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Knowledge of nurses about the prevention of sudden infant death syndrome
Šindlerová, Petra ; Tomová, Šárka (advisor) ; Nikodemová, Hana (referee)
Sudden infant death syndrome is a timeless topic that, although it has been studied in sufficient depth, still represents an unexplained and unanswered problem in medicine. The aim of the work is to bring a comprehensive summary of the issue of sudden infant death syndrome and its prevention and to examine the knowledge of nurses regarding knowledge of this issue and cardiopulmonary resuscitation in infants. Another goal was to compare the level of knowledge found among nurses in selected departments. The bachelor thesis has two parts. The theoretical part is focused on basic information about sudden infant death syndrome, current recommendations regarding prevention and cardiopulmonary resuscitation. The practical part includes quantitative research of its own construction in the form of questionnaire survey focused on nurses' knowledge of sudden infant death syndrome, its prevention, and knowledge of first aid in the event of the need to start cardiopulmonary resuscitation. The research survey was carried out in neonatology departments and the results of the questionnaire survey are shown in graphic overviews, the obtained data are statistically processed, and the analysis of the survey results is presented in the discussion. In the research investigation, it was shown that the level of...
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Prevention of sudden unexpected postnatal collapse of the newborn from the perspective of pregnant women and delivery room nursing staff caring for the newborn
MAŘINCOVÁ, Lucie
SUPC can occur in any newborn regardless of gender. Most often, this collapse occurs in the first two hours of a newborn's life during the so-called skin-to-skin contact that takes place immediately after birth in the delivery room. If the nursing staff caring for the newborn in the delivery room monitor the newborn's physiological functions throughout the skin-to-skin contact and educate the parents about the safe conduct of skin-to-skin contact in the delivery room and the subsequent care of the newborn, the incidence of this collapse can be greatly reduced. In the theoretical part of the thesis, we describe the latest knowledge about SUPC, anatomy of postpartum adaptation, first treatment of the newborn, possible causes of SUPC, risk factors from both the newborn and the mother. Furthermore, we discuss education by the pediatric nurse in the prevention of SUPC and last but not least we describe cardiopulmonary resuscitation of the newborn. The practical part is an evaluation of the research investigation, which included two research samples. The research itself was conducted both qualitatively and quantitatively. The aim of the qualitative investigation was to describe the roles of delivery room nursing staff in the prevention of SUPC. The aim of the quantitative investigation was to map pregnant women's awareness of SUPC and neonatal first aid.
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Hypothermia from the point of view of a paramedic
ŠTĚCHOVÁ, Karolina
Theme of bachelor thesis is a hypothermia from a look of the Emergency Medical Service, (paramedic). The theoretical part of this thesis focuses on the main causes of hypothermia, physiological and anatomic knowledge about a skin, diagnostic hypothermia, procedure in the pre-hospital emergency care, cardiopulmonary resuscitation in a patient with hypothermia and the subsequent intensive care. In the practical part of the thesis, we set one goal and three research questions too.This bachelor thesis maps the awareness of paramedics about the issue of hypothermia. The first research question is aimed at ensuring that the members of Emergency Medical Service (or paramedics) have a sufficient theoretical knowledge of hypothermia.The second research question is focused on the general knowledge of the Emergency Medical Service on specific cardiopulmonary resuscitation in a patient with hypothermia.The third research question examines the paramedics´ expertise in the subsequent intensive care of a patient with hypothermia. The practical part of the thesis consists of a semi-structured interview with twelve paramedics from the South Bohemian Region.The interview included 23 questions. For better orientation, were results seperated to 12 categories.The goal of the bachelor thesis was accomplished thanks to answering all questions related to the research. Paramedics Responders have some knowledge about the topic of hypothermia but it is important to provide more information about the specifics of pharmacotherapy during cardiopulmonary resuscitation on a patient with hypothermia.I rate the research questions about intensive care very positively. This bachelor thesis could be used as a basis for educating students of non-medical pharmaceutical specializations in the future.
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Telephone Assisted Immediate Adult Patient Resuscitation by Emergency Medical Dispatcher
BARTL, David
This bachelor's thesis deals with Telephone Assisted Immediate Adult Patient Resuscitation by Emergency Medical Dispatcher. This thesis was divided into two parts. The first part was theoretical and the second part was practical. The main focus of the theoretical part was on medical emergency service and medical operations centre. Heart anatomy and cardiac arrest are also mentioned in this thesis, as well as problematics of an urgent resuscitation, chain of survival and telephone-assisted immediate resuscitation. The second part was the research part. Two research questions and two objectives were established in this part. First objective was to map knowledge of dispatchers of a medical operations centre in telephone-assisted immediate resuscitation. Second objective was to map how dispatchers of a medical operations centre proceed in provision of telephone-assisted immediate resuscitation. Semi-structured interview method was performed in the practical part of this thesis. Sample consisted of 10 dispatchers of the Regional medical operations centre of the South Bohemian Region who were asked 27 questions. For the sake of clarity, collected data were divided into 14 categories and processed into tables. Work objectives were fulfilled and research questions were answered. Research showed that dispatchers have stronger theoretical knowledge of telephone-assisted immediate resuscitation management of an adult patient, rather than of a pediatric patient. Research also mapped out the procedure of telephone-assisted immediate resuscitation of each individual responder. Results are rather positive.
