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Awareness of palliative care, ways of providing palliative care and attitudes to palliative care from the point of view of general practitioners, hospital staff and the public in the Vysočina Region.
Koudelová, Radka ; Krejčí, Jiří (advisor) ; Mertl, Jiří (referee)
The diploma's thesis has been divided into two parts, theoretical and practical. The theoretical part outlines these terms, i.e. palliative care, palliative care education, awareness of palliative and attitudes to palliative care providing their definitions and a brief introduction to palliative care from historical and social perspective. The theoretical part also addresses the legislation related to palliative care. The research part focuses on surveying the attitudes and awareness of palliative care to these events held by general practitioners, hospital staff, the public. Based on qualitative survey, the thesis aims to find out about the general practitoners', hospital staffs' and publics attitudes to the notions of palliative care in Vysočina Region. The collected data was processed in qualitative analysis. Open-ended questions were processed by means of open coding and subsequently a thematic analysis was used. Eight thematic units were identified. Subsequently, the results were interpreted and compared with information found in the literature, offering a basic insight into the issue. Key words: Awareness of palliative care, palliative care, attitudes to palliative care, general practitioners, hospital staff , the public, social constructionism,Vysočina Region
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The importance of the involvement of general practitioners in a multidisiplinarity approach to their clients within the psychiatric care reform in Pilsen region.
Křemenáková, Jitka ; Povolná, Pavla (advisor) ; Dragomirecká, Eva (referee)
This diploma thesis addresses the ongoing reform of psychiatric care in the Czech Republic. The primary pillars of reform are presented here and all projects through which individual steps of reform are implemented are elaborated in detail. There are four projects from the Czech Republic Ministry of Health: Deinstitutionalization of inpatient psychiatric facilities; Introduction of a Multidisciplinary Approach to the Mentally Ill; New Services; and CDZ I, II, III. And there are two projects from the National Institute of Mental Health (NÚDZ): Destigmatization of psychiatric issues and VIZDOM, and the ÚZIS Project. Examples of best practices from Italy, the United Kingdom, and France are also presented. This diploma thesis captures the current state of psychiatric care reform in the Pilsen region. In the context of the Czech Republic Ministry of Health's "Introduction to a Multidisciplinary Approach to the Mentally Ill", this thesis addresses the involvement of general practitioners in interdisciplinary community. The theoretical section includes chapters devoted to primary care reform within the strategic framework HEALTH 2030 and a SWOT analysis of general practioners' involvement in the community network. The practical part of this thesis contains a survey given to general practitioners and...
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Competences of nurses and increase of their opportunities for general practitioners (primary care)
HLÁVKOVÁ, Blanka
The diploma thesis addresses the issue of increasing the authorities of nurses of general practitioners in primary care. The theoretical part summarizes the information about primary and community care, defines authorities and professional activities of general nurses and physicians, and deals with the roles of nurses in primary care and the relations between general nurses and physicians. The objective of the diploma thesis was to survey the opinions of nurses of a possible increase in their professional powers, and to ascertain whether nurses are ready to assume certain authorities. It was also ascertained what physicians think of a possible transfer of certain authorities to nurses, and whether nurses are satisfied with their growing independence and responsibilities in connection with the increasing requirements for their profession. The results of the qualitative survey were evaluated by their summarizing in thematic areas and subareas; the text also contains authentic quotes of respondents (written in italics). The research set consisted of 15 respondents who were selected systematically. The set consisted of six physicians (general practitioners specialized in adult or paediatric medicine and general dentists). The set of general nurses consisted of nine nurses working for general practitioners. The selected general nurses had the work experience of various duration and various educational backgrounds ? they had either secondary or higher professional education and one nurse had university education. It has clearly followed from the research that the nurses do not wish to assume any activities falling within the authorities of physicians. A large number of respondents are very busy and any other authorities would be beyond bearable. Physicians would not transfer many medical activities to the nurses; they would rather transfer most of paperwork to them, such as writing opinions in respect of traffic accidents, spa treatment requests and other requests. Nurses are not afraid of increased authorities but agree that the authorities will mostly result in greater responsibilities and paperwork. The nurses think that there are clear boundaries between the authorities of nurses and physicians. Clear boundaries are seen mostly in diagnostic and therapeutic activities, nursing treatments, prescription of medicines, application of intravenous injections, and statement of diagnosis. Above the scope of their authorities, general nurses are charged to perform activities of a mostly administrative nature, write requests and sick certificates, administer intravenous medicines without expert supervision, write various recommendations, and monitor warfarinisation of patients.
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