|
|
Business Plan for Starting a Home Care Agency
Buďová, Radka ; Rašticová, Martina (referee) ; Chlebovský, Vít (advisor)
This thesis deals with essential steps that are necessary to start-up home care agency. The goal is to determine whether it is nowadays a lucrative business to provide health and social care in this way. In terms of specificity of health care, the thesis includes both a detailed analysis of current state of the health care market and the theoretical knowledge of legislative and legal regulations associated with the establishment of home care agency.
|
|
|
Self-sufficiency of home care clients
MOTYČÁKOVÁ, Barbora
The topic of this bachelor thesis is the self-sufficiency of home care clients. This thesis focuses on the importance of home care agencies and their influence on the self-sufficiency of the clients in the home environment. The aim is to find out to what extent the nurses of the home care agencies intervene to help clients achieve self-sufficiency. To reach the aim of my work and gather information, I prepared questionnaires for clients of home care agencies and for professional public. The theoretical part focuses mainly on the clarifying of the term "home care" and also the client and his or her self-sufficiency. The practical part is based upon the findings of the questionnaires completed by the nurses of the home care agencies and the clients. Hereby it is also possible to prove the hypothesis, whether the nurses test the self-sufficiency of their home care clients, if they utilise compensatory aids for the clients and also if they involve the other members of the clients´ families to support the clients´ self-sufficiency. On the basis of available information resources and available literature, I attempted to carry out a current analysis of the environment. The obtained data are evaluated and presented in charts.
|
|
|
Cooperation between a Home Care Nursing Agency and Family Members in the Care for Patients after Cerebrovascular Accident
SILOVSKÁ, Petra
Cerebrovascular accident means acute vascular brain damage. It may have various causes. This includes either blocking of a vein with a blood clot, vasoconstriction or combination of the aforementioned causes. Frequent symptoms of CVA are paralysis, weakness, loss of sensitivity in face or on one side of a limb. Another symptom may be speech disturbance. Cerebrovascular accident may be identified as brain ischemia and hemorrhagic ictus. The thesis includes characteristics and symptoms of the aforementioned types. Furthermore, the thesis describes examination methods and treatment for CVA. Consequences of CVA may include some forms of paresis or plegia, which brings limitation of self-sufficiency for a client. Thus, it is necessary to start timely rehabilitation which shall engage the affected body parts. If the client suffers from speech disturbance as a consequence of CVA s/he should be treated by a speech specialist. If the client does not stay in hospital facilities the family may use service of a home care agency. If the client's health allows s/he may stay at his/her home and a nurse from the home care agency may come to his/her home regularly and helps the client's family. The nurse performs all the required activities and s/he also makes the family engaged in the care. Communication forms an inseparable part of the care. The thesis called Cooperation of nurses and family members within care for a patient who suffered from cerebrovascular accident used qualitative research. The interviews were taken with nurses from home care agency and with family members who take care for a patient who suffered from cerebrovascular accident. The survey was categorized and charted to make it more illustrative. The aim of the thesis was to identify the extent of cooperation between nurses from home care agency and family members taking care for a patient who suffered from cerebrovascular accident, and then to define in which activities the family members may be engaged, and finally to describe how the nurse from home care agency communicates with the family. The nurses' point of view has shown the same positive results and they were satisfied with family's engagement in care for the patient. The revealed results of the survey may be provided to the home care agency to allow assessment of the effect of nurses' work on the overall condition of the clients.
