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Role of healthcare assistants and nurses in the nursing process.
VODIČKOVÁ, Petra
This thesis treats the issues regarding the role of healthcare assistants in the nursing process and their mutual cooperation with general nurses. Four goals were set. The first goal was to ascertain in which way the general nurses allow the healthcare assistants to engage in the nursing process. The second goal was to ascertain what are the healthcare assistants? opportunities to participate in the nursing process. The third goal was to determine what problems are seen by managers regarding the integration of the healthcare assistants in the nursing care system. The last, fourth goal, tried to ascertain whether the system of integration of general nurses and healthcare assistants in the nursing team contributes to improvement of the patient?s care. The thesis is divided into two parts: theoretical and practical one. The theoretical part deals with the nursing process as a method of work of a nurse, qualification training of general nurses and healthcare assistants and possibilities of finding vacancies in the nursing practice. The practical part consists of quantitative-qualitative research survey. For the qualitative research a method of individually conducted, pre-prepared interviews with representatives of the above mentioned professions. Four research questions were determined, i.e.: 1. To what extent are the healthcare assistants, general nurses and managers in positions of ward sisters aware of the nursing process? 2. Have the healthcare assistants a possibility to use their knowledge of the nursing process pursuant to Act No. 96/2004 Coll.? 3. Is the cooperation of healthcare assistants and general nurses perceived as a positive element for improvement of nursing care? 4. What experience have managers in the position of ward sisters in integration of healthcare assistants into the nursing team? The surveyed group consisted of six healthcare assistants, six general nurses and eight ward sisters-managers from minor inpatient facilities in the Pilsen region and Cental Bohemian region. Qualitative research was realized through a survey by questionnaire. Students of the last grade of the study field ?Healthcare assistant? and the study programme ?General nurse? were addressed. For the qualitative part of the research survey the following hypotheses were set: 1. Students of the study field ?Healthcare assistant? are oriented in the competences of healthcare assistants and general nurses in accordance with At No. 96/2004 Coll. 2. Students of the study programme ?General nurse? are oriented in the competences of healthcare assistants and general nurses in accordance with At No. 96/2004 Coll. 3. Students of the study field ?Healthcare assistant? perceive the determined competences for individual fields as a tool for quality professional care. 4. Students of the study programme ?General nurse? perceive the determined competences for individual fields as a tool for quality professional care. In total, 200 questionnaires were distributed, and subsequently, 142 of correctly completed questionnaires were evaluated. The output of this thesis is the verification of the present status of the issue in question. The results will be provided to nursing care managers in the researched healthcare facilities where they could help to improve the management of healthcare activities. The results may be also used to prepare informational and educational sessions clarifying the rules of cooperation of healthcare assistants and general nurses. Furthermore, the results could be offered to the Ministry of Health of the Czech Republic, namely to the Working Committee for transformation of non-medical healthcare professions in the Czech Republic the main work objective of which is the amendment of Act No. 96/2004 Coll.
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The realization of educational program at patient with diagnosis of cardiac infarction
MATUCHOVÁ, Mária
This Bachelor´s work deals with educational programmes for patients with recognised myocardial infarction. Even if the circulatory system mortality rate has been decreasing steadily, it remains quite high compared to other EU states. Thousands of people can be successfuly treated thanks to developing diagnostic and therapeutic opportunities. On the other hand, no treatment is effective enough without active clients´ cooperation. Higher attention, however, should be paid to the prevention. Medical and nursing staff care is to focus on patients´ treatment and their education so that they could cooperate actively in realisation, prevention and treatment processes. A client can get basic pieces of information during his stay in hospital and he takes them up again while being a client of out-patient cardiologic departments. Usually, educational process is not organised very well which provides bad or no continuity of medical and nursing care. The aim of this research survey has been to find out the sources which the clients use for getting information, and what attention is paid to educational programmes. The hypotheses assumed at the beginning are as follows: Clients are mostly informed by nurses and find most information in magazines and brochures. Clients, with a prevailing number of women, realise the educational programme. The research survey has had theses findings.The first two hypotheses has been disproved while the other two were proved. Clients get most information verbally which means that they prefer personal communication. Concerning the other two hypotheses, the educational programme is observed by most patients with a prevailing number of women. So the hypotheses has been proved. The findings obtained from this Bachelor´s work are very useful because the education of cardiac patients within and outside health care facilities can significantly help reduce the number of myocardial infarction patients.
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Preoperative rehabilitative preparation provided by a nurse
SOUKUPOVÁ, Pavla
Summary The bachelor thesis {\clqq}Preoperative Rehabilitation Provided by a Nurse`` is a research project. The thesis is devided into two parts theoretical and practical. In the theoretical part I deal with the branch of gynaecology, gynaecological surgeries, gynaecological treatment as well as the role of nurse working in a surgical gynaecology ward. Further I pay the attention to preoperative preparation and immobilization syndrom. Preoperative rehabilitation, however, forms the most essential part of the thesis.I am concerned with the prevention of postoperative complications occurance and practice of particular rehabilitation excercising. The practical part contains quantitative research provided by the technique of two questionnares ( for both nurses and clients), in which I try to confirm specified hypotheses related to project goals setting. The hypothesis 1 : {\clqq}The nurses in a surgical gynaecology ward don´t train postoperative rehabilitation practice with a client`` was confirmed but the hypothesis 2 : {\clqq}The reason for disusing postoperative rehabilitation by clients is non-practising rehabilitation in preoperative time`` wasn´t confirmed. During the research period there were distributed 156 questionnaires, 56 for nurses and the rest (100 questionnaires) for women after heavy gynaecological surgery. 139 questionnaires turned back , the rate of return was 89 %. The total set of acceptable and thoroughly completed questionnaires was formed by 51 questionnaires from nurses and 81 questionnaires from clients.
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The influence of nursing care on the course of hospitalization of the patient with MRSA diagnosis
ŠTVERÁKOVÁ, Martina
The aim of work to find out, how clients with diagnosis MRSA hospitalized in isolation, perceive nursing care from medical staff. Results emerged from the questionnaires are: Patient diagnosed MRSA hospitalized in isolation are well-informed about reasons of their isolation and about rules of nursing care provided. Epidemiological protection during the nursing care in isolation are perceived by clients in a positive way like needed safety precautions to prevent illness transmission.
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