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Work management of nurse in the ordinary of praktitioners
VAŇHOVÁ, Romana
Primary health care is an intrinsic part of health care system in all developed countries. The purpose of primary care is to provide preventive, diagnostic and therapeutic care. Primary care requires a very high level of cooperation, especially between the doctor and the nurse. The activities of a nurse in a general practitioner's office can be divided into several basic areas. The first corresponds to tasks for which the nurse has work competence, however, other areas include managerial, social and societal responsibilities. A nurse in primary care is the most professional person responsible for implementation of health education. and contributes thus to reducing the incidence of the disease and mortality from chronic diseases. The aim of this diploma thesis was to map the management of nurse working in the general practitioner's office, to map the visiting care for patients in the home environment and to find out the needs of patients in the home environment. The empirical part of the research was conducted using qualitative research survey, using the technique of in-depth semi-structured interview. The research group consisted of nurses working in general practitioners' surgeries, patients who are visited by general practitioner nurses and carers who take care of their loved ones in their natural environment. The research survey showed that nurses in general practitioners' surgeries do not have enough information about the current legislation needed to ensure the operation of the surgery. They lack suitable professional courses, such as resuscitation course, computer course, communication or management course. They would also welcome education on social issues. Research on a group of patients confirmed the benefits of staying in the home environment with the emphasis on meeting their needs. A research survey of a group of carers revealed high burden for carers who care for their loved ones in their home environment. A nurse practitioner plays a key role for both groups. He/she is often the first person the patient or his family talks to. Often, patients and families communicate their feelings and pleas to nurses rather than doctors. Given that patients and their families currently prefer home, it is important that the responsible nurse has highly versatile capabilities. The results of the research survey showed that nurses in general practitioners' surgeries would welcome the possibility of further comprehensive education. Therefore, a proposal for courses in lifelong learning for nurses was created within the diploma thesis.
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