Nursing care in nephrology brings certain specifics both for the patient and for the nursing staff concerned. For each member of a nephrology multidisciplinary team that participates in identification and meeting bio-psycho-social and spiritual needs of dialysed patients, the quality nursing care provision and the patients´ safety assuring should be the rule. To assure quality care provision in a health care facility, it is necessary to define the professional level of quality, i.e. to introduce processual nursing standards at the national level for all dialysis centers. The objective of this thesis was to make a survey of historical milestones in the development of nephrology nursing in the Czech Republic (in the former Czechoslovakia), from its beginning to present days. In individual parts of the theoretical section various contexts of nursing issues (historical, legal, social, relational, educational) and their interaction are described. The thesis also is focused on detection the importance of aspects influencing the quality of provided nursing care in nephrology and realization of analysis the use and compliance with the existing local nursing standards in individual dialysis centers in the Czech Republic. Another objectives of this thesis were detection of satisfaction rate with existing national standards for nephrology nursing care and to make up a proposal of a national processual standard of nursing care provided to adult dialysed patients. To obtain data the mixed methods research was used. The practical part offers, through conclusions of the quantitative research, explanations of many facts by confirmation or refutation of hypotheses arisen from the qualitative research. The nursing research was conducted through a questionnaire survey in dialysis centers in the Czech Republic. The respondents were head nurses - nursing care managers working in these units. Interviews with representatives of the biggest professional organization of nurses {--} the Czech Nurses Association were also carried out as another research procedure. The survey outcomes have clearly demonstrated the need to introduce national processual standards of nursing care in nephrology practice. Description of the present state is the first step for its improvement. The way out from the current situation is the development of general national processual standards for individual areas of care for nephrology patients and subsequent introduction of them into clinical practice in all dialysis centers in the Czech Republic. One of the components of the thesis is a proposal of the national processual standard of nursing care for a dialysed patient with acute or permanent central venous catheter (CVC). This standard could serve as a model for the development of other national standards of nursing care in nephrology.
| Identifer | oai:union.ndltd.org:nusl.cz/oai:invenio.nusl.cz:52338 |
| Date | January 2010 |
| Creators | KESZIOVÁ, Andrea |
| Source Sets | Czech ETDs |
| Language | Czech |
| Detected Language | English |
| Type | info:eu-repo/semantics/masterThesis |
| Rights | info:eu-repo/semantics/restrictedAccess |
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