Thesis (M.S.)--University of Michigan, 1995.

Thesis (M.S.)--University of Wisconsin--Madison, 1984. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 132-134).

Submitted by Viviane Lima da Cunha (viviane@biblioteca.ufpb.br) on 2018-01-19T12:35:24Z No. of bitstreams: 1 arquivototal.pdf: 38358640 bytes, checksum: d79e5045abb3a12729c6ac2545da8776 (MD5) / Made available in DSpace on 2018-01-19T12:35:24Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 38358640 bytes, checksum: d79e5045abb3a12729c6ac2545da8776 (MD5) Previous issue date: 2004-09-20 / The infarcts are, in these days, a great problem of world health, in virtue of the crescent number of cases annually. Understanding the importance of the thematic developed a descnptive study, whose objective was to estabiishing, to the light of Florence Nightingaie Conceptual Model and tending for base the taxonomy li of Nanda, a profile nursing diagnosís of patients attacked by the myocardium infarct intemed in unit of intensive therapy (UTJ). The research was accompished at two located hospitais in the municipal distnct of João Pessoa - PB, considered units of reference for attendance to medical emergencies and cardiac surgical. The population of the study was constituted by patients attacked by the myocardium infarct, independent of sex, in the 40 year-old age group or pius, intemed in the unit of intensive therapy, of those institutions. For the organization of the sample, was determined a temporary cutting, dunng which the data of twenty patient were collected, among the ones which 10 (50%) were of the masculine sex and 10 (50%) of the feminíne sex. The predominant age groups were the ones from 43 to 53years with 8 (40%) patient, being the 57 year-old the medium age. It was verified that, the patients met, on average, in the fourtti day of the intem; 17 (85%) patients presented regular general state. Were firmed for those patient 19 different nursing diagnoses, with a total of 148 djagnosis affimiatives and an approximate average of 7 diagnoses for patient. For component of the Florence Nightingale model, 44 (28,4%) belong to the concept Hydration and Nutrition; 29 (18,7%) belong to the componeni Variation; 29 (18,7%) to the component Taiking about hopes and advices; 17 (11%) to the concepts Noise and Iliumination; 15 (9,6%) to lhe component Biood Circulation; 12 (7,7%) to the concept Cleaning and 2 (1,3%) belong to the concept Ventilation. Among the 19 different nursing diagnoses, 8 (40%) obtained a frequency = 50% and started to constitute the profile of nursing diagnosis of patients attacked by the myocardium infarct intemed in UTI, they are: Risk for infection (90%), Disturbed paftem of sleep (85%), Deficient recreation activities (80%), Reduced heart debit (75%), Constipation (70%), Deficit in lhe setf-care for bath/hygiene (60%), Risk for intolerance to the activity (55%) and Anxiety (50%). We believe that the research reached the estabiished objectives and, can contnbute with the ímprovement of the quality of the nursing attendance rendered to the studied dientele. / O infarto do miocárdio é, atualmente, um grande problema de saúde mundial, em virtude do crescente número anual de casos. Compreendendo a importância da temática, desenvolveu-se um estudo descritivo, cujo objetivo foi o de estabelecer, à luz do Modelo Conceitual de Florence Nightingale e tendo por base a taxonomia II da Nanda, um perfil diagnóstico de enfermagem de pacientes acometidos por infarto do miocárdio internados em unidade de terapia intensiva. A pesquisa foi realizada em dois hospitais localizados no município de João Pessoa - PB, considerados unidades de referência para atendimento a emergências médicas e cirúrgicas cardiológicas. A população do estudo foi constituída por pacientes acometidos por infarto do miocárdio, independente de sexo, na faixa etária dos 40 anos ou mais, internados na unidade de terapia intensiva, dessas instituições. Para a organização da amostra determinou-se um recorte temporal, durante o qual foram coletados os dados de vinte pacientes, dentre os quais 10 (50%) eram do sexo masculino e 10 (50%) do sexo feminino. As faixas etárias predominantes foi a de 43 a 53 anos com 8 (40%) pacientes, sendo a idade média de 57 anos. Verificou-se que, os pacientes encontravam-se, em média, no quarto dia de internamento; 17 (85%) pacientes apresentavam estado geral regular. Foram firmados para esses pacientes 19 diferentes diagnósticos de enfermagem, com um total de 148 afirmativas diagnósticas e média aproximada de 7 diagnósticos por paciente. Por componente do modelo de Florence Nightingale, 44 (28,4%) pertencem ao conceito Hidratação e Nutrição; 29 (18,7%) pertencem ao componente Variação; 29 (18,7%) ao componente Conversando sobre esperanças e conselhos; 17 (11%) aos conceitos Ruído e iluminação; 15 (9,6%) ao componente Circulação sangüínea; 12 (7,7%) ao conceito Limpeza e 2 (1,3%) pertencem ao conceito Ventilação. Entre os 19 diferentes diagnósticos de enfermagem, 8 (40%) obtiveram uma freqüência alta ou média (2! 50%): Risco para infecção (90%), Padrão de sono perturbado (85%), Atividades de recreação deficientes (80%), Débito cardíaco diminuído (75%), Constipação (70%), Déficit no autocuidado para banho/higiene (60%), Risco para intolerância à atividade (55%) e Ansiedade (50%). Acredita-se que a pesquisa alcançou os objetivos estabelecidos e que pode contribuir com a melhoria da qualidade da assistência de enfermagem prestada à clientela estudada.

Made available in DSpace on 2014-12-17T14:46:43Z (GMT). No. of bitstreams: 1 NeysePNM_DISSERT.pdf: 637806 bytes, checksum: 9bf90b93c17324eba12e25d1e61cc620 (MD5) Previous issue date: 2010-11-19 / Nursing as a profession goes in search on quality of their care through new frameworks, trying to break postures of the health care system so fragmented in the care. To change professional practices, it is necessary to build their own knowledge grounded on Nursing Care System. The aim of this study was to analyze the influence of nurses' knowledge on care systematization in nursing in the University Hospital Natal-RN. It is an analytical descriptive study carried out at the Onofre Lopes University Hospital (HUOL), Natal-RN, 2010, the sample was composed of 40 active nurses working in hospitalization units of the hospital, the inclusion criteria were being in the monthly scale sector and agree to participate in the study. The non-participant observation and another interview were used for collecting data, statistical analysis was descriptive and inferential with reliability test, Pearson test, chi-square and Fischer, the variables that correlated were analyzed in a model Multiple logistic , calculating odds ratio. The results were: predominance of female professionals (90%), predominantly in the age range 39-46 years (37.5%), nurses who have the undergraduate degree at the Federal University of Rio Grande do Norte (80%), and who have expertise training as a minimal degree (62.5%). Among the surveyed, the knowledge showed significance with the graduation time (p = 0.018) and time working in HUOL (p = 0.036). The majority of the professionals surveyed do not know which organ is responsible for the SAE legislation (52.5%), aware of the steps needed to build the nursing diagnosis (92.5%), understand the characteristics of nursing planning (90% ). However the same professionals do not perform physical examination in patients (50.0%) did not classify the clinical findings (68.4%), and identify the problems encountered as a classification (13.2%). The planning of nursing care is carried out by verbal order of nurses (82.5%), 41% of the professionals assess only the intervention stage, in other words, the actions taken. Regarding the practical application of nursing records 53% of nurses do not realize records, 30.8% is incomplete, the other held notes (p = 0.003). The nurses know the nursing process (90% of appropriate responses), despite the actions defined by the theory are not applied in practice. Investigators believe the condition of the hospital teacher (22.5%) could positively affect the implementation of the SAE associated with the interest of professionals (20%). Of the respondents, 17.5% accept as truth the lack of facilities to assist the SAE implementation in the hospital. It was concluded that nurses know the theory that underlies the SAE and the nursing process, but do not develop the service know as well, there is need for action to boost the SAE implementation as practice of nurses in the hospital investigated / A enfermagem como categoria profissional segue em busca da qualidade de sua assist?ncia atrav?s da reestrutura??o do modelo de