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Collaboration nurse and family members of patiens with brain injury
LIŠKOVÁ, Sandra
The bachelor thesis deals with the cooperation of nurses and family members of patients with brain injuries. Brain damage is among the most serious injuries a person can have. Brain injuries are the second highest cause of death after abdominal trauma. People often confuse the term head injury with brain injuries. The lasting consequences of these injuries are very severe and often fatal. The skin on the scalp can indeed bleed, but we can only talk about brain injury if there is any actual damage or suppression of the brain issue, which can have many causes.The theoretical part describes the most common injuries of the brain; changes in behavior and fatic disorder in a patient with a brain injury, nursing care of patients with brain injury, communication between the nurse, the patient and his family, and also notes the importance of the nurse patient relationship and the significance of the patient's family. In the theoretical part, we have tried to give comprehensive and understandable information about the cooperation of nurses and family members of patients with brain injuries.For the empirical part of this thesis, a qualitative investigation was chosen. We used the method of data collection in the form of semi-structured interview . The survey was carried out in February 2014. Interviews with correspondents were videotaped and subsequently transcribed and processed by categorization of data. For the process the main category and subcategories were established which are, for clarity, shown in the diagrams . The interviews with correspondents were running at the University Hospital in Motol. After the approval of the matron the research investigation was initiated . Correspondents were asked prepared questions , depending on how the conversation developed, supplementary questions were considered. Interviews with nurses and family members were done separately because of the possible influence the nurses could have upon the family members. All interviews with the nurses and the family members were conducted at the University Hospital in Motol. The duration of the interview was approximately 45 minutes. At the beginning of the meeting with the correspondent, the basis of the interview was outlined and the reason for the interview was explained. None of the corcorrespondents minded the interview being recorded. Each interview was obtained with oral consent and explanation of anonymity.During the processing of the interviews, the method of open coding was used. Each sister and family was assigned a number. Then the answers of the nurses and the family members were numbered in the interviews. The rows have been numbered due to the possibility of referring to them. This method is called "paper and pencil" because of a synoptical process. For example, a nurse said line 3 and it is displayed as N1/3. A total of one main category and seven subcategories were established in both groups of corcorrespondents . The created categories and subcategories can be seen in the diagram one and four. The individual subcategories were depicted in the empirical investigation with the addition of interviews and quotes. The interviews were recorded on a CD, which is part of the thesis.The research sample consisted of two groups. The first group of correspondents consisted of nine nurses aged 24-50 years. Six nurses of all the interviewed completed tertiary education, two correspondents studied at a college and one respondent reached secondary education. Four correspondents were from the Neurosurgical Department, two correspondents from the Department of Anesthesiology and Resuscitation (ARO) and three correspondents from the Department of Chronic Resuscitation and Intensive Care (OCHRIP). The second group of the researched sample were relatives. The second group of the study sample was made up of four relatives, in varying relation to the patient, the families were in the age range from 30 years to 68 years.
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