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Decision to leave workplace in non-medical healthcare workers
Picmausová, Ivana ; Heczková, Jana (advisor) ; Jeřábková, Lenka (referee)
The fluctuation of nursing staff in the medical facilities is not just current problem in the Czech Republic. Aging population will present higher demand for number of nursing staff. It is assumed that the insufficient number of nursing staff will remain and even rise (also due to aging of the staff) if appropriate actions are not taken (Simoens et al., 2005). This thesis discusses the decision to migrate amongst the nursing staff - general nurses, practical nurses, midwives, and emergency paramedics within the medical facility. It analyses the reasons for changing their workplace. The investigation was executed using the questionnaire method. It was conducted in January and February of 2020 in the selected medical facility in the Czech Republic. Total of 701 questionnaires were distributed to all inpatient wards, outpatient departments and intensive care units. The investigation targeted nursing medical staff. A statistical analysis of the results was performed Mann-Whitney U test was used to monitor the differences for decision to migrate based on various characteristics and responses. Total of 415 completed questionnaires were analysed in this investigation. 61/415 (14.7 %) responders consider the change of workplace. The most common nursing staff members to consider the change were general...
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Historical Development of Anesthesiology Nurse
Grégrová, Stanislava ; Kulířová, Veronika (advisor) ; Jeřábková, Lenka (referee)
The rapid development of the intensive care medicine with a large amount of highly specific information requires sufficiently educated nurses in the field. A nurse anesthetist is a nurse working in intensive care with a focus on anesthesiology. She provides highly specialized nursing care to patients during the course of general or local anesthesia. The work is divided into two parts, a theoretical part and a practical part. The theoretical part focuses on the development of anesthesiology and intensive care medicine. It also focuses on the education of nurses. The education of nurses is summarised from historical beginnings to the present time. This part also includes new requirements for the education of non-medical medical staff and the current supporting legislation. Higher education for intensive care is also mentioned. The next chapter of the theoretical part focuses on the competencies of nurses in anesthesiology and intensive care medicine. The practical part includes interviews with six nurses. Three interviews were conducted with nurses that witnessed the beginnings of the field of anesthesiology as we know it nowadays. The method of qualitative research, study of documents, analysis of primary archival sources of the Ministry of Health, NLK, ÚVN, legislation, periodicals, professional...
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The influence of the burnout syndrome on the sexuality of paramedics
Kunešová, Kristýna ; Dynáková, Šárka (advisor) ; Jeřábková, Lenka (referee)
Introduction to the issue: This paper examines the impact of burnout syndrome, which is common among caring professionals, on the sexuality of male paramedics. The term "burnout" was coined in the US 25 years ago. Burnout is defined as a mental state resulting from constant and long-term exposure to stress, especially in relation to psychosocial work factors (Melamed and Shirom, 2006). The effect of burnout syndrome on sexuality is a topic that has received very little attention. That is why I decided to cooperate with PhDr. Šárka Dynáková, Ph.D. and doc. PhDr. Jan Kožnar, CSc, who are working on an international study in the Czech Republic on the effects of burnout syndrome on human health. Methodology: For the theoretical part of this diploma thesis, use was made of monographs and databases. For the practical part, quantitative data was collected using standardized questionnaires distributed among male paramedics. The first questionnaire focused on burnout syndrome using a validated questionnaire for the Czech Republic, one that applies the Shirom-Melamed scale from 2006 (Ptáček, 2013). An extended Kroměříž version of the Sexual Functions of Men questionnaire was used for collecting the data on sexuality (Kratochvíl, 1999). After establishing five working hypotheses (H), the relationship between...
