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Client oriented assessment of servis quality of two inpatient physiotherapy units, a comparative study
Tomková, Alice ; Slanina, Petr (advisor) ; Tošnarová, Hana (referee)
The main object of this diploma thesis is to compare two inpatient physiotherapy units from the patients point of view. The first part of this thesis is focused on theory connected with current economic position of individual medical facilities in the system of Czech healthcare, their image and credit. The next part defines quality of service in medicine and methods of assessment of quality, both objective and subjective. Objective methods cover the system of Medical Standards, Accreditation and Specialized Medical Assessment Systems. Subjective methods comprise both qualitative and quantitative assessment. In the practical part of this thesis the quantitative assessment questionnaires from two physiotherapy units are analyzed to identify fields for future improvement at each medical facility. Both physiotherapy units are described and structure of questionnaire is defined. The results indicate reserves in the field of communication between patient and medical professionals, quality of patients wards and degree of privacy. Sociological probe as a part of thesis reveals some key factors for patients from different social groups to be satisfied with their stay at the physiotherapy unit. KEY WORDS Quantitative Assessment, Assessment Questionnaire, Quality of Medical Care, Quality Assessment, Patient...
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The topics of ethicin professional nurse behaviour in the care of psychiatric patients
Tošnarová, Hana ; Haškovcová, Helena (advisor) ; Tóthová, Valerie (referee) ; Soukupová, Tereza (referee)
5 Hana Tošnarová The topics of ethicin professional nurse behaviour in the care of psychiatric patients Abstract Presented dissertation theses are dedicated to the ethic aspects of the professional behaviour of nurses in their care of the mental patients. In the theroretical part are described thesis connected with the profession of psychiatric nurses, with the psychiatry as a medial branch, legislation in the psychiatry and with the questions of ethics in the connection of nursing. The practical part, that describes the qualitative research, is divided into two subsections and observing. The phenomenal study went through in the Mental home of Bohnice (Prague) and the output was the determination of defined notion "professional behaviour of a nurse in the care of mental patients in the scope of ethics". The second part of the observation was targeted on the access of the nurses to the mental patients in the special handpicked working places of the somatic medicine in Prague. The output of this research is a description of the behaviour style of nurses in the somatic working places in an interaction with mental patients. Keywords: ethics in nursery, ethics in psychiatry, ethics in medicíně, professional behaviour of a nurse, nursing, medical law
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Client oriented assessment of servis quality of two inpatient physiotherapy units, a comparative study
Tomková, Alice ; Slanina, Petr (advisor) ; Tošnarová, Hana (referee)
The main object of this diploma thesis is to compare two inpatient physiotherapy units from the patients point of view. The first part of this thesis is focused on theory connected with current economic position of individual medical facilities in the system of Czech healthcare, their image and credit. The next part defines quality of service in medicine and methods of assessment of quality, both objective and subjective. Objective methods cover the system of Medical Standards, Accreditation and Specialized Medical Assessment Systems. Subjective methods comprise both qualitative and quantitative assessment. In the practical part of this thesis the quantitative assessment questionnaires from two physiotherapy units are analyzed to identify fields for future improvement at each medical facility. Both physiotherapy units are described and structure of questionnaire is defined. The results indicate reserves in the field of communication between patient and medical professionals, quality of patients wards and degree of privacy. Sociological probe as a part of thesis reveals some key factors for patients from different social groups to be satisfied with their stay at the physiotherapy unit. KEY WORDS Quantitative Assessment, Assessment Questionnaire, Quality of Medical Care, Quality Assessment, Patient...