trabalho vigente, procurando romper com posturas de a??es fragmentadas. Para mudan?a de pr?ticas profissionais, faz-se necess?ria a constru??o de conhecimento pr?prio com base na sistematiza??o da assist?ncia de enfermagem. O objetivo do estudo foi analisar o conhecimento dos enfermeiros sobre a sistematiza??o da assist?ncia de Enfermagem, no Hospital Universit?rio Onofre Lopes, Natal/RN. Estudo descritivo anal?tico transversal, realizado no HUOL, Natal/RN, 2010, a amostra foi composta de 40 enfermeiros que trabalhavam nas unidades de interna??o do hospital ou que recebiam pacientes internados.O crit?rio de inclus?o foi: estar na escala mensal dos setores escolhidos. Foram utilizados um instrumento de observa??o n?o participante e um roteiro de entrevista para a coleta de dados. O tratamento estat?stico foi descritivo e inferencial com teste de confiabilidade, teste de Pearson, qui-quadrado e Fischer. As vari?veis que se correlacionaram foram analisadas segundo um modelo de regress?o log?stica m?ltipla, calculando raz?o de chance (odds ratio). Encontraram-se como resultados: predomin?ncia de profissionais do sexo feminino (90%), com idades entre 39 a 46 anos (37,5%), enfermeiros que conclu?ram curso de gradua??o na Universidade Federal do Rio Grande do Norte (80%), e que possu?am especializa??o (62,5%). Entre os pesquisados, o conhecimento demonstrou signific?ncia em rela??o ao tempo de forma??o (p=0,018) e tempo de trabalho no HUOL (p=0,036). A maioria dos profissionais investigados n?o sabia qual o ?rg?o respons?vel pela resolu??o da SAE (52,5%), tinha conhecimento dos passos necess?rios para a constru??o do diagn?stico de enfermagem (92,5%), compreendia as caracter?sticas do planejamento de enfermagem (90%,). Entretanto, os mesmos profissionais n?o realizavam exame f?sico nos pacientes (50%), n?o classificavam os achados cl?nicos (68,4%), e identificavam os problemas dos pacientes como classifica??o de diagn?stico de enfermagem (13,2%). O planejamento da assist?ncia de enfermagem era realizado por ordem verbal dos enfermeiros (82,5%), 41% dos profissionais realizavam avalia??o apenas da etapa de interven??o, ou seja, das a??es executadas. Referente ? aplica??o pr?tica da evolu??o de enfermagem 53% dos enfermeiros n?o realizavam evolu??o, 30,8% o faziam de maneira incompleta, os demais realizavam anota??es (p=0,003). Os enfermeiros conheciam o processo de enfermagem (90% de adequa??o nas respostas), n?o obstante as a??es definidas pela teoria n?o eram aplicadas na pr?tica. Os investigados acreditavam que a condi??o de hospital-escola (22,5%) possa interferir positivamente na implanta??o da SAE, associada ao interesse dos profissionais (20%). Dos entrevistados, 17,5% aceitavam como verdade a inexist?ncia de facilidades que auxiliem na implanta??o da SAE no hospital. Conclui-se que os enfermeiros conheciam a teoria que embasa a SAE e o processo de enfermagem, no entanto n?o desenvolviam a assist?ncia conforme a conheciam; assim, h? necessidade de a??es que impulsionem a implanta??o da SAE como pr?tica dos enfermeiros no hospital investigado

Made available in DSpace on 2014-12-17T14:46:56Z (GMT). No. of bitstreams: 1 LuziaKASN_DISSERT.pdf: 2970962 bytes, checksum: ad974f20091c6e7dff72014269aba531 (MD5) Previous issue date: 2012-12-13 / The nursing process (NP) it s the systematized way of offering humanized care with the objective of reaching the expected results. The concern of the health and education institutions of elaborating implementation strategies of it is growing. The objective of this research was to know the vision of the senior students of the nursing graduation courses from Natal/RN, about the teaching of the NP. It s about a descriptive and exploratory study of the qualitative and quantitative type, done in five teaching institutions of the undergraduate nursing course of the municipality of Natal- RN in 2011. The research was composed by 48 students of the last 2 years of the nursing course. The gathering of the data was done through an online survey with open and closed questions via SurveyMonkey. For the quantitative data it was used the descriptive statistics from Microsoft Office Excel and for the qualitative data the Content Analysis of Bardin. The results pointed a predominance of female students (81,25%) with an age between 21- 39 years old (75,00%) and in the last year of the course (62,50%). As the opinion of the students about the NP two categories emerged: 1) Nursing Process as grounded method in scientific knowledge and established in two stages; 2) Nursing Assistance Quality, with two subcategories: Nursing Process as Nursing Practice and Nursing Process as instrument of improvement of the aid quality and promotion of well-being. In relation to the tuition of the NP the students (45,83%) said that the knowledge on the subject of the instructor was good; 81,25% reported that the professors use a traditional teaching methodology with the problem solving components and 45,83% answered that is addressed in specific disciplines in an isolated way starting from the professional line. The phase of NP that the nursing students have more difficulties of learning and implementing, being mentioned 22 times (29,70%). In relation to the student s difficulties, in the fields of supervised internships, in applying the NP it was stated for 83,50% that the barriers were related to the non implementation of the practice, overwork and the lack of trust of the nurse in the NP. The teaching-care strategies described as the internship fields were: the training of nurses to be able to contribute with the University in the implementation of the service and teaching; and the need of the universities to focus, continuously throughout the course, the NP with the involvement and incentive of the instructors in this process. These results show that the NP for the nursing students is a work methodology of the profession that needs to be implemented effectively in the practical reality for its teaching to turn effective and for the future professionals to be able to bring real contributions in the achievement of systematized actions trying to improve the assistance quality and the nursing actions. It is expected that this study could help bringing some strategies to facilitate the merging between theory and practice in teaching the NP and stimulate a discussion about the topic at the Nursing Schools where the research was held together with the coordinators, instructors and students / O processo de enfermagem (PE) ? o meio sistematizado de oferecer cuidados humanizados com o objetivo de atingir os resultados esperados. ? crescente a preocupa??o das institui??es de sa?de e de ensino em elaborar estrat?gias de implementa??o do mesmo. O objetivo desta pesquisa foi conhecer a vis?o dos discentes do ?ltimo ano dos cursos de gradua??o de enfermagem de Natal/RN, sobre o ensino do PE. Trata-se de um estudo descritivo e explorat?rio do tipo quantiqualitativo, realizado em cinco institui??es de ensino com o curso de gradua??o em enfermagem do munic?pio de Natal- RN em 2011. A amostra foi composta de 48 discentes dos pen?ltimos e ?ltimos per?odos dos cursos de enfermagem. A coleta dos dados foi realizada por meio de question?rio on line com perguntas abertas e fechadas via SurveyMonkey. Foi utilizada para os dados quantitativos a estat?stica descritiva atrav?s do programa Microsoft Office Excel e para os dados qualitativos, a t?cnica de An?lise de Conte?do de Bardin. Os resultados apontaram um predom?nio de discentes do sexo feminino (81,25%) com idade entre 21- 39 anos (75,00%) e no ?ltimo per?odo do curso (62,50%). Quanto ? opini?o dos discentes sobre o PE surgiram duas categorias: 1)Processo de Enfermagem como m?todo fundamentado em conhecimento cient?fico e estabelecido por etapas; 2)Qualidade da Assist?ncia de Enfermagem, com duas subcategorias: Processo de Enfermagem como Pr?tica de Enfermagem e Processo de Enfermagem como instrumento de melhoria da qualidade da assist?ncia e promo??o do bem-estar. Em rela??o ao ensino do PE os discentes (45,83%) disseram que o conhecimento do docente sobre o tema ? bom; 81,25% relataram que os professores utilizam uma metodologia de ensino tradicional com componentes problematizadores e 45,83% respondeu que ? abordado em disciplinas espec?ficas de forma isolada a partir do eixo profissional. A fase do PE que os discentes de enfermagem t?m mais dificuldades de apreens?o ? a implementa??o, sendo citada 22 vezes (29,70%). Em rela??o ?s dificuldades dos discentes, nos campos de est?gio supervisionados, em aplicar o PE foi relatado por 83,50% que os entraves estavam relacionados a n?o implementa??o na