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Nursing care about a patient under the influence of alcohol
TOMAŠÁKOVÁ, Zuzana
Abstract- Nursing Care for a Patient under the Influence of Alcohol This bachelor's thesis deals with the topic of nursing care for patients who are under the influence of alcohol. "Alcohol is the most spread and widely used psychoactive drug that is greatly accepted within our socio-cultural environment" (Fišer S., J. Škoda, 2009, p. 99). Today's hurried times influence greatly both the psychological and economic aspects of our lives. Therefore, there are many people who, when suffering from a stressful situation, decide to reach after alcohol as a crutch that should mitigate all negative impacts of today's times. But only a handful of them realize that alcohol does not solve any of these problems but rather worsens the situation, whether in the family or in the job. Alcohol causes serious health problems to manypeople and consequently they are forced to seek help in health-care facilities. In a worstcase scenario, it can happen that they end up on the streets and become homeless.Frequently, especially during winter, they have to be taken to a hospital. After the examination they are either hospitalized or, if not seriously injured, referred to a sobering-up centre. Of course, this situation also concerns other people who are under the influence of alcohol, not only the homeless. The nursing care of these patients has to face many problems, whether in terms of communication or aggressiveness. In the theoretical part of the thesis we discussed the terms alcohol, its history, its influence on our organism, the problematic of alcohol drinking among young people, blood and breath alcohol testing, origins and development of the alcohol addiction and its consequences. Moreover, we have examined the impact of alcohol on an individual's social environment, communication, aggression, the patient - nurse relationship, professional deformation and burn-out syndrome. Two objectives were created to comply with the plan. Objective No.1: To describe the approach of nurses to patients who are under the influence of alcohol. Objective No.2: To find out what issues have to face the nurses who take care of patients under the influence of alcohol. Consequently, two research questions were framed. Research question No.1: What are the specifics of the nursing care of a patient affected by alcohol. Research question No.2: What is the approach of nurses to patients who are under the influence of alcohol. The practical part of this thesis contains the results of a qualitative research that is based on an in-depth semi-structured interview conducted with nurses from the hospital Nemocnice České Budějovice a.s. We have approached twelve nurses to take part in this research; the only condition was their work in a ward where they frequently meet with patients under the influence of alcohol. Therefore, we have cooperated with nurses working in emergency department, in intensive care unit and in internal intensive unit. Subsequently, based on the open coding method, every nurse was assigned with a number (from one to twelve). The lines in the thesis mentioning the nurses' answers were numbered in order to refer to them. Using the method of "paper and pencil" important information was highlighted in the text and subsequently, the "showdown" technique was used to divide the gained data into five categories that were then divided into subcategories. The research investigation has provided answers to both research questions. The interviewed nurses stated that the main problems concerning the work with patients under the influence of alcohol are communication, as they have to communicate with these patients very carefully, calmly, to inform them in most cases only about the most important steps, and aggression which is a very common consequence of drunkenness. The cooperation with the police also becomes an integral part of the nursing care of patients under the influence of alcohol, because the saf.
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Mental Hygiene as Prevention of Burnout Syndrome in the Nursing Profession
VÁŇOVÁ, Kristýna
The bachelor thesis deals with mental hygiene as the main means of prevention of nurses fighting burnout syndrome. The theoretical part describes the main cause of burnout - stress. It also describes the profession of nurses and the entire process of burning out. The end of the theoretical part characterizes mental hygiene, mental health, and describes the methods of relaxation. The practical part is devoted to research in utilizing mental health nurse issues in the profession in relation to the preventing burning out. The aim of the study was to determine whether nurses know and respect the principles of mental hygiene and what experience they may have with it. Another goal was to determine how nurses perceive and assess the psychosocial burdens of their profession.
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Student preparedness to cope with the risk of burnout in the teaching profession
ŠESTÁKOVÁ, Petra
This dissertation is based on a theoretical and empirical synthesis. It offers a theoretical discussion of the burnout syndrome and its influences on surroundings, while the empirical part is performed through questionnaire research, where 69 respondents took part mainly from the University of South Bohemia in České Budějovice. The primary aim of this investigation is to illuminate attitudes of students regarding their readiness to face the burnout syndrome in school conditions and to collect information in regards to their reaction to this situation. The evaluated data, gained through the use of open questions, is represented in the charts. It investigates the advantages and disadvantages that the students feel before the start of their career and which can affect their career growth; or their way to failure. It is apparent from the results that the theoretical knowledge of the problematic issues are on a very good level. Most students believe, that they are well aware of what the burnout syndrome is about and that in case of it happening, they would know how to deal with it and where to look for help.
