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The dilemmas of the work with a client with the emphasis on the problems of the social worker´s competency.
DVOŘÁKOVÁ, Zuzana
This work paies that, dilemmas of the work a client and problems of social workers. Through studies available resources and fulfilment qualitative research has been that social workers must most often decide under the pressure of circumstances and importance of the situation; must prioritize either the quality of services or the number of clients; must be able to select the correct variant in the event of intervention or non-intervention in a client{\crq}s situation; know how much help they can give so that they do not control the client; and be able to manage moral conflicts. Social workers most often rely on their knowledge and experience, professional judgment and conscientiousness. . It is also important that a social worker can confide in a senior worker and have an opportunity to discuss with them all required matters. Gained experience provides workers with a dispassionate point of view for decision-making.
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Responsibility of a nurse during exercise of her profession
HAVELKOVÁ, Hana
With the accession of the Czech Republic to the European Union there has arisen a necessity of some changes in the Czech legislation. One of them is also a reform of competencies of health care professionals in paramedical professions. Creation of favourable all-society conditions for independent activities of nurses represents an effective trend of continuous improving of provided care quality. However, it is necessary to be aware of the fact that the independence is also connected with responsibility. Provision of nursing care requires knowledge of generally binding regulations and legislation, which reduce the number of critical incidents and errors. The theoretical part of the Bachelor´s degree thesis was dedicated to a detailed analysis of Decree No. 424/2004 Coll., and then it dealt with the responsibility of nurses within the legal, ethical and moral standards. The Bachelor´s degree thesis aims at the mapping out of the areas of activities of general nurses with the most frequent incidence of malpractice, and at the determining of the methods of forming the procedures that prevent the nurses from making the errors. Two hypotheses have been stipulated. One hypothesis presumes that the most frequent incidence of errors is connected with administration of medication. The other hypothesis presumes that general nurses are not familiarized with the exact wording of the Decree No. 424/2004 Coll. to the corresponding extent. In order that the objectives of the Bachelor´s degree thesis could be attained and the hypotheses verified, the inquiry method by means of a questionnaire was used. The sample was formed by nurses from the whole Czech Republic, who were finishing their specialization education in the National Centre of Nursing and Other Health Professions in Brno. According to the results of the study most of the errors occur during administration of medication. Although procedures have been formed that prevent the nurses from making the errors, it is clear that they do not quite fulfil their function. The results of the research have proved both the above-mentioned hypotheses. Among the suggested measures aiming at better preparation of general nurses for their professional careers there belongs, without doubt, the improvement of legal awareness within the framework of qualification education, especially concerning the acceptance of responsibility and consequences arising from the behaviour. It is also necessary to call upon the head workers to analyze (regularly and in detail) the past critical incidents, to determine the malpractice risks and to implement measures for minimizing adverse events occurrence.
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Possible utilize of nurse's competenicies in community health care in Czech Republic
LUPÍŠKOVÁ, Šárka
The philosophy of community care is deeply rooted in an opinion that states that one of the main missions in a cultivated society is helping the people who, due to their disease, are not able to to meet their own demands and their needs vitally necessary for life. Community care means providing an intervention and support at the right level and in the right form for clients, so that they can reach the highest possible level of self-sufficiency and control over their own lives. Recently, there have been many changes in the health care system. The goal of community care is to provide thourough care in clients' home environments and thus enable them to stay with their community as long as possible. The major task is providing phychical, psychological, paliatic and spiritual services. Families are the vital part of the care and a fundamental root of the whole team cooperation within the system of community care. The community teams consist of health care and social workers, community volunteers, the sick or the disabled. Nurses are important members of multidisciplinary teams. They take an active part in community assessment and they also help ensure a complex care for citizens. The research survey combined a quantitave and a qualitative survey. Firstly, a set of questionnaires for nurses and non-professional public were worked out. Next, an interview was prepared for nurses. The research sample group was made of 153 non-professional respondents and 121 nurses working in different medical facilities all over the Czech Republic. Nine nurses were interviewed. In my thesis two goals were set up. The first goal was to find out where in the community care nurses could implement their competences within the legislative frames. The second goal was to find out what opinion on community nurses non-professional public have. I worke out four hypotheses on the grounds of my goals. The first hypothesis is worded as: The non-professional public is interested in having nurses working for the community care. The second hypothesis is worded as: Nurses between 36-45 of age are willing to work as community care nurses. The third hypothesis is worded as: Nurses' interest in working for the communty care depends on their finished education. The fourth hypothesis is worded as: Nurses working 21-30 years in the health care system are interested in being active as community nurses in home care agencies. On the grounds of the qualitative research survey and five research questions it is possible to set up two hypotheses. The first hypothesis is worded as: Nurses do not know who a community nurse is. The second hypothesis is worded as: Nurses are not interested in working as community nurses. Community care has had a long history. The foundations of community care have been laid in Great Britain. In the Czech Republic community care has not been a novelty. However, we can claim that so far, no community care system has been created.
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The attitude of doctors towards the nurse competences according to the act.
