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Evaluation of life satisfaction of pensioners (healthcare institutions,homecare agencies, retirement houses)
FUJDLOVÁ, Radka
Theoretical concepts: The central topic of my thesis is the life satisfaction of the elderly, although this concept is perceived very subjectively. Moreover, it varies even in one person at different life stages and it depends on various circumstances and events that accompany people on their life journeys. However, experiencing satisfaction always requires the saturation of one's needs, physical ones as well as mental, social and spiritual ones. Most of the times, one is able to provide for their needs, or at least affect them, through their activities and their will, but the older ones grows, the more one becomes dependent on others in this respect. This task is usually taken in part by one's family members who are willing to help and take care of their close relative, but there also arise situations where one has to entrust themselves into the hands of health professionals, especially nurses. The nurses' tasks do not just include staffing surgeries, but it is necessary for them to pay attention to the individual needs of their clients. Importance of both these components of care is entirely equivalent, because treatment success depends largely on the psychological state, defined by the satisfaction of the clients' life needs, and, on the other hand, the measure a patients' well-being is strongly influenced by the state of their health depending on successful treatment. Professional care that their clients receive is often linked to the placement of the elderly in some health institutions; possibly there may be a situation when an elderly person stays in their home and receives care from field medical staff for only a few hours a day. In any case, the objective of such care, through whatever methods it is provided, should be to achieve the highest possible degree of satisfaction of elderly individuals. Objectives of the thesis: To find out about subjective evaluation of life satisfaction of the elderly depending on their age To find out about subjective evaluation of life satisfaction of the elderly depending on their sex To find out about subjective evaluation of life satisfaction of the elderly depending on institution type Hypotheses: H1: Men are more satisfied than women H2: Satisfaction of the elderly decreases as they grow older H3: The most satisfied are the elderly who use the services of ADP Methods: The method of quantitative research was used in the practical part. For this purpose, the reduced SQUALA standardized questionnaire was used. It had been transferred to interview form due to the age of the target group of the elderly. The obtained data was processed with Microsoft Office Excel and some calculations were made with the Statistica programme. Answers from one hundred respondents were obtained as part of the survey; the respondents came from South Bohemia, particularly from the Český Krumlov and České Budějovice regions. Three types of health care institutions were contacted: a home care agency, retirement homes and hospital aftercare wards. Fifteen elderly persons were obtained for cooperation in the home care agency, 39 persons in retirement homes and 46 persons in hospitals. Results: The results of the survey show that satisfaction of the elderly is most affected by the type of health institution used, i.e. by the environment in which they are provided with health care. Definitely the most satisfied are the people who use the services of the home care agency. On the other hand, age or sex did not play a significant role when evaluating life satisfaction. Conclusion: The importance of this thesis may lie mostly in the opportunity to use the acquired knowledge, regarding the satisfaction of the elderly and the factors that influence this satisfaction, to improve the quality of care provided by nurses and other health staff.
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Strategic Analysis of a Health-Care Facility: Rudolf and Stefanie Hospital
Burianová, Michaela ; Lešetický, Ondřej (advisor) ; Střítecký, Rudolf (referee)
Aim of this thesis is to create a strategic analysis. Rudolf and Stefanie Hospital is a medical facility whose founder is Jihočeskýkraj (Southern Bohemia county). The hospital provides complex health care that includes patient department, ambulance and diagnosis department. It has a crucial status on the market of the regionally defined catchment area. From geographical point of view, its biggest competitors are Prague hospitals. Its strengths are its human resources and provided healthcare. As its weaknesses, I would mark its economical situation, motivational system and marketing activities and bad shape of some of its facilities. Results of this thesis are internal and external analysis proposing suggestions that should be taken into consideration by hospital's management.
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Implementation of Open Source BI in Healthcare
Vencovský, Josef ; Novotný, Ota (advisor) ; Pour, Jan (referee)
This diploma thesis deals with implementation of open source Business Intelligence solution Pentaho Community Edition 5.0 (Pentaho CE) in particular healthcare institution and it tries to prove its usability in full operation. In theoretic part there are defined concept and principles of Business Intelligence and specifics BI solution implementation in healthcare. In practical part there are detailed analysis of Pentaho CE and demonstration of usage in healthcare presented by implementation into specific healthcare institution. The main benefit of this thesis is description of implementation Pentaho CE using author's practical experience in healthcare area and advanced knowledge of Pentaho CE. The main goal, the verification of usability in production, is fulfilled in both theoretical and practical parts of this diploma thesis. There are also calculated costs and approximate suggested schedule of main activities. Functionality of Pentaho CE is attested in detailed analysis which is possible to use as guide on its own describing general architecture of Business Intelligence solution Pentaho CE.
