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Use of the diary of nursing care for patients in the terminal stage of the disease
STEHLÍKOVÁ, Eva
The bachelor thesis deals with the possibilities of using the diary of nursing care for patients in the terminal stage of the disease. This theoretical bachelor thesis is based on research of sources taken from Czech and foreign literature, including database sources. The work focuses on general palliative care and the terminal stage and is divided into several sections. The needs of a dying person are described in detail here, both biological, psychosocial, and spiritual. The work also focuses on the dying stages, according to Kübler-Ross, which are described here in detail. The central chapter focuses on palliative communication, which is of special importance. Medical staff, including nurses, are not trained in how to talk to the family of a dying or deceased person. The following sub-chapters are devoted to the central topic of using a nursing diary for terminally ill patients abroad. The creation of a nursing diary in various countries of the world is described here in detail, as well as its acceptance in practice. It also includes a description of the diary, how it looks in certain healthcare facilities, and its possibilities. The effect of using a diary in practice on the quality of care provided is also discussed. The data show that the diary was very beneficial, especially to the families of the patients who kept the nursing diary. The diary helped families to better come to terms with the death of a loved one during the grieving process. The author's view on the issue is described at the end of the work. In response to the data, a proposal for a nursing diary in the Czech version was created to contribute to the development of palliative nursing care within the Czech Republic.
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Care of a patient with mental disorder from the perspective of a health worker in a social care facility
HRÁDKOVÁ, Denisa
The bachelor thesis is titled "Care for patient with mental disabilities from the perspective of healthcare worker in a social care facility". The first aim was to map the application of healthcare workers' competencies within social facilities. The second aim was to identify the needs of patients with mental disabilities in a selected social facility. The thesis is divided into a theoretical and an empirical part. In the theoretical part, the definition, etiology, symptoms, diagnosis, and degrees of mental disability are described. This part also includes the bio-psycho-social-spiritual needs of patients and addresses the provision of healthcare, the duties of healthcare personnel, and the social facility itself. The empirical part was processed through qualitative research using semi-structured interviews. The research sample consisted of nine nurses working in selected social facilities. To achieve the set objectives, seven research questions were created. In the qualitative research investigation of this bachelor thesis, it was found that nurses in social facilities do not have the competence to perform intravenous therapy. Their competencies are applied in administering oral medications and wound care. Furthermore, from the conducted interviews with the nurses, it was revealed that all of the bio-psycho-social-spiritual needs of patients are adequately met in social facilities. The output of the study is an informational material intended for the general public, nurses working with mentally disabled individuals, student education, and family members of persons with disabilities. Additionally, the thesis will serve as a basis for further possible quantitative research that would verify the data obtained or as a source of information in the reconstruction of health and social facility standards.
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Spiritual needs of hospitalized patients
RACEK, Otakar
In my work, I deal with the topic of spiritual needs of hospitalized patients. The research was carried out with the help of semi-structured interviews with nine informants who have a certain relationship to spirituality. The aim of the research part of the bachelor's thesis was to find out what spiritual needs hospitalized patients have, to further compare the fulfillment of spiritual needs in religious and non-religious patients, and also to find out whether the Covid-19 pandemic affects the spiritual needs of patients and the possibilities of their fulfillment. In the theoretical part, emphasis is placed on the irreplaceability of spirituality in the holistic concept of patient care. Furthermore, technical terms are explained in order to better orient oneself in the issue. After that, the theoretical part of the work is oriented towards the spiritual care provided by chaplains or health workers - how they can provide spiritual support to sick people. In the work, space is also devoted to historical spiritual care. At the end of the theoretical part of the work describing the stages of spiritual development. In the practical part of the work, I analyze interviews with chaplains, nurses and patients in the area of spiritual needs for the assigned research questions. I notice how familiar the chaplains, nurses and patients are in the area of fulfilling spiritual needs. This work can be used in teaching as an illustrative example of the spiritual needs of patients. It can also help healthcare professionals to indicate spiritual care. The research revealed what patients' spiritual needs are, whether they differ depending on their religiosity, and also that the Covid-19 disease has caused an increased interest in fulfilling patients' spiritual needs.
