In the theoretical part of the thesis, we described the conducting system of the heart, cardiac automaticity, physiological impulse formation and its conduction in the myocardium and mechanisms of arrhythmias. Furthermore, we focused on the classification of arrhythmias and their description in different types of arrhythmias, possibilities of treatment and the role of nurses in the care of patients with heart rhythm disorders. For the thesis, we chose a qualitative research conducted by the form of interviews with nurses. The research took place in three hospitals in the Czech Republic and three in the Slovak Republic. Before realization of the qualitative research, we contacted the management of every hospital in order to obtain a permission to carry on with our research. In each of these hospitals, we spoke to five nurses and then subsequently interviewed them. In overall, we interviewed 30 nurses, 15 of them work in the Czech Republic and 15 hospitals in the Slovak Republic. Research was conducted at the Cardiology departments of these hospitals. The criterion of selection was work of nurses with their patients with heart rhythm disorders. Interviews were recorded and then rewritten. The results were categorized into schemes and then finally compared. The first aim we set was to find out the specific knowledge of nurses care about patients with abnormal heart rhythm in the Czech Republic and the Slovak Republic. Most of them knew what is important for patients and what especially do they need to focus on, what to watch over and in what they need to draw patient?s attention. Nurses often spoke in general and especially in the case of education of the patient in this field. Despite nurses? work with patients with abnormal heart rhythm and their knowledge about arrhythmias, their treatment and their roles, we have decided to develop a handbook for them. This manual can expand knowledge of nurse working with these patients, but its main purpose is to serve nurses who have little knowledge in this field. Therefore, nurses are about to begin to work with patients with abnormal heart rhythm and would like to learn the basic information about arrhythmias, their treatment and the fraction of nurses? to care of these patients. The second aim we set to ourselves was to find out the workflow of the nurses working with patients with abnormal heart rhythm in the Czech Republic and the Slovak Republic. There were differences between the Czech Republic and the Slovak Republic. When asking Czech nurses what workflow do they use, the most common responses were invasive and non-invasive treatment methods. In the Slovak Republic, nurses talked about providing their patients with proper care and workflow according to developed standards. The ultimate aim was to compare the results of nursing care of patients with abnormal heart rhythm in the Czech Republic and the Slovak Republic. All in all we came to the conclusion that nursing care in both countries are in a good condition and complication rate is very low. None of interviewed nurses stated frequent occurrences of complications at her workplace.
| Identifer | oai:union.ndltd.org:nusl.cz/oai:invenio.nusl.cz:156398 |
| Date | January 2013 |
| Creators | HOFFMANOVÁ, Lívia |
| 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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