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Areály zdravotnických zařízení - modelový objekt Hamzova léčebna v Luži
Mrkvičková, Martina
The diploma thesis deals with the historical developement of sanatorium areals in the first half of the 20th century. The objects which were selected for this thesis were chosen in accordance to their short distance to the studied sanatorium Hamzova léčebna in Luže and they are all located in the Pardubice region. Another aim of the thesis is a profound study of a chosen sanatorium, Hamzova léčebna in Luže, involving a dendrological assessment of the park and recommendations for the future vegetation care. The health centre Hamzova léčebna in Luže and its park was founded by MUDr. František Hamza in 1901. The centre was founded as a therapeutical place for treatment of patients, especially children, with tuberculosis. MUDr, Hamza believed that for good treatment of patients it is necessary that they will be surrounded by good climatic conditions. That is the reason why he chose the landscape of Luže as the right location for establishment of his therapeutical centre. On thepremises of the centre he founded little groves which created convenient microclimatic conditions for the patients' breathing abilities. The groves were used for the outdoor educational activities of the children as well. Nowadays, the main purpose of the centre is rehabilitation of the patients while the sport therapies take place in the premises of the health centre. A part of the centre is also an educational path "Hamza's park" and an arboretum. The sanatorium aspires to preserve the original concept of the park, e.g. by preserving the groves and tree alleys along the paths. Another of Hamza's interests was collecting foreign trees and shrub, that is why the park can be also seen as an arboretum.
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The role of the medical operations center, a provider of emergency medical services
JIRKŮ, Tomáš
Bachelor's thesis deals with the medical operating center and its activities. A lot of people have no idea what a medical operating centre actually is. My knowledge about it was also scarce before the beginning of my studies. Therefore I would like to outline the problems, tasks and also the demanding character of the work of operators. That is why this thesis is aimed at examining the tasks of the medical operating centre. Everybody probably knows the term medical rescue service and imagines immediately a yellow vehicle with reflective strips and blue lights. Hardly anybody realizes, however, that the medical rescue service needs the medical operating centre to be functional. It may be also called a control centre. This centre is an inseparable part of the medical service and also of the integrated rescue system. Specialized medical workers, called operators or controllers, are employed here. These workers, among others, receive continuously emergency calls, evaluate them and pass them on to exit groups, and, last but not least, assist the caller with giving first aid. All these problems are the subject of the theoretical part of the thesis. Two research issues were determined for the purpose of the research part of the thesis. The first one deals with all tasks ordered by legislation being used by the operating centre and the second research issue is aimed at the problems of urgent basic life support assisted by phone, namely if this basic life support assisted by phone is utilized always when unconsciousness is indicated. These issues were dealt with by means of the qualitative research method consisting in the secondary data analysis. The research set constituted the regional operating centre of the South Moravian Region. Specifically, documentation of emergency medical services was used operator record and audio record of emergency call. This documentation is a part of each emergency call. By means of the secondary analysis the data from 20 emergency calls were obtained. Emergency calls were chosen by simple random choice. The sample of these 20 emergency calls was chosen from the period of the year 2014. Because of protection of personal data no names are given in the thesis, only the initials. For the same reason no actual addresses are used in the research. In the discussion there are given all tasks ordered by legislation and recommended procedures from professional sources. This information is subsequently compared with the obtained data. The results in the case of the first research issue indicated that some tasks ordered by legislation are not used too often. Some tasks within the framework of the small sample being examined are not used at all and, on the contrary, they are used in the receiving of each emergency call. The tasks that were not used at all were three altogether. The results in the case of the second research issue demonstrated that indication of unconsciousness is not always necessarily the reason for using urgent basic life support assisted by phone. It is important that also other aspects are taken into account, not only consciousness of the patient. Of ten emergency calls concerning unconsciousness being examined this urgent basic life support assisted by phone was used in five of them. It was found out that utilization of the medical operations center tasks is individual in each emergency call. From the point of view of the total activity of the centre it could be declared, however, that the centre uses most of the tasks ordered by legislation. This bachelor's thesis can be used as a material extending the knowledge of both non-professional public and medical personnel concerning the activities of medical operating centre. It can be a stepping stone for further research concerning medical operations center.
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Culture safety of medical devices and pacient safety
ŠTĚRBOVÁ, Denisa
The quality issue of provided health care is the topic which is constantly getting more attention. In this area there is always even probably will be always - something to improve. The patients´ safety in healthcare facilities is affected by the so-called culture of safety.The research was conducted in six medical institutions of the South Bohemian Region, though seven were originally planned. However, I was not given the data here, probably due to the long term incapacity of the respondent. The research was focused precisely on the area of care quality and patient safety. A mixed method research (qualitative and quantitative) was deliberately used in this task. The aim was to map the most common causes of adverse events and then, based on the causes, to propose possible arrangements to prevent the occurrence of the causes. For this purpose five research questions were established.The outcomes obtained were processed into tables, plus the graphical representation of some was accompanied. Then, in the "discussion" chapter, the results were compared and analyzed in more detail.
