Diploma thesis entitled Healthcare Risks in Acute Forms of Coronary Heart Disease is divided into a theoretical and a practical part. The theoretical part is divided into parts dealing with medicinal aspects, risk management and nursing care. The medicinal part defines the term coronary heart disease and describes its acute forms. The nursing care part describes how to care about a patient with acute CHD. It also points out the risky spheres in caring about a patient with acute CHD and describes possibilities of education provided by a nurse before discharging a patient to home care. The next part lists examples of diagnoses according to NANDA II that a nurse determines in patients with acute CHD. The research was performed with nurses from the cardiology department of the České Budějovice Hospital. Twelve nurses participated in the research in the qualitative research form based on semi structured interview. Three aims were set for the diploma thesis. The first aim was to find out whether nurses knew the risks that might occur in nursing care of acute CHD forms. The next aim of the thesis was to find out how nurses prevent the risks in nursing care of acute CHD forms. And the third aim was to find and compare differences in knowledge and skills between nurses from a Cardiac Intensive Care Unit and those from a standard cardiology department in nursing care of acute CHD forms. Six research questions were based on the aims. 1: Do nurses know the risks that might occur in nursing care of acute CHD forms? 2: Do nurses know complications that might arise from the risks in nursing care of acute CHD forms? 3: Do nurses know how to proceed in a situation when a mere risk changes into a real problem? 4: Do nurses from the Cardiac Intensive Care Unit (CICU) know how to proceed against the risks in acute CHD forms better than the nurses from the cardiology ward (CW)? 5: Are the CICU nurses able to prevent the risks better than the CW nurses? 6: Are the CICU nurses better aware of the risks that might occur in nursing care of acute CHD forms? I have managed to find answers to the research questions and thus to fulfil the aims set for the diploma thesis. It was found in the research, particularly by comparison of the knowledge and skills of the nurses from the Cardiac Intensive Care Unit and those from the standard cardiology ward that the knowledge among the nurses from both the stations is comparable. Only the results of the standard cardiology ward nurses and their answers suggest that they try to concentrate on patient's psychological condition apart from provision of nursing care. The following conclusions were finally drawn from the research questions set for the research: Nurses are aware of the risks that might occur in nursing care of acute CHD forms. Nurses are aware of the complications that might arise from the risks in nursing care of acute CHD forms. Nurses know how to proceed in a situation when a mere risk changes into a real problem. Nurses from the Cardiac Intensive Care Unit know how to proceed against the risks in acute CHD forms better than the nurses from the standard cardiology ward. Nurses from the Cardiac Intensive Care Unit are able to prevent the risks better than the standard cardiology ward nurses. Nurses from the Cardiac Intensive Care Unit do not know the risks that might occur in nursing care of acute CHD forms better than the nurses from the standard cardiology ward. Study material for secondary and tertiary students summarizing how to care about a patient with acute CHD was prepared as a result of the thesis, with regard to the research with the nurses, who personally faced the patients with acute CHD and are experienced in the care both with and without complications.
| Identifer | oai:union.ndltd.org:nusl.cz/oai:invenio.nusl.cz:174603 |
| Date | January 2014 |
| Creators | PÍŠOVÁ, Leona |
| 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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