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Problems of integration of the Ukraine nurses in the health systém of the Czech Republic.
VOTRUBOVÁ, Nataliya
The health care in the Czech Republic has not got enough nurses. One solution to this problem is to except help from the nurses from Ukraine, they have simillar culture and language to us. To include nurses from Ukraine it is not easy, it includes legislative and culture process. It is also difficult for them to learn Czech language and they have to go throught a culture shock. This work has its aim to find out the difficulties in including Ukraine nurses into the health care in the Czech Republic. The chosen metod was technice called polo- structured with pre structured open questions. Interviews were with the nurses from Ukraine and the Czech Republic which work in the South Bohemian hospital. To show the whole problem it also includes interviews with doctors and patients from the same hospital. The results show that the Ukraine nurses feel possitive about being included in the health care system in the Czech Republic. It was also found that the Czech nurses and doctors are happy working alongside with them. Another important fact is that patients are also happy about the care they receive from the Ukraine nurses. The biggest factor in helping to integrate the Ukraine nurses into the work and into the full Czech culture is to help them to learn the Czech language. Results of the findings can help the nurses easier integrate into the health care system in the Czech Republic and it can also be used for NLZP for Czech and Ukraine nurses. Help to prevent problems which may acure.
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Specifics of nursing care in patients after transapical aortic valve implantation.
VOTRUBOVÁ, Nataliya
Transcatheter aortic valve implantation (TAVI) is a new and an attractive method in cardiology and as well as in cardiac surgery. It is constantly evolving method which has been developed as an alternative to standard open surgery, especially in patients with severe symptomatic aortic stenosis with unacceptably high perioperative risk or patients who are not suitable for conventional open heart surgery because of age and comorbidities.A teamwork is very importantfor this new method and approach. The choice for TAVI is discussed by the institutional multidisciplinary heart team, typically consisting of interventional cardiologists, imaging-specialists, cardiac surgeons and anaesthesiologists. The first implant in a human being was performed by Cribierin 2002. In Czech Republic this method was first used in 2008. Transcatheter aortic valve implantation (TAVI) was accepted as a minimally invasive alternative to open surgery. This method does not require the use of cardiopulmonary bypass, and cardiac arrest. Other several benefits includinglower risks of bleeding and stroke events, better wound healing, less pain, as well as more rapid early recovery due to preservation of continuity of the sternumthat result in shorter durations of stay in the hospital, earlier rehabilitation and faster returns to normal life. In the presented work was used a combination of qualitative-quantitative methods of investigation. The data was obtained by using the quantitative research. The main technique was using the questionnaires designed for nurses working at the Department of Cardiac Surgery, Hospital Czech Budejovice, a. s. These results were backed up by the implementation of qualitative research, which investigated the patients and physicians view on monitored issues. Questioning method using a semi structured interview technique was used for qualitative research. The results of the survey were processed using descriptive statistics charts in LibreOffice Calc and using diagrams created in LibreOffice Writer. Qualitative results of the research were transcribed from audio recordings and coded, and the base code was created nine categories of interviews with clients/patients and three categories of interviews with doctors. The aim of this work was to explore the specific problem of nursing care about the clients / patients after transapical aortic valve implantation. On the base of our obtained data it is evident, that the client/patient after TAVI may be positioned sideways, the use of surgical drains are less frequently, so the care about the surgical wounds is simpler, patients report less pain in the surgical wound and postoperative rehabilitation and recovery is shorter. H1 - The nurses take care about the clients/patients after transapical aortic valve implantation in the same way as about the clients/patients after open aortic valve replacement, without realizing the differences between the patients treated with different approaches, was not confirmed. The nurses'sees/reported major differences in invasiveness and extent of providing care, rehabilitation, convalescent, in the duration of the hospitalization and better cosmetic effect. The results of the research can serve as a basis for creating the standards of nursing care or educational material for clients/patients. It is also possible to present the results of this work at a specialized seminar for non medical healthcare workers and results can also increase the quality of nursing care about the clients/patients after transapical aortic valve implantation.
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The Role of Key Worker in the Home for the Elderly
VOTRUBOVÁ, Nataliya
The problem of old age and aging is a present topic. The bachelor thesis is divided into a theoretical and an empirical part. The theoretical part is focused on the old age and aging, individual needs and their particularities, on the related legislation, care of the elderly, the Chvalkov retirement home, individual planning and the role of a key worker. The empirical part of the thesis deals with the research methods, the collection of data techniques, the research schedule, the characteristics and the method of choosing a research file, the methods of data processing and the results of the research. The first chapter of the theoretical part describes old age and aging and it specifies individual needs of old age. The second chapter then deals with the care of senior citizens in general, its division, its rules and regulations. The most important laws are presented with emphasis mainly on law no. 108/2006 on social services and on the related public notice no. 205/2006. The third chapter is focused on the Chvalkov retirement home, where the research took place. The next chapters deal with the key workers and individual planning. The empirical part of the thesis deals with searching for answers to the research questions. The aim of the thesis is to find out how individual planning and a key worker can influence the quality of social services from the point of view of the elderly in the Chvalkov retirement home. The main research question is: ?What importance do the elderly in the retirement home attach to the role of a key worker?? And three intermediate research questions are: ?What is the attitude of the elderly in the retirement home towards individual planning? What is the attitude of the elderly in the retirement home towards the role of a key worker? And what is the attitude of the elderly in the retirement home towards the importance of a key worker in connection with individual planning?? The empirical part of the thesis is based on qualitative research methods and on the questioning method (semi-structured interviews with open questions). The research itself was done in two stages. First a preliminary research was done, and then the main research followed. The senior citizens in the Chvalkov retirement home represented the researched group. The respondents were chosen by means of a goal-directed selection. The clients needed to meet some requirements ? to be residents of the retirement home for at least one year and to be willing to cooperate. Four respondents took part in the research. The method of creating clusters was used to analyse the obtained data using the qualitative research methods. It was found out through the research that thanks to individual planning the senior citizens in the Chvalkov retirement home are not only passive addressees of social services, but they can also decide on the quality of their life through the agency of a key worker. Individual planning encourages them to take an active role and responsibility of their own life, the key worker being a part of it. Individual planning and the role of a key worker are evaluated positively by the senior citizens and they find it of high importance for the quality of the social services.
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