oaioai:invenio.nusl.cz:137882

The issue of taking capillary blood for glycemia

Abstract

The proper technique of capillary blood sampling to determine the level of glycemia plays an important role in diagnostics and therapy of diabetes mellitus. There has been a large shift in this disease in recent years, especially in diagnostics and treatment. It is a disease characterized by high blood sugar levels. In practice, it often happens that although it is a procedure nurses carry out almost daily, during capillary blood sampling to determine the level of glycemia, a number of errors occurs. This fact inspired me to write a bachelor thesis on the topic "The issue of capillary blood sampling to determine the level of glycemia?. The empirical part of the thesis deals with both the disease Diabetes Mellitus itself and the capillary blood sampling. In the introductory part history and definition of diabetes are given, the causes of the disease, complications, diagnostics and treatment of Diabetes Mellitus are described. The issue of capillary blood sampling to determine the levels of glycemia is discussed in detail, as well as the recommended procedure of capillary blood sampling and devices designed for the sampling . The practical part of the thesis is focused on selected objectives, research questions and hypotheses. The objective of the research was to identify the factors that may affect the results of the examination, to find out whether nurses follow the recommended procedure for capillary blood sampling and to identify the most common errors nurses make during the sampling. To achieve the objectives both quantitative and qualitative research surveys were carried out. The qualitative research was conducted by observations of six nurses working in inpatient wards in České Budějovice Hospital, plc, supplemented by interviews with the nurses. The three research questions can be answered as follows. The most common factors that may affect the test results is poor sample handling, sample exposure to unsuitable temperature conditions, and forced squeeze of blood from a finger. While collecting capillary blood nurses often make mistakes in communicating with the patient, when they do not give information about the performed punction and do not properly explain the whole procedure to the patient. They wash their hands before blood sampling without using a disinfectant. The interviews gave the answer to the last research question that the most common problem the nurses are aware of during capillary blood sampling is forced squeeze of blood from a finger, poor disinfection of the punction site and a delayed transport to the laboratory. Qualitative research survey was supplemented by quantitative research, which consisted of 66 observations of capillary blood sampling, which were carried out by nurses in České Budějovice Hospital, plc. This research survey was conducted to verify the results obtained from the qualitative research. This hypothesis was formulated: H1: During capillary blood sampling to determine the level of glycemia nurses most often make mistakes in communication with the patient. Based on the quantitative research, it has been found out that the most common mistake made by nurses is a failure to use a disinfectant for hand hygiene before sampling blood (16%). The mistake in communication took the third place (14%). Based on the above results the conclusion can be made that H1: During capillary blood sampling to determine the level of glycemia nurses most often make mistakes in communication with the patient, has not been confirmed. Using the knowledge earned from literature and the conducted research I have proposed a standard of nursing care for nurses called "Capillary blood sampling to determine the level of glycemia." Nurses will have an opportunity to have a manual at hand that will serve them as a quide to correctly perform capillary blood sampling to determine the level of glycemia and they will not be consider the blood sampling to be a routine procedure

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oaioai:invenio.nusl.cz:137882Last time updated on 10/16/2015

This paper was published in National Repository of Grey Literature.

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