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The role of nurse in the pharmacotherapy team
Hašková, Martina ; Heczková, Jana (advisor) ; Jeřábková, Lenka (referee)
This diploma thesis deals with current pharmacotherapeutic care with a focus on activities that nurses take part in. The aim was to collect and evaluate the views and experiences of selected nurses regarding their role in pharmacotherapy team, particularly what activities they perform in such team and how their pharmacotherapy teams work in general. SWOT analysis was then used firstly to evaluate the current role of nurses and secondly to suggest a way of implementation of possible extension of nurses' competencies in pharmacotherapy. In order to collect the required data, semi-structured interviews were conducted. These were recorded, so they could be easily processed afterwards. During transcription of the interviews into written text, all the collected data was briefly analysed. The data was further analysed using the open coding method, when three main categories with specific subcategories and subcodes were identified. All the selected men and women, which were asked for cooperation, are people working as a nurse without supervision and mentoring. Based on their career history all of them were expected to have a more specific experience with the issue. The respondents were mainly nurses with long-term working experience, often working in middle or senior management. When selecting the future...
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Nursing care of the patient with lymphoma
Marková, Naďa ; Kordulová, Pavla (advisor) ; Jeřábková, Lenka (referee)
(v AJ) I chose the topic for my bachelor thesis: Nursing care of a patient with lymphoma. I consider this topic as a very actual because the occurence of lymphoma is increasing (In: Linkos, 2019). Lymphomas refer to tumors which originate from lymphocytes. The theoretical part deals with the issue of lymphomas. I focus mainly on their diagnostics and treatment. And I deal with nursing care and the Lymphoma Help patient organization. Before I started to work on my bachelor thesis I had made a research in the National Medical Library. Furthermore, I used information from the databases: BMC, PubMed, EBSCOhost and Medline. I also used therapeutic recommendations - Cooperative lymphoma groups. Methology: I chose a case study of a patient with B-cell lymphoma from large cells, diffuse for the preparation of this thesis. I used Marjory Gordon's functional health model. Nursing standard procedures, potential risks of nursing care and their prevention are mentioned and described in a specific case. Objective:. I focus on general nursing care of a patient diagnosed with B-cell lymphoma from large cells, diffuse, who has undergone chemotherapy. Results: Nursing procedures are determined and their compliance is monitored. The information leaflet for patients is being created upon this study. Conclusion: New...
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The influence of the burnout syndrome on the sexuality of non medicalhealth care male workers im emergency care setting Through internet surveys
Brožková, Barbora ; Dynáková, Šárka (advisor) ; Lukášová Jeřábková, Lenka (referee)
Introduction of the problematic: A burnout syndrome is largely presents among paramedics and has a negative impact on both work performance and life quality. The aim of this thesis was to analyse the incidence of burnout syndrome among male paramedics working in emergency care and to find out the effect the syndrome on their sexuality. The research was conducted by an internet survey. Methodology: Research was conceived as quantitative. Research was conducted paramedics working in emergency care by an internet survey that was in progress from 1.2.2019 to 30.4.2019 within facebook group ,,Ošetřovna od ošetřovatelství.info. The research group was consisted of 124 male paramedics working in emergency care. The measure of burnout syndrome was investigated using the Czech version of Shiron-Melamed burnout measure scale (SMBM questionnaire), the sexual life of respondents was examined using the questionnaire Sexual functions of man) in the extended Kroměříž's version (SFM/K). Results: Three of the five hypotheses were confirmed completely, two hypotheses were confirmed partially. The burnout syndrome has been shown to affect the need for sexual activity, the frequency of tries of sexual intercourse and the frequency of satisfying sexual intercourse, the sense of success in sexual life and also the...
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History of nursing professionals in pediatrics
Risplerová, Miroslava ; Kordulová, Pavla (advisor) ; Lukášová Jeřábková, Lenka (referee)
The bachelor work focuses on historical evolution of specialized nurse practitioners in pediatrics - from general caretakers to the origins of pediatric nurse as an independent profession. The work presents necessary preparations, working conditions and responsibilities and how they changed throughout the times. The main aim of the work titled ,,Historie osetrovatelskych pracovniku v pediatrii" was to map the evolution of nurse practitioners from the beginning to the present state, to overview the chief influences that formed the profession and last but not least, to present the current state of pediatric (or children's) nurse in the Czech republic and stress her importance in the field of specific nurse practice. Methods and Objective: The bachelor work is mainly theoretical as the method used was historical research in conjunction with literature review. Furthermore, the analysis was performed on the contents of historical and current literature and legislation, archives and the results from the literature reviews. The correct interpretation and transformation of the results into the self-contained scientific study was the assignment as well as the aim of this bachelor work. The work focuses on defining the basic terminology (such as pediatrics, nursing in pediatrics), historical aspect of...
