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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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A historical view of the army nurse profession.
PAVLÍKOVÁ, Andrea
The thesis deals with the profession of a military nurse. We can assert that the official study of military, non-medical health-care related qualifications and its use in practice not only for military purposes dates back to the fifties of the last century. However, women as health care professionals, consequently in uniforms, have always been an actual issue. The development of health care activities always existed, however, we must not neglect influence of scientific and medical findings. The historical timeline of development of medical care in the battle field was recorded and ranges from pre-historical healing. The way of Christian medicine was negatively influenced by the Catholic Church. The dark period of the Middle Ages had actually wrested medical performance from the hands of specialists and the suffering were left to the "tender" mercies of the priests. The following part of the thesis concerns modern medicine where enlightenment reforms were exercised. Some of the original six-month courses for military surgeons were organised in this period of time; they weretransformed into Military Surgical Academy, out of which the famous Josefinum originated. A expression of humanity which supported a form of health care of war veterans was demonstrated by constructing buildings for invalid people. The second half of the nineteenth century is characterized by the phenomenon of the presence of nuns in military hospitals. This study goes further in depth of professionally organized healthcare right in the battle field, which dates back from the era of wars in the Crimea.This stage describes the transformation of caring into nursing which requires the necessity of specialized preparation of persons providing nursing practice. In addition, Henry Dunant engraved himself into the history of the profession of a nurse, as the founder of the Red Cross, who first trained health care professionals for working within armed intentions of the state. The continuation of this action sketches out the process of providing first aid in principal armed conflicts of the twentieth century. It describes the functioning of commander operated military health service of that time. WWI drove Czech medical staff to both sides of the front where they provided medical help to the injured. Nurses of the WWII already performed their duties in uniforms as the rightful members of the army. The thesis also mentions post-war usage of military health care professionals in secret foreign missions and their specialized erudition.Last but not least, it marginally discusses contemporary possibilities of modern health care service of the Army of the Czech Republic. The goal of the endeavours of writing this thesis was to chart out clearly the development of the profession of a military nurse within the historical context, focusing mainly on women coming from Czech regions. In order to make the history background concerning specific female participants of the world war conflicts understandable to the reader, this paper reports, in broader extension, peculiar medical and nursing findings, already from the era of prehistoric civilisations. The history study method were applied for the purpose of the theoretical thesis. The methodology is based on searching, studying, sorting and the consecutive systematic objective describing of the events from the past times with the intention to propose comprehensive report on the subject given. It was necessary to study inexhaustible amount of sources to obtain awareness of historical connections. Factual information was derived by analysing of primary and mainly secondary documents. The thesis sketches out histories of military health care and the profession of a military health care professional stemmed from the exploration of appropriate written sources and conclusion of the basic findings. The intentions of the work are not only to clarify the past but also to contribute to solutions of every-day issues.
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Nursing care management of patients after intrapleural chemical pleurodesis
KIESEWETTEROVÁ, Renáta
The pleurodesis is a treatment method for patients suffered from the symptomatic malignant pleural effusion. The goal of the pleurodesis is to close a pleural area by connection of visceral and parietal pleura in order to reduce or terminate production of pleural effusion. The sterile talc powder is the world's most used agens within a practice. After a parental analgesic is the powder (as a sllury) either applicated into a pleural cavity through the chest drainage or surgically dispersed over the treated (via abrasion, decortication) pleural space during the thoracoscopy/thoracotomy. This diploma thesis focuses on the treatment technique of bedside talc-pleurodesis through the chest drainage. The nurse has an irreplaceable role in the whole process from a preparation of patient to assistance by intrapreural application, to care of patient after the operation or serves as a physical support during potential complications. The aim of the presented work is to detect priorities in nursing care and find out whether patients need increased care after intrapleural therapy. The qualitative research method was chosen for the analysis where semi-structural interview with open questions were used. We created case reports analysed with the adaptive model of Callista Roy as well. The research sample contained patients chosen with respect to specialization of researched problem. We set two basic focal stimuli according to the analysis of respondents´ reactions. These stimuli serve as a basis for determination of priority parts of the nursing care by patients after bedside pleurodesis. We defined the need to be without pain and the need to ensure safety and certainty as a central focus of the nursing care. Among secondary fields of nursing care were identified sleep disturbances and limited mobility, which leads to reduction of self-care in getting dress, hygiene as well as in defection and miction. We found out within the second goal identical intensity of the nursing care before and after bedside talc-pleurodesis. This statement is based on comparison of interventions before and after aplication analysed via adaptive model by Roy. Nevertheless, causes of interventions were modified to a certain extent. The main goal of diploma thesis was to map requirements for high-quality nursing care related to bedside talc-pleurodesis via chest drainage. The work should extend theoretical basis not only for nurses in clinical practice.
