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Mapping nursing care issues from the perspective of nurses in patients with symptoms of aggression due to substance withdrawal in selected metabolic intensive care units
Kousalová, Hedvika ; Trnková, Ivana (advisor) ; Těšínský, Pavel (referee)
The thesis deals with the issue of nursing care in patients with manifestations of aggression due to substance withdrawal syndrome in metabolic intensive care units. A questionnaire survey was carried out among general nurses, paramedics, and nurse practitioners. Three sub-objectives were established: to identify the most frequently utilized nursing interventions related to the studied issue, to assess the perceived psychological and physical burdens on healthcare staff, and to gauge their interest in further education on this matter. The theoretical background of the thesis deals with definitions of substance use, types of substance abuse, withdrawal syndrome and specifics of nursing care for patients with manifestations of aggression, including education and legal aspects of the use of restraints in health care settings. To collect data for the research part, anonymous non-standardized questionnaires (see appendix) were used for general nurses and nurse practitioners working in metabolic intensive care units in selected university hospitals in Prague. The thesis concludes with a summary of recommendations for nursing practice in the area of nursing care of patients with manifestations of aggression after withdrawal from addictive substances based on a comparison of the results of the research...
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The use of restraints in internal branch departments in Hospitals of the South Bohemia Region
RŮŽIČKOVÁ, Monika
This Bachelor thesis is both theoretical and practical. The first part of the theory focuses on an aggressive patient, the causes of aggression, expression, prevention, treatment and access to an aggressive patient. It also mentions aggression in hospitals. In the second part, the theme is restrictive devices, which are often used precisely in aggressive patients. It discusses in more detail the types of restraints, the principles in their use, the laws governing them, the documentation and the nursing care of the patient under restriction. Research goals: In this bachelor's thesis, 3 goals were set. The first was to map the nurses' experience with restrictive devices in practice. The second aim was to explore the nurses' attitude to these means. The third aim was to identify what shortcomings nurses saw in the issue of the use of restraints. Research questions: Three research questions were identified on the objectives of the work. 1. What experience do general nurses have in the use of restraints? 2. What is the general nurse's position on restraints? 3. Do general nurses perceive any shortcomings in the use of restraints? Methods: A qualitative research strategy was used in the practical part. The data collection took place through semi-structured interviews conducted with general nurses in the internal departments of hospitals of the South Bohemia Region. The selection of informace was deliberate, with a total of 12. Results: Using the pencil paper method of data analysis, we created 3 categories of questions and 21 subcategories. All nurses have experience of using curtsies and medication from their practice. The frequency of their use varies according to the ward they work in. Almost half of the nurses had a bad experience concerning the improper use of restrictive medication. Nurses' attitudes are slightly more positive positive mainly due to patient and staff protection. From the nurses' perspective, the positives outweigh the negatives when it comes to restrictive measures. Half of the nurses expressed that they were aware of the shortcomings of this issue. The most frequently mentioned was the lack of availability of orderlies or security guards on the ward.
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Problematics of nursing care for restless patients
BARÁKOVÁ, Lucie
Bachelor thesis aims at a problematic of the nursing care of the restless patients. It studies restless behaviour, which is considered as a manifestation of current clinical state, therefore it cannot be evaluated as an intentional behaviour. With respect to the facts accompanied with the restless behaviour, an awareness about the problematic is crucial. Considering the specifics accompanied with the nurse caring of the restless patients, the medical staff should be well oriented within this field.The thesis is divided into theoretical and research part. In the theoretical part, restless behaviour and its causes are explained together with the approach to aggressive patients and restrictive interventions. Furthermore, nursing care before/during/after the restriction is examined together with communication methods and legal issues. The research part was realized using a semi-structured interview. The interview was built up out of 18 questions. Research subjects were carefully selected nurses from psychiatric, internal, and neurological clinics. Collected data were processed into 4 categories and 14 sub-categories. In the third category, a short observation focusing on all-round hygiene of the restless patients was conducted.The research shows, that it is essential to keep in mind communication rules with the restless patient, to know about a correct approach to such patient, and to be able to quickly react to any occurred situation.
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Nurses experience with violence of patients side.
KREJČÍ, Natálie
The bachelor thesis deals with the nurse experiences with an aggressive patient. The objective of our bachelor thesis was to map the experiences of nurses with violence from patients. According to the stated objective, we set ourselves these research questions: What are nurses' experiences of violence from patients? What are the specifics of caring for an aggressive patient? We used qualitative research methods for our bachelor thesis. For ours nurses we devised half structured interviews. The research group was composed of twelve nurses, who have an experience with aggressive patient. The research results showed that nurses have experiences mainly with verbal aggression in the form of swearing and vulgarisms. Reaction of most nurses to verbal aggression was verbal reassurance, but nurses did not dedicate a lot of attention to nonverbal communication. In physical aggression, nurses usually use restraints, but most of nurses do not think that application of medication belongs to restraints. Further, nurses in physical aggression tried to call help, so they ensured their own safety. Nurses most often classify between restraints: protective belts and a room designed for the safe movement of patients. This restraints are most often used. In caring for a limited patient, nurses pay more attention to the patient's physical needs than to the mental ones. Furthermore, we found that nurses are not very often acquainted with the issue in the theoretical or practical part, for example through lectures or self-defence courses. However, all informants would like to be more educated in the given issue.
