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The importance of the ostomy nurse for the surgical department
ZRONKOVÁ BROŽOVSKÁ, Alena
Surgical procedures of gastrointestinal diseases often lead to the creation of an ostomy. The number of clients with an ostomy is increasing as the Czech Republic ranks among the countries with the largest incidence of malignant colon disease. Health care professionals in any field can often encounter the client with a stoma. Therefore, it is essential for them to understand and manage this issue well. Nursing care of such individuals is very extensive and specialized. Nursing team usually focuses only on physical care but other problems associated with stomas are pushed aside. The only highly knowledgeable and qualified expert in this area is a stoma nurse specialist (an ostomy nurse). This thesis deals with the importance of the role of the stoma nurse specialist in the postoperative phase from the perspective of nurses from surgical departments as well as from the perspective of patients with a colostomy. The thesis is divided into theoretical and empirical part. The theoretical part is further divided into four chapters: colostomy, care about stoma patients, life with a colostomy, an ostomy nurse. Two objectives were determined for processing of the empirical part. We used a combination of quantitative and qualitative research to achieve our goals. The first objective was to determine whether general nurses have the knowledge to care for a client with colostomy in the postoperative phase. To obtain data for the quantitative part of the survey the method of anonymous interviews using a questionnaire, in which the research group was formed by general nurses, was selected. The survey results revealed that nurses have sufficient knowledge to treat and educate clients with a stoma. Although not all general nurses encounter colostomy patients, they widely believe the knowledge of this issue is important for the occupation of a nurse. For the quantitative part three hypotheses were selected and tested statistically. Hypothesis 1: General nurses have the knowledge to treat the client with a colostomy. It was confirmed. Hypothesis 2: General nurses have enough knowledge to educate the client with a colostomy. It was confirmed. Hypothesis 3: General nurses positively evaluate the benefits of an ostomy nurse in care for stoma patients in the postoperative phase in the surgical department. It was confirmed. The second objective was to determine the significance of the stoma nurse for clients with a colostomy. For the qualitative part of the survey the method of direct questioning by means of a semi-structured interview with open questions was chosen. The study group consisted of patients with a colostomy. For this part of the survey a research questions was specified: What is the importance of an ostomy nurse for the stoma patient in the postoperative period? We concluded that the ostomy nurse is viewed as an educator, counselor and psychological support. The ostomy nurse is the only one who can provide stoma clients with coherent and comprehensive information they need to live with a colostomy. Both groups of respondents agree that the stoma nurse is the irreplaceable specialist. Shift nurses fail to provide comprehensive care stoma patients need. An ostomy nurse needs to be a part of nursing care not only in the postoperative phase, but also in the preoperative period. There is need for closer cooperation between general nurses and the ostomy nurse. Nurses indicate their willingness to be educated in this area, while preferring seminars, lectures and conferences. The results also led us to create information material Care of the client with colostomy, as the nurses indicated that they would welcome a brief, clear, visual information material.
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Organization of I. national Spartakiad in Czechoslovakai in 1955, its importance and symbolism for Communist regime
Koubová, Jana ; Szobi, Pavel (advisor) ; Fabianková, Klára (referee)
The thesis deals with the way the organization, meaning and symbolism I. Spartakiad held in 1955 in Czechoslovakia for the communist regime. In the introduction deals with political, economic, social and cultural situation after the World War II in Czechoslovakia. Then the thesis deals with the field of physical education and sport. It deals with the process of the unification of physical education in the interests of the communist party and its effects on the arrangement I. Spartakiad. A key issue is the demonstration of abuse traditions sports in Czechoslovakia, abuse Sokol festivals in order Spartakiad in terms of their organization and eventually themselves abuse masses protruding trainees. All this also presented an example of gymnastic songs, during which trainees through movements of their bodies to express a clear link to the communist symbolism.
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The importance of castle park Kratochvíle for tourism
KAITMANOVÁ, Gabriela
This bachelor´s thesis is focused on the touristic utilization of a park situated at the Kratochvíle Castle. The main aim is to assess the attractiveness of that chosen object. Via the questionnaire survey there was made an assessment of the structure of current visitors, their motivation for a visit, and what they usually search for, what they find attractive, what leisure time activities they usually carry out on their holidays. The result was the identification of suggestions on the optimization of the use of the Kratochvíle Castle Park.
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