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Management styles and their relation to the satisfaction of employees
GRAMANOVÁ, Kamila
Abstract - Leader empowering behaviours and their relation with worker's satisfaction Current state: Nurse's work is physically and mentally demanding. Adequate knowledge and skills are also needed. Nurse managers whose leader empowering behaviours administer to good functioning of medical institutions have therefore a crucial role. In these days a monitoring of job satisfaction is an upcoming matter. According to that we can look for drawbacks and problems and take corrective actions. There is a 9th year of the nationwide research of safety and satisfaction of employees of Czech hospitals. Aim: The first aim of the research was to find out what leader empowering behaviours are used the most by nurse managers. The second aim was to find out how leader empowering behaviours influence satisfaction with work conditions of nurses. Two hypotheses were given. The first hypothesis postulated that nurse managers use democratic empowering behaviours the most. The second hypothesis postulated that satisfaction with work conditions of nurses is changeable, depending on leader empowering behaviours. Methodology: A quantitative method of data capture was chosen. Non-standardised questionaires with 30 closed questions were given out. There were four questions at the beginning to identify respondents. Other set of 15 questions was focused on recognition of leader empowering behaviours. Satisfaction with work conditions was monitored in the last set of questions. Results of the research were processed into graphs and tables. Research set: The research set included nurses working under nurse managers in inpatient wards in České Budějovice a.s. hospital. The questionaire was appropriately filled in by 112 nurses, corresponding 74,7% recoverability. This was used to complete the aim of this thesis. Results: Results of the thesis were divided into two sets. The first set of questions aimed on leader empowering behaviours of managers under whom the questioned nurses of particular departments work. Democratic empowering behaviours were evaluated the most used, according to the first hypothesis. The second set of questions aimed on satisfaction with work conditions. The highest job satisfaction was reached with democratic empowering behaviours. Autocratic, liberal and nonspecific empowering behaviours were used in minimal degree and nurses reported lower job satisfaction among these behaviours. Therefore the second hypothesis was also confirmed. Conclusion: The research pointed out that leader empowering behaviours are one of the factors that influence job satisfaction. It is positive thing that an interest and research in this area increased in the last decade. Periodic evaluation of job satisfaction enables monitoring the direction of its values. According to the survey, a newsletter with recommendations for nurse managers was formed. This newsletter pointed out pros and cons of leader empowering behaviours.
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Optimization of Conversion Process of Financial Statements Compiled in accordance with Czech law regulation to Financial Statements by IFRS
Novotná, Dagmar ; Stárová, Marta (advisor) ; Marta, Marta (referee)
As the name of the thesis suggests, its main objective is based on the optimalization of financial statements prepared pursuant to Czech precepts of law to financial statements pursuant to IFRS (Internation Financial Reporting Statements). The main objective was achieved by partial fulfilment of the objectives, which include analysis of the key differences between the financial statements of the two mentioned accounting systems.
Withdrawals were mainly from the accounts and financial statements of the enterprise of SXX s.r.o., the accounting and consolidation of the company´s internal standards and guidelines consolidated whole. The company is a part and an entity of consolidated whole who is one of the world´s leading system suppliers of carton packaging and filling machines for beverages and food. The company transforms dates from its accounting system in the consolidation package, which also operates the parent company. In the light of the analysis were finally processed separate financial statements of the company under both laws.
The contribution of the thesis is as outlined in the foundations of theory and practical examples of recognition of selected operations on the actual company, their transformation and the final recognition by the two accounting system.