|
|
|
Education of home care clients in the use of alternative methods
PECHOVÁ, Aneta
The bachelor thesis work is divided into two parts. The first part presents the characteristics of the alternative methods that are used most often. The other one is aimed at the methods that use the medical care at the clients in home care agencies. The theoretical part is dedicated to the complete information that defines basic possibilities of the further curative and additional alternative methods and that can be used by a nurse in practice or to educate a client in an acceptable way. In the practical part there are results elaborated by the method of qualitative inquiry. Four targets are determined here. The main one is aimed at disclosure of phenomena in area of nurses and clients education; in scope of usage of alternative methods in consequence of their cooperation. The aim of this work is to find whether nurses are educated enough to be able to use alternative methods that are applied in nursing. In addition, whether a nurse is able to educate a client as to alternative methods and possibilities of their application. Moreover, we would like to find whether clients are interested in alternative nursing methods and possibilities how to utilize alternative treatment; simultaneously with usage of these knowledge in practice. To realize our aims we used the method of "semistructural" interview that was most suitable owing to the qualitative access to the point. We could not use another method of "semistructural" interview with clients because of disagreement of the addressed clients. The experimental group was made up of nurses working for home care agencies in Jindřichův Hradec, Prachatice and Tábor. We interviewed the nurses about their educative abilities and strategies used in the field of alternative methods. To fix the results of the inquiry we made up an audio-record and written record. Then, the results were analyzed in detail; a code-method was used. The research proved that the nurses do not take advantage of their educative abilities fully. The reasons for this state: the nurses are not motivated in a sufficient way or their employers do not enable them to obtain an appropriate education. From the analyzed nurses´ questionnaires is perceptible that clients are interested in alternative methods and they are able to collaborate with nurses in this poit of view. The application of alternative methods in health care demands further education of nurses in this field. These methods are put in the foreground of the complex care of a client. The obtained pieces of knowledge can be used for better informedness of nurses and bring them some new information for their occupation and, in addetion to that, to show them some other possibilities of cooperation with a client. Additionally, they can open new room for other research work.
|
|
|
Long-term care for the elderly from the perspective of nursing
PAVLÍKOVÁ, Hana
Long-term care for the elderly people is a widely discussed topic in recent years not only among health professionals but also by the general public. And it will not change in the future. According to the Czech Statistical Office (2012) in 2050, the population aged over 65 will double and the population older than 85 years even quintuple. This work deals with long-term care for the elderly from the perspective of nursing, for the current demographic trends affect it significantly. Long-term hospitalization of the elderly in medical facilities is linked to many complications, not only physiological, but also psychological, social and spiritual. The aim of the thesis entitled "Long-term care for the elderly in nursing perspective" was to find out what the nurses in long-term care for seniors consider as the greatest problems, if they would welcome a change in competences in long-term care for the elderly, and to obtain an opinion about the long-term institutional care and long-term home care. Individual opinions of nurses from different departments were compared; what kind of solution to the current problems of long-term care for the elderly the nurses propose themselves. Objective 1: Find out what the sisters find as the most crucial problem in long-term care for seniors. Objective 2: Determine whether nurses feel the necessity for change in nursing competences in the management of long-term ill elderly. Goal 3: Find out what is the opinion of nurses about long-term institutional care for the elderly compared to long-term community care at home. The main research question based on the research problem and the research objectives was defined as follows: What is the prospect of long-term care for the elderly in terms of nursing? I decided for an exploratory approach. I was looking for another connection to general research question and examined them in depth. I decomposed this relatively broad topic covered by the research questions into several specific questions: 1. Will it be necessary to make additional changes in financing long-term care, due to a growing demographic age of the population increases? 2. Could nurses in long-term care for the elderly take over certain powers previously belonging to doctors? 3. Will the importance of providing nursing care long-term ill seniors at home increase? 4 Should be a long-term care for the elderly moved out of hospitals to specialized facilities? 5. Will it be necessary to increase the number of health care facilities with the focus on long-term care because of the growing number of senior citizens? 6. In connection with the increasing number of hospitalized elderly, will medical facilities have enough of gadgets? For the research was chosen a qualitative interview method. Nurses from various departments were interviewed and the outcomes were processed using the content analysis. Sisters? perspective on a long-term nursing care for elderly is: closer connection of health and social services, to increase quality of care, to strengthen the autonomy of elderly, dignified care for the elderly, increased use of home care and informing the general public about it, streamlining communication with seniors and their families, safer environment and to increase the motivation of nurses to provide the highest quality of nursing care.