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The needs of the ICU patient after myocardial infarction requiring V-A ECMO support
Procházková, Tereza ; Konopásková, Marie (advisor) ; Pražáková, Zuzana (referee)
Introduction: The coronary heart disease is still an actual topic. The mortality has been in recent years declining, but prevalence in the population stagnates, so involve a large group of patients. The incidence of acute myocardial infarction is still high. One of the methods of reperfusion therapy is the cardiac surgery by coronary artery bypass graft, which may be postoperatively complicated by the development of low cardiac output syndrome with the need of the extracorporeal membrane oxygenation. These patients require very specialized not only during the critical phase, but also during the long-term convalescence including rehabilitation, weaning from the artificial lung ventilation, self-sufficiency training and help with return to normal life. Literature search: The theoretical part is based on the research of National Medical Library (NLK) and Study and Scientific Library of the Pilsen Region (SVKPL). The PubMed, Scopus, Web of science and Science direct databases were used to search articles in professional publications, including the latest cohort studies. The periodicals Cor et Vasa, the European Heart Journal, Critical Care and the European Journal of Cardiovascular Nursing were used. An important source of information is the guidelines of the Czech Society of Cardiology (ČKS), European...
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The needs of the ICU patient after myocardial infarction requiring V-A ECMO support
Procházková, Tereza ; Konopásková, Marie (advisor) ; Jankovcová, Kateřina (referee) ; Hocková, Jana (referee)
The incidence of acute myocardial infarction is still high. One of the methods of reperfusion therapy is the cardiac surgery by coronary artery bypass graft, which may be postoperatively complicated by the development of postcardiotomy cardiogenic shock with the urgency of the venoarterial extracorporeal membrane oxygenation (V-A ECMO). The quality of very specialized and complex care for these long-term hospitalized patients depends on understanding their needs and ways of saturation. The aim of this study is to present these needs from the perspective of the patient and their family. Research questions ain to identify the main aspect of recovery, the factors negatively affecting the mental state of patients, the ways to help them by healthcare professionals and family, how can healthcare professionals help the family and how this experience has affected both the family and the patient. The research is carried out using a qualitative method of semistructured interview with six respondents with this type of anamnesis, who were hospitalized between 2015 and 2021 in the ICU of cardiac surgery department, and three of their relatives. According to the study's findings the main aspect of recovery is the patient's mental well-being. The dependence on help of others, muscle weakness and loss of intimacy...
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The needs of the ICU patient after myocardial infarction requiring V-A ECMO support
Procházková, Tereza ; Konopásková, Marie (advisor) ; Pražáková, Zuzana (referee)
Introduction: The coronary heart disease is still an actual topic. The mortality has been in recent years declining, but prevalence in the population stagnates, so involve a large group of patients. The incidence of acute myocardial infarction is still high. One of the methods of reperfusion therapy is the cardiac surgery by coronary artery bypass graft, which may be postoperatively complicated by the development of low cardiac output syndrome with the need of the extracorporeal membrane oxygenation. These patients require very specialized not only during the critical phase, but also during the long-term convalescence including rehabilitation, weaning from the artificial lung ventilation, self-sufficiency training and help with return to normal life. Literature search: The theoretical part is based on the research of National Medical Library (NLK) and Study and Scientific Library of the Pilsen Region (SVKPL). The PubMed, Scopus, Web of science and Science direct databases were used to search articles in professional publications, including the latest cohort studies. The periodicals Cor et Vasa, the European Heart Journal, Critical Care and the European Journal of Cardiovascular Nursing were used. An important source of information is the guidelines of the Czech Society of Cardiology (ČKS), European...
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Patient satisfaction with nursing care at Surgical Intensive Care Units
KRAMAŘÍKOVÁ, Lucie
This diploma paper aims at defining and mapping out patient satisfaction in intensive care units for surgery patients and comparing results in dependence on length of hospitalization and facility. Diploma paper consists of theory and research. Theory is divided into 5 chapters. Empirical part of this diploma paper was carried out using the method of combined research. The first part is created by qualitative research using semi-structured interview, second part comprises quantitative research using non-standardized, structured questionnaire face to face survey. Processed results were arranged into Excel tables and graphs. All research was based on eight dimensions of patient-centered care delineated by the Picker Institute. Qualitative research sample consists of 11 respondents, quantitative research sample comprises 142 respondents. Data collection took place in surgical ward. This diploma paper defines four aims with two related research questions. The first aim is to determine the level of patient satisfaction with postoperative care. The second aim focuses on patient satisfaction with nursing care, the third aim is to define positive and negative factors influencing patient satisfaction in intensive care units and the last aim points at patient satisfaction with nursing care in intensive care units in relation to the type of facility and length of hospitalization. These two quantitative research questions were posed: 1. What are the possibilities to improve patient satisfaction in nursing care? The research survey showed that an area of concern is patient awareness. It is necessary to improve patient awareness after admission to an intensive care unit and during transfer to a standard ward. Pain and insufficient pain relief often occurred. Nurses should cooperate more with doctors in this respect and, above all, monitor patients more and offer alternative ways of pain relief. Other problems were mentioned in relation to bed adjustment possibilities. Despite the fact that nurses were trying to do their best, not all the circumstances could be influenced that way, for example mattress hardness. The last concern area, mentioned by patients, was perceived loneliness. Nurses should conduct considerate and sensitive conversation, create feeling of trust and support patients. The second question: What factors influence patient satisfaction? The results show that it is, above all, nursing staff attitude, followed by patient awareness, pain and sufficient pain relief, intensive unit environment and last but not least bed adaptation. Quantitative part set six presumptions using statistical methods independence test, chi-square test, Yates correction, t-test, and correlation-regression analysis. Questions from the first part of this paper were processed (in percentage) into clearly arranged graphs. Research survey shows that respondents were satisfied with nursing care and nursing staff. Patient awareness during admission to intensive care unit and staff anonymity proved to be the biggest areas of concern. Pain and insufficient pain relief turned out the clear reason for dissatisfaction as well as absence of information about performed surgeries. Conclusion of quantitative research survey showed that there is no statistically significant difference in patient satisfaction according to health-care facility or length of hospitalization.
