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Principles utilization possibilities of the educational activities of the nurse in the primary care
DRAXLEROVÁ, Milena
The objective of this bachelor's work is to find the principles utilizing of the nurse educational activities in the primary care. The education seems to be the important caracteristic of the treatment practice and has gone hand in hand with the primary care since the treatment beginning. The education as a training, cultivation and tutoring is emphasized lately as the self-evident part of the professional nurse occupation. The educational nurse activity in the primary care has own particularities which are described in detail in the theoretical section of this bachelor´s work. The contemporary treatment conception talks up the important aspects of the nurse role {--} the educator and the coordinator of the patient care. The nurse education should correspond to this thus the nurses could perform their profession as the qualified medical officer. The primary care field is the inseparable piece of the theoretical part of this work. The community nursing as the first care line has been continuously developed recently and the role of the primary nurse is emphasized mainly in the support and maintenance of the people health. Their services are provided in the wild scale in the various environment and cover the whole life cycle since conception to lenitive care at the dying. The education in the primary care represents the great importance. Its purpose is to continuously raise the population health consciousness. In the practical part of the work the quantitative research was performed, the data collection questionnaire technique was used. The research set consisted of sixty-two primary care nurses. The research performed within this work at the nurses working in the primary care has demonstrated a quite good knowledge and also principles utilizing of the educational activities in the nursing practice. Unfortunately it has showed subsequently that nurses don´t have sufficient possibilities in the present system of the primary care and principally the time scope for the education performance. There is the left room for the next knowledge consolidation and perfection in this field even though the good education principles knowledge. The space for the potential further research in the prevention field regarding positive health support and maintenance has been opened consecutively.
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Home care from a health social point of view
URBANOVÁ, Veronika
This extended essay deals in more detail with the organizations which give only health home care for their clients. It is a special form of the health care given to a patient at his home and paid by the state within the framework of public health insurance. During the visits, the patient is treated or rehabilitated by a gualified nurse. All the treatments are put into effect according to the treating doctor´s indications who has called for this care form. Although the questions is a health services, we can see a social influence here, too when the patient and his relations to the people round him are influenced as well. Nowadays. great numbers as state in the Czech Republic. In the first theoretical part, the attention is paid to a history of home care, a definition of basic words and a detailed specification of agency activities. Basides, the clients the services was inicated for are noticed here, too. It also concerns their state of health and social relations to the people around them and the surroundings. The data obtained from my own research are stated in the practical part. This research was carried out by a quntitative method with several techniques of a run interview and a secondary analysis of data in a set of some chosen patients living in the northern part of the Pilsen Region and agencies being situated in that area. The aim of my extended essay is to evaluated a social influence of home care on a patient and to point out the most frequent diagnoses it has been indicated for.
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Genesis of social and professional status of nurse
ZEMKOVÁ, Vladimíra
The main diploma thesis purpose is mapping of current nurse social and professional status from nurse point of view in scope of their subjective sensation of occupation prestige. Mainly we are speaking about monitoring of their work contents changes as well as their bossiness position changes and also community position changes.
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Administration and documentation of nursing care in the nursing career
NOVÁKOVÁ, Kateřina
Administration and documentation are inseparable and obligatory parts of nurse's everyday work. Documentation in healthcare serves to communication of necessary patient information. Medical documentation is kept by physicians. Nursing documentation is conducted in parallel with medical documentation. Nursing documentation records facts of the nursing care provided to a particular patient. Duly kept nursing documentation is a quality indicator of qualified nurse's work. It has to comply with applicable legislation and reflect the latest research results. Documentation has to be brief, clear, concise and factual. It should definitely not be extensive, time consuming, complicated and it should not contain useless information and duplicities. Nurses should not be overloaded by document keeping and should not spend more time on it than with patients. The aims of the thesis: Aim 1: To map the approach to documentation among nurses at selected hospital departments. Aim 2: To map how nurses perceive document keeping in terms of time, how much time they really spend on documentation within their working hours. Aim 3: To analyse nursing documentation at selected hospital departments. Research questions: Research question 1: Do nurses feel overloaded by nursing documentation keeping? Research question 2: How much time do nurses have to spend on documentation within their working hours? Research question 3: Is the time spent on documentation used effectively? Research question 4: Would nurses welcome changes in nursing documentation? Applied methods: The research part of the thesis was based on qualitative research method applied at selected departments of a regional type hospital.The research results from the interviews, document analysis and working hours scanning will be provided to the examined hospital management. They may help the hospital management with better insight into their documentation and lead to improvement of the document keeping in general and particularly ease the work of nurses as they are overloaded anyway.
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Costs of providing nursing and rehabilitation care in institutions of social services.
