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The comparison of communication skills of nurses with a deathward client in hospitals and hospice homes.
ADAMCOVÁ, Lenka
This Bachelor's work examines nurses' skills in communicating with terminally ill patients in hospital and hospice facilities. The aim of this work is to present a detailed overview of the communication skills of nurses treating dying patients in hospital and hospice facilities as well as to identify what approaches nurses working in hospital and hospice facilities are not taking when treating terminally ill patients and to identify the specific issues that nurses must deal with when treating terminally ill patients in hospital facilities. A method of quantitative research was used to obtain findings for this Bachelor's work, and questionnaires were used to collect data. The addressed respondents were medical staff treating patients at the Central Military Hospital in Prague as well as at the St. Agnes of Bohemia Hospice in Červený Kostelec, the St. Lazarus Hospice in Plzeň and the Hospice on the Holy Little Hill in Olomouc. A total of 129 questionnaires were distributed, and only 33 were not returned. Therefore, 74% of the respondents did complete and return the questionnaires. However, 12 questionnaires were excluded for being incomplete. A total of 85 questionnaires, 66% of the original number of questionnaires distributed, were used to process the data. Therefore, the answers of 85 respondents were used for the research. Four hypotheses were established: 1. The methods and the level of communication of nurses caring for terminally ill patients are influenced by education and awareness {--} this was confirmed; 2. The process of caring for terminally ill patients depends on the conditions for providing comprehensive treatment care in hospital departments and in hospital facilities {--} this was confirmed; 3. Nurses in hospital facilities lack sufficient education for communication with terminally ill patients, and the conditions for providing comprehensive care are insufficient as well {--} this was confirmed; 4. Nurses in hospice facilities are familiar with communication techniques and regularly use them when accompanying dying patients {--} this was confirmed. The results of the research will be provided to employees in management positions in the examined hospital facilities and two hospices in order to improve the quality of the care provided to terminally ill patients.
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Quality Indicator Mapping of Nursing Care in Hospital České Budějovice
PAPOUŠKOVÁ, Petra
Quality nursing care is today the essential goal of contemporary nursing. Therefore it is necessary to introduce in sanitary facilities a quality improvement program, whose part is tracking quality indicators of care provided. Within the practical part we set three goals. The first of them is to define tracked quality indicators of nursing care in Hospital České Budějovice, a.s. The second goal is to evaluate the selected quality indicators of nursing care in Hospital České Budějovice. The third goal is to inform nurses on quality indicators of nursing care in Hospital České Budějovice. Based on these goals we introduced six hypotheses. The first hypothesis says: Hospital České Budějovice, a.s. tracks at least 15 quality indicators of nursing care within the tracked period. The second hypothesis says: Hospital České Budějovice, a. s. realized at least four nursing care audits per year. The third hypothesis says: nurses of Hospital České Budějovice are satisfied with working conditions. The fourth hypothesis says: clients of Hospital České Budějovice, a.s. are satisfied with the provided nursing care. The fifth hypothesis says: Nurses of Hospital České Budějovice know at least four quality indicators of nursing care in Hospital České Budějovice being tracked in their wards. The sixth hypothesis says: Prevalence rate of decubitus in Hospital České Budějovice decreases. The research ran over under collaboration with staff nurse of Hospital České Budějovice, a.s.; one of forms of the research was also a nursing audit; further data collection method by means of questionnaires was used. The research file involved nurses and clients of Hospital České Budějovice, a.s. In the course of the research we fulfilled the set goals; the first, fourths and the fifth hypotheses were confirmed and the second, third, and the sixth hypotheses were not confirmed. The research results have been offered to the hospital top management as a data source concerning the nursing care quality. The work should also provide nurses with information on that monitoring and evaluating nursing care quality through specific indicators is at present a necessity and indispensable fact and that its goal is not individual disciplinary decisions of individual nurses, but it concerns finding out system errors, their assertion and resolution.
