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Hyperbaric Oxygen Therapy in Intensive Care from the Perspective of Nurses
KRAJÍCOVÁ, Dominika
This diploma thesis deals with the work of nurses taking care of patients in intensive care during hyperbaric oxygen therapy. The theoretical part of this thesis summarizes current knowledge in the field of hyperbaric medicine. The practical part of the thesis applies to the particular experiences of nurses, which accompany the patients during therapy. The thesis studies how the nurses are trained, how they prepare the patient, and how they perceive the work in hyperbaric conditions. The nurses work in two different workplaces, which are compared.
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Transcultural approach in nursing by the view of foreigners.
MAHURSKA, Iryna
In this thesis, we will deal with problems of transcultural nursing for foreigners who sought medical care in the Czech Republic. Current problems of migration and need of foreigners to go abroad to find better conditions for living. Medical staff will meet with providing the medical care to foreigners in Czech medical facility more often. Much greater emphasis is put on transcultural nursing and its use in Czech medical system. The work is divided in two parts, theoretical and empirical. The first part deals with theory, definition of transcultural nursing, differences in transcultural and multicultural nursing and problems of communication with foreigners when providing the transcultural nursing as well. In the empirical part we will examine experience of foreigners with nursing care, which they were provided with in the Czech Republic. A qualitative research, together with a method of semi-structured interview, were chosen for processing the empirical part. The research cohort consists of 6 foreigners, who met with the medical care in the Czech Republic. The outcomes were processed in 2 categories and 2 subcategories, on the basis of accomplished interviews. The obtained results showed that the foreigners are satisfied with the care provided in the Czech Republic, but they highlight the failings in the field of communication and use of transcultural procedures in practice. Furthermore, we found out, that the medical staff endeavoured to serve the foreigners, who had specific requirements. Unfortunately, they also met with failure and ignorance about their requirements. On the basis of obtained information, we can judge, that the foreigners are satisfied with the care, but they recommend further education in the theory of transcultural nursing to the medical staff.
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Infant colic in the general practitioner's office for children and adolescents.
KRATINOVÁ, Lucie
The bachelor thesis deals with an issue of infantile colic in a surgery of a general practitioner for children and adolescents. This issue is usually discussed between mothers and nurses, who recommend a regime remedy and combine classical easement of colic with pharmacological means. Preceding the qualitative research, 4 main aims were set, which surveyed work of nurses in a surgery of general practitioners for children and adolescents, areas of education, nurses´ orientation and parents´ knowledge of this issue. Three research questions connected with the aims were set. The first one deals with nurses´ roles in the care about an infant with infantile colic. The second one deals with parents´ education. The third one surveyed knowledge and experience of nurses in the care about an infant with infantile colic. This research was implemented through half-structured interviews in 7 surgeries of general practitioners for children and adolescents in the Region of South Bohemia. The quantitative part of the research was implemented through a questionnaire method. The questionnaires verified the hypothesis that there are differences in parents´ awareness of an issue of infantile colic in relation to an occurrence of this illness at their children. It was discovered that the specifics of nurses´ care about an infant with infantile colic in a surgery of a general practitioner for children and adolescents inhere in mother´s education. Nurses inform about breastfeeding, right bottle feeding, positioning, burping and massages for infants. They usually recommend breastfeeding mothers a change of food in case of infantile colic. Nurses are well aware with this issue and they have enough information. Furthermore, it was revealed that parents of children with infantile colic have more information about the issue than parents whose children do not suffer from infantile colic. This thesis should be used for learning about the issue of infantile colic as well as for an outlook of possible methods for easing the problems related to it.
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Nursing care of patient with dysphagia
BAREŠOVÁ, Markéta
This thesis studies a nursery care for patients with dysphagia. The main goal of the thesis was to collect experience about nursery care. To achieve our goals, we have employed following questions: How is the swallowing ability monitored by nurses? What kind of special treatment is provided to patients with dysphagia? Are other specialists involved into treatment? Are there any special tools needed when treating patients with dysphagia? What are the specific needs of patients with dysphagia? What are the problems the patients with dysphagia are facing? The research was done by half-structured interview with eight nurses in the age range 26-60 years. More specifically three nurses from neurology, two nurses from aftercare ward and one nurse from internal medicine ward, intensive care, otorhinolaryngology were interviewed.The interview consisted of 32 questions (see Appendix 6). The results obtained were processed by open ink using the "pencil paper" technique. The results of the work are divided into individual categories, which are: monitoring, specific interventions, cooperation with other experts, compensatory aids, patients 'needs, patients' problems. The thesis provides an overview of the nursing care of patients with dysphagia.