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Options of children's education during long-term residence at health-care facility
KULIŠOVÁ, Pavla
This Bachelor thesis is concerning education of children with chronic illnesses during a long-term stay in health-care facility, further how is affecting the stay in such facility child's educational development. In theoretical part are clarified the basic terms such as school age characteristic, problems of chronic ill child, education possibilities and forms of chronic ill children. The practical part shows how a long-term stay in health-care facility affects child's educational development, simultaneously at three levels. Partly are examined education differences, forms and manners in health-care facility, partly is examined the child adaptation to education and to long-term stay in health-care facility. The third part is concerning the influence of specific tuition in spa facility and subsequent integration of ill children into educational manner in its own school. The research was taken in Léčebné lázně Lázně Kynžvart, using the way of questioning.
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Vztah administrativní struktury zdravotnického zařízení k jeho produktivitě
Bělej, Jaroslav Bc. ; Střítecký, Rudolf (advisor)
V mé diplomové práci jsem se zabýval srovnáním dvou zdravotnických zařízení (privátního a veřejného), která jsem srovnával z hlediska úspěšnosti hospodaření, poskytované kvality služeb a dosahované produktivity práce. Na základě analýzy obdržených dat jsem dospěl k závěru, že nemocnice JH (veřejné zdravotnické zařízení) je ekonomicky úspěšnější, a to především s ohledem na absenci konkurenčních zdravotnických zařízení ve spádové oblasti, soukromá pražská nemocnice Clinicum však dosahuje vyšší produktivity práce. Z hlediska poskytované kvality služeb jsou obě zdravotnická zařízení na obdobné úrovni.
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Emergency readiness of the South-Bohemian Region inpatient healthcare facilities and their medical staff
RYTÍŘOVÁ, Zuzana
In the theoretical section of my master thesis I focused especially on the role of the health services within the crisis management. In particular chapters I tried to write down a simple and comprehensive summary of the role of the healthcare within the integrated rescue system, I dealt with the function of the Ministry of Health, the hierarchy of the healthcare in solving the emergencies, the valid law and the crisis preparedness in the healthcare. In one part of my master thesis I also mentioned the importance of testing the professional and practical readiness of particular units of the integrated rescue system by emergency exercises and the characterization of their individual types. Of course I could not omit the crisis planning and a brief description of some chosen types of plans that are used during emergencies.The goal of my thesis was to map the preparedness of the South-Bohemian Region inpatient healthcare facilities for possible emergencies in the respective facility or out of it and the medical staff´s awareness of possible risks and of possible solving the emergencies in the respective facility.In the practical section of my master thesis I used the methods of quantitative research. The technique of this research is based on the questionnaire survey with bounded, half-bounded and open questions. The questionnaire designated for medical staff consists of 23 questions. The first three questions are focused on the characterization of the respondents; the remaining twenty questions are to find out the stock of knowledge related to the crisis preparedness. The respondent gets one point for each correct answer to a knowledge question. This part of the questionnaire is composed as a multiple-choice test and one can get 43 points at most. The questions were created using the crisis plans that are valid in the České Budějovice Hospital. After our mutual agreement I took over the questionnaire designated for healthcare facilities from Mgr. Jolana Němečková, who analysed the crisis preparedness of the South-Moravian Region healthcare facilities in her master thesis. I did not change the method of questionnaire analysis either to enable a subsequent benchmarking of the results in the South-Moravian Region and the South-Bohemian Region. The questionnaire consists of 28 questions. One can get one point for a dichotomous question and two points for a closed-ended question. The highest possible score was 22 points. The results of the questionnaire survey for medical staff show that the preparedness of the České Budějovice Hospital´s medical staff is at a very good level. The average score was 37 out of 43 points and that complies with the classification 2. When analysing the relation of the preparedness with the highest achieved education level and the preparedness with the length of the practice, the positive correlation was confirmed. That means that the higher achieved education and the longer practice, the more was the knowledge of the respective area. The results of the questionnaire survey for the inpatient healthcare facilities management are not so positive. The average score was 12.3 and that complies almost with the classification 4, which means a bad preparedness. In comparison with the South-Moravian Region healthcare facilities, the preparedness in the South-Bohemian Region is one level worse. For the purposes of my master thesis I set four hypotheses that were proved or falsified during a follow-up statistical assessment. Hypotheses No. 1 and No. 2 cannot be accepted. Hypotheses No. 3 and No. 4 were accepted.
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Injuries of the residential social service population, causes, prevention.
FENCLOVÁ, Zuzana
The thesis is focused on health and injuries in nursing homes and health care facilities and their prevention. Given that accidents cause high morbidity and mortality of the elderly, it is important to think about prevention and the search for the causes of these accidents. The main objective of the empirical part of the study was to determine the causes of clients accidents in social and medical facilities and compare both types of facilities. For research in the empirical part of this work has been used quantitative research strategy, method of questioning techniques of data collection questionnaire. Research has shown that 87% of respondents suffer from musculoskeletal diseases. 44% of respondents, women more often than men, had received the fall and subsequent hospitalization. The thesis may help to understand the issues of accidents of the elderly and health effect on the quality of people's life living in health and social care facilities.
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