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Attitudes of nurses to nursing care for terminally ill clients in the long term care Departments
SCHMIDOVÁ, Žaneta
Terminal phase means gradual and irreversible failure of vital functions and organs ending in death. This state directly precedes death. We can understand terminal stage as dying itself. "Nevertheless the term dying must in no case be reduced to terminal phase" (Kelnarová, 2007, p. 10). It is the most demanding phase for a nurse and the whole team caring about a dying patient (Theová, 2002).This thesis deals with mapping nursing care of clients at terminal stage and the possibilities of coping with the care of dying clients and their family members for nurses.The research part was elaborated in the form of qualitative research. The aim was to obtain high quality data to given topic. The technique of semi structured in-depth interview was chosen as the most suitable method. Each respondent was given a number. Lines were subsequently numbered to enable references. The data were analysed by the paper-and-pencil method and four categories were created. Ten subcategories were created within the given categories. The information obtained was processed in schemes. The interviews were performed from February to April 2014.The research sample consisted of six nurses working at a long-term care department. The nurses were intentionally chosen in various categories to get the most objective possible data. There was also one man working at the position of a nurse.The respondents' answers showed that nurses working at the long-term care department have basic knowledge of the issue, are able to get oriented in the problems of dying, the terminal stage length, are able to describe the frequency of meeting with a dying client. The nurses cope well with satisfying the needs of terminally ill clients, they do not omit any of the needs. The nurses are capable of having holistic approach to clients. They take the demands of the care about a dying client as a part of their work, they make no difference and care about a dying person as of any other client at their department. They describe their experience with the dying and their families, they only describe communication with a dying client and his/her family as problematic and sometimes they are not sure whether they act correctly and are afraid of hurting someone. They communicate with such a client and his/her family according to their best conscience and they hope that their approach is the right one. The research has also shown that the nurses are able to prevent the burnout syndrome, they understand that they have to care about themselves, they must like their work, have positive approach to life. They perceive burnout syndrome as a problem, they try to prevent it and if they feel symptoms of inconvenience and dissatisfaction with their job they try to find the better aspects and not to give up. Except for one respondent, who describes herself as burned out. This is however given by the respondent's personality itself.The research shows that nurses have sufficient knowledge of the problems of terminally ill clients at their department, that they are able to provide quality nursing care. They however admit that sometimes they are not completely sure whether they treat a client correctly not to hurt him/her in given situation. After this fact was discovered a brochure was prepared giving nurses instructions for general approach to dying clients and help them minimize negative impact on a client.
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Self-reflection of students of schools with the health and social fields of study with respect to the selected field of study
LIŠKOVÁ, Radka
This diploma thesis deals with the theme: Self-reflection of students of schools with the health and social fields of study with respect to the selected field of study. The main objective of the diploma thesis was to find out how the students' view of the chosen field has been changing in the course of study. The theoretical part contains the definition and explanation of terms related to the researched topic. Qualitative methodology was chosen for the research part of thesis. Data were collected using the technique of semi-structured interview. The interviews focused on what influences contributed to the choice of field, whether any differences in the view of the chosen field and the studied issues appeared, and possible reflection of these changes. The research group consisted of ten female students of the "University of South Bohemia in Czech Budejovice", field of study "Rehabilitation - psychosocial care for disabled children, adults and seniors" in the continuing Master's program. The resulting data were analyzed through a process of open coding. It resulted from the research that the motive for selecting the field of study was primarily a desire to help and work with people and interest in problems. Selected field did not meet the expectations of the communication partners, and the majority of them regret their decision in choosing the field of study. The reason is mainly the unsuitable structure of subjects and low salaries in the profession. The advantage of field of study is gaining useful information and competence development. Completing the practical experience is evaluated as positive. A significant part of the communication partners do not feel ready for performance of the profession. Communication partners often changed their attitude to health and social issues in the negative direction. They most often changed their opinion on Roma people. Children and the senior citizens are the most popular target groups. On the contrary, the homeless persons and the Roma people are the least popular. During the study, the communication partners are aware of their shortcomings and risks associated with the profession. All are worried about the "burnout syndrome". Most of the communication partners currently believe that they will be good workers. The obtained results can help enrich the theoretical knowledge of self-reflection of students with regard to the chosen field of study.
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The potential and benefits of pastoral care in perinatal child loss
HRACHOVCOVÁ, Hana
The thesis focuses on the potential and benefits of pastoral care in perinatal child loss. Discussion of the main topic of the work is preceded by a definition of perinatal child loss, information on Dead Foetus Syndrome, an introduction to new-born palliative care at neonatal intensive and resuscitative care units, as well as a reference to the experience parents go through in the death of their own child. A brief introduction of the field of practical theology is followed by the characteristics of clinical pastoral care and the potentials for its practical application. Emphasis is placed on the fact that clinical pastoral care can benefit not only sick patients and their loved ones, but also healthcare workers who are often confronted with pain and suffering during the course of their work. This discussion is then followed by a brief mention of the three theological virtues (love, hope, and faith) that are an essential prerequisite to the efforts of pastoral workers. The topic is concluded with a chapter touching on eschatological perspectives, the importance of baptism, and hope for the salvation of children who pass away before having been baptised.
