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Clients foreknowledge problems of postoperative and subsequent care after replacement of the cardiac valve
PRŮŠOVÁ, Vendula
Problems of clients` knowledgeability of postoperative and follow-up care in the case of heart valve substitute. Heart valve defects are unpredictable diseases that can exist without any symptoms for a long time. Heart valve operations comprise the most frequent group second to by-pass operations and nearly a half of all heart-surgical interventions with adult clients. The aim of the thesis was to find out about clients` knowledgeability of postoperative and follow-up care in the case of heart valve substitute, and what kind of information is needed to achieve by the clients from nurses; what educational materials are used to inform the clients with heart valve substitute and also to find out who are the clients with heart valve substitute informed by. Two hypotheses were predefined: 1 {--} Clients are satisfied with the provided information about postoperative and follow-up care in the case of heart valve substitute; 2 {--} Clients are informed about postoperative and follow-up care in the case of heart valve substitute. Three research inquiries were formed: 1 {--} Which is the most frequent information needed by clients with heart valve substitute from nurses? 2 {--} What kind of education is used for clients with heart valve substitute? 3 {--} Who are the clients with heart valve substitute informed by? Collecting data was performed using the combination of quantitative and qualitative research methods. The quantitative ones were performed as questioning using the technique of a questionnaire, while the qualitative methods used the technique of a semi-standard dialogue. The research sample were the clients with heart valve substitute hospitalised in the cardiosurgical departments of the teaching hospitals in Motol, in Plzeň, in the Hospital České Budějovice, a joint-stock company, and nurses working in those departments. 80 questionnaires for clients were distributed, 74 of them were filled in and returned. Ten nurses were addressed. The above-mentioned four aims were fulfilled. Hypotheses H1 and H2 were confirmed. The nurses answered the research inquiries 1,2 and 3; the answers were analysed and the analyses were used for forming the hypotheses: 1. The most frequent information needed by clients with heart valve substitute from nurses are about moving activity, pain, physiotherapy, connection to instruments, possible complications, about housework, possible staying in spa, return to the occupation, principle of taking Warfarin, about regullary cardiology control. 2. The clients with heart valve substitute are educated by discussion and by the informational brochure. 3. The clients with heart valve substitute are educated by the doctor and the nurse. The results of this thesis will be submitted to the managements of the above mentioned hospitals as material to consider amending the informational brochure for the clients so that they would get the missing information about postoperative and follow-up care in the case of heart valve substitute. I suppose that education{\crq}s efficiency and forknowledge of the clients with heart valve substitute could be improved in this way.
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Demands and risks of nursing work providing nursing care to agressive patients.
VORLOVÁ, Gabriela
This bachelor work is trying to analyse how demanding and risky nursing is when aggressive clients are treated. The theoretical part describes the origin of aggressive behaviour, types of aggression and situations which generate aggressive behaviour. All nursing parts of the problem are described here such as a preparation for the arrival of a disturbed client, his reception to the hospital and the main tasks of nurses in the psychiatric ward. Some other methods how to calm down and restrict the patient are also analysed. A quantitative approach, questioning and semistructured interviews were used to collect all data in this work. The interview consisted of 28 questions and each respondent could answer in his words. The data were collected in mental hospitals in Havlíčkův Brod and Prague-Bohnice and in a psychiatric ward of the hospital in České Budějovice. Nurses who work with aggressive patients answered to the questions. Some results are demonstrated in graphs and tables and some answers are thoroughly analysed. Five objectives were stated at the beginning of the research and all of them were fulfilled. Eight research issues were set and they were gradually responded and the hypotheses were specified. The work reached the conclusion that nursing staff provides a very demanding and risky job when they treat aggressive patients. The nurses know what to do if the patients attack them to avoid injuries of nursing staff , the aggressive patient himself and other patients. They can use a restrictive methods in such situations. On the other hand, they would praise a training course in self-defence and communication with aggressive clients as well as more men staff in the wards.
