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The specifics of the nursing care for Romany minor within the frame of home care agencies
KASOVÁ, Simona
In the Czech Republic the Romani minority is a numerous as well as often discussed minority in these days. As one of the largest minorities in the Czech Republic is involved, not only nurses in health care facilities but also nurses working for home-care agencies meet members of the Romani minority at work. For a Romani family it is almost a duty to take care for their ill and dying relatives at home in a family circle. This care still bears elements of Romani tradition, which however often contravene with treatment regime. Despite this fact nurses from home-care agencies have good experience with taking care for Romani patients, and sometimes certain Romanies accept the use of home-care agency services. These theses on Specific Features of Nursing Care for Romani Minority in the Framework of Home-care Agencies deals in its theoretical part with a history, communication, religion, traditions and manner of living of Romani minority, further it focuses on history and scope of activities of home-care agencies, on ethics of dying and death in health-care facilities and on basic information in the field of palliative care. The second part of the theses is focused on quantitative and qualitative research. The quantitative research has been carried out in a form of a questionnaire addressed to nurses working in home-care agencies. Seventy one nurses from selected home-care agencies from the whole Czech Republic took part in this research. Qualitative research was carried out through structured interviews with 15 members of Romani minorities. Tasks of the work: to ascertain extent of use of services of home-care agencies by Romani minority, and to determine specific features of nursing care for dying member of the Romani ethnicity were fulfilled. Three hypotheses were determined to such tasks ? H1: Nurses from home-care agencies have already provided services to members of Romani ethnicity. H2: The Romani minority uses services of home-care agencies. H3: Nurses from home-care agencies are aware of specific features of nursing care for Romani minority. Hypotheses H1 and H2 were accepted. H3 was not accepted, as from the statistical evaluation of quantitative research it follows that nurses are not aware of specific features of nursing care. The following research questions were determined for the qualitative research: Are the members of Romani ethnicity aware of a possibility to receive help from home-care agencies in care for a dying family member? Are the members of Romani minority interested in help offered by nurses from home-care agencies in nursing of a dying family member? Results of the research of these theses were used for creation of a manual of specific features of nursing care for a dying Romani patient. The manual was sent to selected home-care agencies. Information contained in the manual may serve to nurses in an out-patient and patient departments of health-care facilities as well, as knowledge in the field of care for a member of the Romani minority dying at home may help such nurses to understand acting, communication, manner of living as well as life values of such patients at hospitalization. The whole theses may also serve in practice as an indicator of insufficient foreknowledge of the Romani minority on services of home-care agencies and necessity to spread information on such services to the Romani ethnicity.
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Interpreter as a part of team in nursing of patient
KASOVÁ, Simona
Abstract: Many foreign-language minorities live in the territory of the Czech Republic; therefore nursing care of other nations in healthcare facilities is not unusual. Mutual communication and understanding influence greatly the quality of nursing care for foreign patients. If a nurse does not know the needs of her foreign patient because of ineffective communication, she is unable to satisfy these needs and thereby provide quality nursing care. This thesis, focusing on topic Interpreter as part of a team taking care of foreign patients, describes, in its theoretical part, the movement of foreigners in the Czech Republic, the principles and elements of intercultural communication for healthcare professionals, interpreters work and involvement in multicultural nursing, and also some interesting facts concerning the communication of certain nationalities. The second part of this thesis consists of quantitative research, which is accompanied by a qualitative survey, through structured interviews with foreigners living in the Czech Republic. The quantitative research was conducted using questionnaires for nurses working in hospitals of South Bohemia. The thesis objective, to identify nurses knowledge needed to ensure a successful and good communication with foreign patients, has been met. Hypotheses for the objective were set as follows: H1 Nurses are already experienced with treating of patients foreigners. H2 Nurses have experiences in communication with members of foreign language minorities. H3 Nurses have some knowledge of the practices of successful communication with foreign patients. H4 Nurses know the contacts to people who they can address if an interpreter is necessary. H5 An interpreter is included in the nursing team treating a foreign patient. On the basis of research results, first two hypotheses have been confirmed; the other hypotheses have not been confirmed by the research. The results of this thesis could serve as an indicator of the need to educate nurses in a multicultural nursing. They could also point out in practice to the suitability of involving an interpreter in a nursing team treating members of foreign-language minorities.
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