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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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Palliative care is provided by patient's family at home
KUČEROVÁ, Tereza
The thesis, titled Palliative Care Provided by Patient's Family in Home Environment, discusses the specific care needs of a terminally ill patient in his/her own home. Caring for an ill person in a home environment is beginning to be a growing trend in home care, but also it is an increasingly common wish of the patients themselves. The family is therefore required to have enough theory and practical knowledge in order to deliver a highly demanding personal care for their close family members. The aim of the thesis is to summarize the current situation of delivering palliative care in home environment in Czech Republic whilst concentrating on the specific needs of the patient and the needs of their family. The objectives of the research were to determine whether family members were introduces to the specifics of palliative care of terminally ill patients; to map their skills in delivering palliative care in home environment and to reveal the most common issues that family members come across in that home environment. The final objective was to map out services in regions of Central Bohemia and Liberec that are accessible to family members whilst caring for a terminally ill patient. The research part of the thesis was completed employing a method of qualitative investigation using semi-structured interviews with patient's family members and nurses providing hospice care in home environment. It emerged from the analytical interviews that the family's knowledge level regarding support for palliative care in home environment is very limited and in hospitals families are only given minimal or no support or information. As a final document for the thesis an informative educational brochure was created based on the results of aforementioned research, primarily targeting patient's family; its core objective is to improve information and collate the specifics of care that would allow the patient a dignified end to their life.
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Patients satisfaction with the provided services. An important indicator of the quality of health care facilities.
MALANÍKOVÁ, Jana
My master's thesis which topic is "Satisfaction of patients with the services provided. An important indicator of quality of medical equipment " is mainly focused on satisfaction of patients with the services provided in the Hospital České Budějovice, a.s. Furthermore, the mapping focused on overall satisfaction with care in the already mentioned Hospital České Budějovice and on exploring whether patients evaluate the quality of information provided by a medical doctor in this hospital affirmatively and whether they are satisfied with care of local nurses. The satisfaction of patients is an important indicator of the quality of care provided, which has an impact on their status of basic human needs. One main purpose was determined: Monitoring the satisfaction of patients with the services provided in the Hospital České Budějovice, a.s. and this purpose was fulfilled. Quantitative research was executed, to its realization the interview method was used. By means of the technique of standardized anonymous questionnaires on the basis of the above-mentioned purpose,the 3 following hypothesis were verified: 1) Patients are satisfied with the overall care in the Hospital České Budějovice, a.s. 2) Interviewed patients evaluate the quality of information provided by a medical doctor in the Hospital České Budějovice, a.s. affirmatively 3) Interviewed patients are satisfied with the care of nurses in the Hospital České Budějovice, a.s. I processed the data to confirm or refute the pre-established hypotheses. The evaluation of the data was carried out using statistical nonparametric methods, Chi-square test and the chosen level of significance of p=0.05. The results of the research have been clearly processed into the tables and graphs. The program Microsoft Office Excel 2010 was used to process the results.
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Stress situations and nursing personnel
MAREŠOVÁ, Lucie
This thesis deals with the stressful situations in the profession of the nursing staff. The occupation of the nurse belongs to the most demanding ones. In this occupation, the nurse is permanently affected by many stressors of different types. She faces death, the suffering, dying and incurably ill people very often. She is there in times of pain, agony and suffering. Personal encounters with these difficult situations require highly professional approach but most of all, they present immense work stress for the nurse. The theory section describes mainly the stressful situations that are the most common and most difficult in the work of the nursing staff. The next part of the theory section describes possible consequences of the stressful situations and methods of managing them including the support by the management. This thesis has two objectives. The first objective was to map the manners used by the nursing personnel to cope with the stressful situations brought by their profession. The second objective was to find out the difference in the coping with the stressful situations between the hospital staff and hospice staff. The research section of this thesis contains the quantitative research done using the technique of an anonymous questionnaire with 20 question prepared by ourselves. The questionnaire was distributed to the nursing staff of all categories in the hospital and hospice care. It was completed by 269 respondents in total. The data was statistically processed using systems Microsoft Excel 2010 and Software R, version 3.0.2 (Chi-squared test, Fisher´s exact test, and Wilcoxon test). We determined four hypotheses. H1: Manners of coping with the stressful situations depend on the qualification of the nursing staff reached; not confirmed. H2: Manners of coping with the stressful situations are influenced by the length of practice of the staff; not confirmed. H3: Manners of coping with the stressful situations differ between the hospital staff and hospice staff; confirmed. H4: The nursing staff views their own mental hygiene as more efficient than the support from the management concerning the coping with the stressful situations; confirmed. The research results show that the nursing staff faces the stressful situations very often. They see as the heaviest stress the care of the suffering and aggressive patient, conflicts with the patient´s family, conflicts at work and workload. The manners of coping with the work burden which proved as the best for them are relax, rest and sleep. There were no differences proved in the manners of coping with the stress among respective members of the nursing team. Nevertheless, the coping with the work burden of the nursing staff in the hospital and hospice care is different. A minimum of the respondents notices any support during the stressful situations from the employer. On the other hand, certain support by the management could be viewed in the form of trainings, supervision or contribution to a "recovery" which are granted to the respondents from the employer according to their answers. However, the respondents would prefer, as the support by the management, the increase in pay or more days off. The respondents view as insufficient the preparation of the graduates for the future stressful situations in their profession, as well. They would recommend mainly various trainings dealing with the stress and its management. A good solution to alleviate the work burden of the nursing staff and quality enhancement of the services provided could be investments into better work conditions, both in terms of sufficient human and material resources and the very organization of the work processes.