pr?tica, sobrecarga de trabalho e falta de cren?a do enfermeiro no PE. As estrat?gias de integra??o docente-assistenciais descritas quanto aos campos de est?gio foram: a capacita??o dos enfermeiros para que possam contribuir com a Universidade na implementa??o no servi?o e ensino; e a necessidade das universidades focarem, de forma cont?nua no decorrer do curso, o PE com o envolvimento e est?mulo dos docentes nesse processo. Esses resultados mostram que o PE para os discentes de enfermagem ? uma metodologia de trabalho da profiss?o que precisa ser implementada efetivamente na realidade pr?tica para que o seu ensino se torne efetivo e os futuros profissionais possam trazer contribui??es reais na realiza??o de a??es sistematizadas com vistas a melhoria da qualidade da assist?ncia e das a??es da enfermagem. Espera-se que esse estudo possa contribuir em trazer algumas estrat?gias para facilitar a integra??o entre teoria e pr?tica no ensino do PE e estimular uma discuss?o sobre o tema nas Escolas de Enfermagem onde a pesquisa foi realizada junto aos coordenadores, docentes e discentes

This thesis deals with the question of meeting the criteria for provision of nursing care. The theoretical part covers the most important areas related to the provision of the nursing care. These are as follows: 1. the nursing process, 2. standards, 3. audits, 4. ethical code, 5. documentation. It is the nursing process with all its steps, its quality and its three dimensions of management and assessment that is most important of all. Audits and its conclusions help to meet standards for ensuring quality patient care. Following health care ethical code and respecting patients' rights are necessary for patients' satisfaction. In addition to that the nurse is supposed to keep records of individual patients in the nursing documentation and create classification systems (NANDA domains) based on patient's care. Cooperation between doctors and nurses and the overall working atmosphere are important as well. The empirical part of this work was compiled as quantitive research. The basic goal was identified for the purposes of the diploma work. It is to find how certain criteria of nursing care, provided by the nurse in general medicine in real conditions, is met. The main research question was formulated in advance - "How the criteria of nursing care are met, especially the quality of provided nursing care and time spent with the patient from the patient's perspective." The empirical part also includes six hypotheses. The first theory that the criteria of nursing care is fulfilled, occur more frequently at university hospitals than in other hospitals, has not been proven. The patients deem the quality of care in all three hospitals rather identically. The second theory assumes that the most important criterion of nursing care for patients is the nurse's attitude. This hypothesis has not been proven. Half of the respondents think that the nurse's attitude is important and the second half the collaboration with the doctor. The third hypothesis was supposed to find if the nurse's reaction to patient's special requests is fast enough. Namely nurse's reaction to treating the pain and using the signal equipment. The hypothesis has been confirmed. Half of the patients are satisfied with the nurse's reaction to ease the pain as well as the use of the signalling. The fourth hypothesis focuses on nurses of general medicine. The hypothesis is the number of nurse of general medicines on duty is insufficient. This hypothesis has not been confirmed. The fifth hypothesis assumes that the quality of provided care depends on the nurse's mental state. This hypothesis has not been proven. Half of the nurses admit being stressed but they argue that it doesn't affect their quality of work. The sixth hypothesis presumes that the time devoted to documentation will take more of the working time. This hypothesis has not been confirmed. 93 % of the nurses of general medicine responded that they spend half or less than half of the working time on documention and the other 7% spend half or more working time. The purpose of this thesis is to analyse and synthesise the results of the research question. The results will be presented at the participating clinics and other places. They might contribute to improvement of the nursing care.

