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Observing patients' rights in selected hospitals of the Czech Republic.
KORTUSOVÁ, Jana
For everyone hospitalization represents a change accompanied by various restrictions. Anyway, this cannot mean a change in rights. Each patient is unique {--} they have specific needs, unchangeable principles, a value system of their own. A patient can be defined as a person under medical care, as an ill person undergoing treatment. The term {\clq}qpatient is derived from the Latin word {\clq}qpatiens`` {--} patient, suffering. The patients' rights are laid down in the Code of Patients' Rights which became effective in the Czech Republic in 1992. It is the knowledge of rights that is important before all for the strengthening of an equal relationship between the doctor and the patient The risks which represent a threat during the hospitalization can be lowered by consistent observation of the patients' rights as well as the patient's satisfaction with the care provided can be heightened. The basic individual rights of the patients include the right to silence to be preserved about the facts that the health worker became familiar with in connection with medical care or treatment, the right to being informed about their state of health, the right to gaining necessary information in order to be able to make a decision before a new diagnostic or therapeutical procedure is started up. The other rights include refusing a treatment and being informed about the consequences of the decision, the right to privacy during medical care or treatment and to a considerate, sensitive and worthy approach during the treatment. The thesis comprises the present state of problems in question, the aims of the thesis, determination of hypotheses, methodology, the results of the research, discussion, conclusion, the list of sources used, key words and supplements. The present state portrays the history of ethical codes, legal standards and the problems of medical law, the patients' rights, individual patients' rights, accreditation standards of the patients' rights. The aim of the thesis is to find out whether the patients are made acquainted with their rights after being taken to hospital, whether they are informed about the character of the disease, about suggested treatment and possible treatment alternatives. To map out whether there is the need of education being taken into account with each patient and whether the nurses keep notes in the documentation and find out the nurses' knowledge in the sphere of the patient's immobility. here have 7 hypotheses and 5 statistical hypotheses been specified in the thesis. Quantitative research approach was applied for the research. Questioning was used as a method, a questionnaire as a technique. The questionnaire for the patients was anonymous and included 26 questions. It focused on making the patient acquainted with their rights, on awareness of the state of health, the character of the disease and the suggested treatment, on the education of the patient by the nurse and on respecting the patient's intimacy. It included closed and semi-closed questions. At the end of the questionnaire the patients had a chance to express their possible comments, suggestions, impulses concerning the problems in question. The questionnaire for the nurses was anonymous and included 32 questions. It had its focus on observing the patients' rights, the informed patients' consent, their education, on the problems of restricting the patient on the bed and on respecting the patient's intimacy. The questionnaire included closed and semi-closed questions. The representative sample was made up of 218 patients and 205 nurses. The results were compiled in tabular and chart form, and subsequently processed by means of the SPSS statistical programme. The discussion includes a summary of the research knowledge in comparison with the sources used.
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The comparison of quality seniors´ life in the institutional establishment in the period of time for two years
KORTUSOVÁ, Jana
The topic of old age and ageing is wide-ranging. The position of senior citizens within a society and the solution of the questions connected with the consequences of their growing age represents an integral part of the natural life cycle. Apart from their material security the quality range of senior citizens{\crq} life is made up of their state of health, accessibility of both public and private health, social and other services, marital status, the quality of housing, the chance of further education and developing social contacts. The quality of life is a very subjective and individual phenomenon. It involves different impulses for various people in different periods. There is a general tendency towards rising demands on the quality of life within the population and it the same with the oncoming generation of senior citizens. It is always necessary to ask oneself a question whether the quality of senior citizens{\crq} lives in institutional facilities is on an appropriate level and which are the factors influencing the quality of their lives. Evaluating the quality of life can be also looked upon as a subjective individual{\crq}s view of the individual aspects of his life. However, it is highly important that the living environment meets and satisfies the senior citizens{\crq} corporal, psychic, social and spiritual needs. This diploma thesis represents a continuation of the bachelor{\crq}s thesis: The quality of senior citizens{\crq} life in institutional facilities. The basic aim is to compare the quality of senior citizens{\crq} life in the institutional facility {--} the Old People{\crq}s Home of Kůsov within a period of two years. I have chosen the topic of the thesis because I have been working in an institutional facility for more than 21 years, and the quality of senior citizens{\crq} life has made me think about this problem more thoroughly. The diploma thesis includes the present state of affairs of the problems in question, the specification of hypotheses, methodology, the results of the research, discussion, conclusion, the list of the sources, key words and supplements. The description of the present state of affairs comprises the characteristic features of the senior citizens{\crq} population, senior citizens{\crq} state of health, their self-sufficiency and activities. Another concept is the quality of life. Provided that we combine the word quality with that of life, we will face the fact that various people can have and usually do have different ideas about what in fact comprises the meaning of their life, what makes their life of high quality. The quality of life is looked upon as a multi-dimensional quantity and is usually defined as a ``subjective appraisal of one{\crq}s own conditions of life{\crqq}. Further on there are institutional facilities and the new Social Care Act No. 108/2006 digest mentioned in this part. There have two hypotheses been specified in this thesis, which have been confirmed by the research. The original research sample of the year 2004 included 100 respondents: 40 men and 60 women. Within the period of two years 22 respondents died, 8 men and 14 women. These respondents were taken away from the total sample and, as a result, a new representative sample has come into being comprising 78 respondents, 32 men ans 46 women. The research was carried out by means of the method of a controlled dialogue, using a questionnaire for the users of the old people{\crq}s home, the standardized SEIQoL questionnaire and an ADL test. The results were compiled in tabular and chart form, and subsequently processed by means of the STATISTICA statistical programme. The discussion includes a summary of the research knowledge in comparison with the sources used. The conclusion comprises a summary of the complete research part. We can conclude that nowadays the quality of life in an institutional facility can reach a high level.
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