SLADKÁ, Iveta
In the Czech Republic all activities of individual groups of health care workers are defined by various regulations and laws. All nurses' competences are stipulated by 424/2004 Decree of Coll. of Laws and that defines activities and responsibilities for health care workers as well as other professionals and experts in the medical field. In my thesis three goals and hypotheses were set. The first goal of my thesis was to find out what level of awareness of the existence and of the content of the 424/2004 Decree doctors and nurses was. For that purpose the hypothesis Hl was set. It was worded as the following: ,Doctors are aware of the existence and the content of the 424/2004 Decree. The second goal was to find out what doctors' opinoions on the relevant competences were. To reach this goal hypotheses H2 were set. They were worded as the following:" Doctors have not become familiar with the importance of a qualification study that is backed up with having the relevant competences stipulated in 424/2004 Decree. H3 was worded as the following : "Activities required by doctors for nurses to be carried out go over their competences stipulated in 424/2004 Decree. H4: Activities going beyond nurses' competences do not enable the nurses providing relevant nursing care which should be focused on saturation and meeting patients' needs. The third goal was to find out what doctors think of the Decree's implementation in everyday life. I set a hypothesis that doctors do not feel any need to change nurses competences.
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The most usual conflicts in hospital from the point of nurses view during cooperation with the physician
SCHAFFELHOFEROVÁ, Lucie
To keep good and non-conflict relationships between doctors and nurses is not an easy task their stressful working environment. Despite the fact that both doctors and nurses have a common goal, and that is to provide the best care of their patients, there are situations leading to conflicts between doctors and nurses. Good relationships between nurses and doctors are a guarantee of a harmonized cooperation in the entire medical team. That is why it is important to avoid conflicts and, if any conflict has already occurred, it is important to use it for the benefit of the whole team. The goal of our work was to define the most frequented conflicts in hospitals from a point of nurse's view in a cooperation with doctors, and what impact these conflicts have on nurses' work. To process the data in the first part of my thesis, the quality method for a research survey was used. The data collection was implemented by interviews. The research sample group was composed of eight nurses working in bed departments of different hospitals. On the grounds of the quality survey I set four hypotheses which I tried to verify in the quantity survey. To collect the data in the quantity part a questionnaire survey was used and the research sample group was also composed of nurses working in bed departments. The data were being collected in the period of March through May. To assess the results 175 questionnaires were used. The hypothesis 1 - The most frequented conflicts between nurses and doctors root in a wrong communication, has been proven on the grounds of our findings. The hypothesis 2 - Conflicts between nurses and doctors result from increasing competences for nurses has been proven, too, as well as the hypothesis 3 - Conflicts between nurses and doctors result from misunderstanding nurses' and doctors' roles. The hypothesis 4 - Conflicts between nurses and doctors have a negative impact on nurses' work was proven, too. The results have also revealed that the second most frequented reasons for conflict situations represent personal qualities of doctors, which was not included in the hypotheses. In the summary of the thesis I incorporated some recommendations how to handle conflict situations effectively. This work should be a foundation for a potential follow- up research not only in this field, but it can also serve management teams in medical institutions. They should take actions to improve the situation to some extent.
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Applied work by well know nurses according to 424/2004 in the medical services
JÍLKOVÁ, Milena
The topic of this diploma work is about the application of public notice No. 424/2004 Sb.in a matter of nurses{\crq} work duties in health service. It is based on two aims. The first aim is to find out observance of public notice No. 424/2004 Sb. in departments like (surgery,and internal medicine) in hospitals in South Bohemian region and the second aim is to find out the nurses{\crq} knowledge about their personal competences. Theoretic part talks about history, nurses education, registration and the public notice No. 424/2004 Sb. and the law No. 96/2004 Sb. Practical part contains results of the research, 25 graphs clearly shows general answered questions from questionnaire by nurses. There are commented stated records in symposium. On the basis of these results I may note that nurses from surgical department 61% (52) and nurses from internal department 58% (49) marked the correct answer what the public notice No. 424/2004 Sb. is about but they did not prove the knowledge of their personal competences sequent upon those public notices. Nurses from surgery 46% (39) and nurses from internal medicine 31% (26) are often accredit by tasks given by doctors that are not beyond their cognizance.
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English Language Teaching in Spain
HOLCOVÁ, Aneta
The aim of this thesis is to describe the conception of English language teaching at high schools in Spain. In the theoretical part the Spanish educational system is presented. It focuses on secondary level education, English teaching and the target competencies. The practical part collects and evaluates the results of my research of teaching English at two different public high schools that I have gained by my own observation and interviews with Spanish teachers. The research is primarily focused on the teaching methods and techniques, the assessment of pupils and the student´s approach to learning English. Next to the results of research there is my own critical analysis.
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Analysis of employee education
Tučková, Jana ; Stříteský, Marek (advisor) ; Zikeš, Dalibor (referee)
The thesis analysis of employee education, the theory focuses on describing the basic knowledge about the process of learning and competency approach. The practical part is being aimed at the analysis of employee education of business partners of Opel Southeast Europe, LLC, provided by Raytheon Training International GmbH. Based on the analysis have been identified absences and proposed improvements.
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