Nurses have a key role in keeping patients safe from medical errors because they work at the point of care where most errors occur. Nursing work at the intersection of patients and health care systems requires high levels of cognitive activity to anticipate potential problems and effectively respond to rapidly evolving and potentially harmful situations. The literature describes nursing work at the intersection of patient and health care system as well as barriers to providing safe patient care. However, little is known about the systems knowledge nurses use to negotiate the health care system on their patients’ behalf, or how this systems information is exchanged between nurses. Using the clinical microsystem as the conceptual framework, this qualitative descriptive investigation identified and described: 1) the components of systems knowledge needed by nurses, 2) how systems information is exchanged between nurses, and 3) systems information exchanged between staff nurses and travel nurses. Data were collected from a stratified maximum variation sample of 18 nurse leaders, staff nurses, and travel nurses working within a high-functioning neonatal intensive care nursery within a large academic medical center in New England. Data collection methods included participant observation, document review, individual interviews, and a focus group session. Data were analyzed through constant comparison for emerging themes and patterns. Findings were compared for commonalities and differences within and across groups. Three components of systems knowledge emerged: structural, operational, and relational. Systems information exchange occurred through direct and indirect means. Direct means included formal and informal mechanisms. The formal mechanism of orientation was identified by each participant. Informal mechanisms such as peer teaching, problem solving, and modeling behaviors were identified by participants from each of the three nurse groups. Travel nurses’ descriptions of the common themes focused on individual efficacy. Staff nurses focused on fostering smooth unit functioning. Nurse leaders described common themes from a perspective of unit development. Four overarching domains of systems information were exchanged between staff nurses and travel nurses: practice patterns; staffing patterns and roles; tips, tricks, tidbits, and techniques; and environmental elements. Communication emerged as a common theme across nurse groups and domains of systems information exchanged. These findings have implications for nursing orientation and staff development, continuous improvement at the local level, and curriculum development.

Made available in DSpace on 2015-07-22T20:49:13Z (GMT). No. of bitstreams: 0 Previous issue date: 2008-07-30. Added 1 bitstream(s) on 2015-08-11T03:25:50Z : No. of bitstreams: 1 Publico-10908.pdf: 1020924 bytes, checksum: fe656f87f77f5e09f36f1bc149ccc68f (MD5) / O presente estudo teve por objetivo apreender, na ótica de enfermeiros atuantes em uma Unidade de Clínica Médico Cirúrgica de um hospital de grande porte da cidade de São Paulo, seus conceitos e suas formações a respeito da prática humanizada no cuidado ao paciente hospitalizado. A pesquisa, de natureza qualitativa, consistiu de uma análise descritiva e transversal, utilizando como instrumentos de coletas de dados questionários e entrevistas com roteiro semi-estruturado. Os resultados foram estudados por intermédio da análise temática, considerando-se aproximações de significados. Os profissionais não expressaram clareza a respeito de seu conceito de “humanização”, preferindo citar exemplos de “prática humanizada”. Coerentemente, o contato, durante a formação dos profissionais com discussões a respeito da humanização dos cuidados, foi escasso e tardio. Contudo, observou-se que todos expressavam a importância de uma prática humanizada, citando como fatores limitantes à mesma aspectos institucionais, relativos à sobrecarga de trabalho, dentre outros. Um dos dados considerado mais importante deste estudo foi o desejo, pela maioria dos profissionais, no seu aprimoramento para uma assistência mais humanizada, por intermédio de programas de educação continuada. Os dados indicam a importância de intervenções educativas nas equipes, que, se por um lado mostram-se sensibilizadas para a temática da humanização, por outro apontam para a lacuna de processos formativos, de cunho essencialmente reflexivo. / This study aimed at characterize, from the point of view of nurses who work in an Unit of Surgical Medical Clinic of an important health care institution in the city of Sao Paulo, their concepts and formations about humanized practice in the care of in-hospital patients. The research was conducted in a qualitative design and used questionaries and semi-structured interviews as instruments for obtainig data. The results were analysed considering closeness of significations. The professionals were not able to express clearly their concepts about “humanization” and prefered to refer situations of “humanized practice”. In their previous formation, they had few or no contact whith discussions about humanization of patients care. Meanwhile, all of them recognized the importance of work in an humanized way. The main drawbacks were related to institutional factors, such as hard work in turns. One of the most important results of this research was the wish, refered by most of the professionals, to improve the quality of the humanized care of patients, by means of continued education programs. The data point to the importance of educational activities with nursing groups. The professional showed a great degree of sensibilization towards this theme, but complained of lack of discutions and reflections about it. / TEDE

