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The nursing care based on humanistic-altruistic values by model of Margaret Watson.
SCHOLZ, Pavel
Abstract The theme of this dissertation is the nursing care based on humanistic-altruistic values by model of Margaret Watson. Creating conceptual models and their designation in itself was a very important progress in the field of nursing. Conceptual models of nursing are some connection among philosophy, theory and practice. Conceptual model of M. J. Watson is unique in that it focuses on self-nurses, are also among the humanist conceptual models based on the principles of humanism respecting patient rights. Foreign authors talk about the content of the model as a return to the deep roots of professional nursing and values, such as helping others, empathy, trust, finding and meeting the needs of ill people. For practical application of established M. J. Watson there are 10 factors of humanistic care. In the area of research there was carried out questionnaire survey focused on awareness of selected conceptual models of interest in nursing education courses in the area of conceptual models. In addition the conceptual model was applied by M. J. Watson, in practice, for which interviews were used the original author designed and the nurses diaries. Qualitative results were processed by using a modified approach by Ritchie and Spencer. We set two objectives. To achieve the objective to inform nurses about the conceptual model of M. J. Watson was determined by six hypotheses. Hypothesis 1: Nurses are not informed about the conceptual model of M. J. Watson. This hypothesis was confirmed. Hypothesis 2: Nurses do not use M. J. Watson conceptual model for a care of their clients. This hypothesis was confirmed. Hypothesis 3: Nurses recognize an empathy as an important ability to nurse. This hypothesis was confirmed. Hypothesis 4: The interest of nurses in training courses in the area of conceptual models vary according to the length of experience. This hypothesis was confirmed. Hypothesis 5: The interest of nurses in training courses in the area of conceptual models vary according to their age. This hypothesis was not confirmed. Hypothesis 6: The interest of nurses in training courses in the area of conceptual models varies by their educational attainment. This hypothesis was not confirmed. To consider the surprising result that although the nurses admit a lack of information on conceptual models which prevails at the lack of interest in any course in this area. To gain the objective to find out what causes the changes of nursing care are based on a conceptual model of M. J. Watson for selected nurses and clients, we realized the practical application of the model. During our research we set goals to achieve more research questions which we work. Research question 1: Will nurses in implementing nursing care according to M. J. Watson indicate greater satisfaction with their work than before? Research question 2: Will the nurses recognize the increased benefits in the way of nursing care according to M. J. Watson compared to their normal practice? Research question 3: How does the nursing care according to M. J. Watson influence the clients? Research question 4: How nurses will evaluate the success factors of ten applications of humanistic care by M. J. Watson? Research question 5: What do nurses perceive negatively when applying the model of M. J. Watson in practice? We believe we have done this work to break the barrier of lack of information in the conceptual model of M. J. Watson in the country while we described how to return to the loving care in nursing. This model leads to a nurse wondered at herself, carried out their activities at the client with respect and the build confidence. Through the humanistic factors of ten to reach a tenderness in the nursing care.
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The Application of the Virginia Henderson{\crq}s Model in Retirement Home Nursing Care.
KADEŘÁBKOVÁ, Věra
The Application of the Virginia Henderson{\crq}s Model in Retirement Home Nursing Care. Basic unit of the V. Henderson{\crq}s model is the clients{\crq} independence when satisfying their needs. The client is seen as an individual with the needs of assistance when trying to reach health, independence, and peaceful death. The lack of strength, will and knowledge are seen as the source of troubles. The needs the client is not able to satisfy and is in need of assistance are by V. Henderson called as the focus point intervention. The nurse assists to substitute, complete, support or increase the patient{\crq}s strength, will and knowledge. The outcome is the unaided performance in satisfying personal needs or peaceful death. The information about the needs is not documented in the uniform way and that is why every single ward and institution creates its own documentation system, according to its own specifics. The nursing documentation is always inseparable part of the nursing process. This model is determined by its specifics to be used appropriately in elderly people. The goal of this work was to find out all possibilities in using the Virginia Henderson{\crq}s model when caring of clients in the retirement home. There were placed three main questions of the research: 1.To what extents are satisfied the needs of client in the house for elderly people when using nursing documentation compiled according to V. Henderson? 2. Is there any influence of using V. Henderson{\crq}s model of nursing documentation on nursing practice in the retirement home? To what extent are nurses comfortable with the V. Henderson{\crq}s nursing documentation system? The collecting of data was done by the qualitative research investigation, the technique of the direct observation of nurses{\crq} caretaking of the clients, and by detailed interview with the nurses. The research had been done at Retirement Home at Strakonice from April to June 2009. There was created nursing documentation according to V. Henderson{\crq}s system. This documentation was filled out by a nurse and client and followed by searching for the needs of the client and their satisfaction. The nursing planned out specific care of a particular client using nursing process after filling out particular documentation. There has been led direct observation of caretaking provided under new nursing documentation. To assess the care, there was developed the point scale for evaluation of the client needs satisfaction (1-Satisfied, 2-Rather Satisfied, 3-Rather Unsatisfied,4-Unsatisfied). As a next we have been evaluating client{\crq}s level of strength, will and knowledge to be able to satisfy his/her needs (he/she is independent, partly independent, and dependent). The observation outcomes demonstrated that nurses were able to satisfy all of the 14 clients{\crq} needs in most. There were done case reports out of the observations and the results were processed into comprehensible charts. The nurses had been working with the nursery documentation for months followed by detailed interview aimed to inspect the usage of this documentation in nursing of elderly people. All of the five nurses agreed on the applicability of the documentation in nursing practice and that was why the documentation was modified under nurses{\crq} notes and has been applied in practice since. The research goal was accomplished. The nursing documentation has always been integral part of nurse{\crq}s work.It provides all needed information concerning the patient. It can be considered as the prove of ``lege artis{\crq}q practice of the work done. The documentation also serves as the record which is being used for health insurance billing.
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The Nurse from a Philosophical Perspective Based Upon the Authors of Selected Nursing Conceptual Models.
KÁPLOVÁ, Hana
This thesis deals with the theme of "The Nurse From a Philosophical Perspective of the Authors of Selected Nursing Conceptual Models". Nursing models contribute to the development of nursing as a separate scientific discipline. Their main contribution is the enrichment of the theoretical part, as well as the help with improving nursing practice in specific situations. In practice, nurses facilitate the planning of nursing care, understanding the problems and they also provide the initial criteria for evaluating the results that have been achieved. The aim of the thesis is to map the knowledge of selected conceptual models among nurses and to learn how they identify themselves with the major issues of the selected conceptual models. To achieve this, the method of quantitative research was chosen, in which three hypotheses there were created. Data collection was conducted by using questionnaires. With the first hypothesis, I wanted to acknowledge is the fact that those nurses with the university degree of education are familiar with the contents of following conceptual models: F. Nightingale, C. Roy and M. Gordon. Furthermore, I looked into the verification of the second hypothesis, which is: nurses with training other than a university degree of education are unaware of the contents of the listed conceptual models: F. Nightingale, C. Roy, J. M. Watson and M. Gordon. The third hypothesis is whether the nurses perceive the provision of nursing as an affectionate and self-sacrificing activity. The results of this research are processed through the use of graphs and tables. The results have indicated that there is a wide base of nursing and its interrelationship with the practice. To the main research results are part the knowledge of nurses of the selected conceptual models and their identification with the major components of above-mentioned conceptual models. Benefits of this work lie in the possibility of the utilization of the discovered knowledge for learning purposes, but it also indicates the possibility of the implementation this knowledge during the fulfillment of nursing interventions in the care of the patient.
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