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Mental hygiene after demanding intervention of IRS
SYNEK, Antonín
The bachelor thesis deals with the mental hygiene at IRS services after an exacting intervention. The thesis has been divided into theoretical and practical parts. The theoretical part contains six main units, which are concentrated on issues of the mental hygiene, stress and burnout syndrome at the basic IRS services. The practical part contains results of a questionnaire survey focused on the mental hygiene and leisure time activities of IRS members and employees after excacting interventions. The main objective of my thesis was to discover means of the mental hygiene most frequently used by IRS workers after the exacting intervention.
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The Ethical Dilemma of Social Service Employees Working with Senior Citizens
HRUŠKOVÁ, Veronika
The subject of the bachelor thesis is Ethical dilemmas of employees in social services when working with seniors. The work is divided into a theoretical and empirical part. The theoretical part is divided into three chapters. The first chapter focuses on social services, and describes what social services are, who receives them and what their principles are. It also defines who a social services employee is and the prerequisites and principles for social services employees. The chapter additionally lists the behavioral principles when dealing with clients and problems which may occur when working with seniors. The second chapter targets ethics and dilemmas which arise in social work. It addresses questions such as what are ethics and morality, what are ethical principles and what is the ethical code. Furthermore, it describes ethical dilemmas, how to handle them and their possible consequences. Last but not least, it also mentions the burnout syndrome, which is a significant component of every exacting profession and needs to be taken into account so that one may avoid it. The third, last chapter focuses on psychological hygiene, i.e. means of relaxing and resting. Psychological hygiene is essential, and the same goes for professional and regular supervision at the workplace, both of which can prevent the burnout syndrome. The goal of the work was to map the methods used by social services employees for solving ethical dilemmas arising from their work with seniors. To obtain the necessary information, we used a qualitative study via a questionnaire and a semi-structured interview. The primary research question was: "How do social services employees approach ethical dilemmas which arise during their work with seniors, and what affects their subsequent behavior?" To answer the primary research question, we designated three partial research questions with subsequent sub-questions, which were answered by respondents during an interview. The research sample comprised four social services employees at the G-centrum Tábor retirement home, specifically two women and two men. Respondents were selected by a targeted selection. The research uncovered the most frequent dilemmas the employees faced and had to resolve. These dilemmas were not only related to their clients, but also often to their family members, who are sometimes intertwined with the arising ethical dilemmas. This makes resolving such problems even more difficult. Respondents claimed that they do their best to follow professional conduct and to prevent damage or harm to their clients, ensuring that the clients continue to trust them. Their practice and years of experience help significantly in this regard. Of course, solution of arising dilemmas also relies on their common sense and good intuition, which they say is often correct. They are aware that their decisions are influenced by several factors, ranging from physical ones such as tiredness and exhaustion to psychological ones such as stress, mood and others. Still, they do their best to ensure that their judgment is not impaired and that the situation is resolved to the client's satisfaction. Each of them relies on some form of relaxation, which allows them to charge-up and takes their minds off stressful situations at work. These included biking, hiking, reading books or spending time with their grandchildren. It is important to know how to relax. Respondents agreed that they have ample time for psychological relaxation. The only thing they complained about was supervision at their workplace. Although proper supervision is a tool/component of psychological hygiene, the employees did not regard it highly. It would likely be a good idea to improve this area at the facility. This bachelor thesis could serve as an informative document for students at the Faculty of Health and Social Studies of the University of South Bohemia, for management of the G-centrum Tábor retirement home, and also for the general public.
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Burnout syndrome among university teachers
ŘEHÁKOVÁ, Soňa
This thesis deals with burnout syndrome among university teachers. The theoretical part consists of three main parts and focuses on definition of the burnout syndrome, its characteristics and causes. The second part deals with burnout syndrome, particularly among teachers and the third one describes the ways of prevention. The practical part aims to measure the susceptibility of stress and burnout among teachers at the Pedagogical Faculty in Pilsen and in České Budějovice. A questionnaire Inventory manifestations of the syndrome was used for this purpose. The final part describes and compares results of both faculties.
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The motivation for the social work profession
KOŽURIKOVÁ, Magda
The thesis deals with the motivation that leads social workers to the choice of this profession. It refers mainly to the fact that the social work profession does not always act on the basis of pure motives, but sometimes its motives to help people can be not entirely correct. Despite this fact it cannot be said that such employee is unfit for social work. The crucial thing is to become aware of the source of the desire to help others and to learn to work with it. The theoretical part of the thesis should lead the readers who are involved in helping professions to think about what their motivation to be a social worker is and to use their knowledge for the benefit of their work and their clients. At the end of the theoretical part I deal with the burnout syndrome which may be caused by unresolved shady motives for a worker and also the question of the proper motivation and taking care of it. The practical part contains a study carried out by means of questionnaire, which was designed for social workers / social service workers in organizations if the Moravian-Silesian Region. It deals with the study of motivation (the motivation in choosing their profession, how the length of practice affects the motivation, the care of worker motivation in organizations, positive and negative motivation factors).
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