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Evidence Based Nursing in internal nursing
ADAMCOVÁ, Eliška
Current situation:Evidence Based Nursing is seen as a new trend in Czech nursing. The appearance of Evidence Based Nursing (further EBN) started to develop hand in hand with Evidence Based Medicine. This term is mainly made known thanks to the nurse education on the university level. EBN not only helps to reduce the hospital costs, improves the patient results, rises the nurse satisfaction, but above all, it rises the quality of the executed nursing care. The diploma thesis is ment to support the development of EMB and its implementation into daily clinical praxis. Research Aim:The main focus of this scientific research is to find out whether the nurses with education on a university level are aware of EBN, whether they can implement the EBN in their daily business and know where to look for proper sources. Further target was to find out whether the nurses without university education can learn how to use the EBN and implement it in the clinical praxis and whether the nursing staff finds the EBN to be useful. To enable the EBN being introduced into the clinical praxis, the next two targets were aimed at the hospital management seeking the approval of the EBN introduction and assurance of the conditions that may help the implementation if EBN. Seven research questions were formed to cover the above mentionned focuses. Methodology:The research was conducted following the principles of quantitative method of data collection and analyses. This study was conducted by means of two thorough interviews. The interviews were conducted as individual and anonymous. Data collection took part from June, 15th until July, 12th 2017 in Jindřichův Hradec Hospital, Plc. Data classification was done via open coding, by means of "pen and paper" method. Following, the individual answers were sorted into graphic charts for the respective cathegory using the SmartArt software. Results:Within the empiric research it was found out that the university graduate nurses are well aware of the Evidence Based Nursing. This knowledge is further reflected in the questions related to the Boole opperators, databases and clinical questions. Among the mentionned databases, we can state PubMed, Medline, ČNB aka Czech National Bibligraphy, Ebsco and Embase. In our opinion, these are the most-known databases in use when searching for the individual proofs. At the clinical question the knowledge of PICOTS and PICo were interchanged what may be a result of limited use of the method. The university graduate nurses would not object to EBN implementation in the clinical praxis, because they see it as perspective. The main obstacle in this step is probably limited knowledge of foreign language that prevents the efficient search for proofs. University graduate nurses were able to state other sources that comprised the proofs verifies by the research activities. The willingness to adopt EBN with nurses without university education was very limited. These nurses follow the tradition, biomedical approach that seems to be sufficient to them and they don't see any prospect in EBN. In our oppinion, this is mainly caused by limited information on EBN available for this undereduated staff. On the other hand, there were several nurses that found some importance and were eager to learn how to implement EBN in their praxis. EBN was found prosperous as well at three managers, who would like to implement the EBN into the nursing praxis and thus support the wider implementation. But generally here the EBN faced most troubles and it was lack of nurses and lack of finance. Conclusion:Finally, the research shows that even though the managers find the EBN fruitful and would like to implement it in the nursing, as well as some employees on the nursing level, the Jindřichův Hradec Hospital has currently not enough finacial resources and personnel to provide sufficient conditions for EBN.
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The Culture of OSPOD Departments and the Conditions for Coping with Workload
Adamcová, Eliška ; Matoušek, Oldřich (advisor) ; Pazlarová, Hana (referee)
The bachelor's thesis " The Culture of the Child Protection Unit and the Conditions for Coping with Workload" deals with working conditions at child protection unit, describes specific characteristics of the work. The thesis determines a role of head of the department focusing its essential influence on local working environment. Using the management theory the thesis specifies fundamental tactics to create stimulating surroundings with enough support and assistance in coping with overburden - often coupled with these departments. The research summarizes examples from common situations at child protection unit into concrete statements that reflect ways of executives to build good working environment for the workers - building strong relationships, considering periodic supervisions and atmosphere of trust, encouragement and respect.
