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THE ROLE OF CHILDREN´S NURSE IN SCHOOL CATERING
MÁGROVÁ, Milena
Approaches to nourishment and eating habits are formed from early childhood under the influence of family lifestyle, gradually together with the influence of school and society where a child grows. Healthy lifestyle should systematically address all children during the whole school attendance, adequately to their age and needs. Comprehensive link between theoretical and practical influencing of pupils in subjects Human and Health and Education to Health with the possibility of link to school canteen. Then we will be on the good way to cooperation of all the involved parents, healthcare staff, teachers and school canteens leading to the common goal, which is GOOD HEALTH. The aim of the thesis was to assess the role of a children nurse in school environment, namely in school catering. The research tried to analyse catering standards for pupils of primary schools and to find the experience and satisfaction with school catering among parents and to map approaches of children of lower and higher level of primary school to school canteen meals. Quantitative and qualitative research was applied to the thesis. Data collection was performed by means of questionnaires for parents and children from the 3rd to 9th grades and focus group among children of the 1st and 2nd grades of primary school in Jindřichův Hradec. The questionnaires were processed and statistically evaluated by SPSS programme. We applied Parkinson's chi-squared test, a paired sample t-test for graph and table outputs. The focus group was performed in classrooms and in the canteen during break and during lunch at presence of a teacher and the vice headmistress. The research sample consisted of parents of children attending primary school in Jindřichův Hradec and pupils of the 1st to 9th classes of the same school. School catering, which is a frequent topic among professionals as well as the wide public in the whole Czech Republic and the results of our research are obviously an exception. Analysis of catering standards has shown that parents can only partially participate in preparation of menus, as they partially participate in financing of school lunches. From observation of 1st and 2nd class children we have found that children of this age are affected by the social environment they are in during the day. We have found that nearly all the children are satisfied with their meals. Pupils of 3rd to 9th classes formed another group. They commented and assessed canteen meals, where our sample differed from the other researches within the whole Republic. Satisfaction with canteen meals did not substantially differ with age as we expected. The research into satisfaction with school meals among parents has shown that parents of elementary school children are more satisfied that those of the higher level children, so the satisfaction among parents differs between the lower and higher primary levels. The research points out the connection of educational and healthcare systems, that there would be a place for a children nurse in this community, who operated in the school healthcare service before privatization of primary healthcare and still successfully operates there in many countries. It is necessary for community nurses to implement, lead and coordinate the care and for their care to be perceived as legitimate and essential in all spheres. The research results were requested by the vice headmistress of the school in Jindřichův Hradec in advance for possible correction of school catering and they might be also presented at seminars or conferences focused on nutrition and healthy lifestyle of children.
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Educational Activity of Nurse in Prevention of Teeth Cariosity with Pre-school Children in Connection with Dental Hygiene
MÁGROVÁ, Milena
This Bachelor thesis deals with Educational Activity of a Nurse in Tooth Decay Prevention in Pre-school Children in Relation to Dental Hygiene. Tooth decay is the most frequent chronic, multifactorial, infectious disease. In my practice of a nurse I meet children patients accompanied by parents to a preventive check-up every day, but sometimes also to acute care with toothache. The present aim of paediatric stomatology is to build systematic treatment and preventive care upon individual approach of a dentist and a nurse on one hand and upon parental responsibility on the other hand. Parents should include dental care into the overall care of healthy development of a child. If they understand the mechanism of the cause of deciduous teeth decay the state is preventable. Education as upbringing has taken an important position in modern health care and has become an everyday par of professional activity of a nurse. The aim of the thesis is to map the attitudes of parents to dental hygiene of their pre-school children as well as the importance of education in tooth decay prevention in this age group provided by a nurse. A hypothesis was set to the first aim: Parents do participate in dental hygiene of pre-school children. A research question was set to the second aim: How education provided by a nurse influences the ability to perform dental hygiene among pre-school children? Questioning method, the technique of questionnaire aimed at parents of pre-school children was applied to the quantitative research to examine the dental hygiene habits. The questionnaire results confirmed the hypothesis. A method of quasi experiment, the technique of monitoring and interviewing pre-school children in a kindergarten in České Budějovice was used in the qualitative part of the research. The first group of children became an author of a fairy tale and was actively involved in the correct technique of tooth brushing and using dental aids. An educational programme with a didactic aid ? a glove puppet is very attractive and beneficial for children. In the form of a fairy tale the children acquire healthy way of life, correct habits and also communication abilities. The second group consisted of uneducated children. The children were asked questions dealing with dental hygiene and oral health they acquired in their families, where they adapt approaches, gestures, attitudes and speech patterns from their examples. And they subconsciously mutually influence one another and form themselves for the whole future life in a kindergarten, where they enter a wider community of children for the first time. The knowledge of tooth decay prevention and the ability to brush teeth differs substantially in the two groups of monitored children. Unlike the uneducated ones the educated children were able to answer consequent questions on dental hygiene and oral health Dental hygiene and oral health education should be an everyday part of upbringing at kindergartens and elementary schools, but particularly in families. At this age parental example is an unsubstitutable base for further development and quality of life.
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