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Charity Projects of Organizations Providing Care for Children with Disabilities in South Bohemia
LANDOVÁ, Lenka
The bachelor thesis "Charity Projects of Organisations Providing Care for Children with Health Disability in the Region of South Bohemia" deals with those projects that were founded by non-profit organisations and that provide care for children with health disability in the Region of South Bohemia. The aim of this thesis is to chart the charity projects of above mentioned organisations and to find out what is a proper and effective way to create them and what methods and procedures are used by non-state, non-profit organisations. The first research inquiry refers to a successful implementation of these projects. The result will be not only a realisation what kind of projetcs were created by the above mentioned organisations but also what is important for an organisation itself. Within the bounds of the second research inquiry I find out wheather there is an optimal procedure for the implementation of the charity projects of non-state, non-profit organisations. A qualitative method was used for a research part of this thesis. I used a method of a half-structured interview, a technique of a personal interview. A research group was selected for bringing the research into practice, which includes nine organisations seleceted from non-state, non-profit organisations providing a care for health disabled children in the Region of South Bohemia. It is more difficult for non-state, non-profit organisations it this field to obtain enough finances for providing services and for obtaining necessary aids than for state non-profit organisations because of different ways of fundraising . A non-state, non-profit organisation has several possibilities how to obtain necessary material and non-material sources. There are charity projects that offer means of selfless help; provided they are successful, they help the organisation to obtain necessary sources. It emerged from the research that it was very important for non-state, non-profit organisations to get a multi-source fundraising and supporters of their projects, mainly donors and sponsors, to obtain available care for children with heath disability. On the basis of the research, it is possible to state that non-state, non-profit organisations providing care for children with health disability, implemented many successful projects. The results of this thesis can be used in the way of an informative material for setting a complete view of a solution of the problems of the above mentioned organisations projects.
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Church guide services within the spiritual care of the tourists - the example of the church of the Virgin Mary in České Budějovice
NĚMCOVÁ, Marie
This thesis deals with the religious tourism and with the tourism of pilgrimage, especially with the church guide services and their concentration on spiritual care for tourists. It provides the information about the attitudes of church to the spiritual care of tourists who are the visitors of churches. The thesis is also based on personal experience of the author which she gained during the project Otevřené brány/Open gates. In this spirit, the thesis concentrates on the proposal of the realization of a particular way of the spiritual care of tourists in the church of the Virgin Mary in České Budějovice. In the plan there is also emphasized the importance of the appropriate preparation of guides.
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Realization of farm with a focus on poultry
Hromjak, Milan ; Zita, Lukáš (advisor) ; Kovářová, Kateřina (referee)
This thesis deals with the origin of a family farm. By creating a business plan and issues connected with it, its priority is an organic poultry farm, which will produce poultry meat and eggs. Another service beyond the farm production will be creating conditions for a developing branch, which is agro-tourism and other services related to the operation of the farm, so that it leads to the economic development and profit.
The farm will arise by rebuilding of an old house with a large barn and adjacent 10ha of lands inherited from grandparents. There will be built a multi-purpose building called the poultry farm from which the poultry will have access to pasture. The property includes another 1 ha of forest from which the wood will be used as a building material and firewood.
The work is divided into two parts: theoretical and practical. The theoretical part especially focuses on explaining the concepts that are important to understand the business plan.
Then there is the legislation concerning the organic farming, a tangle of laws, public notices and regulations that must be followed in order to meet the conditions for the organic farming. An integral motivational service of the country and the European Union for farmers and not only for those who are environmentally-managing farmers, is support and grants for the years 2014 - 2020. A very important step not only for the starting farmers is a market analysis in the given branch, as well as a SWOT analysis that will show us the positive and negative aspects of the business. The conclusion of this section deals not only with the concept of agro-tourism, but also with its market position as well and possibilities of its use and further development.
In the practical part there is a description of a business plan and individual periods of the project including financing. Finances will flow from own and foreign capital, or the possibility to apply for support through non-refundable grants. The establishment of the farm will have an impact on the labor market, as there will be 5 newly created jobs and the community will fit into the wider public awareness thanks to the activities that the farm will develop for the purpose of product promotion and further development. Furthermore, there are itemized individual items that lead to the final evaluation of the effectiveness of the business plan. By processing the theoretical and practical part of the thesis the requirement of the thesis objective is met - to design a prosperous family farm focused on poultry keeping with a hypothesis if it is currently possible to be competitive while importing poultry meat and eggs from abroad. It can be concluded that the business plan is viable.
