation showed that there are frequent disagreements and differing opinions in the claims of the two research groups. This suggests that this issue should continue to be addressed. This would prevent negative experiences of hospital admissions, reduce traumatic experiences, and thereby mitigate the formation of a negative image towards healthcare and establish healthier patient-person relationships.
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Therapeutic restriction of a patient in a pediatric psychiatry department
KEJDOVÁ, Zdeňka
Theoretical basis: Therapeutic restrictions or limitations are often taboo, although they are also part of child psychiatry. It is used for restless, aggressive patients who endanger the health of themselves or others. Therapeutic limitations use must follow given regulations. The role of the nurse is irreplaceable and important in these situations. Goals: The aim of this work was to chart the issue od therapeutic restrictions in children psychiatry department. Four research questions were used to accomplish goals. Questions are: What kind of restraints are used in the children psychiatric ward? How is the safety of pediatric pacient ensured during the therapeutic restriction in children psychiatric ward? Are there some specifics in nursing care for the patient with therapeutic restrictions? How are nurses educated in the issue of therapeutic restriction in pediatric psychiatric department? Methods: The empirical part of the work was processed in the form of qualitative reseacher. Data were collected as a semi-structured interviews. Another metod of data collection was covert observation. Based on this data collection, there were created five categories and eleven subcategories. Reseacher file: The research group was consisted of twenty three nurses, who work in the department of child and adolescent psychiatry. The selection of patiens was purposeful. Results: Research proved that restraints are an integral part of child psychiatry. The most commonly used therapeutic restrictions are courts. Respondents have shown that the work is according to standards and adhere to the principles in terms of safety. The research has shown that proper nursing documentation and education are required. Research has shown that nurses act professionally, they also take care about patient needs and privacy. It turned out that nurses are on better level of knowledge about practical use than a knowledge of theoretical nursing standard. Conclusion: Therapeutic limitations of patients in the pediatric psychiatric ward cannot be neglected or omitted. This thesis could serve as an educational materiál for many nurses, especially if they are new to the field. Continuing education in this area is desirable for nurses. This work could serve as an educational material for the general public, who could possibly encouter therapeutic limitations, for example with their own child.
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