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Burn-out syndrome at obstetric department
Fáberová, Irena ; Marková, Monika (advisor) ; Tošnarová, Hana (referee)
Burn-out syndrome is permanently present among helping professionals, midwives not excluded. The work of a midwife is challenging and stressful at the same time. Midwife works twelve-hour shifts and she is responsible for two human lives - that one of the mother and that one of her child. In my thesis, I tried to draw a map of burn-out syndrome at an obstetric department and its relation to workplace culture. Based on my work experience, I decided to observe satisfaction rate of non-medical healthcare givers. Just satisfaction rate in each single area of work life gives us the best evidence of quality of organisation management and its flexibility in the management field as a prevention towards burn-out syndrom. Theoretical part of the thesis provides us with general information about burn-out syndrome and organisation culture. Empiric part of the thesis deals with influence of burn-out syndrome at an obstetric department. Two methodes were used during the research phase - qualitative research (interview) and standardised MBI-GS questionnaire. The goal of the thesis was to set up suitable preventive measures based on research results at an organisation management level. Key words: burn-out syndrome, midwife, organisation culture, obstetric department, satisfaction, preventive measures
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The quality management of health promotion program for specific groups of patients
Macháčková, Vladimíra ; Vrzáček, Petr (advisor) ; Tošnarová, Hana (referee)
This diploma thesis with the management of health support program in a hospital, because of increesing interest in relevance of health support nowadays. Theoretical section attempts to map out health supportin global context and also outline some health support programs, which are in progress in Czech Republic today. Another goal is to specify the most frequent noncommunicable chronic deseases and their risk factors. The last part of theoretical section deals with quality of health care, implementation of quality management and quality planning and also highlits quality as a result of modification of management process. Practical section analyzes data from questionaire survey, colected from in-patients with ischemic heart disease in The Hospital Pelhřimov. Results show, that patients wanted to change their life style. There is also a big group of patients, who don't think of changes of their habits. But this group is interested in informations about changes of their life style. The informations are provided by physicians. As for this group, group consists of patients with overweight or obesity, and patients who are suffering from their disease less then one year. Level of provided information in The Hospital Pelhřimov is very high. Patients are able to realise recommendations, which personal of the...
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The topics of ethicin professional nurse behaviour in the care of psychiatric patients
Tošnarová, Hana ; Haškovcová, Helena (advisor) ; Tóthová, Valerie (referee) ; Soukupová, Tereza (referee)
5 Hana Tošnarová The topics of ethicin professional nurse behaviour in the care of psychiatric patients Abstract Presented dissertation theses are dedicated to the ethic aspects of the professional behaviour of nurses in their care of the mental patients. In the theroretical part are described thesis connected with the profession of psychiatric nurses, with the psychiatry as a medial branch, legislation in the psychiatry and with the questions of ethics in the connection of nursing. The practical part, that describes the qualitative research, is divided into two subsections and observing. The phenomenal study went through in the Mental home of Bohnice (Prague) and the output was the determination of defined notion "professional behaviour of a nurse in the care of mental patients in the scope of ethics". The second part of the observation was targeted on the access of the nurses to the mental patients in the special handpicked working places of the somatic medicine in Prague. The output of this research is a description of the behaviour style of nurses in the somatic working places in an interaction with mental patients. Keywords: ethics in nursery, ethics in psychiatry, ethics in medicíně, professional behaviour of a nurse, nursing, medical law
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Ethics of clinical research provided in intensive care by nurses.
Lerchová, Martina ; Haškovcová, Helena (advisor) ; Tošnarová, Hana (referee)
This presented gradual thesis deal with problems connected with research projects provided by nurses in cooperation with doctors on Coronary Intensive Unit in the IKEM hospital Praha. The exact name of this thesis is - Ethics of clinical research provided in intensive care by nurses. This thesis is composed from two parts - theoretical and practical. Theoretical part is divided into the seven parts. The first chapter descripe a develop of relationship between the doctor and patient whitch is very important especially during the research studies. The second chapter is focus on problems of informed consent area. Describe its historical development and process its standardization in big hospitals. The third chapter contain an information about ethicall comitte and its role in medical researchs. Fourth chapter contain some information about development and changes in documents important in research area. Nursing as a area for research is mentioned and discuss in five part of this thesis together with supervision which is very important in research too. Part six try to solve a problems connected with competention of nurses in the Czech republic in research area. The last seven part try to explain the meaning of some research studies, which are actualy running on Coronary Department in the IKEM Praha hospital....
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