Introduction: This thesis deals with the time management of nursing care for patients in the ICU after bronchogenic carcinoma surgery. The treatment of patients with this diagnosis requires a multidisciplinary approach by all members of the medical team. Aims and methodology: The aim of this thesis was to map the time demands of nursing care for a patient who is the first day after lung cancer surgery, about current recommended procedures of nursing care. Furthermore, the aim was to find out whether a methodical guideline or a standard defining postoperative care of a patient after lung cancer surgery is available for the nurses. The way nurses perceive their working conditions and relationships in the workplace was also investigated. Finally, the aim of the diploma thesis was to map time management in nursing care for patients with lung cancer, all in the intensive care unit from nine medical facilities that participated in the research survey. Results: The research group consisted of nurses working in surgical intensive care units of the 1st, 2nd and 3rd degree and cardiac surgical intensive care unit from four university hospitals, 3 regional hospitals and 2 other hospitals. A total of 330 questionnaires were distributed. The return rate was 209 questionnaires (63.3%). The research results were...

This diploma thesis deals with the process of learning, knowledge management and the concept of learning organization as strategic directions in the field of education, learning and development of employees. The theoretical part describes knowledge management as an essential part of the management of a successfully functioning and continuously developing organization, which is exposed to increasing pressure of competition, demanding clients and economic burden. In this case the setting of corporate culture towards the learning organization is equally important. Since the organization set up in this direction has created a suitable environment for the effective development of knowledge, skills and experience, not only in the classical form of lifelong learning, which is given in case of the general nurses by legislation, but above all the creation, development and transfer of knowledge between individuals and the team is emphasized. In the practical part, first the selected organization is analyzed including analysis of fulfilling the criteria of the learning organization followed by the qualitative research devoted in the first stage to mapping the system of education and development of the employees in the organization and in the second phase to finding the attitudes of the nurses within a...

This thesis will deal with social support perceived by intensive care unit nurses (from colleagues, family, friends and superiors) and its impact on job satisfaction, depersonalization and subjectively experienced health condition. Foreign research suggests that social support has crucial effect on amount of perceived stress, coping and quality of provided health care. Lack of support can also contribute to the development of psychosomatic diseases like headache, back pain and others. Main attention will be paid to the influence of social support on depersonalization (emotional hardness, apathy towards the patient), job satisfaction and intensive care nurses subjectively experienced health condition. Basic concepts, terms, constructs and variables will be defined in the theoretical part of this thesis. Current scientific findings about effects of social support on work and various aspects of intensive care nurses' lives will be summarized. Diagnostic methods and test used by author of this thesis will be also described. In the empirical part of the thesis, author will examine relationships between variables and will test hypothesis using statistical methods, mainly correlation analysis and ANOVA test. Some of the hypotheses were confirmed and others were not. However what is indisputable is the...

Experience of patients with disabilities and their close persons during hospitalisation demonstrates insufficient understanding to the needs of such people. This issue is also discussed in foreign literature, wherein the need to establish the position of a specialized worker who knows very well the conditions of the health care facility and the needs of people with disabilities is emphasized. The objective of this thesis is to point out the complex issue of the needs of people with learning disability and their close persons during hospitalisation. Hospitalisation itself is a difficult and demanding situation in any person's life. For persons with learning disability, this situation is even more serious. The thesis aims at describing the experience of persons with learning disability so that it may serve as the basis for improving their health care.

This thesis deals with diseased peripheral blood vessels, namely thrombosis of veins affecting limbs and the pelvic area and acute arterial blockages in extremities. In addition to data concerning these illnesses, the thesis also presents the treatment of these patients and treatment of those patients who are given anti-coagulants either preventatively or as part of treatment. The empirical portion includes quantitative research through an anonymous survey instrument. The respondents were nurses who worked in internal, surgery, or general units of intensive care in university and regional hospitals. The goal of the research was to determine whether nurses are aware of the general areas of non-coronary blood-vessel issues and of the idiosyncrasies of treatment of patients with warfarin and heparin, and whether the nurses were aware of the idiosyncrasies of treatment of patients with non-coronary arterial blockages. We discovered that nurses were most aware of the idiosyncrasies of treatment of patients with warfarin and heparin. On the other hand, the nurses had almost no awareness of the idiosyncrasies of treatment of patients with non-coronary arterial blockages. Exactly half of the respondents were aware of the general areas of non-coronary blood-vessel issues. The conclusion of the thesis...

This thesis deals with the stress, strain and stress level of stress. It examines what more burdens on JIPu sisters and what the standard department, what are the specifics of their work. Compares the work load and nursing department and the standard JIPu. It looks at how the situation affects of stress nurses. It outlines the causes and manifestations of stress effects on the human organism. He is also the burnout that often occurs among workers in the helping professions. The thesis is focused on the shift operation (especially on night shift), relationships at work (sister-sister, sister-doctor), the aggressive behavior of patients, or the lack of sufficient time for patient care. Research method is a questionnaire distributed to the nurses and the internal standard surgical wards and ICU. The evaluation questions of the questionnaire confirms or overthrows the hypothesis that I set at the beginning of research. The hypotheses were confirmed hypotheses 2 and 5 of the hypothesis was not confirmed. It was confirmed that the exchange operation and overload nurses, patient aggression, care of confused patients and bad interpersonal relations a high burden on medical personnel and contributes significantly to the stress load of nurses. In conclusion, I mention that a large role in preventing and...