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Using of Restraints in the Geriatrics
Lorencovičová, Eva ; Doskočil, Ondřej (advisor) ; Petr, Tomáš (referee)
In consideration of the demographic trends of our population, it is necessary to deal with the old age problems and problems of geriatric patients. The controversial topic of restraints, especially sensitive in association with old frail people, is closely related. The issue of restraints is defined by law. However, the ethical aspects of their application should also be considered. The theoretical part of this thesis deals with the topic of old age and serious problems of this period of life, including mental disorders. It introduces the field of geriatrics and geriatric patients. In further chapters, this thesis discusses the restraints and ethical issues related to their use. By using qualitative research methods, the empirical part of this thesis surveys the attitudes of healthcare professionals towards this issue. It discusses specific restraints and the reasons for which they are used. The results show that the most important value of healthcare professionals is health and the most respected ethical principle is the principle of beneficence. Key Words: old age, geriatric patient, health risk, restraints, ethical principle
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Detention Proceedings in the Czech Republic
Procházka, Jakub ; Frintová, Dita (referee)
Detention Proceedings in the Czech Republic Abstract The thesis Detention Proceedings in the Czech Republic is focused on the effective substantial and procedural legal regulation of the proceedings held to assess the legality of patient's admission to the health-care institution without its consent, which is summarily called the detention proceedings. The thesis therefore concentrates mainly on the proceedings held about individuals hospitalized without their consent and also about the proceedings held to assess the legality of restrains on liberty of the patient hospitalized with granted consent. The thesis is divided into two main parts and contains also the third part with de lege ferenda thoughts. The first part is focused on the bases of detention proceedings contained in international covenants or treaties and in the constitutional order of the Czech Republic, further it is concerned with de lege lata legal regulation in the Civil Code, in the Act on Healthcare Services and in the Act on Special Court Procedures. The thesis closely analyses the different types and phases of the detention proceedings, theoretically as well as practically, as it reflects practical experience of an assistant of a judge involved in the proceedings. Moreover, in the first part the thesis deals with consequences of...
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Problematics of using restraints from the point of view of paramedical personnel
SIEBEROVÁ, Markéta
In the theoretical part of the Bachelor's thesis named "Problematics of Using Restraints from Paramedical Staff's Point of View" we dealt with using restraints in the Czech Republic, the issue of nursing care in patients where it is necessary to use restraints as well as reasons for using restraints. The research part focused on the attitudes of paramedical staff to using restraints and their feelings during application. Research goals: There were two goals set in this Bachelor's thesis. The first one was to compare the attitudes of paramedical staff to using restraints in chosen departments. The second goal aimed at finding out the experience of paramedical staff with using restraints in chosen departments. Research questions: There were two research questions set up to reach the goals of the work. 1. What are the attitudes of paramedical staff to using restraints in chosen departments? 2. What experience do paramedical staff have with using restraints in chosen departments? Methods: To achieve the goals, semi-structured interview method was used in a qualitative research survey. The interviews were held with nurses in different health-care facilities in the Czech Republic and the choice of respondents for the research group was calculated there were 9 respondents. Results: Based on a data analysis, we set up 3 categories of questions and subsequently 18 subcategories. The research survey shows that the attitudes of nurses differ but they have a common understanding that the restraint is salutary for patients in case of a potential imminent injuryof the patient, other patients or staff. Nurses have different experience depending on the department where they work as well as their practice duration in that department.
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Violence and aggression in healthcare professionals with a focus on workplace of acute psychiatric care
Němec, Tomáš ; Jirkovský, Daniel (advisor) ; Haluzíková, Jana (referee)
The aim of the bachelor thesis was to provide basic information on aggressiveness at selected workplaces of Bohnice Psychiatric Hospital. In the framework of this work, a questionnaire was submitted to 194 respondents performing general nurses or health care professions, acute care departments and subsequent psychiatric, anti-toxic and gerontopsychiatric care. The investigation took place during December 2016 and January 2017. The main results showed that respondents from PN Bohnice encounter high frequencies with aggressive patients, i.e. daily or weekly in 60% of cases. Most respondents (92%) encountered verbal and physical aggression. The most common kind of physical aggression is the destruction of property (52%), the assault of a health care professional (40%) and self-harm (39%). The most common type of aggressor is male (50%) and female (44%), less frequent visits and the patient's family (3%). For men, physical aggression is higher than for women by more than 13%. According to medical professionals, the most common cause of aggression is the disease (67%), fear and anxiety (32%), and the third is environment (27%). Physicians deal with conflicting situations most often by appointment (97%), and secondly in cooperation with other health workers, i.e. they call service (55%) or doctor (44%)....
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Using of Restraints in the Geriatrics
Lorencovičová, Eva ; Doskočil, Ondřej (advisor) ; Petr, Tomáš (referee)
In consideration of the demographic trends of our population, it is necessary to deal with the old age problems and problems of geriatric patients. The controversial topic of restraints, especially sensitive in association with old frail people, is closely related. The issue of restraints is defined by law. However, the ethical aspects of their application should also be considered. The theoretical part of this thesis deals with the topic of old age and serious problems of this period of life, including mental disorders. It introduces the field of geriatrics and geriatric patients. In further chapters, this thesis discusses the restraints and ethical issues related to their use. By using qualitative research methods, the empirical part of this thesis surveys the attitudes of healthcare professionals towards this issue. It discusses specific restraints and the reasons for which they are used. The results show that the most important value of healthcare professionals is health and the most respected ethical principle is the principle of beneficence. Key Words: old age, geriatric patient, health risk, restraints, ethical principle
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