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Risks concerning malnutrition and obesity in the nursing process
HORČIČKOVÁ, Marie
The care for nutrition of patients is given more attention these days than before. Patients with malnutrition and obesity represent a huge nursing problem in internal and surgical fields. In this thesis we focused on nursing process in clients with malnutrition and obesity. The research was quantitative, for the data collection the anonymous questionnaires addressed to nurses were used. It was carried out in internal and surgical departments and departments of follow-up care in hospitals in Písek and Tábor. 120 questionnaires were distributed, in each hospital 60, to particular departments 20. 95 (100 %) questionnaires were used for the research. In the thesis seven objectives were stated. The objectives were focused on carrying out the nursing process in clients with malnutrition and obesity, the most frequent nursing problems in these patients and the awareness of nursing staff in the problems of malnutrition and obesity. Seven hypotheses linked to the objectives were stated. The research showed that nurses meet the clients with malnutrition and obesity in all mentioned departments. Most nurses consider the care for these patients very demanding. It is pleasant that the part of nursing documentation is nutritional screening, which is carried out during an admission of each client. Further the research showed that for these clients no valid nursing standard, which would improve nursing process, has been carried out yet. In clients with malnutrition the most frequent nursing problems are decubital ulcers and in clients with obesity sore spots. Information on the problems of malnutrition and obesity is gained at professional seminars and conferences. Nursing process in patients with malnutrition or obesity is demanding and it is necessary to have a sensitive and considerate approach. The results of the thesis will be used to make nursing staff acquainted with these problems.
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Motivation for education of healthcare assistants with regard to their future practice
ŠMÍDOVÁ, Jaroslava
After accession to the European Union and adoption of Act No. 96/2004 Collection, on non-medical healthcare professions, changes occurred, which concern mainly nurses. These changes affect mainly administration and competences of the nurses. The act currently differentiates between and defines the procedures of secondary educated staff as procedures without special supervision and procedures with special supervision, and also defines the process for obtaining the certificate for the performance of a profession without special supervision based on the credit system. In practise this means that if the health care assistant does not achieve a higher or university level education, he/she cannot work independently without any special supervision. And it is the interpretation of the term without special supervision and with special supervision that is the subject of discussion. The nurses refuse to be responsible for the work of somebody else and present this attitude openly. The main goal of this bachelor thesis is to find out what motivates current healthcare assistants to work in healthcare and what their approach to education is, which should be an integral part of their life. There was also a discussion as to whether the information about the speciality, provided to basic school children, is appropriate for such a life-long decision as the selection of occupation. There were two hypotheses established during the investigation. H1: The pupils of the basic schools have no information about studying in Nursing Schools, H2: The students are motivated for further education and H3: The graduates of the Nursing Schools want to study in order to improve their qualification in the higher level schools. Based on a questionnaire, all established hypotheses were confirmed and the goal of the thesis was accomplished. The research was therefore successful. Obtained information may be used mainly for improving the approach while providing information to the pupils in the basic schools before their decision about the choice of profession, since the education advisers are interested in the results obtained. For teachers in the secondary schools, this knowledge will be useful to improve motivation of students for future professions
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Incorporation of university graduated nurses into the multidisciplinary team.
MINAŘÍK, Martin
My bachelor thesis {\clqq}Integration of university-educated nurses into multidisciplinary teams``deals with integration of nurses into working teams where such cooperation takes place. The theoretical part of the thesis refers to the history of nursing, the today´s conditions for this profession, roles played by nurses and relations they have to cope with. The thesis outlines the concepts of team, medical multidisciplinary team and advantages of multidisciplinarity. It also points to potential pathological phenomena in case of poor acceptance and cooperation. University-educated nurses have been working in various departments as members of nursing teams, as well as multidisciplinary teams. The first objective of my thesis was to find out whether university-educated nurses are included into multidisciplinary teams. The second objective of my thesis was to find out how the university-educated nurses are accepted by medical doctors. A quantitative method using anonymous questionnaires was used to collect the data and to meet the established objectives; the questionnaire was developed based on information obtained from professional literature and it was divided into two sections. The first section contained questions for all members of the multidisciplinary teams and the other section was intended specifically for the university-educated nurses. The results of the quantitative survey have shown that university-educated nurses have been included into teams, i.e. the hypothesis - The university-educated nurses are included into multidisciplinary teams - has been confirmed. The second hypothesis {--} The university-educated nurses are not accepted by medical doctors - has been also confirmed. On the contrary, the third hypothesis - University-educated nurses are accepted by nurses with secondary education - has not been confirmed.Results of this thesis may be used by the higher and top management of the surveyed hospital and they should be also used for improvement of care of the clients.