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Comparison of the availability of resources on multicultural nursing in the Czech Republic and Great Britain.
SHIVALANKA, Anna
Currently multicultural nursing is an increasingly discussed topic. New resources are being created that inform nurses how to care about patients from different cultural groups. The main objective of the study was to explore and compare the availability of these resources to nurses in the Czech Republic and Great Britain and further clarification on what specific resources there are for nurses working with patients from minorities. We asked three research questions. Firsly, how often did staff in Czech and British hospitals get into a situation where they cared for people from some of the minorities and needed to seek information about such care? Secondly, what is the availability of resources on multicultural nursing? Thirdly, what is the clarity and intelligibility of resources on caring for members of minorities that are available to healthcare professionals? Qualitative research was conducted which has been established for the research questions. The actual survey was carried out by non-standardized interviews with a research collection. The conditions for selecting respondents were: a sample of colleagues who personally knows the author and works in a hospital, have at least 5 years? experience and were willing to devote their time to the interviews. Interviews formed a base for the research categorization. The results are based on the interviews and were processed using framework analysis (categorization groups). From these results it is evident that nurses in Great Britain face patients from minority groups more often than their Czech colleagues. Nurses from both countries appreciate that there are specifics of care for each minority group. Language barrier is resolved by nurses in both countries in a similar way. In addition the British nurses also stated that they tried to learn basic words in the language they encountered most often. In the field of multicultural education the British nurses are in advance of the Czech ones. Regarding their own initiative when searching for resources on multicultural nursing, most Czech nurses do not feel the need to search for such information. All the interviewed nurses from Great Britain actively and voluntarily seek such information. There is also a considerable difference in access to information in the workplace. Most Czech nurses stated that they do not have such resources in the workplace, while all British nurses know where to find this information at their workplace. All interviewed nurses - both from the Czech Republic and Great Britain ? would welcome a unified source that would provide them with information regarding the specifics of nursing care for minority groups. Most Czech and British nurses are also unaware of the specific legal provisions that would legislate the care of foreigners. It is imperative that nurses are aware of their own responsibility for the education and awareness of multicultural nursing. They must not be indifferent to the feelings of their patients from different cultures and must actively educate and inform themselves about multicultural care and contribute to its development. Nurses must also behave as prescribed by the Nursing and Midwifery Council and International Council of Nurses ? most importantly with unconditional respect for their patients. Responsibility for their knowledge and skills is up to the nurses themselves as well as their employers. The purpose of this thesis is to highlight the need for awareness and education of nurses in the field of multicultural nursing, both in basic training, and in subsequent courses and in the form of self-education. This paper should also highlight the need for uniform, well arranged and user-friendly resource that will be available to all nurses. Until nurses are well educated in the field of multicultural care, nursing care can not be provided in a holistic manner which is the goal of modern nursing.
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The Role of the Nurse as a Financial Adviser of Senior
KOLÁŘOVÁ, Jaroslava
Finances enter all spheres of our lives and existence. They affect even the area so humane as healthcare. This bachelor thesis has shown that if a senior person decides to spend the old age in a social facility (specifically in the Senior Home Blatná), he/she will be sufficiently informed by the personnel about his/her financial situation. It was further found out that general nurses approach changes in the healthcare sector responsibly, they discuss options and impacts of the changes and they are able to embrace the changes even within a limited time. General nurses should follow the media andcontinually educate themselves so that they can, in a qualified and self-confident manner, respond to questions arising from the changes in the system of social and healthcare services.
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