The thesis deals with the realization of the criteria for saturation of the patient's needs. In the current system of nursing care, the principles of modern nursing are failing to realize and therefore we want to find out the main obstacles of this situation and the possibilities of their removal. For the purpose of the thesis there were set three objectives. The first of them has set the objective of finding out the most common problems in meeting the criteria for saturation of the patient's needs. The research showed that the nurses see the problem in a lack of staff at the wards, a lack of time, excess of documentation, excessive demands for nurses. The purpose of the second objective was to find out what supports the realization of the criteria for saturation of the patient's needs. Results have shown that what helps nurses is a positive work environment, motivation, nurse´s personality, own scale of values, salary, good leadership, organization, nursing care. The third objective was to find out the opinion of nurses on meeting the criteria for saturation of the patient's needs. It turned out that the majority of respondents think that nurses do not effectively satisfy all the needs of patients for a number of reasons: there are few nurses and they are overloaded, the nurses do their best but still cannot satisfy all the patients´ needs. We also found out that the higher patients´ needs are omitted. Less than a third of the nurses indicated that nurses effectively meet all the patients´ needs. For the qualitative part of the research, we set two research questions in advance. Which criteria nurses use in patients´ needs saturation? The research showed that time, which is very valuable for nurses and very often is in short supply, is an important criteria for the saturation of the patient's needs. Furthermore, it is knowledge and manual dexterity when nurses additionally reported a lack of education of some nurses especially within the nursing process. As the next criteria, it was mentioned the cooperation with the patient as it is necessary to engage patient himself in care planning. The next criteria is monitoring of the patient´s response, which is included in every phase of the nursing process. Furthermore, the nurses agreed on criteria, which include communication as a key skill of every nurse, then individual care, a suitable environment and utilities, education, critical thinking, effective nursing process and empathy. The second research question tried to find out which obstacles prevent nurses in effective saturation of the patients´ needs. We found out that nurses are concerned about a lack of staff at wards and the excess of administrative load, which is related to a lack of time for patients. These three factors are also obstacles for nurses and prevent them from effective satisfying of the patients´ needs. The next obstacles in satisfying the needs are burnout, reluctance of nurses to work, excessive demands for nurses, poor workplace relationships, a lack of evaluation both in a form of praise and appreciation, and finance. We also found a lack of information, which is related to a lack of time, as nurses do not have a chance to collect all the information concerning the patient. As another possible obstacle, nurses also mentioned personal problems. The results of the thesis can be used as a small contribution to currently ongoing effort of the Czech Association of Nurses.

The thesis deals with the application of NIC, NOC classifications in cases of patients with chest drainage. Nurses use nursing classification, nursing process and nursing documentation for their work to make the patient care more effective. Several objectives were set to meet the main target of the thesis. Firstly, to map nursing care specifics of patients with chest drainage; secondly, to map nurses' knowledge of chest drainage care; thirdly, to map nurses' satisfaction with nursing documentation; fourthly, to find out which NIC activities are usually used by nurses in the care of patients with chest drainage; fifthly, to find out which NOC indicators are usually judged by nurses in the care of patients with chest drainage; sixthly, to find out the benefits of NIC, NOC classification in the care of patients with chest drainage. For the practical part of the thesis, the combination of qualitative and quantitative research was chosen. The quantitative research was conducted by a survey. The studied group consisted of 152 nurses. For the quantitative research, we set up the following hypothesis. H1 - the care of patients with chest drainage depands on particular department. H2 - nurses' knowledge of chest drainage care depands on particular department. H3 - nurses' satisfaction with nursing documentation depends on their education. The qualitative reserch was hold in two phases. In the first phase, a nursing documentation was created on the basis of NIC and NOC classification related to care of chest tubes. In the second phase of the qualitative research, we used a semi-structured interview to interview ten nurse who had worked with the particular nursing documentation and who had met the criteria for the selection of experts acording to Fehring . Several research questions were set for the qualitative research. What do the nurses think about the particular nursing documentation?