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Educational needs of mothers with newborn twins
ŠIMEČKOVÁ, Tereza
Introduction: Despite the declining trend of multiple pregnancies, twins are encountered quite frequently. Caring for two children at once can be very challenging, and for this reason support from both partner and family, as well as from health care professionals, is important. Nurses responsibilities include educating mothers about newborn care, with safety and breastfeeding playing a major role with newborn twins. Objectives of the work: The first goal was to determine the specifics of nursing care in newborn twins. The second goal was to discover the educational needs of mothers of newborn twins. The third goal was to reveal the most important areas in which the mother needs to be educated and the fourth goal was to find out if there is a difference in educational needs from the perspective of mothers and nurses working in the newborn unit. Methodology: The research part of this work was done in the form of qualitative analysis and semi- structured interview with nurses of neonatology unit and mothers of newborn twins was used for data collection. The interviews were conducted from December 2022 to March 2023. All interviews were recorded on a recording device after consent and then transcribed into Microsoft Word. The analytical software ATLAS.ti was used to analyse, code and generate individual charts. Subsequently, the data were broken down into units, which were assigned appropriate codes, which were further grouped into categories that captured contexts with a direct link to the research questions. Subsequently, the categories and subcategories were processed into clear diagrams. Results: The research showed that the specifics of nursing care for newborn twins clearly include breastfeeding, which has countless benefits for both the newborn and the mother. The areas in which the mother needs to be educated include the aforementioned breastfeeding, but most importantly safety. Among the educational needs of mothers, we can again include breastfeeding and a supportive, empathetic approach from nurses. Differences in educational needs from the perspective of the nurses include practical education with practice and subsequent observation of the mother to see if she is doing the activity well and subsequent re-education. Mothers, on the other hand, would appreciate if another family member participated in the education. Conclusion: The results show that mothers of newborn twins are educated in the same way as mothers with a single newborn. The emphasis is mainly on safety, so that the mother does not leave the children unattended or leave one unattended while she takes care of the other. Breastfeeding is also an important area, with mothers of twins preferring tandem breastfeeding, which means that the mother breastfeeds both babies at the same time. This bachelor thesis can be used in improving the care of mothers with newborn twins and in the teaching of future paediatric nurses.
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The Holocaust through child's eyes
Šimečková, Tereza ; Holý, Jiří (advisor) ; Mravcová, Marie (referee)
The thesis analyses the child's perspective in the literary works of the holocaust literature - the novel The Painted Bird by Jerzy Kosinski, the short story Děti (Children) by Arnošt Lustig and the piece Noc (Night) by Elie Wiesel. We assume that the child's perspective is significant and totally different from the perspective of the adult narrator. The goal of the thesis is to define the characteristic elements in the narrative. First and foremost we seek to analyze the elements in the language, style and motifs of the texts. We also want to define what kinds of literary works are suitable to be denominated as literature written through the child's eyes. We divide the works into several groups according to the fact if the book is a fiction or a memoir. The main differences in using the child's perspective are between these two groups of literary works. In the thesis we first describe the holocaust as a historical event and then we go on with the description of the holocaust literature. In the other parts of the thesis we analyze the literary works mentioned above.
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The analysis of effectiveness of active labour policy when dealing with structural unemployment in the Moravian-Silesian Region
Šimečková, Tereza ; Vostrovská, Zdenka (advisor) ; Vebrová, Ludmila (referee)
The aim of the thesis is to analyze effectiveness of training programs in the Moravian-Silesian Region during the years 2007-2011. Targeting analysis showed that targeting at disadvantaged groups was unsatisfactory. The only exceptions among disadvantaged groups were groups of graduates and job seekers registered for 12-24 months. The values of total gross effects are only slightly lower than values reported for the Czech Republic and are around 62 %. Lower gross effects were found for disadvantaged groups. Inversely proportional relationship between the length of previous evidence and the value of the gross effect was proved. The worst results were found in the group of job seekers registered more than 24 months which approached 30 % at the end of the period. The thesis concludes that training programs seem to be efficient labor policy measure but recommends improving targeting at disadvantaged groups. It further recommends to monitoring the length of employment after training course, the connection between the job and training course and the return to the evidence that would help to optimize the supply of courses and also using the net effect analysis which overcomes limits of analysis chosen in the thesis.
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Analysis of impacts sickness insurance reform from 2009 on sick benefit
Šimečková, Tereza ; Szabová, Lucia (advisor) ; Houdek, Petr (referee)
The aim of Bachelor's thesis is to determine whether the Act No. 187/2006 Coll. the Sickness Insurance has contributed to achieve the expected effects on sick benefit. The new act should help to simplify the system, to prevent frequent abuse of system, to motivate people to work and ensure reductions in expenditure on sickness insurance benefits. The theoretical part deals with sickness insurance system in general and with changes which the reform has brought. The practical part examines whether the above-mentioned effects has been managed to achieve. The basis of my work is the analysis of documents and data obtained from a structured interview. In each of the designated areas I will make a comparison of situation before and after the reform and appraise the current situation. The conclusion of my work will be fiding out whether the expected effects has been managed to achieve.
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