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Strategy how to deal with a fear before surgery
ROSOVÁ, Monika
The diploma thesis deals with the strategies that the nurse uses in her practice to alleviate preoperative fear in patients. Waiting for surgery or being taken to the operating room can be stressful events for the patient. The overall mental state of the patient has a significant effect on the postoperative outcome, especially on the length of hospitalization or infection. The aim of the research was to find out patients' expectations from nurses and their attitude to nursing interventions to manage fear, factors influencing patients' fear, communication techniques of nurses and information that nurses provide to patients in the preoperative period. The research was carried out using a qualitative method, the technique of semi-structured interviews. The obtained data was analyzed by the technique of open coding with subsequent division into categories and subcategories. The research sample consisted of two groups of respondents. The first research sample was general nurses working in the surgical department. The second research sample consisted of patients who were hospitalized in the surgical department due to surgery. 21 open-ended questions were used to interview general nurses, focusing on information provided by the general nurse in the preoperative period, measures related to the COVID 19 pandemic and their impact on preoperative preparation, but also on nurse interventions used to alleviate patients' fears. 24 open-ended questions were used to interview patients, focusing on the impact of the hospital environment, factors affecting the patient's fear, awareness in the preoperative period, or COVID 19 measures and their effects on the patient. The results of the research survey showed that medical staff, the family and the hospital environment have a major impact on reducing fear. For the interviewed patients, the approach of general nurses, the influence of co-patients, the family and awareness have an irreplaceable role in reducing preoperative fear. The interviewed nurses consider the most important intervention to be an individual and empathic approach, proper education with an explanation of all risks. They use educational cards or notice boards for education. Measuring fear instruments are not used in practice. The patient's expressed confidence in the medical staff has a fundamental effect on reducing preoperative fear. The output of the work is the creation of a new scale for measuring preoperative fear. This scale should very easily and quickly find out how much fear the patient is experiencing.
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The quality of drinking water in the Hospital Prachatice.
ROSOVÁ, Monika
This diploma thesis deals with the drinking water quality in the Prachatice Hospital. In every healthcare facility, it is essential to maintain and monitor the quality of drinking water. The diploma thesis has the following objectives: Evaluation of the quality and quantity of drinking water and hot water at the Prachatice Hospital in certain time periods, comparison between another hospital in the South Bohemian region with the occurrence of Legionell in the given period, the possibility of solving crisis situations in accidents in the healthcare facility and possibilities of rainwater use in the Prachatice Hospital. The thesis is divided into theoretical and practical parts. The theoretical part of the thesis describes basic concepts related to the quality of drinking water, indicators of drinking water and a section is devoted to a water accident in the Prachatice Hospital in the autumn of 2015. The practical part was processed by the method of secondary analysis of data. The necessary data for the analysis was obtained directly at the Prachatice Hospital and at the Regional Hygiene Office in České Budějovice. For the analysis, data from January 2011 to January 2017 was used and processed in Microsoft Excel into tables and charts. The results show the overall drinking water supply situation in the Prachatice Hospital. The work could draw attention to the problems and issues associated with emergency situations, for example. Hospital management and professionals in drinking water technology department can get a comprehensive overview of the hospital's drinking water supply from its own well, public well and the public water supply.
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Nutrition consulting in the 21st century
ROSOVÁ, Monika
The topic of this bachelor thesis comprehensively summarizes the field of dietary advice in the 21st century. The topic focuses on a general description of nutritional counseling services, diseases which people come to counseling offices with, and general nutritional status as the specialization, today and in the past.Nutritional counseling offices are now very demanded and the demand for them is still increasing. That is why it is so necessary to pay attention when choosing and comparing the ratio of quality and price of services of individual counseling offices.The thesis is divided into two parts. The theoretical part describes general concepts such as healthy lifestyle or health. This part is devoted to the history of nutrition among other things, the issue of overweight and obesity, and to the knowledge about nutritional counseling. The thesis defines nutritional counseling and also the distinction between a nutritional counselor and nutritionist is mentioned. Other chapters are concentrated on the personality of a nutrition consultant and on the ethics, which is required, in this field. This paper has a goal to explore nutritional counseling and its services. There were four research questions stated. They were determined separately for advisory clients, and for nutrition counselors. We were analyzing what attitudes the advisors and clients have on the current status and quality of services provided by nutritional counselors. The questions are as follows: 1.How the clients are satisfied with the quality of services in nutrition counseling? 2.Is nutritional counseling financially accessible? 3.Do the clients follow the recommendation? 4.How a nutritionist feel about competition with other dietary advisers? In the practical part there is the main research realized. The research was conducted by a qualitative method using semi-structured interviews with respondents. The research group consisted of nutritional advisors and former clients of nutritional offices. In total, 14 interviews were conducted of which 7 clients and 7 counselors were approached. Trough the research questions I examined the satisfaction with the service quality of nutritional counseling and clients´ opinions about the affordability of the services. When asking the counselors, I was exploring how the clients follow the recommendations given and how does a counselor feel about the other counselors. The interviews with respondents were transcribed and then coded and categorized using the method of paper and pencil. From the research I have done, it can be concluded that the clients are satisfied with the quality of counseling services and also with the attitude of a nutrition counselor. When searching for an appropriate counseling office, the clients followed the experience of their acquaintances or reviews on the internet. By their opinions, the financial affordability is equal to the quality provided. In some cases, clients even did not find the affordability important. The results regarding nutritional counselors point to their range of services. Clients are primarily interested in weight reduction. By the words of consultants: "Most customers are satisfied with their approach if they complete the program". Consultants say that a third to a half of all clients fail to complete the program. This indicates that the clients did not follow the recommendations. The question of competition is very delicate, especially for smaller clinics. This is mainly caused by the lack of awareness and promotion. As I addressed differently sized clinics, the answers varied. Yet the advisors in the city of České Budějovice think there is no competition for them, nor any tends which would indicate that there is good competition.As a conclusion I would like to add that the clients are fully aware of the necessity to explore the quality of services, the education which the counselors have and the complexity of their services, when choosing a nutritional counselor.
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