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Task of nurse in support of care about ill senior in a family
MRÁZOVÁ, Lucie
Old age is a natural part of our lives. Poetically, it is considered to be its autumn. Aging is a natural process and in nature it can be observed at every living creature. Everything is aging, and also we are becoming old. These days, longevity is an indicator of how much civilized each country is. As a result of quality health care and the development of society, people are living to higher age. These days, men are on average expected to live up to 79 years, women up to 74 years {--} figures that would have been considered unthinkable in the past. Taking into account these figures, several questions arise: Are we adequately prepared? Do we have, today, a system of care for the elderly to assure a respectable life for us and our parents in future? In the most ideal world, it would be the family or a close relative who would look after the old, ill or the person with limited self-sufficiency. However, this is a very demanding claim on family environment in these nervous and fast-pacing days. My bachelor thesis analyses the question of old age and all the problems it brings. I have attempted to look deeper into the role of a nurse in homecare. The practical part aims to map the role of a nurse in a home-based care and to determine her possibilities (on the basis of a questionnaire technique) in treating the elderly with health problems at home. Another partial goal of this thesis is to ascertain what needs do the ill elderly people have at home and in what ways can the nurse satisfy these needs, and to determine the physical and social strain it creates on the caregiver. After analyzing the results, my conclusion is as follows: The role of a non-professional caregiver is very significant. Family has and will always have an irreplaceable place in the care for its dependant members. There is no way any medical organization can replace the role of a family in the care for its ill family members. Care, especially long-term care, can be both mentally and physically demanding and puts an enormous strain on the caregiver. Caregivers are threatened by the deterioration of family ties, loss of friends, limited social contacts leading up to social isolation, they are prone to suffer from health problems and, in many cases, great exhaustion. The solution is to make use of a home-based care: professional nursing care provided by professional nurses. The purpose of a home-based care is to leave the patient in his/her home environment as long as possible and, at the same time, to provide professional nursing care. This care is complementary to family care; the nurse is helping the caregiver - family member. Based on my analysis, it's a very gratifying fact that nurses working in this line of work provide it gladly and with loving care. The care for the elderly is based on the principle of gratefulness, love, on the principle of sharing mutual feelings and the joys of small improvements. If we manage to increase the quality of life of caregivers with an adequate help, we will also enable the elderly or ill people to lead a contended and better quality life.
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Students´ perception of doctors
VOLNÝ, Hynek
Dissertation Abstract {--} Students{\crq} Perception of Doctors My dissertation consists of a theoretical and a practical part. The theoretical part proceeds from the following theories; personality and nurse personality theory, practical focus of FSHS`s students, social perception, social motivation in terms of nurses {--} doctors - students relationship, the meaning of the medical staff team work, social status of Nursing staff, a nurses{\crq} image, conflicts within working relationships and the importance of communication within the medical staff team. Within the practical part, I conducted a survey. I applied the Semantic Differential Theory by Osgood in the questionnaires distributed; each questionnaire consisted of ten questions; seven closed and three half-open. The survey was conducted among FSHS{\crq}s students in their second and third year of the General Nurse Bachelor studies and those in their first and second year of Nursing postgraduate studies. The 151 questionnaires were distributed both electronically and hard copies. I received 105 questionnaires, from which I excluded seven due to faulty completion. With this I have taken 98 (68 %) of the questionnaires into account. My goal is to discover how doctors are perceived by those FSHS{\crq}s students who have gained some work experience within their studies. There is a positive response of two thirds within questions investigating students{\crq} perceptions of doctors in the sense of their work relationships; hence I can conclude that the hypothesis H1: Students have a good working experience with doctors at the Ceske Budejovice Hospital has been proved. With regards to the questions about students{\crq} perceptions of their status during the work experience, I divide their answers into three groups; 40% of students (40) do not have any specific feelings, 29% of them (28) find their status positive and 31% (31) express an antagonistic opinion. Following the results stated above, the hypothesis H2: Students perceive that they are closely involved in the team work during their work experience can be viewed as unproved. As for my assessment of the semantic differential, hypothesis H3: Students{\crq} perceptions of doctors are biased has been proved. Analysing answers for each study year separately, this shows that students are both positively and negatively biased towards doctors. However, this does not apply to the assessment from the general point of view; it can be said that students are biased positively towards doctors. Hypothesis H4, which investigates if the age of students can influence the frequency of their bias towards doctors, has not been proved. It can be concluded both from the answers analysis, in which is obvious that bias frequency is not descendent but a change in their nature, and from the statistic data analysis by `Chi square test{\crq}, which has not proved any relation between the age and the bias. My dissertation is intended as a useful starting point for further research of a status and perception of students, nurses and doctors. As the author, I would recommend increasing the amount of respondents in the research in order to signify the results concluded.
