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Satisfaction of clients in retirement homes with nursing care
KOTKOVÁ, Stanislava
The diploma thesis " Satisfaction of clients in retirement homes with nursing care" maps out clients´ contentment in nursing homes and simultaneously also how general nurses influence this contentment. With extending lifespan, the number of seniors who need institutionalised care is growing. Placing a senior in a nursing home and thus leaving his/her original home can influence his/her general contentment. The theoretical part deals with the changes in old age, nursing care of seniors, communication with seniors and contentment. The research part was implemented through a quantitative research construct with seniors through a structured interview based on a questionnaire. The second part was implemented through a qualitative research construct with general nurses through an in-depth interview. The aim of quantitative part of the thesis was to detect clients´ contentment with provided nursing care in nursing homes. There were 3 hypotheses determined. H1: Clients´ contentment in nursing home changes depending on gender. Based on the research construct, it emerged that contentment of nursing home clients does not change depending on gender; therefore, this hypothesis was refused. H2: Nursing personnel influences positively contentment of nursing home clients. Based on the research construct, it emerged that the nursing personnel influences positively contentment of nursing home clients, therefore this hypothesis was confirmed. H3: Contentment of nursing home clients changes depending on their self-sufficiency. This hypothesis was neither confirmed nor refused. Based on the research construct, it emerged that the clients´ contentment changes partially, depending on their self-sufficiency. The aim of the qualitative part was to identify factors influencing contentment of nursing home clients from the point of view of a nurse. For this target, one research question was determined. RQ1: How can nurses influence contentment of nursing home clients? From results it emerged that nurses can influence contentment of nursing home clients by all what they do for clients by their willingness and helpfulness. It was revealed that clients´ contentment is influenced not only by providing essential biological needs, such as hygiene, help with eating and hydration. Clients´ contentment is influenced by nurses´ presence and well-elected communication. From the research construct, it emerged that communication is perceived by nurses as one of the basic factors of contentment. The reason of this fact is that communication helps to get closer and thus the clients can feel more like at home. Furthermore, it emerged that seniors are influenced by nursing personnel, decent dealing and handling as well as by the environment where they live. The obtained results might be provided for the management of nursing homes and thus they might contribute to better quality of provided nursing care. Based on the results, an interactive seminar with nurses might be organised, which would focus, for example, on the field of communication, manipulation or self-sufficiency support of the clients.
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Nurse's work at gastroenterological out-patient's ward
KOTKOVÁ, Stanislava
This bachelor work "Nurse's work at gastroenterological out-patien's ward" maps the work of nurse at gastroenterological out-patient's ward, the nurse needs to have a technical qualification, needs to know how to organize her work and how to take care of a patient and how to communicate. The work of gastroenterological nurse is really challenging according to constantly developing technologies. The theoretical part describes nursing methods and specifics of nurse's work. The research part was realized through qualitative survey via semi-structured discussion. The aims of the work were: 1. To find specialties of the nurse's work at gastroenterological out-patient's ward and 2. Figure out choices in further education of nurses working at gastroenterological out-patient's ward. There were stated three research questions: 1) What is the content of the nurse's work at gastroenterological out-patient's ward? 2) What is specific about the communication between the nurse and the patient? 3. What possibilities do nurse working at the gastroenterological out-patient's ward have in further education? Although the research was made in two different hospitals, nurses almost agreed on the content of their work. The survey showed that nurses do a lot of work: they guarantee the functioning of out-patient's ward, they communicate with the doctor and the patient, they watch out for endoscopes, they take biological material etc. We found out that nurses have a lot of opportunities for further education which hospital offers such as courses, seminars and workshops. The results of this work could be used as a source of information for nurses working at gastroenterological out-patient's ward or as a studying material for new coming nurses. These results could also be presented in professional magazines and in professional conferences.
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