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Church Kindergarten Management
Jarošová, Markéta ; Trojan, Václav (advisor) ; Voda, Jan (referee)
This bachelor thesis focuses on the management of church kindergarten (CK). It deals with the specifics of the CK and differences due to the municipal kindergarten. The aim is to compare sub-areas of management of CK and municipal kindergartens. Based on this I would like to find out whether there are differences between church kindergarten and municipal kindergartens management. The work should expand the awareness of professionals and managers and to facilitate the orientation of the church kindergarten, especially for beginners. Legislation looks at religious schools like private schools, but it is a separate category. In the practical part completion of a questionnaire and guided interview was chosen as the research method. The research focuses on the differences in the areas of local church nursery and municipal kindergarten management. Another endpoint is the view of managers on the church kindergarten. Since these differences are mainly legislative this is rather supplement to the theoretical part, where differences and specific have already been revealed.
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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 nursing issue: peripheral venous catheter
TOMÁNKOVÁ NOVÁKOVÁ, Monika
Peripheral venous catheter is used to access the venous system. It is one of the most commonly used invasive procedures in health care facilities. This procedure falls within the competence and daily tasks of nurses. Therefore this type of nursing care is susceptible to risk of proceeding routinely which might result in conscious or unconscious errors. Peripheral venous catheter needs to be introduced into the patient's vein in the following cases: planned parenteral nutrition, infusion or transfusion therapy, application of intravascular medication or contrast media, rehydration, blood sampling (which can be performed immediately after introducing the peripheral venous catheter and before administrating medication) and also during an emergency care for critically ill (such as cardiopulmonary resuscitation). Nurses should be as knowledgeable as possible about this issue so that the peripheral venous catheter can be introduced well and fulfil its purpose. It is important to ensure that nurses obtain all the necessary information about their patients before inserting the catheter and that they are able to properly inform the patients about the procedure and to communicate with them. Next, nurses should be familiar with the correct procedure for inserting catheters, they should be informed about possible contraindications and know how to choose the correct type of catheter as well as where to place it. Furthermore, nurses should care for this vascular access correctly and provide the patient with enough information about taking care of the catheter after the procedure. Finally, nurses should be aware of their own potential errors and also of possible complications. Therefore they should employ aseptic technique so that they can eliminate nosocomial infections. The thesis is divided into a theoretical and an empirical part. The theoretical part focuses on the history of peripheral venous catheters and their types, indications and contraindications, necessary equipment, nursing care, complications, etc. The empirical part consists of a research. The aim of the thesis was to map the use of peripheral venous catheters in hospitals as well as to identify factors that may lead to problems among the patients with peripheral venous catheters. Four research questions were assigned to these aims. 1. What is the procedure prior to inserting a peripheral venous catheter? 2. What are the standards of caring for patients with an inserted peripheral venous catheter? 3. In which steps of caring for peripheral venous catheters do the nurses lack knowledge? What equipment do the nurses prepare in order to insert a peripheral venous catheter? The Bachelor's thesis was conducted using a qualitative research survey. The methods of collecting data included semi-structured interviews and participant observations. The research was carried out only in one hospital ward and it was anonymous. First, the data were collected by means of a semi-structured interview. The nurses were asked 14 questions (see Appendix 8). During this interview, several more subquestions were added. The results of the interviews were then grouped into several categories for the sake of clarity. The second method of collecting data was participant observation. The observed facts were recorded into an observation sheet (see Appendix 9). The same nurses who were interviewed were also observed. This Bachelor's thesis has been written in order to provide a basic overview of the peripheral venous catheters. It could be used as an information source for more experienced as well as novice nurses. The practical output of this Bachelor's thesis is a nursing care standard concerning peripheral venous catheters. This standard was missing in the hospital ward and could help the nurses to take care of these vascular accesses, to proceed correctly and eliminate possible errors (see Appendix10).
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Analysis of financial indexes in the Czech banking market and application of the RSW model.
Tiutiunnic, Olga ; Hrdý, Milan (advisor) ; Šmídová, Radana (referee)
The aim of my diploma thesis is to explain the basic financial indexes in the Czech banking sector, to analyze Czech banks with the model of financial health RSW, which was modified according to the specifics of Czech enterprises, and to contribute to the conclusion, if it is possible to apply the model RSW in its modified form for testing financial health of Czech banks. The RSW model results will be compared with achieved results in the model, which I named alternative comparative model (S-model). S-model works with indexes from banks annual reports. The theoretical part will be defined by definition of bank and a brief description of Czech banking, by financial description of the specifics in bank statements and fundamental indexes. Then I will describe the way of using the model RSW in its modified form. In the practical part of my diploma thesis I will test eighteen Czech banks by RSW model and compare achieved banks ratings with the alternative comparative model. I choose the techniques of S-model based on my individually attained knowledge and read literature.
