We have dealt in this thesis with problems of nursing care of the newborn from the perspective of standardized classification systems NANDA, NIC and NOC which offer many opportunities for streamlining, simplifying and improving of the quality of care. The theoretical part of this thesis focuses on nursing care of physiological newborn during the first moments after the birth until leaving hospital. Furthermore, the common nursing language which is included in standardized classification systems NANDA, NIC and NOC.The empirical part of the thesis was prepared with the help of qualitative - quantitative strategy. We chose to collect valid data a research method of content analysis of documents, modelling, thought experiment and a structured interview. The first aim of the research was to identify the use file from various classification systems related to nursing care of physiological newborn. We selected 9 nursing diagnoses from the publication NANDA International Taxonomy II through content analysis, 9 nursing interventions from Nursing Interventions Classification (NIC), 5 expected results related to the care of physiological newborn from the publication Nursing Outcomes Classification (NOC). We worked out a research form and submitted it in the way of a specific questionnaire to the validation of respondents ? who were experts in the field of nursing care of the newborn, it was made from the selected NANDA nursing diagnoses, NIC interventions and expected results of NOC. The second aim was to verify the usability of the selected files from the classification systems NANDA, NIC and NOC in clinical practice. The results of validation of NANDA nursing diagnoses were done by Diagnostic Content Validity Model ? DCV by Fehring. We determined the absolute and relative frequency of their designation within classification systems NIC and NOC. Nurses working at neonatal wards were our basic research populations; we created a targeted selection of two research samples divided by educational attainment. The first research sample consisted of 20 nurses with university education. The second research group was represented by 18 nurses with secondary education. The survey was realised in the time from January to March 2013 in the neonatal wards of the Hospital České Budějovice, a.s. Hospital Strakonice, a.s., Hospital Písek, a.s. Our third aim was to determine the attitudes of neonatal nurses to usage of classification systems in daily practice. We focused questions directed to the respondents on the knowledge and source of acquired knowledge, their attitude and possible reasons preventing the implementation of classification systems into clinical practice. The results showed nurses are reluctant to the usage and implementation of new standardized classification systems into clinical practice. The output of this thesis is the basic concept of nursing diagnosis according to NANDA-I, NIC and NOC focused on nursing care of physiological new-born in the area of the Czech Republic. 12 NANDA nursing diagnoses taxonomies was verified with 128 characteristics, 9 NIC nursing intervention taxonomies with 183 activities and 5 results of NOC nursing care with 72 areas of evaluation. There was selected in this survey 100 characteristics of NANDA taxonomy (62 %). It was chosen as being applicable in practice 130 from 9 selected files of NIC (71 %). It was selected 39 indicators (54 %) within 5 files of expected NOC results. The survey brought a lot of interesting information and also revealed even the lacks in the area of nursing care of physiological new-born; research also showed the lack in the area of nursing care of physiological newborn.
| Identifer | oai:union.ndltd.org:nusl.cz/oai:invenio.nusl.cz:156333 |
| Date | January 2013 |
| Creators | MICHALOVÁ, Veronika |
| 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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