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Risk Management in Selected Health Facilities
JÍNOVÁ, Jana
Healthcare risk management consists of continuous consideration of potential adverse situations and their prevention. In this sense, healthcare facilities consider any source of uncertainty to be a risk which must be eliminated or, at least, reduced. International studies show that up to 70% of adverse events could be prevented. Reasons for observing various types of adverse events may differ in individual healthcare facilities. However, most adverse events are observed in an effort to prevent their consequences upon patients' health.
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Long-Term Care fot the Elderly
TESAŘOVÁ, Marie
The bachelor thesis deals with the Long-term care for the elderly. This thesis is divided into two parts, theoretical and practical. In the theoretical part, I acquainted reader with the concept of aging, age and what its types are distinguished. I also mentioned the changes in the age and species of the needs of seniors. Since the theme was the need to include in the theoretical part of the concept of long-term care and what its types are. In the practical part I examined how long-term care users are satisfied with the level of care provided by the qualitative research method. To collect data, I used a form of questioning and interviews were conducted with ten communication partners who are momentary users of long-term care. These users I chose the quota sampling, the essence of which is to establish a certain quota and the subsequent withdrawal compliant research file. My quota in this case was the age of users (over 65 years) and gender, that percentage was well represented in both research file (3 women and 2 men). Interviews lasted between 40 60 minutes and was selected the technique of semi-structured interview. The questions need to get data have been divided into four main headings. The research was conducted in six long-term care facilities, three of which were social system and three of health. In the research, the research questions were determined to have us closer to client satisfaction. The aim of this thesis was compare the social care system for the elderly, the health system. The operational objective was to map the situation of seniors in facilities to assess their quality of care and assess the situation at the end whether the social beds that are part of the health facilities in the event of cancellation can be replaced beds consequential or long-term care.
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Culture safety of medical devices and pacient safety
ŠTĚRBOVÁ, Denisa
The quality issue of provided health care is the topic which is constantly getting more attention. In this area there is always even probably will be always - something to improve. The patients´ safety in healthcare facilities is affected by the so-called culture of safety.The research was conducted in six medical institutions of the South Bohemian Region, though seven were originally planned. However, I was not given the data here, probably due to the long term incapacity of the respondent. The research was focused precisely on the area of care quality and patient safety. A mixed method research (qualitative and quantitative) was deliberately used in this task. The aim was to map the most common causes of adverse events and then, based on the causes, to propose possible arrangements to prevent the occurrence of the causes. For this purpose five research questions were established.The outcomes obtained were processed into tables, plus the graphical representation of some was accompanied. Then, in the "discussion" chapter, the results were compared and analyzed in more detail.
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Education of nurses, implementation in practice and the effect of its outputs
KOVÁŘOVÁ, Miroslava
The dissertation is divided into theoretical and practical parts. The theoretical part deals with the historical equipment of nursing and nursing education in the Czech Republic, further the legislation, the implementation of nursing education and a personality of a nurse. For the processing of the empirical part there was chosen the method of quantitative and qualitative research inquiry. For the quantitative inquiry there was chosen the method of asking by means the technique of a questionnaire and for the qualitative part of the research inquiry there was chosen the method of asking, namely the method of half-structured interview with opened questions. For the quantitative inquiry there were prepared two sorts of questionnaire, the first for the nurses, namely the universal nurses from experience and the second for patients, it means for the non ? professional public within the Southern Bohemia. There were set six surmises for this part of inquiry. The results of the inquiry were elaborated into diagrams and tables. In the quantitative part of the research inquiry were verified six hypothesis, that were set in advance: 1. The interest of nurses for the education follows more from the legislative aiming than from interest about more quality nursing care of a patient. The results show us that the need of credit is for the nurses more important than the need of more quality care for a patient. The first hypothesis was confirmed. 2. Choice of the courses of lifelong learning depends more on the amount of financial claims than on the orientation on care that provided. There follows from the research inquiry that for the nurses is more important the interestingness of an event than the amount of financial costs. The second hypothesis was disproved. 3. Motivation for the nurses for education is more the system of university education than the increasing of the quality of care. The results show that the nurses are more motivated by the need of a university education than by a better care of a patient. The third hypothesis was verified. 4. Implementation of an output of education isn´t incremental to its application in the real environment. The research inquiry showed us, there is no big possibility for the nurses to implement the results of their education in practice. The fourth hypothesis was verified. 5. The patient?s don´t distinguish, if the nursing care is provided by a qualified nurse or by another member of a nursing team. The fifth hypothesis was verified. 6. The patient?s don´t perceive nurses according to their education, but to a uniform. The results show, that the patients are not knowledgeable in the nursing staff neither according to their uniform nor their education. The sixth hypothesis was disproved. There were approached 12 respondents for the qualitative part of the research inquiry, within the Southern Bohemia again. The interviews were taken down, rewritten and analysed. The obtained data were categorized. There was set Research question for the qualitative part of the research inquiry: What is the meaning of nurses about the implementation of their education I the praxis? There was finding out by the research inquiry, that the nurses generally welcome the university education, mainly because of the reason, that the nurses come in praxis in a higher age. The lifelong learning should be also beneficial for them, but this has its shortcomings, namely in the financial part and it isn´t supported by the employers. They can also see the problem in implementation of their obtained knowledge from education in non ? interest of their employer and other members of nursing team.