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Active employment policy in selected region
Čihák, Pavel ; Šrédl, Karel (advisor) ; Markéta, Markéta (referee)
The thesis considers unemployment and a possibility of increasing employment in the Central Bohemian Region using the active employment policy. The first part of the thesis is dedicated to theoretical basis gained from professional literature and internet resources about labor market, types of unemployment depending on the cause of its origin, risky groups of unemployed people, social and economic consequences of unemployment and about an analysis of actions of the active employment policy. Furthermore, there is described the Central Bohemian Region and its strong and weak aspects. We can look at the evaluation of employment and unemployment made by a study, status reports of the labor market and processing of statistical indicators in Central Bohemian Region. We can also peek at regional individual projects realized on the territory of Central Bohemian Region in 2015. The last part of this thesis is focused on some possibilities of more effective use of actions of the active employment policy in the region.
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Performance recording in Charolais beef herd
Jelínek, Petr ; Toušová, Renata (advisor) ; Petr, Petr (referee)
Summary
In this thesis I dealt with verification of performance of beef cattle Charolais Breed on farm: Chov Charolais spol. s r. o. Slabce. The main objective of my diploma work was to assess the growth abilities of calves Charolais breed from birth till weaning in relation to various factors, for instance: gender, order of calving, number of born calves during one calving, month and year of the birth on the respective farm. The relevant data was assessed for the period of years 2012 - 2015. In this period there was born 324 calves of which 162 bulls, 153 heifers and 9 still born calves. The assessment of calf's growth characteristics was related to the average birthweight, average gain from birth to 120 days, and average weight at the age of 120 and 210 days. For the evaluation of calf's growth characteristics was used data gained from the database of performance testing of beef cattle (KUMP) for the given period. Growth parameters related to selected factors were processed with the use of statistical software SAS 9.3 (SAS 9.3, 2011).
The average weight of young bulls at birth was 33,58 kg and average weight of heifers was 32,99 kg. The average weight of bulls at the age of 120 days was 183,66 kg and the average weight of heifers was 175,58 kg which was demonstrated to be statistically significant (P < 0,01). The average weight of bulls at the age of 210 days was 288,28 kg which is again higher than heifers with average weight of 264,21 kg (P < 0,05). To summarize, there was identified statistically significant difference of the gender influence in behalf of bulls.
After comparison of average weight at birth, at the age of 120 and 210 days separately for twins and an only child, there is obvious and also statistically significant finding (P < 0,01) that the observed twins are usually smaller at birth and their growth abilities are worse than that of only child. The average weight at birth for an only child is about 4,48 kg higher compared to twins. Then the average weight at the age of 120 days for an only child is about 38,68 kg higher than average weight of twings. Finally the average weight at the age of 210 days is about 58,26 kg higher for an only child.
Regarding to the influence of order of calving there was identified no significant effect to both average birth weight and weight at the age of 210 days. The only statistical significance was identified between order of calving and the average weight at the age of 120 days in 1st, 2nd, 5th, 7th, 10th order of calving (P < 0,05). Further I found out that calves in the 1st order of calving have significantly lower average weight from the 1st calving mothers at the age of 120 days than the calves in the 2nd, 5th, 7th, 10th order of calving. The average weight of calves at the age of 120 days is about 9,29 kg lower than weight of calves in the 2nd order of calving. On the other hand the average weight of calves at the age of 120 days in the 5th order of calving is about 18,37 kg higher than weight of calves in the 1st order of calving. Similarly, calves in the 7th order of calving have about 13,63 kg higher weight than calves from the 1st calving mothers. And also calves at the age of 120 days in the 10th order of calving have about 15,78 kg higher weight than calves from the 1st calving mothers.
In respect of influence of year of birth was identified statistically significant different level (P < 0,01) of the average birthweight in year 2013 compared to other years. Similarly there was demonstrated the statistically significant difference (P < 0,01) regarding to the average gain from birth in year 2013 compared to other years. The average birthweight in 2013 was 34,91 kg. The lowest average birthweight of 31,65 kg was observed in 2015. And for instance in 2012 the average birthweight was 32,48 kg which is still about 2,43 kg lower than in 2013. Regarding the evaluation of the average gain from birth till the age of 120 days there was only reported value of 1046,78 g in 2013. The best year regarding the average gain from birth till the age of 120 days was year 2014 which represented value of 1214,37 g.