|
|
|
Intergenerational views and stances on care for seniors in family
HADRAVOVÁ, Barbora
Social and home care services are influenced by demographic changes of highly developed society conjoined with aging of the society. As the accommodation capacity of social services is limited, home care from the family members becomes more important. The aim of this thesis is to find out what are the differences in the opinions of young, middle and pre-senior population on senior care in a family. It is based on available books and internet sources dealing with the problem of old age and aging, home care and field services that can be used as support to senior home care. The theoretical part is divided into eight chapters. The first one is focused on social changes and important changes in the social roles. This chapter also describes existing myths and their devaluating influence on seniors. The following chapter aims at psychological changes in the old age, changes in perception and behaviour of the elderly. The third chapter is dealt with the higher need for faith in the old age rising out of the loss of different competences, as a response to stress and losses and in connection with the knowledge of nearness of ones death. The thesis is also focused on the state of health of the elderly. It describes physiological changes connected to the chronological age and the most common illnesses connected to higher age. Psychiatric illnesses often diagnosed in the old age are especially taken into consideration. The next chapters of the theoretical part are focused on two aspects which are tabooed by the present society ? dying and death. The thesis also describes home care for a dying person compared to the institutional one. Demographical changes in the Czech Republic are described in the next chapter. This necessarily requires considering all health and social consequences. The European Union created for this reason the Action Plan for Healthy and Worthy Ageing that could improve health and social area in future. The following chapter deals with the family of a senior representing his background and security. In case the senior is limited in his self-sufficiency, his family attends to his physical, psychical and material needs. It is the decision of a family whether to care for a senior or not in this case. But this decision is highly influenced by the pressure of the society and its demand for altruistic help opposed to its demands for career, personal growth and the developments of an individual. The last chapter of the theoretical part is aimed at home care services. Those services provide the seniors with lower self-sufficiency with help for they could stay in their homes instead of moving into the institutional facilities. Home care can be supported by different services ? nursing care, home assistance, home medical care and home hospice care. The practical part of the thesis is based on qualitative research using semi-structured interview method. The choice of the respondents was based on their economic and family status. The aim of the research was to find the differences in the opinions of different generations on the senior care in their homes done by the family members. It was proved that all respondents consider home care optimal with regard to the needs of a senior. A senior does not need to be embarrassed in his home, his privacy is not infringed and is surrounded by people he knows or is in close association to them.
|
|
|
Home care in the Czech Republic and in Austria with emphasis on long-term entirely immobile clients
SVOBODOVÁ, Anna
Home care has already become an integral part of taking care of patients suffering of long-term sickness. I focused on the quality of home care and its current state in Czech Republic and in Austria. Experience earned in the Austrian domestic care attracted me the way that I decided to examine it closer. I set the objective to find the differences between the care in Czech and Austrian home care and the differences in relations between care workers and clients. I used available scientific literature, legislation valid in Austria and Czech Republic, and sources from the Internet related to the home care. My bachelor thesis consists of the theoretical part, which contains four chapters. In the first chapter I deal with immobility, where the main manifestation is the motion, which stimulates the motion apparatus and has a positive impact on the psyche of man. The target group for a long-term care are seniors, people with disabilities and chronically sick people. In the third chapter I characterize home and social care, which is described as highly qualified and professional form of care, which is linked with the health and social form. In Czech Republic, 2/3 of care delivered by agencies is focused on health issues, but it is in close cooperation with subsidiary agencies aimed at nursing services. Home care in Austria is not divided into health services, nursing or social services. This care provides complex services. Linking health and social care helps the client to find life stability. This care substitutes hospitalization and it shall be granted in its own environment, what affects the psyche of the client very favourably and it significantly affects whole recovery process. The fourth, and the last, chapter of the theoretical part deals with the personality of carer, when the carer is the worker, who carries out the care activity in the household of clients. Furthermore I describe here detailed assumptions to the work of the carer, the difference between committed and uncommitted worker, an