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Voluntary activity at the Department of Long - Teren care and Aftercare in the FN Motol
Borešová, Hedvika ; Leontovyčová, Jana (advisor) ; Váňová, Miroslava (referee)
The work deals with the purpose of volunteering in hospitals. It is divided into two parts. The theoretical part describes, in general terms, volunteering, its history and its legal framework. Last but not least, it deals with volunteering in the University Hospital in Motol. The practical part uses the method of standardized direct dialogues with seniors permanently living and taken care of in the medical institute, and it analyses the need of volunteering at the Aftercare Centre of the University Hospital in Motol. The work draws upon the experience of my own several-year long volunteering engagement at the Aftercare Centre of the University Hospital in Motol. The goal of this work is to explain and highlight the importance of volunteering in medical care centers and hospitals.
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Knowledge of communication paramedical staffs in the convalescence care department
Synková, Gabriela ; Kutnohorská, Jana (advisor) ; Vachková, Eva (referee)
Autor: Gabriela Synková Instituce: institute of social medicine fakulty of medicine in Hradec Králové department of nursing Název práce: Knowledge of communication paramedical staffs in the convalescence care department Vedoucí práce: doc. PhDr. Jana Kutnohorská, CSc. Počet stran: 90 Počet příloh: 7 Rok obhajoby: 2013 Klíčová slova: paramedical staff, communication, convalescence care department, old age The bachelor thesis deals with the communication in convalescence care department. The main object of this work is to find out whether knowledge of communication among paramedical staff differs with regard to their job title. The thesis is divided into two parts: theoretical and empirical. The theoretical part contains the following chapters: the importance of communication in nursing care, communication, specifics of the communication in convalescence care department. Quantitative research investigating the differences between four groups of paramedical staff is part of the empirical section. All of them are employees of the convalescence care department in Poličská nemocnice, s.r.o.
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Quality of working life of selected groups of nurses
Taušová, Adéla ; Jirkovský, Daniel (advisor) ; Kohoutová, Ivana (referee)
Bachelor thesis "Quality of working life in selected groups of nurses" presents a comparison of quality of working life of nurses in intensive care units and nurses in department for long-term illnesses. Theoretical part deals with the presentation of basic knowledge of quality of life and quality of working life. The folowing are the roles of nurses and characteristic of general activities carried out by nurses. Furthermore it focuses on the type sof workplaces, where it conducted its own research. Own research was conducted using questionnaires. Their task was to colect dates that coresponds to indicators of quality of working life and can evaluate quality of working life. The dates were evaluated using tables and graphs and results were compared with each other. Then the results were compared with the results of a survey conducted by the Center for research of public mening by Sociological Institute of the Academy of Sciences.
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Application of special educators in residential social and health services for the elderly
Čermák, Zdeněk ; Šumníková, Pavlína (referee) ; Květoňová, Lea (referee)
Rigorous thesis presents the possibility of employment of special pedagogues in residential health and social facilities for seniors. There are understood primarily homes for the elderly, special regime homes and hospitals for terminal illnesses. In relation to the theoretical character of this thesis there was used a research method for analysis and compilation of scientific texts in order to provide a comprehensive overview of current information about the problems of work. The rigorous thesis is in terms of content divided into seven chapters, where the first one deals mainly with codifying the profession of special pedagogues in social and health services. The second chapter presents the residential facilities of social and health services. The third chapter presents the employment of special pedagogues in residential facilities for seniors in the scheme of advisor - diagnostician - therapist. The last three chapters then discuss these roles in detail and present practical guidelines and procedures that can be used in work with seniors in these facilities. Keywords Home for the elderly, Hospitals for Terminal Illnesses, senior, special pedagogue Powered by TCPDF (www.tcpdf.org)
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Problematic nurses´behaviour in care for patients in the sanatorium with long-term sick people
TAUCHENOVÁ, Jana
The theoretical part of bachelor´s work is devided into five separate chapters. Sanatoriums with long-term sick people are described in the first chapter, the attention is paid to offered care, its quality and to the type of patients as well who are hospitalized here. The second part deals with an explanation of a term general nurse, it analyses her personality, role, workload and relation with patients. The third chapter defines a term patient, it focuses on patient´s role and also position in the sanatorium with long-term sick people. The fourth chapter deals with nurses´ behaviour itself, that is defined as productive and nonproductive behaviour including professional nurses´ behaviour which is bases on the Ethical codex. The fifth chapter is devoted to communication in nursing because communication belongs to the basic nurses´ skills and it pervades through the whole care. The communication is devided into verbal and nonverbal. Further there is described the interpersonal communication. Chapters devoted to communication with a patient and relatives finish the theoretical part. To map out nurses´ behaviour in the point of view of patients hospitalized in the sanatorium with long-term sick people and relied on the care of nursing staff is the first aim in my bachelor´s work.The second aim is to map out nurses´ behaviour in the point of view of relatives and