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Nurses knowledge of The quality evaluation of provided nursing care
KLIMEŠOVÁ, Jana
The name and the topic of my thesis is evaluation of the quality of given nursing care. The quality of nursing care as integral part of quality of medical care is gaining ground not only in medics but also in public. Words like quality, standard, audit are commonly used by every nurse but do they know meaning of separate words? Do they know how to ensure high-quality care and how to evaluate it? These and other questions must be answered in order to retrieve possible insufficiencies and thus, to ensure high-quality nursing care. That´s why I chose this topic for my thesis. Theoretical part first characterizes nursing, its aims and organization of nursing care. Extensive part is devoted to quality of nursing care, systems and models to ensure and evaluate the quality. Practical part is focused on research and its interpretation. There were two research units and were created by nurses from surgical wards of Hospital in České Budějovice and Hospital in Jihlava. In order to collect needed data I chose quantitative method, when the way of data collecting was questionnaire. The aim of the thesis was to chart nurses´ knowledge on evaluation of quality of given nursing care through two hypotheses. The hypothesis supposing that nurses working in Hospital České Budějovice know more about evaluation of quality of given nursing care than nurses working in Hospital Jihlava was confirmed. But it is evident from the results that both investigated units have certain reserves. The other hypothesis supposing that more than 80% nurses consider the audits helpful for improving the quality of nursing care was not confirmed. According to the results, for more than half of addressed nurses audit is only stressing matter when hospital management looks for faults in their work. I mean, this opinion results from insufficient knowledge or incorrect understanding of the audit sense. I would like to use the thesis and its results as a base for creating scientific lectures and subsequent presentation. The head nurse asked me to present my thesis and the results at the meeting of head nurses in autumn 2008. I was asked for the results by Jihlava Hospital management as well.
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The role of educative nurse in the infectious diseases ward
PŘITASILOVÁ, Vladimíra
One of very important competences of nurses is educational activity. This research is focused on the educational activity pursued by nurses in isolation wards {--} how the nurses perform the educational activity, in what manners the activity is conducted and what problems inhibit nurses from performing the activity. It also examines clients{\crq} awareness and their opinions on the information provided by nurses. The objective of the thesis was to ascertain implementation of the educational process in isolation wards {--} to ascertain clients{\crq} awareness of the care of their health in isolation wards and to ascertain preparedness of nurses to perform the educational activity. In order to fulfill this objective and to confirm hypotheses, a quantitative research using the method of examination through questionnaires was applied. Two questionnaires were drawn up: one for the recipients of the educational activity {--} patients/clients and the other one for the providers of the educational activity {--} nurses. The examination through questionnaires was undertaken by 177 informants of which 96 were patients/clients and 81 nurses. The data were processed by way of the descriptive statistics using diagrams. The research was conducted in five hospitals. Three hypotheses were raised. Nurses working in isolation wards perform the educational activity. Clients of isolation wards are informed about the care for their health. A general nurse of an isolation ward possesses skills to perform the educational role. All the three hypotheses have been confirmed on the basis of the implementation and the analysis of the research. It follows from the data analysis that the educational activity pursued by nurses is important. A positive finding is that the nurses working in isolation wards implement the educational process, feel the need of further training in the area of education and communication, and are interested in application of their competences also in particular areas of the work with HIV-positive clients and with the clients suffering from chronic infectious hepatitis. It is obvious from the research that the objectives that had been set have been attained. It is necessary to address the topic henceforth since some problems have appeared in the educational process, hindering nurses from performing the educational activity. These are insufficient spatial, time and material conditions that can be solved through the proposed organizational and personnel measures.
