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Implementation Barriers and Facilitators in Suicide Prevention Interventions: Implementation Analysis Optics
Kasal, Alexandr ; Nekola, Martin (advisor) ; Dragomirecká, Eva (referee) ; Čermáková, Pavla (referee)
Introduction: This dissertation addresses the issue of implementation barriers and facilitators of suicide prevention measures in the context of the field of public and social policy. Implementation barriers and facilitators can be identified across the whole implementation process. This paper seeks to identify them in published scientific studies and contextualize them for the Czech environment through expert group interview. The thesis uses two theoretical frameworks, the Consolidated Framework for Implementation Research (CFIR) and the Conceptual Framework for Implementation Analysis (CFIA). The thesis simultaneously questions the suitability of these frameworks to achieve the aforementioned objectives and the possibility of synthesising these frameworks. Methods: Systematic literature review and group expert interview were conducted. The thesis applies the frameworks mentioned above to structure the results, with the CFIA serving as a supporting framework to categorize the results of the group expert interview that could not be assigned to the CFIR framework. Results: 63 relevant studies containing 239 implementation barriers and 405 implementation facilitators were identified through a systematic review. These were unevenly distributed across CFIR domains and constructs. In total, thirteen...
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Risks related to open water diving and their prevention
OBORNÁ, Veronika
This bachelor's thesis focuses on the risks associated with open water diving and their prevention. Three objectives were determined to elaborate this thesis. The first objective was to find out what kind of knowledge professional and recreational divers have about the risks related to open water diving. The second objective was to examine what knowledge divers have about preventive measures related to open water diving. Last but not least, the third objective was to determine what barriers regarding the open water diving are perceived by divers. The bachelor's thesis consists of a theoretical and a practical part. The theoretical part is divided into chapters and subchapters describing the history of diving, fundamental diving equipment, basics of physics for divers and physiology related to diving. The heoretical part also describes the most common injuries and diseases occurring during diving, proper first aid as a reaction to them as well as their treatment. Finally, a part of the theory is devoted to the prevention of undesirable situations during open water diving. In the practical part of this thesis a qualitative research was applied. Data collection was conducted through semi-structured interviews. The research sample consisted of ten divers of different ages and different lengths of experience. Five informants were professional divers and five informants were recreational divers. The data obtained from the interviews were processed into four categories, which were further subdivided into subcategories. Using the qualitative research, it was found out that both professional and recreational divers have the necessary knowledge regarding the risks associated with open water diving. Despite essential knowledge and efforts to follow preventive measures, all but one informant experienced a crisis situation during a practice dive, which always turned out well due to proper theoretical preparation for these risk situations. All informants are aware that the biggest risk is the diver himself and overestimation of his own abilities. Regarding the knowledge of preventive measures related to the open water diving, there were differences between the knowledge of professional and recreational divers. All informants had the necessary awareness of the discussed topic, however it was clear that professional divers were more familiar with this issue. All informants were knowledgeable about the necessity of diving training, proper diving equipment, preventive measures and first aid procedures including cardiopulmonary resuscitation in case of an emergency situation. Moreover, it has been found out that divers perceive certain obstacles when diving in open water. In addition to poor health or psychological conditions being a barrier to diving, informants also determined low quality natural conditions as a barrier too. Deteriorated natural conditions were seen as a barrier mostly by recreational divers, whereas professional divers dive all year round and in all kinds of conditions. From the results of the research, it was ascertained that divers have sufficient knowledge of the risks associated with open water diving. Furthermore, informants have sufficient knowledge of preventive measures, which enables them to correctly assess certain situations. The fact that the informants consider the deteriorated natural conditions as a barrier to open water diving indicates that they are concerned about the prevention of risks associated with open water diving. This thesis highlights the importance of knowledge of the risks associated with open water diving and their prevention. The results of this bachelor's thesis can be used to supplement the knowledge of some divers, as a teaching material for novice divers or for health professionals who want to be aware of diving-related diseases and acute conditions related to diving itself.
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Dying in Medical Institution from the Point of View of Nursing Staff
VÁCHOVÁ, Agáta
The bachelor's thesis deals with dying in medical institution from the point of view of nursing staff. The thesis is divided into theoretical and research parts. The theoretical part of the thesis contains basic information and concepts related to dying and death, the impact of dying on nursing staff and the specifics of nursing care for dying patients. The main aim was to find out what support the nursing staff receives from the management and how the nursing staff provide for the needs of the dying patient. In order to achieve these objectives, five research questions were identified. The empirical part of the thesis was done through a qualitative research investigation in the form of a semi-structured interview, which included twenty-one questions. The research population consisted of nurse practitioners and general nurses in the selected hospital wards. The collected information was then processed in the form of open coding and then categorized into seven categories. From the results, it is clear that psychological support from the management is mainly provided to the nursing staff by the station or head nurse. In case of psychological need, the nursing staff refer more to family and friends. A large number of informants were identified with burnout syndrome, which can result from a lack of psychological support from the management, that could be provided for example in the form of seminars or through visiting a psychologist. The second objective revealed that the pain control, hygienic care adapted to the patient's health condition and the provision of food according to the patient's wishes are essential to ensure biological needs. The support from the staff is important to meet psychological needs, which is often neglected due to the lack of time and staff. The social needs are mainly provided by the family of the dying patient through visits or by a hospital chaplain. The most common obstacle is the arrangement of patient rooms, which is not suitable for ensuring the privacy of the dying patient and his/her family. The results of the thesis research were used to form the basis of a workshop for nurses.