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Risk of fraud in VAT fraud
ADAMCOVÁ, Eliška
This thesis discusses the risks of a VAT payers getting involved in a VAT fraud. Specifically it analyses possibilities of getting involved into the VAT fraud because of being irresponsible or because of doing business with an unreliable payer. It also analyses an impact of this situation. A questionnaire was used to get data for an analysis of knowledge of the main concepts regarding VAT among employees from different disciplines and entrepreneurs. It also revealed who is using some ractices to prevent getting involved into the VAT fraud and who is not. A result of the analysis is a fact that there is a need of bigger focus on this problem. Some best practices how to prevent getting involved into the VAT fraud need to be spread among VAT payers. The main goal of this thesis is to recommend some best practices to VAT payers.
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Community Work with Immigrants
Adamcová, Eliška ; Šťastná, Jaroslava (advisor) ; Dohnalová, Eva (referee)
The thesis aims to look into the possibilities for the use of community work in the process of immigrant's integration into the society. The community work as an instrument of social work serves as a mean for building mutual bonds within a urban community, encourages development and exercise of the potential of the community and its citizens. This strengthens the active citizenship and involvement of the citizens in the processes that imminently concerns their lives. The thesis desribes the ways of possible inclusion of the immigrants in these processes in order for them to become equal fellow citizens of local communities and equal citizens of the country into which they decide to emigrate. The theoretical and philosophical background of this approach is an implementation and development of the political, civil and social rights that the immigrants acquire when given the permission of stay in certain country. The thesis describes results of a qualitative research lokking into community practise of two cities - Sheffield (United Kingdom) and Graz (Austria). These two examples describing the city council's involvement and the organizations-in-the-community's involvement are used to both define the realms of integration where the community work plays an undeniable role, and to come up with concrete...
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The Culture of OSPOD Departments and the Conditions for Coping with Workload
Adamcová, Eliška ; Matoušek, Oldřich (advisor) ; Pazlarová, Hana (referee)
The bachelor's thesis " The Culture of the Child Protection Unit and the Conditions for Coping with Workload" deals with working conditions at child protection unit, describes specific characteristics of the work. The thesis determines a role of head of the department focusing its essential influence on local working environment. Using the management theory the thesis specifies fundamental tactics to create stimulating surroundings with enough support and assistance in coping with overburden - often coupled with these departments. The research summarizes examples from common situations at child protection unit into concrete statements that reflect ways of executives to build good working environment for the workers - building strong relationships, considering periodic supervisions and atmosphere of trust, encouragement and respect.
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Patients knowledge about their rights during hospitalization in medical institution
ADAMCOVÁ, Eliška
Current situation: "As a result of social, economic, cultural, ethical and political progress, a movement for improvement and full utilization of patients' rights ensued (1. s. 56 )" . For a patient to know his legal rights may lead to his speedy recuperation as well as a psychological comfort. From my personal experience I know that, in the nursing patient´s case history records regarding familiarity with their rights, the corresponding column is but checked through without informing the patient about his rights. As well, I know the patient´s feelings in the absence of this information. Therefore, I wish to address this problem and furthermore, I wish to contribute to changes in this situation through this research. Research Aim: The aim of this research undertaking was to find out if patients know their rights and if they can describe them. Further, the research aimed at finding out if, upon admittance to healthcare facilities, the patients were advised of their respective rights and, if these rights were being observed by the nursing staff. For the purpose of this research aim the following questions were chosen: What is the cognizance of the patients regarding their rights during hospitalization in a healthcare facility? Through what approaches are the patients familiarized with their rights? To what extent do the nursing staffs adhere to the legal rights of the patients while in the hospital? Methodology: For the purpose of this research survey qualitative methodology and analyses of data were chosen. The qualitative study was realized through a technique of in-depths interviews with anonymous individuals. The collection of data took place in July of 2014 in the Hospital in the City of Jindrichuv Hradec. Data analyses were done through an open coding system, utilizing methodology "pencil and paper" (2). Consequently, individual categories of answers were organized in graphic diagrams in SmartArt program. Conclusion: From the research survey it is evident that, the patients lack knowledge about their rights. The reason for this rests in an incorrect education of patients by nursing staff upon admittance. Nevertheless, adherence to patients' rights within the wards under questioning meets good standards. This work should contribute to better familiarization with the rights; thus increasing the herein mentioned knowledge of the rights of the patients.
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