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The role of nurses in patient education with mental illness.
NĚMCOVÁ, Veronika
This Bachelor Thesis is divided into two parts and deals with the issue of an education of patients with mental illness. The theoretical part deals with the field of psychiatry, its historical development, causes of mental illness and the classification of it. Furthermore, in the theoretical part I elaborated the area of nursing care for patients with mental illness, including its specifics, the sphere of communication in nursing care and specifically with patients with mental illness. Last but not least, we are focusing on educational activities with patients with mental illness. The second practical part is dedicated to the course and to the results of the research. The research took place in the first half of 2017 at the acute psychiatric ward at the outpatient and inpatient ward. The main objective was focused on the role of the nurse in educating a patient with mental illness with regard to his diagnosis and related problems. After setting the main goal, we identified three partial objectives: the intellectual, practical and the personal goal. These objectives have become the basis for creation of five research questions. Based on these questions, questions were created which were used in interviews with subjects. The semi-structured interview method was selected for the realization of the research, including basic and supplementary questions. Additional questions were asked during interviews with subjects if necessary. The research group consists of eight nurses working at the outpatient and inpatient ward of the psychiatric ward of one of the Pilsen Region hospitals. Interviews with subjects were always at a prearranged place. The subjects were informed about anonymity, not including the name of the hospital facility which they work in. After the data collection was completed, the results were examined using coding and categorization. The subjects' replies were exactly recorded in precreated categories. During the research, we focused on the role of the nurse in educating a patient with a mental illness. We have been asking our sisters, for example, what they see as obstacles towards effective education, what purpose they see in educating a patient with mental illness etc. A research survey showed that the interviewed nurses do not have enough quality educational materials to help them throughout the educational process. Another factor that influences the educational process is, according to our research, the complete lack of dedicated time space for the education of patients with mental illness. It was also found that despite sufficient motivation of nurses, they lacked enough information related to their focus, in the context of lifelong learning, which would help them in the communication and educational process. We believe, that one of many solutions for our researched workplace would be to set apart time for the educational activity of the nurse, providing the nurses with more effective materials and quality education in the field. We believe that our Bachelor Thesis will be a contribution to the further professional focus and life of the author and to all readers of this Bachelor Thesis. This work also opens up a space for research on larger scales given to the phenomenon we have determined.
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Availability of Services in the Care of Persons with Mental Disorder
Slouková, Michaela ; Marková, Eva (advisor) ; Petr, Tomáš (referee)
The theme of this thesis is "Access to services for people with mental disorder." The present study provides an overview of mental health. It is important to mention factors that influence it. Last but not least, study is focused on the protection of mental health and mental illness and describes the activities of the association that the protection and promotion of the deal. The object of this study is a mental disorder, its possible causes, as well as diagnosis, treatment and negative consequences of diseases. The key part of the thesis is a qualitative and interpretive analysis of psychiatric care in the Czech Republic mainly between the years 1997 to 2009, including statistical data and texts relating to the availability of services for people with mental disorder. The availability of these services, we find through the health care needs in this area. To detect, we chose the factor of consumption of health care. The study also deals with health policy focusing on documents and programs of the mentally ill. In conclusion, it describes the current state of psychiatric care and availability of services in the Czech Republic for persons with mental disorder. It is derived from the Institute of Health Information and Statistics, and materials involved in psychiatric care and affordability, which are...
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The cause of cage beds: analysis of internet forum from 2006 in a perspective of disability studies
Štrunc, Václav ; Kolářová, Kateřina (advisor) ; Kocman, David (referee)
This thesis presents results of analysis of internet forum, which appeared under article from internet server aktualne.cz in 2006. The article is dealing with abusing of cage beds in context of on people with mental handicap and people with mental illness focused social care system. For qualitative research was used the method of coding inspired by methodological approach of "grounded theory". In theoretical part of this thesis I analyzed relevant theoretical concepts from area of disability studies and gender studies with special focus on critic of concept of liberal citizenship and social contract theory. The key theoretical concept of the thesis is dichotomy of private and public sphere. In next part of the thesis is I am describing context of causes of cage beds in Czech Republic and I am delineating the basic traits of debate here. In empirical part I am describing five key themes, axial codes. In framework of these themes I am defining the differences of people with mental handicap or people with mental illness. The themes are: space and isolation, efficiency, responsibility, stigmatization and care work. In framework of every theme is I am describing the way of defining of these differences and I am searching for their cause and origin. In next part I am figuring the way of argumentation of...