Introduction: Quality of life is a long-term goal in nursing care. Nursing care in improving the quality of life should focus not only on physical aspects, but especially on support to return to everyday life, managing daily activities, at least to the extent that the patient has been able to handle them before staying at hospital. Methodology: The aim of the work was to evaluate the quality of life of patients before and after staying in ICU with a focus on patients after acute surgery associated with intestinal resection. The research sample consisted of patients who underwent acute surgery associated with intestinal resection and ICU staying. Quality of life was assessed before hospitalization and 3 months after discharging from the ICU. We have chosen SOFA, APACHE scoring systems to obtain data. The quality of life before hospitalization was evaluated by SF-36 and ADL, IADL questionnaires for daily activities. In the ICU dismission, the patients completed HADS (anxiety, depression), MAF (fatigue) questionnaires, 6-minute walk and sit / stand test. After the third month of convalescence, patients completed questionnaires: SF-36, IADL, ADL, HADS, MAF and 6. minute walk and sit / stand test. Results: 38 patients were evaluated. We found a significant difference in the development of all observed...

This thesis is aimed at aggressive and violent behaviour of patients towards general nurses. Theoretical part of this thesis contains chapters which are dealing with direct aggression, its' causes and also with possible defences, preventive elements and principles, which are necessary to be used in contact and communication with conflicting patient. Because this research is focused on general nurses, one chapter is also dedicated to this profession and its' difficulties. The practical part was realized by means of quantitative research. Created questionnaire was placed on the webpage of České Budějovice hospital where it could be filled by nurses for a period of one month. Data obtained from respondents were subsequently processed into tables and graphs and statistically evaluated. The aim of this thesis was to map the problem of violence and aggression of patients towards general nurses in their profession at České Budějovice Hospital a. s., to describe the problematics of patient aggression in healthcare and through method to find out the experience of general nurses with aggressive behaviour of their patients. According to this research, 95 % of respondents encountered aggressive behaviour of the patient during the last year. 94,5 % of respondents encountered aggressive behaviour of verbal character and 70 % with aggressive behaviour of physical character. According to the research, it was also found that respondents had more experience with aggressive behaviour from male population than from female population. Respondents from the hospital are regularly trained in dealing with conflicting patient. However, the research showed that the respondents would welcome a greater intensity of training on this subject. More than half of respondents perceive the deficit in training in communication with a conflicting patient.

Abstaract(thesis) In my thesis, I decided to take the issue of treatment of vascular input in surgical department and surgical intensive care units. This nursing problem can be found practically on every inpatient department and each nurse meets with vascular access dutiny her career. The work is divided into theoretical part and empirical part. The first theoretical part deals with the history of vascular input, a list of basic vascular entries and the educational process. Of the vascular inputs, the work focuses especially on central venous catheter and peripheral venous catheter. The second empirical part focuses on the evaluation of collected data and their statistical analysis. Before the research 4 hypotheses were provided. These hypothesis were confirmed by statistical evaluation of questionnaires. The questionnaires were filled in by sisters from the surgical department and intensive care units. At the end of the thesis is work evaluation. Keywords Vascular access, peripheral venous cannula, central venous cannula, nursing, dressing, asepsis, infections, nurse, patient

Current situation: Nurses' health can be endangered by various influences. One of the possibilities of prevention is personal protective equipment (PPE) which provides effective protection against infectious agents and other risk factors, both for the nurse and the patient. The aim of the thesis was to find out the nurses' awareness of PPE and its use. Find out which PPE nurses use and evaluate whether they use it properly. Methods: The research was carried out using a qualitative method, a technique of non-standardized in-depth interviews and observation. 16 nurses attended the interviews and were observed during 112 nursing activities. Qualitative research was supplemented by an interview with the institutional epidemiologist and a nurse from the department of epidemiology. Results: Nurses use PPE to protect their health and are well-aware of the risks. They realize that it also protects the patient. Nurses commonly use gloves, face masks and protective aprons. When choosing proper PPE, they base their choice primarily on the standard of nursing care, legislation, the nature of the activity performed, the specifics of the department, the risks involved or the type and method of transmission of the respective disease. At workplaces there are a sufficient number of several types of PPE and nurses have the opportunity to educate themselves on the issue. However, there are some obstacles to the correct use of PPE. These obstacles include: lack of information, lack of staffing, pressure on performance and time stress. During the observation the most frequent errors were found in the use of gloves and taking off PPE. Recommendations for practice: The introduction of comprehensive training on individual PPE, increased checks by managers, regular updating of standard nursing procedures, sufficient staffing and sufficient spare protective equipment at the department may contribute to increasing the level of use of PPE.