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Nursing care of Pacients after spine surgery
TAKÁCSOVÁ, Alena
The title of my thesis is Nursing care after spinal surgery. The number of patients with problems of different parts of the spine is growing as well as indications to operational solutions. This is due to society trends and a greater load on the body. Therefore operational procedures requiring specific nursing procedures for treatment in the early post-operative period increase. The thesis highlights the issue of specific nursing care for patients with various diseases and parts of spine. It points out that there is no universal measurement of nursing care for different types of operations on the same section of the spine and it is necessary to choose the right procedure in specific nursing care along with subsequent rehabilitation care. The number of people with diseases of the spine indicated for surgery continues to increase. Research mentions modern days numbers compared with the time 20 years ago and I dare say the numbers are disastrous. There is nothing to wonder about. Disproportionate load does not decrease, a sedentary way of life either at work or at home also adds to the risk of developing these diseases. These have resulted in discomfort mainly in personal life of a human, but also threaten their working and social role and disrupt the economic security, which we cannot do without nowadays. In our thesis we deal with already incurred pathological manifestations indicated for a surgery. In other words, what happens to the patient, if they are recommended by our outpatient physician - neurosurgeon for a surgery. The lack of nursing literature on this specific issue was the reason for us to choose this theme. In the theoretical part we will discuss the general structure - spine anatomy and physiology, basic terms related to the basic movements, and curvature of the spine. Since our thesis is focused on nursing care after a surgical treatment of diseases of various sections of the spine at the department of Neurosurgery, Traumatology and the Infectious department in České Budějovice, the theoretical part includes basic theoretical outlines of the most important surgical procedures performed at these departments in the hospital of České Budějovice a.s.. Furthermore, we will get to the specifics of nursing care after these surgeries related to early rehabilitation care and close cooperation with physiotherapists. It should be emphasized that teamwork is the cornerstone in the care of patients after spinal surgery, whose subsequent rehabilitation and education in self-care after being discharged from the hospital care is one of the basic prerequisites for a successful recovery and return to their working and social role. The research part focuses on the following objectives: Aim 1: To determine whether nurses know the correct procedures for early rehabilitation of patients after spinal surgery Aim 2: Find out what is the level of collaboration between nurses and physiotherapists in the specifics of patients after spinal surgery Aim 3: To determine whether the nurse´s education and length of practice has an impact on the provision of specific nursing care for patients after spinal surgery Furthermore, using the research questions related to this issue: Research 1: How do nurses and physiotherapists cooperate in a patient´s care after spinal surgery? Research 2: Is a nurse´s length of practise connected with higher expertise in providing specific nursing care to the patient after a spinal surgery? Research 3: Does the education of nurses affect the knowledge of the specifics of the nursing care to the pacients after a spinal surgery? Research 4: How do nurses extend their knowledge in specifics nursing care for pacients after spinal surgery?
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Activation Activities as an Integral Part of Social Work in Nursing Home in Benešov
PLAČKOVÁ, Ivana
This bachelor thesis is aimed to the activation activities as a part of social work in the nursing home. The goal of the theoretical part of bachelor work is to describe social work, roles and job description of social worker and describe each activation activities used in the Nursing home Benešov. In the Theoretical part there are named personality assumptions, roles and job description of social worker in nursing homes. This part deals with descriptions of activities in the Nursing home Benešov. Theoretical part was created by using of analysis and synthesis of data from scientific literature and the other sources of dealing with the problems of the elderly and with activation activities. The goal of practical part is to find what are the possibilities and limits of social work focusing on activation activities in Nursing home Benešov. Depending on the goals have been established two research questions. The main research question is: What are the specifics of social work in a nursing home? Partial research question asks what is the role and activities of social workers in activation activities in the nursing home. For the goal of bachelor thesis was chosen the qualitative research. I have used the questioning method and the technique of the semi-structured interview and the secondary analysis of data and the method of SWOT analysis. The research has shown that social work in a Nursing home Benešov is limited by many factors. There is a lack of financial sources, which greatly affects the activation programs, there is a bad client motivation. Roles and activities of social workers in Nursing home Benešov are similar for the two respondents and one respondent operates mostly as a coordinator of social work and activation activities. The gained knowledge of this bachelor thesis can be used as a source of activation activities and social work in a Nursing home Benešov and also as a basis for improving services in this facility. The work will be used as feedback for the device, where the research was conducted.