SKRUŽNÁ, Andrea
The dissertation themed "Costs of providing nursing and rehabilitation care in institutions of social services." maps out current issues in provision of health care in the residential facilities of social services. The dissertation focused on analysis of expenses for provision of nursing and rehabilitation care in residential facilities of social services. The theory part is divided into five chapters. In the first chapter, I deal with the social services in the European Union and in the Czech Republic. Further, I describe the system of long-term care. The second chapter focuses on residential facilities of the social services, their division by types and specification of their basic activities. In the third chapter, I describe funding of the residential facilities of the social services, where I focus on description of each funding source. The fourth chapter is focused on health care in the residential facilities of the social services. I describe author's expertise of general nurse in the social services, the list of tasks of health care for the expertise, conditions for indication of health care, the ways for payments of health care by health insurance companies, and audits of the reported health care conducted by the health insurance companies. The last chapter deals with the issues related to per os administration of drugs in the residential facilities of the social services. The practical part of the dissertation consists of my own quantitative research. Described is methodology for data collection; in addition, the research set is characterized, and the research implementation description is given. Results of obtained data were processed in two chapters where structure of users of facilities as well as health care provided to the user was described in a statistical way using tables and graphs. Thereafter, discussion on results obtained was made. The research survey was performed in Senior House in Roudnice nad Labem (hereinafter referred to as "the facility") in November 2013, where data was collected for period from 18 to 24 November 2013. The facility provides social service of senior house and social service of a house with a special regime to its users. At the moment of the research, there were 129 users, of which 95 received health care from health care employees of the facility. Two hypotheses were defined for the dissertation. The hypothesis No. 1 is: The number of health care professionals in the residential facilities of the social services corresponds to time demands for health care indicated by a general practitioner. The hypothesis No. 2: Administration of medical therapy per os as indicated by a general practitioner is the most frequent health care service provided to the users of the residential facilities of the social services. The research confirmed both hypotheses. I can see importance of results of the dissertation particularly in that they outlined how the medical care in the residential facilities of the social services is currently provided. The processed results of the provided health care could then serve as one of the grounds in making a draft for transition of funding of the health care in the residential facilities of the social services from performance-based to flat-based model. The dissertation could also be used as the grounds for training of health care professionals of the residential facilities of the social services in the field of indication, provision, and reporting of health care provided to users of the residential facilities of the social services.
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Assessment of safety culture in selected hospitals in the Ústí nad Labem and Liberec regions
VOLENÍKOVÁ, Kateřina
Current status: The issue of medical errors has recently gotten considerable attention among organizations at the global and national levels. In its report the Institute of Medicine recommended the development of a safety culture where employees want to provide the safest health care. Assessing the current culture of safety is the first stage in the development of patient safety. Subject: The main purpose of the research was "to evaluate the safety culture in select hospitals." Method: A standardized method was chosen for the research: The AHRQ Hospital Survey on Patient Safety Culture. A quantitative method was implemented using polling. Obtained data were tested in SPSS version 16.0. For statistical testing Person's chi-square and sign scheme was elected. Research group: The research survey addressed 301 non-medical staff of Krajské zdravotní a.s. Masarykova nemocnice, o. z. (Regional Health a.s. Masaryk Hospital) in Ústí nad Labem and Krajské nemocnici Liberec, a.s. (Liberec Regional Hospital) Results: The survey results showed that the surveyed health care professionals assess the organizational culture as friendly. The respondents indicated that they are praised by the manager for conducting their work safely and that they can suggest changes in management practices. The results showed that addressed health care professionals support each other (58.1%) and cooperate better (72.4%). According to the respondents, better teamwork leads to better patient safety. An analysis of the results shows that health professionals have an active approach to safe care (82.7%) and in their opinion, errors and mistakes lead to improved patient safety (40.9%). Paramedics have confirmed that they receive feedback on reported incidents (37.9%). Based on team discussion about errors the respondents' evaluation of patient safety has significantly improved. An analysis of respondents' answers revealed a lack of reporting of adverse events. Most respondents consider the number of staff in the workplace deficient (42.5%). Conclusion: Hospital management should be involved in changing the detection of individual errors from individual to systemic. In order to improve the safety culture there should be regular supervision or teambuilding activities that support the development of teamwork. Feedback on the results of reporting errors must be given in an appropriate way to motivate staff to continue to report future errors. The results require a change in how medical staff report errors and greater consistency among management when checking reports. Complaints of work overload by medical personnel must be taken seriously. Improvements can be brought about by changes to work organization or the use of temporary workers.
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Czech Citizens About Quality of Health Care
Tabery, Paulína
In December 2010, Public Opinion Research Centre enquired about health care and health care system. We were interested in satisfaction of citizens with health care and change of quality of medical care during the last year. Czechs were asked a question about current status of their health and should answer, whether doctors and other medical staff give the clients enough information about medication.
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The Physical activity of working people focusing to nurses
KOLINGEROVÁ, Hana
Physical activity has been lately discussed around the whole world mainly because of its impact on human health. Due to huge technical development and current life style it turns out that the society is almost inactive. Physical activity is completely insufficient which brings a lot of negative effects on an individual and their health. The aim of thesis was to study the specialized literature in the field of physical activity and its impact on human health, processing of the given literature in the ´research part´ of my thesis and summary of that literature. Further parts of thesis are devoted to gathering of the necessary data, analyzing the results from IPAQ - long (International Physical Activity Questionnaire) questionnaire and monitoring the results from pedometer. To ascertain the amount of physical activity I opted for the IPAQ-long fulfilled by 120 probed people and also for the monitoring of the number of steps a day for a period of one week. The monitoring was performed on 30 individuals with the help of pedometers. The pedometers were individually set for the given person. According to the information gathered from the questionnaires and monitoring with the pedometer is obvious that some individuals miss physical activity in the field of intensive load and the number of steps in a day. Overall, it is possible to say, that according to the recommendation made by USDHHS, all respondents comply with the standard recommended for and adult individual in case of staying healthy.
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Czech Public on Health Care - December 2009 II
Tabery, Paulína
In December 2009, Public Opinion Research Centre enquired about health care and health system. We were interested in satisfaction of citizens with health care and change of quality of medical care during the last year. Czechs were asked a question about current status of their health and should answer, whether doctors and other medical staff give the clients enough information about medication. Other questions were focused on medical fees.
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