National Repository of Grey Literature 2 records found  Search took 0.00 seconds. 
Nutritional screening as an indicator of nursing care quality
LENKOVÁ, Klára
Proper nutrition is essential for every human being, whether healthy or sick. Nutrition is, according to associate docent Kohout, one of the areas that is most neglected in health and social facilities in the Czech Republic. Standardized nutritional care should be established in all hospitals, representing a comprehensive nutritional and qualified solution for clients/patients. The standardized nutritional care involves systematic assessment of nutritional status of a client/patient and a search for clients/patients at nutritional risk. It further includes an appropriate diet according to the needs and capabilities of a client/patient and timely provision of adequate nutritional support to clients/patients who were identified as nutritionally at risk. Finally, standardized nutritional care also includes monitoring and documenting the effects of nutritional therapy, because the effect of individual measures cannot be monitored without proper documentation. The objective is to monitor the process of identification, evaluation and implementation of actions to ensure nutritional care in selected medical facilities from the perspective of the senior nursing management. Another objective is to map how significant quality indicator this is and what problems are seen in creating and maintaining a standard situation. Data collection was carried out by an interviewing technique using questionnaires. Respondents were from hospitals in the Czech Republic where we addressed the members of their senior nursing management. H1 ``The hospitals use established control mechanisms to find out about the nutritional status of compliance with established standards of nutritional care{\crqq} has been confirmed. H2 ``Nutritional screening is performed by nurses on all clients/patients at reception{\crqq} has been confirmed. H3 ``Nutritional screening during hospitalization is repeated only in clients/patients at risk{\crqq} has been confirmed. H4 ``Nurses develop nutritional screening within the cooperation of nurses with a nutritional therapist in the provision of standardized nutrition care{\crqq} has been confirmed, and H5 ``The results of nutritional screening are used by nurses as the basis for the saturation of clients{\crq}/patients{\crq} nutritional requirements{\crqq} has also been confirmed. The second objective was to map how significant quality indicator this is and what problems are seen in creating and maintaining a standard situation. The performance of nutritional screening has become the second most important quality indicator according to the research. As for the problems seen by respondents in relation to creating and maintaining a standard situation, it can be said, on the basis of the research results, that the biggest problems in creating and maintaining a standard situation is the lack of personnel, economic demands and approach of the personnel, their reluctance and disinterest. We attempted to explore the process of identification, evaluation and implementation of actions to ensure nutritional care in selected medical facilities from the perspective of the senior nursing management and then, based the results, to suggest ways of potential improvement of the current situation in the field of clients{\crq}/patients{\crq} nutrition.
Knowledge of outsider public about services which is offer of home care agency
LENKOVÁ, Klára
Home care is a modern form of health and social care which has been provided in the Czech Republic since 1990. It is focused on persons who would be hospitalized if it were not for home care. The costs are fully covered by health insurance. Those who make use of this service are people of all ages, with various diagnoses and medical indications. Home care is focused mainly on health support and maintenance, health restoration and self-administration development, pain management of incurable patients and terminal care to ensure patients meeting their death fearless and reconciled. The objective of this thesis is to learn more about the public awareness of services provided by home care agencies. The other objective is to find out if nurses working for these agencies promote the home care service well enough. The data collection was carried out by the questionnaire method and the method of public inquiry. The first sample was a group of people living in the South Bohemian region aged 18 49 years. The second sample was a group of people living in the South Bohemian region aged over 50. These two groups were supposed to fill in the same type of a questionnaire. The third sample were nurses working in home care agencies in the South Bohemian region who were handed out inquiry sheets. The hypothesis I {--} the public are not informed enough about services provided by home care agencies {--} was confirmed. The hypothesis II {--} there are differencies in awareness of the public in relation to the age of respondents -was confirmed. The hypothesis III {--} nurses promote home care services only among their patients {--} was not confirmed. It is advisable to hospitalize patients only when it is inevitable. In other cases there is an option to make use of home care services. The aim of my thesis was to bring up a survey of services provided by home care agencies and give some suggestions for the awareness of the public to be enhanced.

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