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Cardiopulmonary emergency resuscitation by the general public
SOKOLT, Jakub
The thesis focuses on the problematic of providing cardiopulmonary emergency resuscitation by general public. The theoretical part of the thesis deals with identification of sudden cardiac arrest and most common causes of it. Furthermore, it deals with emergency resuscitation, first aid principles and emergency calls. Great emphasis is placed on the recommended practices for emergency resuscitation in adults and in child with cardiac arrest. Recommended practices focus, among other things, on the speciffic situations such as airway obstruction and drowning. The last theoretical part of thesis deals with the automated external defibrillator (further AED) and its operation by lay rescuer. The empirical part pursues two objectives. The first one is to map the knowledge of cardiopulmonary emergency resuscitation in adult patients. The second objective is to map the knowledge of cardiopulmonary emergency resuscitation in child patients. For the empirical part of the thesis the qualitative research in the form of semi-structured interviews was chosen. The research sample was made up of 8 non-selected members of the general public in the area of South Bohemian Region and Vysočina Region. Results were then categorized into 13 categories. Results show that questioned general public has significant shortcomings in recommended Basic life support practices. All questioned informants agreed they would welcome educational programs which would increase the knowledge of Basic life support practices of lay people.
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The patient healing hemodialysis at home by the paramedic´s perspective
KŘIVÁNEK, Martin
This bachelor's thesis focuses on the issue of domestic haemodialysis with special attention to the role of paramedics in dealing with acute problems associated with this procedure. The work is intended as theoretical, without the author´s own research. It aims at reviewing treatment options for kidney failure, describing the principle of home haemodialysis, its benefits and disadvantages for patients and their families. Special attention is paid both to potential risks brought about by this method of dialysing blood and to ways of addressing the complications from the perspective of pre-hospital care. To achieve its goals, the work outlines and compares current attitudes towards these issues both in this country and abroad. Its introductory part summarizes the structure and functions of kidneys, the most frequent causes of renal diseases as well as their possible therapies. Further on, it introduces in greater details both general and specific procedures applied by emergency medical squads in case of complications during domestic haemodialysis. The main scientific contribution of the work consists in the very synthesis of the present knowledge and methods of treatment and - at the same time - in defining the so far unresolved issues. The part of the thesis devoted to home haemodialysis, which still represents a relatively rarely used method, underlines particularly the fact that emergency medical procedures responding to specific complications connected with this treatment have not been sufficiently defined yet. The thesis therefore comes to the conclusion that paramedics facing acute problems associated with domestic haemodialysis have to rely mainly on general procedures determined for providing pre-hospital care. That is why this field still remains open for further theoretical research. Detailed potential practical steps aimed specifically at complications during home haemodialysis are in demand as well.
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Level of knowledge of members of the Fire Rescue Service of the South Bohemian Region and the Police of the Czech Republic in the South Bohemian Region in the field of providing first aid in the case of emergency
TUREČKOVÁ, Lucie
The diploma thesis offers an insight into the issues of first aid. The theoretical part describes the history of first aid, its legal basis and the distribution of first aid. Furthermore, the thesis describes the general procedure for providing first aid, the principles of safety in providing first aid and basic examination of the affected person's health are mentioned. The next chapter of this paper is devoted to dangerous injuries and conditions and their treatment. This chapter is followed by a description and solution to an emergency with a large number of injured. For psychological support is often needed at the scene of an emergency, a chapter on first psychological assistance is added into the thesis. The last chapters of the thesis are devoted to the Fire Rescue Service of the Czech Republic and the Police of the Czech Republic. The research part of the diploma thesis defines the methods and goals of own research and the results, which are then discussed in the discussion. The main goal of the thesis was to find out whether members of the Fire Rescue Service of the South Bohemian Region and members of the Police of the Czech Republic in the South Bohemian Region have sufficient knowledge in the field of first aid at the scene of an emergency. Part of this goal was also to answer research questions: Does the knowledge of members of the Fire Rescue Service of the South Bohemian Region reach 90% in the given issue? Does the knowledge of members of the Police of the Czech Republic in the South Bohemian Region reach the same level as the knowledge of members of the Fire Rescue Service of the South Bohemian Region in the given issue? To determine this information, a questionnaire survey was used, in which a total of 125 members of the surveyed units participated. The research has revealed that the knowledge of members of the Fire Rescue Service of the South Bohemian Region does not reach the necessary limits and is therefore low. The knowledge of members of the Police of the Czech Republic in the South Bohemian Region reaches a lower level than the knowledge of members of the Fire Rescue Service of the South Bohemian Region.