close friends of patients who are hospitalized in the sanatorium with long-term sick people. The method of qualitative research,that was realized by dialogues, was chosen for the research.The necessary details were gained through a dialogue with patients in the sanatorium with long-term sick people and with their relatives and friends. Through the questions it was found out which nurses´ behaviour the patients consider to be problematic and how the nurses´ behaviour in the sanatorium with long-term sick people impresses the patients in general. The connection between patient´s age and caring nurses´ behaviour was studied as well. The dialogues with relatives concentrated on the fact which nurses´ behaviour relatives consider to be problematic. The interviews were held in a sanatorium with long-term sick people in the Pilsen region. There is not mentioned the exact name of the institution with respect to preserve the interviewed anonymity. The dialogues were written on the paper because the wish of questioned people not to use any recording appliance was respected.The copies of them are on CD and they are a part of bachelor´s work. The research was completed with watching nurses´ approaches to patients in the sanatorium with long-term sick people in caring. The difference of ideas of patients and relatives about nurses´ behaviour that is considered to be problematic follows from analysis of obtained information.The patients and relatives identically classified the shortage of respect of patients´ intimacy and privacy in caring, especially during evacuation, to be problematic. Noisiness, firmness and persistence of not only nurses but also of ancillary staff were classified as another problematic thing in caring behaviour. It was also refered to improper nurses´ behaviour to patients on night duties. The lack of empathy in offered care, not respecting of patients´ laws and not keeping nurses´ ethical codex and the ethical codex of workers in not medical professions as well are the common thing of these results. All these results were confirmed by watching nurses during their care for patients. The watching also confirmed the connection between patient´s age and nurses´ behaviour during offered care. My bachelor´s work offered a view of problems of nurses´ behaviour to patients in the sanatorium with long-term sick people. The found facts will be treated as the base for internal seminar of given sanatorium that will be held in operating meetings of nursing staff.
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Quality of life of seniors hospitalized in long-term care.
DOLEJŠOVÁ, Markéta
The basic theoretical basis: According to demographic development the average and maximum lifespan prolongs. Therefore global population spends a bigger part of adulthood in their old age. This phenomenon is irreversible and brings significant changes into global geriatric nursing and we need to take note of the care that is provided to old patients. The seniors form an irreplaceable and a more and more considerable part of population, they create a varied group with individual needs, priorities and demands in sickness as in health. It is the very polymorbidity of senior patients which is often the reason for a long-term hospitalization. Nowadays, for these purposes more and more beds are built in long-term care facilities (LTCF) which are officially defined as specialized medical institutions which provide care to patients whose health states cannot be substantially improved by any medical treatment as they worsen without a continuous care. The life quality of seniors and the quality of the provided care in these facilities are the main long-term care level indicators. The goals of the thesis: 1) Ascertain the life quality of seniors hospitalized in long-term care institutions. The research questions: 1) How does the hospitalization of seniors in LTCF influence their subjectively perceived quality of life? 2) In which areas do seniors hospitalized in LTCF feel the difference of life quality in LTCF and at home? 3) How are the patients in LTCF satisfied with the quality of health care? 4) Within the rise of seniors' life quality in LTCF, in which areas should the nurse improve the provided care? Methods employed: For the empirical part of the thesis the qualitative analysis of gathered data method was used. The data accumulation was implemented by semi-structured interviews with clients-patients hospitalized in LTCF. The instructions for the interviews were adopted from a QOL Research Unit life quality model of the university in Toronto. This model emphasizes the individual's relations towards the surroundings and the possibilities of maintaining and improving skills. It is divided into 3 categories - existence, togetherness and adaptability. Interview transcriptions create a part of the thesis on an enclosed CD. For illustrative purposes, the results of the research were transformed into mind maps using the XMind software. There are also annotations with respondents' quotations concerning individual map as a part of the thesis. The results: The analysis of in-depth interview gathered information brought several factors which are highly subjective and have a logical level of individuality. The results concerning the research of the seniors' life quality dimensions are more or less in agreement with the basic division found in professional literature. However, they bring a further view on these dimensions and introduce subjective opinions, wishes and evaluation of seniors who found themselves in unknown environment of LTCF. The positive influence of nurses, which often impact the satisfaction of seniors in a medical institution, proved its importance. However, it was the area of communication skills of medical staff which was mentioned as lacking or insufficient. Also the fields of free time activities, seniors' adaptation in LTCF and social isolation were found to be neglected. Conclusion: The long-term care becomes, thanks to demographic development, the most rapidly evolving kind of health care. The emphasis on life quality of hospitalized seniors, as their biggest consumers, should be a matter of course for every medical and social facility. The contribution of the thesis is in detailed mapping of the issue of life quality in LTCF, warning against lack in health care and the neglected fields of life quality.