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Nursingl Assistant - contribution to the quality of professional nursing care
BROŽOVÁ, Miroslava
The diploma is focused on a status of adhering to medical assistent?s competence. Contribution and use of this profesion in modern professional nursing is ambiguous and problematic in nursing practice. Nurse managers, nurses and medical assistents had participated in this survey. The survey took part, with head nurse?s approval, in hospitals of Central Bohemian region and Prague. The diploma is dividend into two parts, theoretical and practical. In practical part we have chosen to use a quantitative survey method. Then we have used a questionnaire method to collect data. Questionnaires were anonymous. The first group consisted of nurse managers in a count of 90 (100%) respondents. The sekond group consisted of nurses and medical assistents in a count of 181 (100%) respondents. The first goal of the diploma was to discover how medical assistents competence is being fulfilled according to legal standards. The survey discovered that medical assistents assignments are above standard legal competence. After proccessing the results of the quantitative survey, the first theory, that medical assistents are instructed to adhere to their competence, was disproved. The second goal was to assess the status of medical assistents in current professional nursing. In our survey we?ve defined a theory, that medical assistent?s competence contributes to an efficiency of a whole medical team. Results discovered, that medical asistent is an adequate member of a medical team, this theory was confirmed. The last goal of the diploma was to find out management point of view on use and involvement of this non-medical profesion in providing a high-quality nursing care. The third theory of the survey, that management prefers nurses to medical assistents, was also confirmed. These results confirm the current situation of this issue. Discovered results will be provided to medical facilities as a self-reflective and nursing activity improving materials.
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Prevention of injuries of patients in health facilities
KUBÁTOVÁ, Aneta
The thesis concerns the prevention of injuries of patients in health facilities. Even though the facilities themselves make efforts to ensure secure surroundings, through the nursing practice we still register injuries of patients which are caused most often by falls of patients, fires started during the hospitalizing and injuries caused by electric current. The research showed that nurses in health facilities concern themselves with the prevention, however, imperfections were discovered, for example insufficient knowledge of nurses in re-appraisement of risks of falls of patients and about the entries necessary for the form of extraordinary event.
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Strategic Analysis and Health Care Quality of Masaryk Hospital in Jilemnice
Jiřičková, Veronika ; Střítecký, Rudolf (advisor) ; Lešetický, Ondřej (referee)
The aim of this thesis is to elaborate a strategic analysis of Masaryk Hospital in the city Jilemnice and evaluation of quality of care in this medical facility. Masaryk Hospital in Jilemnice city is located in the Giant Mountains region in the Liberec Region and is the largest organization run by the city Jilemnice. The health sector in the region is developing quite dynamically and is thus evident that although the hospital is a non-profit organization run by the city, operates in a market environment, especially due to relatively visible competitive struggle between hospitals in its vicinity. It is a facility offering comprehensive acute health care, which operates six other wards and outpatient department.
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Utilization of the role of a nurse as a decision-maker in practice in connection with provision of quality nursing care
STEHLÍKOVÁ, Jaroslava
The thesis attempts to outline the extent to which the decision-making role of nurses is utilized, and the main factors that affect decision-making of nurses within the scope of provision of nursing care. The research has found out that nurses utilize their decision-making role to an insufficient extent hence the sense and purpose of decision-making must be emphasised again. This task may be assumed by managing nurses. Managing nurses may also contribute by more effective defending of competences of nurses. From the factors needed by nurses for effective decision-making, attention should be paid particularly to education. It is necessary to make possible for nurses to extend their knowledge and thus to obtain theoretical insight (e.g. in respect of decision-making) to be used by them while providing care to a patient/client.
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The Theological Inspiration for Quality Nursing Home Care
BERKIOVÁ, Kateřina Adriana
The work deals with the holistic concept of comprehensive home care. First, it deals with different characteristic aspects of home care, who provides the care, the extend to which care is provided, principles to be followed when caring, attention is paid to the needs of clients and a good communication with them. Because home care often provide religious charitable organizations, it is also dealt with the Caritas Czech Republic. The last chapter of the first part deals with the common problem of workers in the helping professions, the burnout syndrome. For the implementation of quality health and social care were developed in the society quality standards, that are binding in providing care and assistance which can evaluate the quality of care provided. Our question is, how can theology contribute to the quality of home care. To implement certain elements of quality are in this work offered theological impulses, that can assist in providing quality holistic home care to clients.
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