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Business project based on franchising
Zavázalová, Kateřina ; Pilař, Ladislav (advisor) ; Zdeněk, Zdeněk (referee)
The thesis describes business project based on franchising. For this type of business had been choosen the company The Little Gym which is deals with providing services mainly exercise classes in specialized gyms for children aged from 3 months to 12 years. The aim of this thesis is create a business and economic evalution of the project in the field of fitness with the use of franchising.
The thesis is devided into theoretical and practical parts. In practical part the authoress used data from the Czech statistics authority and created a comparison of development birth of childrens, income of families, proportion of minor against the population and others namely between regional cities as Hradec Králové where a new branch will come and Ostrava where the branch was recently opened. Marketing research of potential customers was focused on their opinions and attituteds to physical activitites. Further was done a market segmentation and analysis of competition, especially Porter model. The financial plan was developed based on calculation from the available data. In conclusion the bussines plan was evaluated including evaluation of the economic aspects of the project.
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Support of regional development through the Local Action Group Podchlumí
Jezberová, Zuzana ; Hejnák, Václav (advisor) ; Marcela, Marcela (referee)
The Diploma thesis deals with issues of the support of regional development through the Local Action Group Podchlumí, r.a. (LAG Podchlumí).
The goal of this thesis was to explore the contribution of the LAG Podchlumí to quality of life of residents and business development. Assessment of the influence of LAG on regional development has been based on the existence and implementation of the Program of rural development program of the Czech Republic Axis IV. LEADER, which leads to an improvement of management and to mobilization of the natural inner potential of countryside. The Program of rural development represented the main financial source for fruition of LAG projects in the previous programming period.
In this thesis, activities of the LAG Podchlumí and local subjects for support and development of partnership of residents and for public, business, and non-profit communities have been analysed. Implementation of own projects, through which the versatile development of the region, life improvement of residents, increase the attractiveness of the region has been evaluated. In order to get an independent and objective evaluation, an anonymous questionnaire has been conducted among residents of the region Podchlumí. Further, personal observation of the region Podchlumí, a study of professional literature as well as of internal materials of the LAG has been done. The hypothesis that the Local Action Group Podchlumí plays an important role in development of partnership of public administration of municipalities, agricultural subjects, independent agricultural as well as non-agricultural enterpreneurs, and non-profit organizations has been verified on the basis of analysis of realized activities. Support from the Program of countryside development to the region Podchlumí, Measure IV.1.2 Realization of local development strategy, contributed to achieving improvements in quality of life of residents. The greatest support was given to appearance of communities and quality of infrastructure, development of public facilities and services. Financial resources were spent also on modernization and development of agricultural as well as non-agricultural business. In comparison with other LAGs in the district Jičín, the LAG Podchlumí supported the greatest number of projects through the measure IV.1.2 of the Rural development program on realization of local developing strategy. It has been found by means of evaluation of the anonymous questionaire among residents of the region that residents perceive improvement of appearance and life of communities but they are not aware of the fact that many projects have been implemented with the contribution of activities of the LAG Podchlumí. For this reason, the LAG Podchlumí should focus more on propagation of its own activities. Residents of the region are interested in surrounding of their villages.
It is possible to made conclusion that the results of analysis of activities of the LAG authenticated and confirmed correctness of the hypothesis that the Local Action Group Podchlumí plays an important role in development of partnership of public administration of municipalities, agricultural subjects, independent agricultural as well as non-agricultural enterpreneurs, and non-profit organizations.
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Project of family farm as closed economic unit
Jakubčík, Václav ; Pazderů, Kateřina (advisor) ; Zdeněk, Zdeněk (referee)
The diploma thesis deals with the family farm, which deals with fast growing trees cultivation. Business plan for my firm is the operation of the cogeneration unit and ensuring its self-sufficiency. The intention is that the family farm should produce more than half the biomass for cogeneration units.
Diploma thesis works with providing services in processing of logging residues, removing seeding trees and transportation. All this in order to obtain sufficient quantities of the commodity for the operation of boiler plants with cogeneration unit. Further outputs are addressed including the use of waste heat. Necessary support in planning the boiler room is the SWOT analysis. Conclusion of SWOT analysis clearly support the business plan for hte operation of a family farm.
Another key factor, that motivates me to expand current boiler room is a continuously rising electricity price. I suppose part of the generated electric power will be used for wood drying, the rest of the energy power is supposed to be sold to CEZ. Revenue from electricity sales should improve my Cash-Flow.
An important source of energy is a waste hot water that will be used for heating lumber drying, rabbit slaughterhouses of Rabbit firm. The rest of hot water waste will be used for heating workshops and residential buildings around.
The main incentive for founding a family farm is request to have enough fuel for the cogeneration unit also in case of external source shortage. The target is to ensure fluent economic operation of whole technological equipment.
My target is an overall economic assessment of the project for extracting of biomass from various sources. After an overall assessment we got conclusion, that the project can be profitable especially due to own production. Services provided by my farm creates significant additional value.
For family farm founding motivates me also unemployment of several family members.
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