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Analysis of the current state of spas in Carlsbad
Bakanová, Markéta ; Mlejnková, Lena (advisor) ; Valentová, Jana (referee)
The subject of this diploma thesis is Analysis of the current state of spas in Carlsbad. The aim of this thesis is to evaluate the status of Carlsbad and its specifics on the market of spa services in Czech Republic. The analysis is focused on entities that currently operate in the field of spa services in Carlsbad. The outcome of this work is to assess the current state of spas in Karlovy Vary, analysis of the different types of entities that deal with spa services and evaluation of their common and diferent features. This thesis also deals with evaluation of the impact of changes in the Indication list on the spa services in Karlovy Vary.
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Nursing Care of Patients with Infectious Complications after Total Hip or Knee Endoprosthetic Replacement Nursing Care of Patients with Infectious Complications after Total Hip or Knee Endoprosthetic Replacement
BREJŠKOVÁ, Soňa
Infectious complications belong to the most serious problems after endoprosthesis implantation. Their solution is very demanding for its surgical and psychological aspects with regard to its devastating effects and uncertain prognosis. The percentage of infections complications fluctuates between 0.5 and 2 % nowadays. From nurse?s point of view the care about these patients is very demanding and has its exactly defined specifics. The aim of the thesis was 1: To map the knowledge of the causes of occurrence of infectious complications after TEP of hip or knee joint among nurses. 2: To map the knowledge on nursing care of patients with infectious complications after TEP of hip or knee joint among nurses. 3: To examine adherence to aseptic procedures in caring about patients with infectious complications after TEP of hip or knee joint. Three research questions were set to reach the goals: 1. What is the extent of knowledge of the causes of occurrence of infectious complications after TEP of hip or knee joint among nurses? 2. What is the knowledge of specific care of patients with infectious complications after TEP of hip or knee joint among nurses? 3. What is the extent of knowledge of specific needs of patients with infectious complications after TEP of hip or knee joint among nurses? 4. To what extent nurses adhere to aseptic procedures in caring about patients with infectious complications after TEP of hip or knee joint? Qualitative research was applied to elaboration of the thesis. Semi-structured interviews and involved observation were the data collection methods and techniques. The research was performed at the infectious disease department of the České Budějovice Hospital. The survey was anonymous, the interviews and observation were conducted from 1 to 25 February 2013 . The research has shown that nurses know the causes of infectious complications occurrence after TEP. It is also obvious that nurses are aware of the specifics of nursing care about these patients and they also have theoretical knowledge of the needs. However the analysis of the replies has revealed that nurses have problems with applying some nursing procedures, namely becauseof partial ignorance, uncertainty and impossibility to try some procedures. The results have also shown that all the nurses try to saturate physical needs of patients but not all of them are able to saturate patients? physical needs as they mentioned in their replies and as we could observe. These are particularly drawbacks in communication in the field of motivation, mental support and self care support. We have also found that most of the nurses adhere to aseptic procedures in nursing care of patients with infectious complications after TEP, but the results have also revealed weak points. More than a half of the nurses of the monitored sample fail to perform hygienic disinfection in compliance with the standardized technique and a third of them do not disinfect their hands even before the act. We have found further drawbacks particularly in handling sterile and biological material. The research results have shown that despite lack of information and experience the nurses proved their general knowledge of care about these patients in their replies. However there is still a lot to learn, both theoretically and practically. This thesis was written to bring basic outline of the issue of infectious complications after total endoprosthetic replacement so as it can be used as information material for both, experienced or starting nurses that are in contact with patients with infectious complications after TEP. A multidisciplinary seminar aimed at the issues of infectious complications after total hip or knee endoprosthetic replacement (see Annex 12) is the practical output of the bachelor thesis
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The Specifics of Nurse´s work on a Psychiatric Ward
HŘEBEJKOVÁ, Blanka
Theoretical background Psychiatry belongs to fundamental branches of medicine. Its task consists of diagnostics, treatment and prevention of mental diseases. Psychiatry includes adult psychiatry, child psychiatry and adolescent psychiatry, gerontopsychiatry, psychiatric addictology, psychiatric sexulogy with psychiatric rehabilitation. Nowadays, importance of the psychiatric branch is increasing; according to epidemiologists, we can see a slightly upward trend in the number of psychiatric patients. Work of a nurse in the department of psychiatry differs considerably from work in other standard departments. Such work is demanding both physically and mentally. In the department of psychiatry, it is extremely necessary that the nurse builds up a close relationship with the patient and acquires their confidence. Goals of the thesis The goal of the thesis was to map differences relating to work of a nurse working in the department of psychiatry, to find out what communication skills a nurse working in the department of psychiatry must have and in addition, to find out what the possibilities of further education within the framework of life-long education for nurses working in the branch of psychiatry are available. Methodology The qualitative methodology was applied to the research. The data were obtained by the interview method. Prior to execution of the research as such, the staff nurse was asked for permission and she agreed with