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Analysis of client satisfaction with ČSOB services and products
KŇOURKOVÁ, Renata
The thesis topic was ``Analysis of client satisfaction with ČSOB a. s. services and products``. The objective of the thesis was to survey satisfaction of ČSOB a. s. clients with the quality of its products and services. The purpose of the thesis was to evaluate the questionnaire survey and then to propose ideas for improvement of services provided by ČSOB a. s. Further, I have focused on the portfolio of products and services offered by the bank to retail clients and on comparison of three, based on the survey, most frequently used products with the competitor banks in the Czech Republic. The thesis provides an overview of the portfolio of products and services offered by ČSOB a. s. to retail clients and of the clients´ satisfaction with the products and services.
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Cooperation between nurse and client´s relations hospitalizationed in house department
JÍLKOVÁ, Veronika
Medical workers, patients and family members are three groups, which often meet in demanding and critical situations, which they tend to experience in different ways. That is why the inforamtion leak may occur and also the basic conditions are not met (and this applies not only to clients, but also to specialists). Nurses should be opened to communication with family members and regularly offer them the exchange of informations. If the family comes with new ideas, we should be able to find a way to transform them into our profession. We should be able to counsel the family on where to get help or additional informations, or coordinate them. The cooperation between medical workers and family members creates the sanctuary of peace, where the patient and his family feel much better then they used to in the times, when profesionals used to be too much authoritative The subject of my bachelors work is the cooperation between nurses, family members and clients hospitalizated on the ward of internal medicine. The aim is to find out, how nurses percieve the family members of the clients hospitalized on the ward of internal medicine.find out which problems represent the greatest struggle for nurses, who have to deal with family memebers of hospitalized client. find out, whether the family members are satisfied with nursing staff on the ward of internal medicine. The vital informations were collected using the method of answering sheets, which were filled in by the nurses working on the ward of internal medicine and by the relatives of hospitalized clients on the ward of internal medicine of the České Budějovice Hospital. Hypothesis No. 1: `` The Hypothesis that the nurses in the internal department perceive the presence of the hospitalized patients{\crq} family members positively{\crqq} was confirmed. Hypothesis No. 2: `` The Hypothesis that the nurses are lacking the understanding of given information in the communication with the hospitalized patients{\crq} family members{\crqq} was not confirmed. Hypothesis No. 3: `` The Hypothesis that the hospitalized patients{\crq} family members are satisfied with cooperation with the attending personnel in the internal department{\crqq} was confirmed. I hope, that the findings made by me, will help widen the space for cooperation between nurses and family members of our patients, help realize better exchange of informations between families and nurses, which will lead to better treatment for our patiens.
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The process of education of patients as a part of a nursing process
ŠEFČÍKOVÁ, Michaela
Education is an integral part of the nursing process. It is a proposeful activity, systematic training, which leads to gain knowledge and skills by means of a special process of learning. The aim of this work was to find out, whether nurses provide patients with education within the nursing process and whether patients feel that this education is sufficient enough to keep an optimal level of their health. All hypotheses I have set were confirmed. Apparently, from the results of the survey, health-educational activity, which is in plenary powers of nurses, is done by nurses themselves for the most part, but in some cases also the doctor took part in this activity. Although most of the asked expressed satisfaction with the information provided, there were still clients who were not satisfied with the number of information both theoretical and practical. In most cases, clients said that the instructions, which had been given to them by the nurse within the educational activity, were very significant for improving their health. Cooperation between a nurse and a client is based on a good communication between both parts. The result of this understanding is a situation when a client obeys the instructions given. From results it is obvious that all clients tried hard to keep professional recommendation provided by the nurse and reach the goal this way.Nowadays, the nurse, who is thanks to her learning within the area of education highly professional, puts an emphasis on mutual cooperation not only with the client but also with his family. The nurse respects client´s individual needs and tries to make him participace actively in his health care.
