|
|
Education of children in the hospital before the surgery at the Department of ear, nose, throat.
EKHARDTOVÁ, Miroslava
The aim of this study was to uncover phenomena in the effective education of children in the hospital before the surgery at the Department of Otorhinolaryngology and to create a functional educational material, using elements of game therapy. The theoretical part contains information about the problems of hospitalized children, their perception of illness and hospitalization and brings facts about the negative reactions of children in this difficult period. This part of study describes the education of children at the hospital and introduces simple instructions how to communicate with the child. This part of study also describes the nurse's work at the Department of Ear, Nose, and Throat and describes the most frequent procedures with children at this department. Another part of this study is focused on the preoperative preparation and the last part of this study is focused on the gaming therapy. Following research questions were provided to achieve the main aims of this study: 1. How is the children education provided in the Department of ETH in the chosen hospital? 2. What kind of children's educational strategies is used at the pre-operative care at the Department of Otorhinolaryngology at the chosen hospital? 3. What are the effectiveness of educational strategies applied on the principle of game therapy? This research was based on qualitative survey. The research was divided into three parts. The results of the research are in the practical part of this study. Data were collected between December 2014 and March 2015 at the Otorhinolaryngology department at the hospital in Jindřichův Hradec. The first part of the research was focused on interviews with the nurses. Interviews were semi-structured and contained eight questions. The second part of the research was focused on seven questions of semi-structured interviews with hospitalized children's deputy. These two parts of the research was supplemented by direct structured observation focused on the children and children's deputy education at the hospital before the surgery. Due the working department management the direct structured observation was carried out at the moment of hospital admission because there is the education most extensive and the most important. Based on the results of the first two parts of the research of this study the new education materials were created and applied in the third part of the research of this study. One of the new created education materials was an electronic Power Point presentation used in hospital's tablets. The second new applied educational material was a Teddy Bear. The results of these interviews showed that the main source of information is mainly a doctor. The nurse completes the education. Interviewed nurses realize the importance of education for children and their parents. First, the education is carried out at the hospital Infimary Room based on verbal and individual way. Then the education is carried out in the Hospital Room or in the Surgery Room before the surgery if the patient's condition allows children can for example touch the respirator etc. The education is more focused on children's deputy. The big advantage for children is a fact, than they can be accompanied by their deputy. The children's deputy can stay till the child fall asleep before the surgery. The effectivity of the education is controlled by nurses. There is one alarming result of the survey. One of the nurses believes that non educated child feels just the same as educated. However, this result wasn't confirmed. There is only minimal occurrence of the game therapy at the department. Nurses express positive opinion about the education with occurrence of the game therapy but negative phenomenon of this strategy they find in the lack of the time. The observed fact is those interviewed deputies were very satisfied with the education in most of the cases. The practical part of this study is focused on application of educational material.
|
|
|
Nursing care about child with traction
HEIMLICHOVÁ, Blanka
This bachleor work being titled ?Nursing care of children with traction? consists of two sections. The first section deals with theory, i.e. it represents a theoretical part which focuses on anatomy of bones, specific fractures of children?s fractures, children's accident frequency rate, diagnostics and fracture therapy, nursing process, hospital schools and volunteers at children?s wards. The second section deals with research. For the purpose of the research two goals have been established as well as four research tasks. The aim of this work is to find out specific features of the nursing care of the children with traction and to find out the possibilities of making children with traction busy during children?s hospitalisation period. The research tasks having been set are as follows: Has nursing care of a child with traction any specific features? What are the specific features of nursing care of a child with traction? Is a child with traction encouraged in his/her self-serving activities by nursing personnel? Are volunteers an integral part of a team providing nursing care services for a child with traction? In this work qualitative research has been applied. The data have been processed by means of half-structured interviews with children on traction, their mothers and sisters providing health care services for the abovementioned children and by hidden observations. The interviews consisted in 30 questions for nurses and 20 questions intended for both hospitalised children and mothers being hospitalised together with their children. From the data having been obtained from the interviews case reports have been made and the questions from the interviews have been recorded to the form of matrices as well as the results from hidden observations.On the basis of the results evaluations the responses and answers regarding the questions having been put to executive questions the following conclusions have been made: The nursing care of children with traction has shown specific features in the care of the children?s epiderms. The nursing care of the children with traction has shown its features in the area of hygiene.A child with traction is encouraged and supported in self-serving activities by nursing personnel.The children have been educated regarding suitable and unsuitable moving actions of their limbs. The nursing care of the children with traction has shown its specific features in the area of physiotherapy.The children with traction are integrated in the hospital school curriculum.An integral part of the care devoted to a child with traction is making them take up free time activities in the course of a day in which not only the volunteers, and pedagogues from hospital school and after-school care centre are participating but also the children?s parents. The aforementioned volunteers are an integral part of the team taking care of the children with traction.The nursing care of a child with traction has its specific features. The nursing care of a child with traction is provided by multidiscipline team that besides doctors of medicine and professional nurses within the scope of medical treatment process has been joined by physiotherapists, social workers, psychologists, pedagogues from hospital school a after-school care centre, volunteers, play and game specialists or the parents of the hospitalised children.The results of the above specified research have been summarized into a manual dealing with nursing care of a child with traction intended for parents and it will be offered to the parents of the children with traction in order to make understanding of the therapy easier for the parents and provide the parents with quality nursing care. The results will be published in an article in the professional magazine for nurses.
|
guest ::
