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Preventing Terminal Hospitalization in Nursing Home for Older Adults
Pechová, Karolína ; Loučka, Martin (advisor) ; Kubalčíková, Kateřina (referee) ; Dobríková, Patricia (referee)
This dissertation deals with the topic of terminal hospitalizations of residents of nursing homes for older adults and was written within the framework of the doctoral study of Social Work at the Faculty of Humanities, Charles University. The aim of the thesis is to understand the factors that lead to terminal hospitalization of residents of nursing homes for older adults. The research design is mainly descriptive in nature and exploratory to a lesser extent. The thesis consists of peer-reviewed articles, three of which have been published in peer- reviewed journals, and a fourth is currently under review. The first article is a directed documentary analysis. It focuses on analyses of a public policy document for older adults, tracking how elements of palliative or end-of-life care are emerging in those documents in the 13 most rapidly aging populations. It provides insight into the system in which terminal hospitalizations are happening. The next two articles focus on terminal hospitalizations of nursing home residents. The second study is qualitative; the article summarizes the findings of an analysis of 27 semi-structured interviews conducted with general nurses, social workers in nursing homes and general practitioners who had their patients in nursing homes. The third article (under review)...
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Measuring burden of formal caregivers in nursing homes
Monschizadeh-Tehrany, Lenka ; Janečková, Hana (advisor) ; Kubalčíková, Kateřina (referee) ; Vacková, Jitka (referee)
This dissertation presents a description of the concept of the formal caregiver's burden (for the purposes of this thesis it is the profession of a professional caregiver in direct care in a nursing home) and their possible measurement through the chosen theoretical and methodological tools. One of the research aims is to explore the characteristics of the formal caregiver in nursing homes in the Czech Republic, which may entail potential burden, stress and other attributes affecting the quality of work life. The dissertation is divided into a theoretical and empirical part. In the theoretical part, the basic terms such as formal caregiver and formal caregiver burden are first defined and characterised, which sets the chosen subject in a theoretical-conceptual framework. It is followed by a detailed description of the Perceived Stress Scale (PSS), the Areas of Worklife Survey (AWLS) and the Professional Care Team Burden (PCTB) measuring instruments, which form the core element of the used methodology. The empirical part describes the quantitative research that was conducted in the beginning of 2022. 424 respondents, professional caregivers in nursing homes, participated in the given research. Data analysis yielded validation and reliability of the PCTB scale, which was one of partial goals of the...
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