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Psychiatry, mental illness and culture
Müller, Matyáš ; Komárek, Stanislav (advisor) ; Fulka, Josef (referee)
The aim of the dissertation is to treat psychiatry and mental illness from the anthropological point of view. The topic is treated at three levels. First, I describe psychiatry as a specific culture's product, and I explore how it constitutes itself as an unbiased science. I conclude that in spite of developing its scientific aspect, its human-science aspect is neglected, stuck in the 19th century's paradigm of evolutionism. Although there is a number of sources of a new less scientistic and ethnocentric and more reflexive paradigm nowadays, it still seems to be more a vision than reality due to the institutional toughness of the present paradigm. Second, I study "mental illness" as an abstract concept. I ask if the Western psychiatry's classification is universal and I explore various culturally specific forms of mental illness and its conceptualizations. Third, partially grounded in my fieldwork, I ask how abstract psychiatric terminology is embodied in a concrete human being and how the sufferer's point of view differs from the one of the professional in the mental health care. The dissertation intends to show that despite all the three levels being interlocked, their unity is not self-evident but is always constructed and contested.
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The picture of mental illness in the print media in three central European countries
Nawková, Lucie ; Jirák, Roman (advisor) ; Bražinová, Alexandra (referee) ; Vevera, Jan (referee)
Media are considered to be the public's primary source of information regarding mental illness. Evidence suggests that media representations of people with psychiatric disorders are frequently negative and contribute to their stigmatization. On the other hand, media can play an important role in reducing this stigmatisation by providing adequate information about this topic and engaging in antistigma campaigns. Up to now there was no standardised measurement of the stigma of mental illness in print media using clearly operationalized definitions. The objectives of this project were twofold; to develop a standardised and objective instrument to measure stigma of mental illness in print media; and to conduct an analysis of the current coverage on mental health/illness issues in Czech, Croatian, and Slovak print media. The development of the Picture of Mental Illness in Newspapers (PICMIN) instrument was based on the principles of content analysis, a research technique for making replicable and valid inferences from text to the kontext in their use. The instrument consists of eleven descriptive and five analytical categories. The most interesting findings based on the analysis of media representations of mental illness were; a similarly high level of stigmatizing articles across countries, clearly...
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The Social Construcion of Mental Illness - Historical Changes during Middle Ages and Early Modern Times
Sklenařík, Pavel ; Paulíček, Miroslav (advisor) ; Kotlík, Pavel (referee)
The present thesis deals with the phenomenon of madness in the Middle Ages and the Early Modern Age. The author describes the function of madness in the context of each historical period by way of examining the historical development of the social status of the mentally ill. Various aspects of insanity as well as distinct characteristics and qualities of lunatics persons, such as gender, assets, or the actual level of mental disorder, are taken into consideration in order to demonstrate the consequently differing approaches of the sane to the insane and vice versa. The result of the historical process of the formation of the society's stance towards the lunatics and insanity in general is then transferred to the present where the discussed processes are demonstrated on real examples. Insanity is viewed through the prism of social constructivism. In line with the view that insanity, as a social construction, is a product of discourse, one of the present work deals with the dispute on the right of defining insanity whose result influenced the inception of psychiatry as a discipline as well as the current attitude of the society with respect to insanity.
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Disease is neutral - Life with "depression"
Vojtková, Lucie ; Šmídová, Olga (advisor) ; Praško Pavlov, Ján (referee)
This thesis is inspired by the theory of social construction of mental illness. The work is a case study that uses the metaphor of the story and narrative analysis of interviews examining the individual human experience with mental illness. My goal was to find out what makes us understand the disease and how this understanding can be used in a daily struggle with the disease. In the theoretical part, I drew from documented knowledge about mental illness, particularly for depressive disorder and schizophrenia simplex. Then I presented the narrative approach as a legitimate way of exploring understanding of lived experience. The practical part is implemented as a case study and through narrative analysis provides interesting insight into the way of understanding and coping with mental illness a person who has the expertise and also suffer from mental illness. Key words: mental illness, social construction, narrative, narrative approach, the dominant medical discourse, depression, schizophrenia simplex, stigma, coping strategies.
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