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Monitoring quality indikators of anesthesilogy care
Šimonová, Petra ; Jeřábková, Lenka (advisor) ; Dynáková, Šárka (referee)
Safety and quality of care are considered to be one of the main priorities in anaesthesia and their management and monitoring should be continuous and systematic. Quality indicators in anaesthesia must be frequently evaluated. Their evidence and evaluation create not only safe environment for patients but also continuously improve quality of anaesthesiologic care. The main objective of this diploma thesis was to evaluate patient's satisfaction with provided anaesthesiologic care, one of the main quality indicators in anaesthesia. Other objectives were research of quality indicators recommended in the Czech Republic and quality indicators recommended by foreign medical societies. The last partial objective was to create quality indicators checklist tailored for specific department of anaesthesiology based on collected data. Quantitative method research was conducted, using unstandardised questionnaire for patients, hospitalized and anaesthetised. 140 questionnaires were distributed of which 117 questionnaires returned. Based on objective the author of diploma thesis found out that Czech society of anaesthesia, resuscitation and intensive care determines quality indicators monitored in the Czech Republic. Quality indicators in foreign countries are in form of criteria that are necessary to adhere to....
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Providing spiritual care in the intensive care unit
Čermáková, Věra ; Mellanová, Alena (advisor) ; Dynáková, Šárka (referee)
The rise in modern nursing and nursing processes using holistic philosophies. When providing care it should be taken into account the biological, psychlogical, social, but also the spiritual needs of patients. Caring for spiritual needs is an integral part of comprehensive care. Providing spiritual care and psychological support are among the main activities of hospital chaplains. Their work is of great importance in overcoming all the difficulties that illness brings. They are part of a multidisciplinary collaboration in the treatment of patients without a distinct faith. The aim of the thesis is to find out the level of awareness of patients in the sphere of spiritual care, their expectations and their contribution. For the thesis I chose to collect data from a hospital through quantitative research using an anonymous questionnaire. The target group of my research will be 100 patients who are hospitalised in an intensive care unit with a minimum hospitala stay of 7 days. The goal of the work was fulfilled. The result of the research was confirmation that the spiritual care provided was reflected in their psychological state and also fulfilled the patients expectations. In the conclusion of my thesis I recommended some ways in which to improve the quality of care in the area of spiritual needs....
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The relationship of the selected pollutants in the air on the emergence of acute coronary syndrome in patients rescued by emergency medical service in Most region
Cmorej, Patrik Christian ; Nesvadba, Marcel (advisor) ; Dynáková, Šárka (referee)
Recent published studies have provided new information about the significant influence of environmental factors, especially air pollution in the development of acute coronary syndrome. Besides the well-known controllable and uncontrollable risk factors it is necessary to focus on non-conventional risk factors. The thesis aims to determine whether there is a statistically significant relationship between the days in which patients with acute coronary syndrome type STEMI were rescued by the EMS Most and the average daily concentrations of pollutants in air (PM2,5 and PM10, ozone, carbon monoxide and nitrogen dioxide) in seven previous days. The research methodology is based on a retrospective observational analysis of 116 patients with acute myocardial infarction in prehospital emergency care and the impact of the above pollutants in air with the use of statistical methods. The results in sets of ozone and nitric oxide effect presents a significant impact of day (p=0.0283/0.0424), sex (p=0.0216/0.0232) and age (p=0.0008/0 .0187). Although we have found a statistically significant effect of a day, gender and age in our analysis, it is necessary to continue research in a larger statistical sample to minimize the statistical errors. Key words: acute coronay syndrome, air pollution, emergency medical service
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The needs of expectant mothers in the first stage of childbearing time with focus on the psychical and social needs.
Koblitzová, Svatava ; Kulhavá, Miluše (advisor) ; Dynáková, Šárka (referee)
The work focuses on the issues and needs of mothers giving birth in the first stage of labor. Specifically on the needs of mothers from the beginning of the first stage of labor until the birth itself. In the theoretical part, the author focuses on the history of obstetrics, access to pregnant women in the past and in the present obstetrics. Furthermore, in the context of theoretical described childbirth and individual stage of labor, including a focus on mental and physical and social aspects of childbirth. For practical implementation, the study is the use of quantitative methods and techniques of data collection is questionnaire. The main objective of this thesis is to investigate how mothers themselves the approach of the nursing staff in relation to their needs.. Within the sub-objectives of this thesis were: Determine whether a woman in labor was at all times a feeling of privacy and intimacy. Determine whether the approach of the nursing staff to bring forth empathetic. Determine whether the mother worked on environmental obstetrics department reassuring. The results show that the addressed respondent deemed most appropriate by the presence of a loved one during the antenatal and childbirth. Another important need that presented in the research investigation was needed pain relief,...
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Formation and development of neonatal intensive care in the Czech republic
Uhlířová, Lucie ; Fendrychová, Jaroslava (advisor) ; Dynáková, Šárka (referee)
Diploma thesis deals with historical formation of neonatal intensive care in the Czech Republic. Its aim is to map the evolution of intensive care, from the very beginning up to the contemporary period, and provide a concise overview of events leading to Czech Republic being one of the countries where level of neonatal care is considered to be most advanced. Theoretical nature of the thesis required a study of historical and contemporary literature, particurarly artticles and books. As an extra supplement, authentic information have been gathered from the pathfinders. In the introduction to the thesis, reason for choosing the topic is described, then current status of knowledge in this area is summarized. Following that, process of creating of the historical analysis is described. Chapter on neonatology introduces and explains terms that are crucial for comprehending the context stated in the historical part of the thesis. Chapter which maps the historical evolution itself is divided into seven sub chapters which describe course of events in the particular periods. Evolution of perinatal care abroad is also shortly described. Thesis reviews an extraordinary evolution of neonatal intensive care which has occurred in very short period of time. During this period pioneers had to overcome many hurdles,...
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The concept of basal stimulation from the point of view of nurses working on Anaesthesiology and Resuscitation Facility
Kycltová, Pavlína ; Hocková, Jana (advisor) ; Dynáková, Šárka (referee)
Introduction: The dissertation of "The concept of basal stimulation from the point view of nurses working on Anaesthesiology and Resuscitation facility", discusses the matters of specifics and issues when it comes to providing a basal stimulation process within patient's hospitalization in a resuscitation unit. Patients in very complicated health conditions are hospitalized in a resuscitation unit, very often with symptoms of impaired consciousness. The concept of basal stimulation could very likely help patients' communication with other environment, with accepting and perceiving the actual situation as well as with recovering itself. The point of this dissertation is to chart the real and actual problematics of the basal stimulation used within resuscitation units, and also how nurses working in these units are bringing the concept to bear within their practice. Research methods and results: There are qualitative results posted within the empiric part of the research, as well as interviews with ten general educated nurses working in a resuscitation unit. All the results are collated and analysed in the final discussion after literal transcription of all the interviews. The result of which is, that the general educated nurses see the biggest issue when it comes to providing a basal stimulation...
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