In the observed breed there took place births predominantly from January till June. Regarding the month of birth there was demonstrated statistically significant difference (P < 0,05) in respect of average birthweight of calves born in May 31,98 kg compared calves born in February 32,55 kg and in March 33,07 kg. Further was identified statistically significant difference regarding the average gain from birth for calves born in June 995,28 g compared to calves born in February 1197,87 g (P < 0,01). Similarly in March was reported value of 1181,18 g (P < 0,05). The last statistically significant difference (P < 0,01) was identified in respect of average weight at the age of 210 days of calves born in May 199,55 kg and in June 201 kg in comparison to calves born in January 282,05 kg, in February 284,65 kg, in March 277,21 kg and in April 277,76 kg. To conclude, based on the statistical analysis, conclusive results and literary sources there had been confirmed hypothesis that internal factors positively affect the growth abilities of calves.
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The financial analysis utilization for selected company´s economic results
Kestlerová, Petra ; Tomšík, Karel (advisor) ; Eva, Eva (referee)
The theme of this thesis is the financial analysis utilization for selected company´s economic results. Its aim is to assess the situation of the selected company with use of indicators of financial analysis during the reporting period of time 2008-2013 and on the basis of these results to formulate recommendations for possible improvements in problematic areas.
The introductory part summarizes the theoretical knowledge in the field of financial analysis, defines its characteristics and purpose, sources of information for its processing and describes the methods and tools used by it.
In the practical part the selected methods of financial analysis are applied to the selected company. All calculations of the indicators are processed into charts and the development of some of them is supplemented with graphical representation.
Based on the resulting values there are conclusions and recommendations designed in order to increase the efficiency of the company.
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Resolving of insolvency of business corporations trough bankruptcy
Marková, Martina ; Civínová, Denisa (advisor) ; Klára, Klára (referee)
The presented thesis tries to introduce the reader to the course of the insolvency proceedings, especially in bankruptcy proceedings. The theoretical part mainly discussed about the meaning and history of this institute, further aspects necessary for the commencement of insolvency proceedings and then there is described in more concise form the additional course up to the decision on the debtors bankruptcy. Subsequently, the author deals with the consequent procedure in cases where the debtors bankruptcy is solved by bankruptcy. Describes the course, focusing primarily on the sale of the debtors property and its subsequent allocation among the creditors until its conclusion, which is the submission of the final report by the insolvency administrator of the court, its subsequent approval and distribution schedule. In the practical part of the thesis the theoretical knowledge mentioned above is applied to the selected insolvency case of business corporation. In this part there are also pointed some potential problems and complexities that arose in this case. There is also described and analyzed the entire insolvency proceedings from filing an insolvency petition to the preparation of the final report by the insolvency administrator, that is the stage where the proceedings took place on the date of submission of this work. Furthermore, the author discusses the development and the number of insolvency proceedings in our country since 2008 when the new legislation of this institute came into force. On the same principle, the author also deals with the analysis of the most common types of obligations of business corporations.
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Development, management and economy of public-benefit corporations focused on further education of teaching personnel in the Czech Republic
Obajdinová, Monika ; Homolka, Jaroslav (advisor) ; Robert, Robert (referee)
This master´s thesis which is called Development, management and economy of public-benefit corporacions focused on further education of teaching personnel in the Czech Republic, in its theoretical part describes the formation of such organisation, the reasons, goals and the visions, that lead the founder to start up such organisation. Furthermore it describes its functioning and related management, financing and fulfilling the ideas and visions of its founders.
The practical part contains an evaluation and description of the results, which were identified based on the qualitative aspects, data analysis from annual reports and websites of selected governmental organizations from the Liberec Region, the Ustí nad Labem Region and the Central Bohemia Region, and which deal with training and education of teaching staff.
Also, based on the expert examination this thesis describes the achieving of goals of these institutions, their development, management and relations with the founders and also the management of selected state-funded institutions. At the very end, based on the collected data and the results of each survey this thesis designes a possible future development of the state funded institution called Centrum vzdělanosti Libereckého kraje (the Institution of Education of Liberec Region).
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