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Problematic of fluctuation of nurses
PAVLÍKOVÁ, Lenka
Abstract High turnover of nurses is a hot topic in the Czech Republic. There is a shortage of general nurses in health care facilities. This research is engaged on the reason why nurses are discontented and give up their jobs in health care services. The aim of this paper is to find out the reason for the high turnover of nurses. I used a quantitative research by means of a questionnaire survey to fulfil this aim. The questionnaire contained 35 questions, 26 of which were closed and 9 of which were semi-open. 134 respondents participated in this questionnaire survey. The data were processed by descriptive statistics by means of charts. It follows from the data analysis that nurses turnover is influenced by continuous operation. Wide offer of jobs on the job market, too, affects the high turnover of nurses. Moreover, managers of health care facilities do not take appropriate measures to prevent the staff fluctuation. It results from the research that it is necessary to keep paying attention to this matter. We have mapped out several spheres in our research which are, according to our opinions, narrowly associated with this theme. Our research is based on the theoretic part of this paper. The present paper contributes to mapping out the situation in health care facilities from the point of view of general nurses, leading to increased turnover and lack of staff. The research also shows that there will be sufficient number of nurses if hospital managements are more interested in what their nurses are concerned about and why they cannot exercise their profession and help them out to the highest possible extent. This paper can serve as a matter of consideration for nurses themselves, ward sisters, staff nurses, managements of health care facilities, as well as students of nursing.
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Risk factors at public health work: differences among professions in non-medical fields
LAŠTOVKOVÁ, Marie
The paper focuses on health risk factors for non-medical healthcare workers, namely general nurses and radiology assistants. Factors which may have negative impacts on healthcare workers{\crq} health affect both physical and mental health. Factors such as toxic substances, biological radiation, infectious diseases and spine and joints overloading caused by the incorrect manipulation with patients can have negative impact on physical health. Both physical and mental health is affected by stress, as well as by workers{\crq} lifestyle and education. Healthcare workers who take care of patients must be in a good physical and mental shape in order to provide quality care. Therefore, the goal of healthcare workers themselves, as well as of their employer, should be obtaining sufficient information on work safety and hygienic measures and being able to use the information in practice - they should actively participate in prevention of health damage related to the performance of their profession. The first hypothesis {--} non-medical healthcare workers are informed about risk factors associated with the performance of their profession - was confirmed. The second hypothesis - there are differences in the presence of risk factors among non-medical healthcare workers - was also confirmed; differences in the occurrence of some risk factors are clearly visible. Different healthcare professions should therefore be approached in a targeted way, with respect to the type of workplace and job description of healthcare workers. The third hypothesis {--} non-medical healthcare workers comply with preventive measures preventing health damage - was not confirmed. One of the reasons why hypotheses 1 and 2 were confirmed may be the fact that increased attention has been paid to this topic recently - standards have been made, and consequently also targeted audits. These measures have usually a positive impact - healthcare workers have gradually realized that safety measures are not useless, and by obeying them, healthcare workers protect not only patient and their surrounding, but especially themselves.
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Problems lifelong learning of nurse
HALUZOVÁ, Jaroslava
My thesis addresses the issue of lifelong learning of nurses.Lifelong learing promotes high standards of profesional practice. The principles and values of lifelong learning are increasingly important. The objective of the research was to find out how motivated the health care personnel are to improve their skills and knowledge in the interest of their patients. In my research I also obsesrve if nurses have the responsibility to grow professionally and if they have enought access to information about lifelong education programs.For data collection the quantitative research was used.The summary of my research: nurses are concerned about lifelong learning, they are aware of the need to enhance the profesional practice. But they are not informed enough about relevant chances.The mandatory registration has enhanced the involvement in lifelong learning of nurses. But the most important motivating factor is the prospect for promotion and a better salary.
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