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Nursing care of women after abortion performed for a genetic indication in II. trimester
FAJMANOVÁ, Dita
The finding congenital defect or chromosomal aberration by child puts a woman to big medical, ethical but also social problem, when she is forced to decide, if she should interrupt the pregnancy or to continue. By searching for abnormalities and pathologies in pregnancy is held by prenatal diagnostics. This involves cooperation of many medical fields such as obstetrics, ultrasonography, specialized laboratory and clinical genetics. The task of prenatal diagnostics is to reveal abnormalities in development of the child and to be able to interrupt the pregnancy, give information about following approach, to give possibility of choice, decrease fear and worries, and be able to cure the child in prenatal stage. Interruption is an action by which another development of the child is terminated. It brings many complicated situations, in which it is necessary to deal with them individually and in correlation with legislation. According to law it is possible to interrupt pregnancy after 12th week only in that case, when a life of the woman is threaten, or serious damage of child is proven or the child is not able to survive. If there are some genetic reasons for interruption, it is possible to interrupt pregnancy till 24th week and furthermore this possibility is valid when risk of damage of the child is more than 10% based on genetic examination. For interruption in second trimester it is necessary to choose sufficient method of interruption and provide a woman traumatic treatment to minimize the trauma. In this case the assistance of birth assistant is essential.This bachelor thesis is focused on problematic of interruption of pregnancy in second trimester based on genetic indication from decision of a woman if continue or interrupt the pregnancy all the way to nursery care during hospitalization. The aim of the thesis is to find out the factors, which influenced women in making their decision about interruption of pregnancy in second trimester a to find out their satisfaction with nursery care and attitude of birth assistants during hospitalization.In theoretical part the findings obtained from bibliographic sources were generalized. In practical part was done research for which was used qualitative method in form of questioning. For data collection technique was chosen structured interview. Interviews were done in department of conservative gynecology of Gynecological- obstetric clinic of Faculty Hospital in Pilsen in January, February and March of 2013. The focus group were five women, which were hospitalized here in that time with diagnosis of interruption in second trimester based on genetic indication. Obtained data were then categorized and for its interpretation some respondents´ citation were used.With research was found, that the decision making about interruption is influenced mainly by results of prenatal examination, standpoint of the partner and family and also suggestion of gynecologist. The decision is indirectly influenced by moral principles and conscience and also personal experience with damaged child. Satisfaction with nursery care and approach of birth assistants was expressed by all questioned women. They had some comments regarding organizational possibilities of medical facility. Two out of five respondents expressed need of more privacy, to be alone in the room. In their case it was impossible due to occupied single rooms. For three respondents it was unpleasant to go through interruption in delivery room. The research also revealed lack in satisfaction of psychical needs of respondents. The possibility of intervention with psychologist was offered only to two of them and all questioned women would appreciate intervention with psychologist already during decision making process.
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How to provide the satisfaction of patients` needs in a multicultural taking care from the nurses` point of view
ŠEBKOVÁ, Dana
Abstract The subject of research in this bachelor´ s thesis is to ascertain how the patients´ needs satisfaction is ensured in a multicultural nursing in view of nurses qualified in general nursing. The research was carried out in the hospital in Blansko by means of a questionnaire to be filled in willingly and anonymously. People of different nationalities, cultures, habits, and mentality have been coming to this country. Some of them come to work here and they want to build up a home, others come to spend their vacation only, to visit their relatives and friends, or they come to study. Each of them has different needs; they take care of their health in a different way; and they also perceive disease differently. A great bilateral problem is the language barrier and the communication closely related. The objective of the thesis was to find out what the greatest problem was in satisfying the foreigners´ needs in the hospital in Blansko; which of the foreigners were most frequently treated patients; and whether they had specific needs. The assumed hypotheses were determined as follows: 1. the greatest problem in satisfying the foreigners´ needs in the hospital in Blansko is the language barrier. 2. the most frequently treated foreigners in the hospital in Blansko are the Mongolians who have no specific needs. The nurses qualified in general nursing were provided with 140 questionnaires; thereof 115 were returned; 101 questionnaires were filled in correctly, and these were used for this quantitative research. Through the research investigation it was ascertained that the supposed hypothesis No. 1 was confirmed to state that the greatest problem in satisfying the foreigners´ needs in the hospital in Blansko was the language barrier and the associated communication (graphs 20 and 24). The assumed hypothesis No. 2 was confirmed; 26% of the respondent nurses replied that the most frequently treated foreigners in the hospital in Blansko were the Mongolians who had no specific needs (graphs 7 and 16). The investigation led to the ascertainment that the care of a foreigner is more demanding than that of a Czech patient especially due to the language barrier on both sides (graph 13). The foreigners´ satisfaction is not monitored in 56% (graph 17). The general results of the research show that the care of the foreigners in this country is at a standard level, while the language barrier remains the only and principal problem.
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