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Using of an Automated External Defibrillator by Non-Medical Components of the Integrated Rescue System in the Liberec Region
GROFOVÁ, Karolína
This bachelor's thesis is focused on the using of an automated external defibrillator by non-medical components of the Integrated Rescue System in the Liberec Region within the framework of performing urgent cardiopulmonary resuscitation. The aim of this work is to evaluate the frequency, time course and results of interventions in cases of patients with sudden cardiac arrest, in which an automatic external defibrillator was used by the non-medical component of the Integrated Rescue System. The work is divided into two main parts. The first part is a systematized theoretical overview of basic information on the issue. The second part is focused on practical aspects and is created from data obtained from the basic components of the Integrated Rescue System. The data were examined by descriptive statistics methods. Based on the obtained outputs, a systematic overview of the outcomes of first responders to sudden circulatory arrest was created. This overview mainly includes data outputs focused on the frequency of activation of first responders, the time of their arrival at the scene, the success of resuscitation in the pre-hospital phase and the outcome of the patient. The information obtained was compared with the conclusions of foreign studies focused on the same area. The period for which the data were collected included the year 2017 after May 2021. At the end of the work, an evaluation of the key results is made and suggestions for further research related issues are given.
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Training of cardiopulmonary resuscitation in hospital - preparation of the simulation scenarios
BUROŇOVÁ, Nikola
Presented thesis deals with the topic of training of cardiopulmonary resuscitation at hospital and preparation of the simulation scenarios. It contains theoretical and empirical part. The objective of the thesis was to find out about the process of the training for nurses at hospital. To analyze their readiness for providing cardiopulmonary resuscitation based on training they absolve. And then to map missing elements within cardiopulmonary resuscitation training. Three research questions were focused on these objectives. In which way current training of cardiopulmonary resuscitation at hospital takes place? To what extent are nurses ready to provide cardiopulmonary resuscitation to a patient at their workplace? Which shortcoming contain trainings of cardiopulmonary resuscitation at hospital to this point? For gathering the necessary information, qualitative research was chosen. The technique of semi-structured interviews and observation was chosen. The research sample was made up of 11 probands, meaning nurses working at chirurgical and intern standard department and chirurgical and internal intensive care unit at the same hospital. The condition of the same workplace was chosen so all nurses will have absolved the same trainings. The results of the research shown that training does not involve simulation training, but nurses would welcome this option. Training takes place at prepared mannequins, not within a simulation scenario and authentic situation at a department. Also, mostly on the basis of absolved trainings they feel prepared to provide CPR at their department but mostly because they know that they are not alone at the department. Among the most common shortcomings of the training they rank aids to CPR - real mannequins, real situation but also training room. The thesis will be beneficial to development of CPR training for nurses but also for students getting ready for the profession of general nurse. And that mostly because of simulation scenarios creation which are output of the thesis and is based on research in which we tried to find out opinions and needs of nurses connected with training.
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Children febrile convulsions in pre-hospital care
SLAVĚTÍNSKÁ, Sára
The bachelor's thesis deals with the children febrile convulsions in pre-hospital emergency care. The theoretical part of the thesis describes the matters of childhood, its specifics and division. It also focuses on the clinical picture, complications, prevention and treatment of febrile convulsions in children in prehospital emergency care. There were two goals set in the practical part. The first goal was to map and compare the procedure of paramedics in febrile convulsions in children in the emergency ambulance crew of the South Bohemian Region and the Vysocina Region. The second goal was to map the knowledge of paramedics in febrile convulsions in children in the emergency ambulance crew of the South Bohemian Region and the Vysocina Region. Two research questions were also identified: How are paramedics in the emergency ambulance crew of the South Bohemian Region and Vysocina providing pre-hospital care to children with febrile convulsions and what is the knowledge of paramedics about febrile convulsions in children? To obtain the necessary data, the method of qualitative research was used through the semi-structured interviews with 10 paramedics of the Medical Rescue Service of the South Bohemian Region at the regional center in Ceske Budejovice and Medical Rescue Services of the Vysocina Region in Trebic. Respondents were answering sets of 16 questions and the outcome was categorized into 13 categories, which succeeded in meeting both goals and at the same time answered both research questions.The research found that the interviewed paramedics do have sufficient knowledge about the causes of febrile convulsions and what their basic therapy is. Unfortunately, they don't know a division of children age well enough. All respondents agreed that they were afraid of the diagnosis of Febrile convulsions precisely because of the pediatric patients and that the knowledge in the field of pediatrics is not their strongside. There was no significant difference between the two regions in the answers concerning the procedures of febrile convulsions in children in pre-hospital emergency care.
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