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Internal audit and its role in nursing practice
JINDRLOVÁ, Lenka
Current state: According to Act No. 372/2011 Coll., On health services, it is the duty of every health service provider to implement an internal control system. The purpose of internal audits is to identify deviations from recommended procedures and arrange for their correction. The aim of this research was to find out the opinions of general nurses and internal auditors on the influence of internal audits on the quality of provided nursing care and to evaluate the completeness and complexity of keeping nursing documentation. Methodology: The design of empirical research consisted of quantitative-qualitative procedures, the technique of content analysis of selected internal regulations, semi-structured interviews and secondary analysis of medical documentation (internal audit). The qualitative part of the research involved five general nurses working at the Department of internal medicine of a selected hospital in the South Bohemian region and five internal auditors within the same hospital. A content analysis of three internal regulations was performed. In the quantitative part of the research, 285 closed nursing documentation files were audited. Results: The research confirmed that internal audits of nursing documentation statistically significantly increase the accuracy of nursing care records. Repeated audits of nursing documentation have improved documentation management in the areas of identification of patient ID forms, standard procedure for correcting records, assessment of the risk of pressure ulcers, record of education about invasive entry, proposal of preventive measures to minimize the risk of falls and record of non-administration of drugs. Nurses and auditors evaluate internal audit as a suitable tool for maintaining and improving the quality of nursing care. Conclusion: Based on the identified shortcomings in the management of nursing documentation, we recommend the hospital management to increase the frequency of internal audits, identify the root causes of errors in the documentation management and arrange for their correction. Last but not least, we recommend to organize professional seminars on the issue.
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Needs and Experience of Families with Child Suffering from Spinal Muscular Atrophy - Current Situation and Challenges for Social and Health Care System in Czech Republic
Schagererová, Iveta ; Štegmannová, Ingrid (advisor) ; Tichá, Růžena (referee)
Situation of families in which a child with spinal muscular atrophy was born, is the topic of this thesis. This rare genetic disease affects neuromuscular system of children and shortens their lives. In most severe cases the failure of respiratory functions comes in the first year of child's life. This thesis is focused on support that Czech system of social and medical services provides to families with this disease. Next, it looks into needs of these families and examine the extent to which the system is able to saturate them. Very important point in this research is also families' perception of quality of care. The research was implemented with use of qualitative methods, mostly by semi-structured interviews which followed families' journey through the system of social and medical services. Then there is a comparison of experience of families with theories, policy and other normative framework and suggestion of steps that should be taken to improve families' satisfaction with services they receive concerning the child's disease. Key words: spinal muscular atrophy, rare diseases, patient's autonomy, patient- centered care, patient journey, quality of care.
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The needs of vulnerable older people in home health care
Dostálová, Vladimíra ; Holmerová, Iva (advisor) ; Macková, Marie (referee) ; Auer, Stefanie (referee)
The present dissertation, which focuses on the needs of particularly vulnerable older people in home health care, was written within the framework of the PhD study in Longevity at the Faculty of Humanities, Charles University and was carried out as part of the project supported by the Charles University Grant Agency "Met and Unmet Needs of Particularly Vulnerable Older Patients in Home and Inpatient Care" (GA UK No. 760219). The overall aim of the three researcher project, where I was the research coordinator, was to clarify the needs of particularly vulnerable older patients in both home health care and inpatient care, including the needs of patients living with dementia. The aim of this dissertation was to identify the needs of vulnerable older patients in home health care. This dissertation consists of four papers. At the time of writing, two articles had been published in peer-reviewed journals and two articles were under review. The thesis has chapters in the introduction and conclusion that set the professional articles in context, creating a comprehensive view of the needs of particularly vulnerable older people in home health care. As three of the four peer-reviewed articles submitted have been published (1) or under review (2) in international journals, the entire dissertation is written...
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How to meet needs of seniors in hospital care.
Bláhová, Hana ; Holmerová, Iva (advisor) ; Macková, Marie (referee) ; Kisvetrová, Helena (referee)
The submitted dissertation of the PhD study programme Longevity Studies was prepared and financially supported by the project GAUK - Grant Agency of Charles University No. 760219 entitled "Met and Unmet Needs Of Particularly Vulnerable Older Patients in Home and Inpatient Care", of which I am a co-investigator. The mentioned research project is also in the intentions of the strategic plan and long-term activities of the research team CELLO (Center for the Study of Longevity and Long-Term Care), which is the scientific basis of the PhD study programme Longevity Studies. The main goal of the GAUK project is to provide a comprehensive overview of the needs of vulnerable older patients who are provided health care. The project is focused on three areas, which are: the needs of patients with dementia, the needs of geriatric patients at home and the needs of geriatric patients in hospital care. Partial goals are the exploration of current knowledge of the issue based on a review of Czech and foreign literature. The aim of the survey is to find out attitudes and opinions on satisfying needs from the perspective of patients and healthcare professionals. The practical goal is to create recommendations for good practice for the health care of these patients. The dissertation consists of a total of seven...
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Reform of mental healthcare in Czech Republic
Šilhanová, Andrea ; Válková, Monika (advisor) ; Mlejnková, Kristýna (referee)
In the thesis I examine current legislative anchoring of healthcare and social care of mental health. In the second chapter of theoretical part I write about classification of mental illnesses. Third chapter, which is very important from my point of view, describe transformation of healthcare and social care in the foreign countries. Practical part contains pilot survey for the Ministry of Health. The purpose was to find out the satisfaction of the clients with social and health services, which are part of the treatment of mental health. Satisfaction was detected by questionnaires, which patients had available with their ambulant psychiatrist. Those questionnaires were created at round tables by experts, patients and service providers in a hospital. Social care and healthcare do not connect. Experts do not communicate with each other. Tragical finding was that ambulant psychiatrist has in average thirteen minutes for examination of a client. Definitely Czech Republic need Centre for Mental Healthcare for complex care of the patient.
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Hand hygiene of healthcare workers providing care in a medical facility
Hájková, Iveta ; Kordulová, Pavla (advisor) ; Kulířová, Veronika (referee)
The subject of the bachelor thesis is focused on issues related to hand hygiene in health care workers, in the provision of care in the health facility. Even though this topic is often mentioned, it is in practice less understood or misinterpreted. Sometimes, it is neglected or downplayed by health workers. The theoretical part is divided into 7 chapters. Here is anatomy and physiology of the skin, microbiological and epidemiological situation, measures aimed at eliminating the source and avoiding the route of transmission, effective methods of disinfection, sterilization, elimination of microorganisms and their transmission, in the health facility. Hand hygiene and its techniques, proper use of personal protective equipment, nail hygiene and, last but not least, skin care. Explaining the concept of hospital infection, which increases morbidity and mortality of patients, increases both diagnostic and therapeutic interventions and generally aggravates the quality of care provided with prolonging the period of hospitalization. I have worked on a search for relevant resources on the subject. The sources I drew mainly from WHO guidelines, CDC, Decree No. 306/2012 Coll. and on the basis of a literature search from the National Medical Library. I received the consent to perform the action research from...
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