The number of new born babies with very low birth weight (VLBW) is increasing. The percentage of those who survive is rising due to developments in modern technologies and science. While dealing with the problem of premature birth the medical, social, psychological and economical aspects needs to be considered. Therefore, the attention is primarily not only on to the question of saving the life but also to ensure the upmost quality of life and health. The care of the child provides a multidisciplinary team, where each role within the team is irreplaceable and their co-operation is necessary to ensure physical and psychological wellbeing of the child. An important role within the team has the surgery of the paediatric practitioner inclusive of the paediatric nurse and a quality follow-up care after the home discharge of the VLBW child. The following objectives were defined in the diploma thesis. To identify how nurses contribute to the care of the VLBW children in the paediatric practitioners surgery. To identify whether nurse given health education is sufficient to families of these children. To find out what are the most common health complications in VLWB children in the paediatric practitioner?s surgery. To find out how VLBW children influence the family psycho-social and economic status. To meet the theses objectives three research question were determined. Which of the nurse?s roles participates most in the care of the VLBW children in the paediatric practitioner?s surgery? Do parents apprehend the field nurse education activity as conductive to solutions to the VLBW issues? Threatens the birth of a VLBW child the family psycho-social and economic stability? The theoretical part of the theses laid out current knowledge in the care of the prematurely born in paediatrics institutions. It stressed out the importance of the elementary presumptions of a successful development such as nutrition, adjusted immunization schedule and differences in multidisciplinary care. Furthermore it explained the nurses? role and outlined the elementary problems premature birth can cause in a family. The practical part focused on qualitative research. The data were gathered via in-depth structural interviews with mothers of VLBW children who reached at the time of the interview 2 years of age and with nurses. The interviews were supplemented with observation. The research results suggest that like mothers like nurses understand the need for a specialized care of the prematurely born children. However, it further suggests differences in their understanding of the nurses? importance and nurses role in this care. The research identified areas which needs improvement in order to provide better care and to improve the mother-nurse relationship in the paediatric practitioner?s surgery. Furthermore, it demonstrated the need for further nurses? education and need for evidence based practice. Moreover, it emphasised the importance of the VLWB children multidisciplinary follow-up care and proved the hypothesis that the birth of a child with VLWB is a great interference with family life, especially in psycho-social domain.
| Identifer | oai:union.ndltd.org:nusl.cz/oai:invenio.nusl.cz:137923 |
| Date | January 2012 |
| Creators | RYBÁKOVÁ, Štěpánka |
| 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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