integral part are competences and skill requirements placed upon the carer in Czech Republic and in Austria, and part of the conclusion is the sample of financial evaluation of carer in home care in concerned countries. The practical part of my bachelor thesis consists of collection of data, collected while using techniques of the qualitative research, the method of query based on using semi-structured interview, observation and analysis of personal data. Characteristic of the target group was created by communicative clients of Czech and Austrian home care, who carried II, III, IV degree of dependence. The respondents were three women from Dačice and three women from Raabs an der Thaya. Further I describe the process of the data collection and results of interviews. On the basis of my research, I came to the conclusion that there exists a difference in the relationship between carers and clients in compared services. Due to busyness, there is My research showed, that the Austrian care is historically older, so it may be the reason for better sophistication of whole system, it is economically more stable and, therefore, more financial sources flow to the system of this service, and that is reflected in the personnel and the financial evaluation of the staff. After pointing at the differences in the system of care, which is different in examined countries, my conclusion is, that the degree and the content of delivered services provided in both countries is the same, it is only provided in a different way. Clients are, in both home cares, health and socially secured, and this allows them, under the burden of their diseases, to stay at home in the environment, where they like it and where they feel safe. This theory is one of the objectives of home care, to ensure bio-psycho-socio needs of man. Czech and Austrian home care fully meets these basic objectives.
|
|
|
The nurses motivation to exercise of a profession in the Home Care Agency
URBANOVÁ, Eva
Home care agencies provide comprehensive health and care services for individuals of all ages, chronically ill and those dying in their natural home environment or in families by their close relatives. A general practitioner indicates home care according to the current health status of the client. However, human performance is not given without reason. The need to be useful is deeply embedded in every man in his personality. The most important factor that determines the behavior of each individual is a situation in which we occur at the moment. The motivation is therefore change over the time and due to different circumstances (Šamánková, 2006; Cejthamr a Dědina, 2010). The aim of the research was to identify the motivating factors of nurses working in home care agencies, related to the occupational choice and profession. The following objectives were established on based of this research project. The form of qualitative research was chosen for elaboration of the subject of the bachelor?s thesis. The technique of depth interview by method of questioning was used to obtain the information. The acquired data were then analyzed using open coding method. The research sample was consisted of 6 nurses, who work in selected agencies operating in southern Bohemia, providing professional nursing care to clients in their natural environment. Five categories were identified as a result of the method of open coding. The first category reveals aspects that influenced nurses in choosing of a medical profession. The sisters were really influenced during choosing their profession by the experience of adverse health condition from the circle of loved ones or they felt in themselves the need to help and care for the sick persons. The nurses, when they chose their carrier in the agency home care, were affected mainly by social nature reasons, that are identify in the second category. The nurses after returning from maternity leave decide mostly for a job in the agency, because they prefer the absence of the shift work. Another reason is an unusual and interesting working environment, opportunities that this job offers to them. The third category describes the motivational factors that give nurses especially diversity and freedom in their working environment, which offers them the option of independence, self-fulfillment, fulfillment of the objectives and assumptions. The nurses considered to be very important a recognition of the client and his family, but also from the employer?s side. They feel the satisfaction of their work and also of the possibility to be in contact with people. An important role also takes a working team, which they describe as an integral part of their work performance. The fourth category reveals demotivating factors that nurses? experience in their work. These include in particular the lack of recognition and interest from employers, low salaries, communication barriers and inefficient cooperation among nursing team, labor shortages and uncertainty. The last fifth category is characterized especially by personal traits, which the nurses present. Behavior to which unanimity belongs interested in the client and his health, satisfaction and psychological well-being can be described by concepts pro-social behavior, empathy, responsibility, independence and consistency. The above specified categories established a process of interaction of these groups that interact among themselves in a certain way. The practical outcome of this bachelor?s thesis is a framework of recommendations designated for head of the management of home care agencies, concerning the motivation of employees.