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Romany pupils' integration in the Czech system of education
SÁDOVSKÁ, Michaela
The bachelor thesis is focused on the integration of Roma pupils into the Czech education system and the issues stemming from it. The theoretical section briefly examines the history of the Romani people and the relations of the Roma minority in European countries. Special attention is given to the integration of this minority group in Czechoslovakia and subsequently in the Czech Republic. Furthermore, the thesis explores the upbringing and education of Romani pupils as well as the barriers associated with these topics. The practical section is focused on the personal experiences of Romani citizens with the Czech education system and experiences of teachers with Romani pupils. The research design utilises semi-structured interviews to uncover the issues and barriers connected to the integration of Romani pupils. The most frequently mentioned problem is the bullying of Romani pupils by students or teachers, along with exclusion from class or teaching, and the consequent problems that arise from such situations that reflect in their behaviour.
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The communication barriers between teachers and parents in nursery school
ALFÖLDI, Dita
The bachelor thesis focuses on communication barriers between kindergarten teachers and parents of children. The aim of the thesis is to find out what barriers prevent the establishment of a partnership relationship between teachers and parents and what pitfalls affect the relevant transfer of information about children and events in kindergarten. The theoretical part is devoted to the concept of communication in general, its characteristics, division, actors of communication, principles of effective communication, methods of communication in kindergarten and deals with possible causes of unsuccessful communication on the part of the teacher and on the part of the parent. The practical part explores through a quantitative research investigation the most common methods of communication between educator and parent, identifies the barriers to communication and looks for possible solutions to prevent and remove the barriers found. The results of the questionnaire survey show that the biggest barrier in communication is the lack of time, which hinders the transfer of information between the two actors. The most frequent and most popular form of communication for teachers and parents is face-to-face meetings.
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Case management u klientů v domácím prostředí
DRDÁKOVÁ, Michaela
The aim of the diploma thesis was "to examine the implementation of case management in working with clients in selected field social services in the South Bohemian region." The main research question was formulated as follows: "How do field social services in the South Bohemian Region provide case management?" The theoretical part deals with case management in the Czech Republic and abroad. It provides insight into its division, principles of use or specifics that social services bring. In terms of methodology, a qualitative research strategy was used, led by the method of questioning and the technique of semi-structured interview. To obtain answers to the main research question, the following partial research questions were set: "What is the form of case management that is provided for field social work in the South Bohemian Region?", " What are the benefits of the case management methods that organizations identify?" And "What barriers of case management methods do organizations identify?". The research group consisted of representatives of organizations that provide field social services "field program" according to Act No. 108/2006 Coll., On social services, as amended. In order to be able to participate in the research, organizations need to operate in the territory of the South Bohemian Region. For the first partial research question, the following clusters were identified: cooperation, teamwork, networking of the client. For the second sub-research question, the following clusters were identified: support, networking and new perspectives. For the third research question, the following clusters were identified: low development of case management, competition, small amount of literature, educational events. The results obtained within the research can be used in the implementation, development or planning of specific care using the case management method for registered social services with a field program service.
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Barriers in Inclusion for Children Diagnosed with Epidermolysis Bullosa.
VELICKÁ, Lenka
Work deals with barriers in inclusion for children with Epidermolysis bullosa disease. The theoretical section introduces basic information about epidermolysis bullosa disease and the care of such sick children. It also describes the DEBRA organisation, characterising the younger school age with regard to disability and characterising the foundations of inclusion. The practical part contains qualitative research examining the existence of barriers in inclusion. For the data collection, a semi-structured interview was chosen for the three families in which the child is located with EB and the conversations are part of the annexes. It also includes an analysis of all three interviews using so-called emerging topics that are recorded in the tables, the tables are also included in the annexes. All three families have a positive attitude to the disease and teach their children autonomy. They identify teacher fear as the main barrier to inclusion. But good inclusion is all about the moral.
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Wellbeing support for children in a children's home
Pražáková, Ellen ; Kubíčková, Anna (advisor) ; Štrinclová, Marta (referee)
The thesis entitled The Well-being of children in children's homes starts with description of characteristics and legislation of institutional education, specifically in children's home. The thesis introduces negative influences in childhood and tries to describe their origin and influence on the child's life. The thesis contains a relatively new concept of well-being, which characterizes important areas of life. The aim of the bachelor thesis is to describe and characterize how the competencies related to areas of well-being are developed directly in the children's home and what are the barriers to fulfilling well-being. Nine respondents who work and interact directly with children in a children's home described the development and barriers to the development of these competencies. All respondents agreed that a big barrier to fulfill well-being is an unsuitable environment and rooms and other spaces where children live. Furthermore, they often mentioned insufficient social interaction with life outside the children's home, mental and psychological disorders that prevent children from further development, the absence of role models and traumatic experiences that children carry from the time they were in their families. According to the respondents, the fundamental barrier to the development of...
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