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Multicultural communication on the intensive care unit
Korfelová, Lenka ; Kordulová, Pavla (advisor) ; Jankovcová, Kateřina (referee) ; Lukášová Jeřábková, Lenka (referee)
(v AJ) The theme of the theses is the nursing process from the point of view of multicultural nursing care of the patient-foreigner in a critical condition admitted to the intensive care unit. Considering the rise of tourism and the number of immigrants in the CR, the increasing number of patients-foreigners can be expected. The mutual communication and the impact of ethno-cultural influence on nursing is becoming a subject of the global interest. Patients' life threatening, stress, and a necessity of prompt and swift decision-making both by patients and health care professionals play a role in the intensive care. The theoretical part of the theses explains the basic concepts associated with multicultural nursing, the legislative framework of the nursing process and the topic of communication with foreigners in an intensive care. The language barriers and ways of overcoming the barriers are defined in this part. Methodology: I chose the case study method for my bachelor theses. A case report of a French patient hospitalized in a critical condition in an intensive care unit was processed from the point of view of multicultural nursing. The basis of the work was the application of theoretical knowledge of the Transcultural Nursing Society and deep insight and understanding my own cultural values and...
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Primary care in the American health care from the perspective of nurses
Novotná, Jana ; Di Cara, Veronika (advisor) ; Lukášová Jeřábková, Lenka (referee) ; Kordulová, Pavla (referee)
Introduction: Primary care is a complex health - social care provided by healthcare professionals, especially at the level of citizen's first contact with the healtcare system and on the basis of long-term continuous access to the individual. It is a set of activities related to health promotion, prevention, assessment, treatment, rehabilation and nursing care. There activities are provided as close to the patient's social environment as possible, respecting the bio-psycho- social needs (NCDP ČR, 2017). Objective: The main goal of this thesis is to clarify and explain the most significant differences in primary care of the patient in the Czech and American health care, focusing on the biggest problems and the advantages that are present at primary care level. The issue is viewed in the context of the social and cultural environment, which makes patient care in some respects specific. Questions: What is the education of a primary care nurse in the US? What are the competencies of a primary care nurse in the US? What is the nursing position in the US multidisciplinary primary care team? What competencies could be effectively transferred to the Czech healthcare system and why? Methodology: The main method by which I obtained most of the material for my bachelor thesis is based on a narrative review of...
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Awareness among patients with limited self-sufficiency about the possibilities of home care
Svobodová, Lucie ; Lukášová Jeřábková, Lenka (advisor) ; Jankovcová, Kateřina (referee)
This Bachelor thesis deals with problems of home care. At present, the whole population is aging in the Czech Republic, increasing the number of people with limited self-sufficiency. These individuals often seek help from home care services, so it is important that they know the opportunities that this service can provide. The main aim of the bachelor thesis is to find out the awareness among patients with limited self-sufficiency about the possibilities of home care. In line with the bachelor thesis topic and goal setting, I defined the following hypotheses: Hypothesis H1: I presume that more than 50 % of respondents evaluate their awareness about the possibilities of home care as insufficient. Hypothesis H2: I suppose that more than 50 % of respondents do not know who is competent to indicate home care. Hypothesis H3: I think that more than half of the respondents are not informed about the possibility of reimbursing some home care services by the health insurance company. For the bachelor thesis, the method of quantitative research was chosen. I obtained the required data using a non-standardized questionnaire of my own design. I filled out the questionnaire personally with each respondent. Respondents were patients from internal departments and hospices from unnamed Prague hospitals. All...
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