|
|
|
Care for chronic wounds from the perspective of nurses in home care agencies in the Czech republic
NACHTNEBLOVÁ, Tereza
This bachelors? thesis is investigating problems with treatment of chronic wounds from perspective of nurses in home care agencies. First half of this theory is dedicated to wounds. Here you can find categories of wounds. This work is mainly dedicated to the investigation of chronic wounds, the exact division of most common chronic wounds and their stage placement in accordance with classification. Very important is also prevention of development of these chronic wounds. Here the most important intervention is the observation of high-risk factors. Furthermore, we described the different stages of the healing of the wound, their differentiation and progression. During treatment it is necessary to document the progress of the wound. A whole chapter is dedicated to this, so we can clearly understand what knowledge about the wound is important and which way to correctly document the wound. Continuity of healing of the wound determines the course of treatment in accordance with the colour of the base of the wound. The course of healing should go from black colour to pink, indicating a positive course of treatment. The factors influencing the treatment are separated into two categories ? internal and external. The main component of this chapter is about the treatment of chronic wounds and contemporary dressing techniques. The second part of this theory is dedicated to the characteristics of home care agencies. It is interesting to note the history of home care and the circumstance in which the idea of caring for the patient in their home environment begun. At present, a multidisciplinary team plays major role in the home care of a client. The home care provides all aspects of the care for the client and also meets all the requirements of the attending physician. This bachelor?s thesis has two goals: goal no. 1 ? to map the education of the nurses in home care in the area of healing of the wounds. Goal no.2 ? to find the most common methods of treatment of chronic wounds for home care agencies. To reach the goal, quality research was chosen with the help of informative interviews. The first subjects of research were nurses working in regional charity Ceske Budejovice and APD Alice in Ceske Budejovice. The second research subjects were nurses in Regional charity in Znojmo. There were 8 interviews in total conducted with the nurses in home care agencies. Research question one investigates which courses home care agency nurses attend. Based on the research that was carried out I found that nurses attend courses of their choice on average three times a year. Every year they attend a course dedicated to chronic wounds treatment and they know where to seek those courses from. I also discovered the important fact that all employers found those programmes. The research question two investigates which methods of treatment are most commonly used in chronic wound treatment. On the bases of the investigation I found that the nurses prefer the use of contemporary materials, which brings great deal of benefits not only for the client but also for the nursing staff. The most commonly mentioned advantages are ? less frequent change of dressings, faster healing of the wounds, gentler change of the dressing and most importantly satisfied patient. Furthermore, I discovered a problem in using contemporary moist dressing materials. The nurses often found that the attending physician does not agree with this course of treatment and refuses to prescribe these materials. That is why most patients have to fund these themselves. Overall the nurses agreed that the treatment of chronic wounds with contemporary dressings brings the client benefits. The given goals of this bachelor?s thesis were accomplished. The nurses in home care agencies are regularly educating in the area of treatment of the wounds. The most common method in treating chronic wounds in home care agencies is moist bandage method.
|
|
|
Options in further training of home care agency nurses
PEČLOVÁ, Kateřina
This diploma thesis deals with the possibilities of further education in the agencies of domiciliary care. This is a very current topic. Like any other profession, the nursing profession requires a particular education. The development of the new methods in the medical treatment and home care demands more thorough and specialised education of the nurses employed by the domiciliary-care agencies. The aim of the thesis was to find out the present situation of the nurses´ education in the domiciliary-care agencies, the professional specialisation of nurses, the possibilities of education, the nurses´ need of further education and the employers´ willingness to enable the nurses of the agencies to take part in the further education in their field. It can be said that the aims of the research have been fulfilled.
|
guest ::
