This thesis deals with the question of meeting the criteria for provision of nursing care. The theoretical part covers the most important areas related to the provision of the nursing care. These are as follows: 1. the nursing process, 2. standards, 3. audits, 4. ethical code, 5. documentation. It is the nursing process with all its steps, its quality and its three dimensions of management and assessment that is most important of all. Audits and its conclusions help to meet standards for ensuring quality patient care. Following health care ethical code and respecting patients' rights are necessary for patients' satisfaction. In addition to that the nurse is supposed to keep records of individual patients in the nursing documentation and create classification systems (NANDA domains) based on patient's care. Cooperation between doctors and nurses and the overall working atmosphere are important as well. The empirical part of this work was compiled as quantitive research. The basic goal was identified for the purposes of the diploma work. It is to find how certain criteria of nursing care, provided by the nurse in general medicine in real conditions, is met. The main research question was formulated in advance - "How the criteria of nursing care are met, especially the quality of provided nursing care and time spent with the patient from the patient's perspective." The empirical part also includes six hypotheses. The first theory that the criteria of nursing care is fulfilled, occur more frequently at university hospitals than in other hospitals, has not been proven. The patients deem the quality of care in all three hospitals rather identically. The second theory assumes that the most important criterion of nursing care for patients is the nurse's attitude. This hypothesis has not been proven. Half of the respondents think that the nurse's attitude is important and the second half the collaboration with the doctor. The third hypothesis was supposed to find if the nurse's reaction to patient's special requests is fast enough. Namely nurse's reaction to treating the pain and using the signal equipment. The hypothesis has been confirmed. Half of the patients are satisfied with the nurse's reaction to ease the pain as well as the use of the signalling. The fourth hypothesis focuses on nurses of general medicine. The hypothesis is the number of nurse of general medicines on duty is insufficient. This hypothesis has not been confirmed. The fifth hypothesis assumes that the quality of provided care depends on the nurse's mental state. This hypothesis has not been proven. Half of the nurses admit being stressed but they argue that it doesn't affect their quality of work. The sixth hypothesis presumes that the time devoted to documentation will take more of the working time. This hypothesis has not been confirmed. 93 % of the nurses of general medicine responded that they spend half or less than half of the working time on documention and the other 7% spend half or more working time. The purpose of this thesis is to analyse and synthesise the results of the research question. The results will be presented at the participating clinics and other places. They might contribute to improvement of the nursing care.
| Identifer | oai:union.ndltd.org:nusl.cz/oai:invenio.nusl.cz:253540 |
| Date | January 2016 |
| Creators | ŘEZÁČOVÁ, Tereza |
| 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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