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Sleep disturbances of clients in old people´s homes
HADAČOVÁ, Jana
Abstract This bachelor work entitled ``Sleep disorders with clients in senior homes{\crqq} has been chosen in order to study the development of sleep in elderly. Sleep is an integral part of our lives, and our need for sleep changes with increasing age. We sleep not only to rest and regenerate our strenth, but also in order to maintain mental and physical health. The need of sleep is very individual and depends among other things on daily activity, age and the overall condition of the organism. The character of sleeping changes with increasing age and it is difficult to decide in individual cases whether the actual problems are normal or already pathological. The quality of sleep is negatively affected by factors such as greef, loneliness, enxiety or change of environment. The elderly generally tend to retire to rest earlier in the day, they however take longer to fall asleep, often wake up during the night, rise early but on the other hand nap during the day. For better classification of sleep disorders, a new version of the International Classification of Sleep Disorders {--} ICSD, was conducted in 1990, in colaboration with several associations and organisations researching these disorders. Sleeping disorders can, according to the international classification, be devided into primary disorders, such as dyssomnia and parasomnia, and secondary disorders connected to somatic or mental ilnesses. The causes of sleep disorder can vary greatly and therefore the diagnostics must be thorough. Here, nurses also greatly participate to the diagnostics. This research was conducted in order to find out what types of sleep disorders clients of senior homes suffer from, whether they are informed about the topics and how suitable their sleeping environment is. The hypothesis that clients in senior homes suffer from sleeping disorders has been proved. The hypothesis that client are informed about the problem has been proved as well, but with a very small difference from the opposite hypothesis. The hypothesis about the lack of knowledge for methods for obtaining quality sleep has been proved, while the hypothesis that client have suitable environment for sleeping has been disproved. The role of nurses is very important here, as they are always close by. They should be involved in the problems the clients have and they should try solving them by other methods than pharmacologically. Nurses should be sufficiently informed about the sleeping disorder problem and know how to use the knowledge in practical situations. Sleep is after all important for a total regeneration of the body and for regaining vitality.
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The ways of satiation spiritual necessities clients of catholic confession
LÖFFELMANNOVÁ, Blanka
Spiritual and religious persuasion have main sense in life of most people. Religious persuasion have gather to larger importance at the timo of illness and can help most people to better composed with illness. This kind of necessities was ineffable in our society until recently. In the theoretic part are define notions like a necessite, account some kind of necessities, describe the hierarchy of them in line with A. H. Maslow, at next are describe some modification in satiation of necessities at the time of illness, definition notions like hollism and spiritual bliss. In the second part is labor target the specified of notions like Christianity, Catholic church, faith, means of grace, prayer and interpreted guestions of illness in relation to Catholic church
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Changes in the social care system and their impact on clients
NOHAVOVÁ, Eva
The dissertation paper focuses on problems related to social services and mapping of changes that have taken place since the most recent update of the Act on Social Services (the Welfare Code). The theoretical part of the paper concentrates on the Act on Social Services whose enactment has brought many significant changes into the welfare system that impact above all on the providers and users of social services. The practical part of the paper describes the opinions that selected registered providers of social services have about the legislative update.
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Problems of nursing care about patient with apalic syndrom
DRÁBKOVÁ, Kateřina
This thesis deals with problems in nursing care of clients with apallic syndrome. There were 4 hypotheses. The first hypothesis presumes that nurses give patients care focused mostly on treating developed complications. After evaluation of the results focused on nursing care, we found out that some nurses know the correct processes while others do not. This means that patients are sometimes given the correct care and sometimes not. So hypothesis 1 was proved valid. The presumption for the other three hypotheses was that nurses do not have information about BS conception, do not know about possibilities of its usage, and do not use this conception in their care of clients with AS. However, the results concerning BS conception were very positive. Nurses know the conception and use it in their care about clients with AS. Hypotheses 2, 3, and 4 were not proved valid.
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Problematic of nursing care about patient with long ventilation therapy
ŠAŠKOVÁ, Lenka
This thesis deals with nursing care problems of patients with a long term aspirial therapy. Thanks to progress in medicine and new modern technology, doctors manage to save more human lives, although these lives are not always of high quality. Therefore the number of clients requiring long term aspirial therapies grows. It has come out of the questionnaires that nurses can meet the needs of these patient and they also have sufficient knowledge. However they lack time to care of these patients during the nursing. This problem can be solved by adding to the number of staff but this is a financial question. There were also differences in care not only in different hospitals but also among different nurses. The solution for this situation might be setting up nursing standards and inspections of their keeping. We must not forget about nurses´ motivation to further work.
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