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Ombudsman status and his role in medical organizations
ERETOVÁ, Zuzana
In my thesis I would like to inform the public not only about the office of ombudsman as such but also about the special ombudsman{\crq}s office for public health service, the tasks that he is in charge of and the fact how he can be helpful to people. The objective of my research was to find out how the public perceives the office of the ombudsman for public health service, what issues the ombudsmen deal with within the scope their offices in the health care facilities and to map the frequency of ombudsmen{\crq}s offices in the health care facilities within the Czech Republic. The hypotheses, which I have predetermined, were as follows. The public does not have enough information on the office of the ombudsman for public health service; the most frequent issues, which the ombudsman for public health service settles, are the grievances of patients concerning the behaviour of clinicians and nurses; and teaching hospitals have established an office of the ombudsman for public health service. Through my research I have learned the following facts. The office of the ombudsman for public health service has been established in six health care facilities of the Czech Republic. It includes four teaching hospitals and two non-governmental health care facilities. There is no legal regulation stipulating the necessity to establish an office of ombudsman in the health care facilities. The issues most frequently settled by the ombudsmen concern the improper communication of medical staff with the patients and their relatives or visitors. Another problem is the patients{\crq} dissatisfaction with the fact that the medical staffs does not properly or fully inform them, as well as the issue of too long waiting time in the emergency facilities. Using a questionnaire to address the public I also found out that almost three fourths of informants have never heard the term of ombudsman, they do not know what tasks he is in charge of and have no idea that such and office exists in some health care facilities in the Czech Republic. The same number of informants would like to obtain more information on the issue of the ombudsmen in the health care facilities and the public evaluates the current awareness of this issue as insufficient. More than a half of informants consider the office of the ombudsman for public health service as useful and think that establishing of such an ombudsman{\crq}s office results in a higher quality of health services.
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The Comparison of Sorted Forms of Pastoral Care of Ill People in the Hospitals in Czech Republic
JONÁŠOVÁ, Radka
The work is engaged in pastoral care of ill people in the hospitals in Czech Republic. The theoretic part shows up the concept of illness, basic needs of ill people and the concept of pastoral care of ill people in the view of chosen authors. The practical part contains the comparison of two forms of pastoral care of ill people. It is the service of five pastoral assistants, who are exercising their service in hospitals, and the service of five priests, who are visiting hospitals within their service in parishes. The pastoral assistants work in hospital four up to eight hours a day during working days and they exercise the pastoral care in the form of accompanying of ill people {--} that means they are in a dialogue with ill people and they participate in their life situations. The priests visit hospitals mainly in order to sacrament dispense. By the confrontation of the service of both groups of persons involved in pastoral care of ill people with that, what chosen authors write about this service, appeared that only the pastoral assistants fulfil the intention of the pastoral care of ill people, that is the accompanying of ill people in their difficult situation of illness.
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Accrediation and certification in a system of the services´ quality
VALENTOVÁ, Jiřina
This work concerns a quality management in the area of health service. The aim of degree work is anallysis and comparison of National accreditation standards in health service and downloading quality management system in hospital with destination obtaining certification. On basis of analyse both of processes it defined difference in extent and raiting certification and accreditation in hospitals. Process certification was analysed in Hospital Strakonice who in year 2006 got certification according to norm ISO 9001:2000 on the all hospital, also as on medical part, so another traffic. Process accreditation was analysed in Hospital Písek who in year 2006 successfully passed accreditation by SAK CZ and got certificate of hospital`s accreditation. From this work follow suggestion and recommendation on the optimal framework quality management system and application of the most suitable process in South Bohemian hospitals.
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Preparedness of selected hospital to accreditation
ŠIMKOVÁ, Veronika
Accreditation is an adjustment mechanism which should reduce variations in medical care provided by heatlth care facilities. At present there are only twenty-one hospitals accredited by state. This accreditation guarantees that the medical care of the institution meets state standards. The hospital does not meet all standards so it cannot be accredited. It has, however, all preconditions to supplement the standards in near future. This work should help the hospital to assess its preparatory work for accreditation. I hope it will help other health care facilities and private people in their work concerned with accreditation.
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Financial Analysis of the Jihlava Hospital
Pokorná, Hana ; Lešetický, Ondřej (advisor) ; Střítecký, Rudolf (referee)
This Bachelor work focuses in its first part on the theoretical understanding of financial analyse applications. This is followed in the second part, where these financial analyse methods and processes were applied in practice to the actual specific data of the Jihlava Hospital. The introduction is dedicated to describing the overall characteristics of Jihlava Hospital; it's allowance organization; and it's management budgetary control. The conclusion focuses on the analysis and evaluates the financial results.
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