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The dignified dying in the long-stay hospital
ŽILINOVÁ, Michaela
1. Present state of the issue concerned: the Bachelor thesis is focused on the area of palliative care in LDNs (institutions for long term sick people). Terminal care is an up-to-date topic, because in our society the percentage of long-term incurably ill who need professional care is continuously rising. The care of dying people in the Czech Republic is still not sufficient and therefore it is appropriate to deal with this issue. 2. Objective of the thesis is to find out whether crucial differences exist in the perception of the complex palliative care between the professional care providers and the family in the bio-psycho-socio-spiritual framework. 3. Research questions: What is the weakest point of the complex palliative care according to the professional care providers? 2. What is the weakest point of the complex palliative care according to the family? 4. Description of the method: use of qualitative research, basic group present health workers, family members and friends of the patients hospitalised in the LDN. Methods and techniques of the data collection: structured interview, participating observation, analysis of personal documents. 5. Assumed practical use of the thesis: improving awareness of lay and professional public in the issue concerned.
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Social Work in the Medical Facilities.
HOUZAROVÁ, Pavla
The central subject of this thesis is about a social work with the seniors within the medical facilities. The aim is introduce the reader with the social worker´s agenda with the hospitalized pacients, especially with the seniors within long " term medical process. Concretely, the thesis is about an expert social assist in the Hospital in Benešov. The Introduction is about an legislative definition of a social work. It´s also accented the etical access toward the pacients which is a very important issue. The following sections are about the primary assignments which the social worker ensure in the hospital. The conlusions in the secions which deal about the long " term pacients and the senior pacients describes the most marked problems of the social worker in a daily practise. These parts involve the casuistry references devise to the concerete cases or situations which illustrate the social work within the medical facilities. I try to describe the concrete proceedings made for the benefit of the pacients. In the supplements you can find the casuistries, the concept of the health " social problematic in the Hospital in Benešov and the schedule for the social investigation, which is a very important instrument for the social workers.
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Problems for ensurance of treatment and illpersons´needs who are treated in a hospital for a long time or at home-care as seen by nurses
GUIDOVÁ, Hana
Abstract The objective of nursing care is to maintain an individual self-sufficient for as long as possible, to improve their quality of life and to provide orientation or life programme in psychical and social activities. A need arises from a feeling of insufficiency or excess in biological, psychological, social or spiritual fields. This thesis addresses the issue of provision of nursing care and satisfaction of patients{\crq} needs in sanatoriums and in home care from the view of nurses. The thesis comprised quantitative research made by means of questionnaires completed by 64 nurses from 6 addressed sanatoriums and 9 home-care agencies. The bachelor{\crq}s thesis attempted to ascertain opportunities for provision of health care and satisfaction of lower and higher needs. Three hypotheses were raised. The first hypothesis was focused on nurses providing home care and claimed that they provided their clients with more comprehensive nursing care. The results of the research have confirmed this hypothesis. Nurses from home-care agencies provide professional health care and satisfy lower and higher needs at the same time. Nurses working in sanatoriums satisfy lower and higher needs less than nurses providing home care. The second hypothesis addressed influence of the type of organization on satisfaction of clients{\crq} needs. This hypothesis has been confirmed by the results of the research. Nurses providing home care have more room to meet the needs than nurses working in sanatoriums. The third hypothesis concerned the question whether nurses providing home care have more room for satisfaction of higher needs than nurses in sanatoriums. This hypothesis has also been confirmed on the basis of the results. The research revealed that a part of nurses working in sanatoriums have little time for satisfaction of lower and higher needs. Regrettably, the answer that satisfaction of these needs is not necessary and even if it was, there would not be time for that was not exceptional. An approach to nursing care and patients{\crq} needs has been undergoing continuous development. What used to be sufficient in former times is not sufficient at present. I believe that it would be useful for nurses to recommend them making use of education to a larger extent. They should realize the needs arising from illnesses since satisfaction of these needs is a part of the therapeutic process. I would also recommend that heads of sanatoriums and home-care agencies should obtain more quality compensation equipment and modern medical supplies, and consider the number of nursing staff as compared to the number of treated clients since provision of quality nursing care is the aim of every nurse.
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