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Meeting the needs of foreign in-patient at the isolation unit of tuberculosis treatment according to the principles of the holism.
STRNKOVÁ, Romana
Abstract:Even today tuberculosis is a major health problem all round the world. The Czech Republic belongs among countries with low incidence of tuberculosis these days. In recent years the representation of foreigners in the total number of patients suffering from tuberculosis in our country has been increasing due to migration. In practice this results in the increase of number of foreigners hospitalized at isolation wards ? units for treating tuberculosis. Due to differences concerning culture, language, eating habits, customs, rituals and traditions, the stay at the isolation ward is for those patients traumatic experience for those patients. Hence, the thesis deals with the issue of meeting the needs of patients ? foreigners hospitalized at isolation ward for treating tuberculosis according to holistic principles. Two objectives were set at the very beginning. The first objective was to find out whether the needs of patients- foreigners hospitalized at isolation wards are met according to holistic principles. The other objective was to find out whether there are differences in the patients´- foreigners´ perception of the hospital environment. The theoretical part deals with holistic approach in patients care, present multicultural nursing, communication in providing nursing care, specificities of nursing at isolation ward and cultural specificities of hospitalized patients. The research part is based on qualitative data collection. An interview, observation and content data analysis were the methods applied in the research. The research set consisted of 5 patients-foreigners, who were hospitalized at isolation wards for treating tuberculosis in Hospital of České Budějovice, plc. and in the Lung Hospital in Humpolec. On the basis of information collected from patients during interviews, case histories were completed and these histories say that during hospitalization patient?s ? foreigner?s needs are met according to holistic principles. However, meeting the needs is to some extend influenced by the necessity to follow hygienic - epidemiological standards, relating to specificities of the ward operation. The environment of the isolation ward is perceived by the patients ? foreigners, due to the cultural and language differences, very intensively. Hospitalization, where these people are in a foreign country isolated from their relatives and friends, influences their behaviour, perception and reactions in a negative way. Language barrier makes the problem even worse. We are able to provide multicultural friendly care respecting opinions, traditions, habits and cultural specificities of an individual and non- traumatic adaptation to new environment in hospital.
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