execution of the research concerned. In cooperation with the charge nurse and the head nurse of the department of psychiatry, seven interviews with the nurses were made. The interview consisted of twelve questions and was absolutely anonymous. The written records of the interviews were analysed and the results were divided into categories and sub-categories subsequently. Results Based on the research, it was discovered that work of nurses in the department of psychiatry is much different from work thereof in other departments. The nurse working here should be interested in the field and should have good knowledge of the psychiatry-related issues. The nurse working in the department of psychiatry should be competent, resourceful and should be well informed of the patients to be able to perceive early possible changes in their behaviour. In the psychiatric nursing care it is important in particular to communicate correctly with various types of patients. Therefore, it is vital for the nurse to be well versed in mental diseases and symptoms thereof. Behaviour, perception and communication of the psychiatric patient are often affected by the disease as such. There are various communication barriers which the nurse has to cope with. Therefore, the nurse should be able to use all components of verbal as well as non-verbal communication correctly. Preparation for incidents consists of in particular regular training in the area of occupational safety and protection of health at work, fire protection and study of methodological guidelines and standards of the department of psychiatry. Certain preparation for incidents is included as well. There are sufficient possibilities of further education in psychiatric nursing care available. As it followed from the research, the nurses show active interest in education and search therefor independently. The nurses are sufficiently supported by their superiors in the search for suitable educational projects. Conclusion Considering the overall view of the thesis results, it is possible to say that the research questions were answered and the set goals of this thesis were achieved. The results of this bachelor's thesis may serve as supporting source material for lectures on nursing care in departments of psychiatry. In addition, the thesis may serve students as study and source material for their own studies and work.
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Specifics of nursing care of devotees of Hinduism at the nursing unit
HAPATYKOVÁ, Jitka
The aim of this work was to investigate specific aspects of care at a nursing unit when treating Hindu worshippers. To achieve this objective four research questions were selected. This thesis was divided into theoretical and practical part. In the first half of the theoretical part the basic elements of Hinduism, its history, directions and expansion to the Czech Republic, but also the customs, rituals and lifestyle of its worshippers were described. The second half of the theoretical part was focused on multicultural and transcultural approaches that are very important in nursing care for patients/clients of different beliefs. In the empirical part of the work the very investigation using qualitative research method was performed. This took the form of semi-standardized interview. The interview contained 40 questions which were further extended with additional questions to get the most detailed information. In the last part of the empirical part we summarized the results in a discussion. With our research survey we answered all the research questions. It was found that the respondents are not satisfied with the Czech health care system, especially with the availability of health care. The respondents said that they did not like long order times for medical procedures and tests. They were bothered with full waiting rooms at the doctors. From the results related to the second question it was found that, despite some negative experience, the respondents are rather positive about the hospitalization in the Czech Republic. Mainly, the respondents did not like the hospital environment. The answer to the third research question was given to us by another group of questions focused on nursing care. The experience with nursing care was both positive and negative. Although respondents often expected different behavior from nurses than was really encountered, the results of our survey showed that the respondents are satisfied with nursing care. None of these outcomes relates to their religious beliefs. The last group of questions gave us the answers to the fourth research question. We investigated the specifics in the treatment of Hindu worshippers in the field of nutrition, hygiene, religious belief and prayers during hospitalization, leisure time spending during hospitalization, dying and death. In the field of nutrition we noticed certain specifics. Hindus are vegetarians and lacto vegetarians who regulate their diet according to strict religious rules. Hospital food does not respond to their rules, therefore they let their food be brought from their friends. Further specifics resulted from the issues relating to religion and prayers. Hindu worshippers perform their prayers each day even during hospitalization. Hindu prayers may be performed by whispering or mutedly, lying in bed, therefore they do not require any special prayer room. Their prayers are quiet and do not disturb anyone. That closely relates to the answers to questions about the specifics of leisure time spending during hospitalization which the Hindu worshippers mostly spend by activities associated with belief. In their free time they mostly listen to spiritual music, read sacred texts and perform prayers. In the field of dying and death we have not discovered any specifics. Only in the understanding of death. For the Hindu worshippers, death is seen as a new beginning, so they are looking forward to it and getting ready for it for all their life. Hindus believe that, after death, they are born again in a new body. With our survey we were able to answer all the research questions and thus achieve the aim of the thesis, which was to find out what the specifics in the treatment of Hindu worshippers at a nursing unit are. Based on the results of the research, information material for nurses was developed, in which the specifics of treatment of Hindu worshippers are described.
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