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Coping strategies in children´s fear and pain in relation to nursing care
PROCHÁZKOVÁ, Zuzana
For the nurse, taking care of hospitalized children is important not only pediatric nursing knowledge, personal and social preconditions, but also the theoretical and practical competency of methods and techniques, which are used for identification and effective influencing of pain and fear. The aim of this thesis was to identify the main sources of fear of the hospitalized preschool and young school age children and to find out the effective methods and principles of the cooperation with children, alternatively with their accompanying parents in order to moderate the fear of the small patient. Then the thesis tried to chart the nursing diagnostic and evaluation procedure of the pain and get the most used nursing methods of non-pharmacological pain relief. To obtain the necessary data, the qualitative research was used with a semi-structured interview as a research instrument. The first research group consisted of 12 nurses, the second group consisted of 12 children ´s patients of preschool and young school age. The majority of the asked nurses thinks, that children´s patients are afraid especially of non-familiar environment, then of the awaited pain and of the solitude without parents. However, the most patients said, that they were afraid especially of pain, then of non-familiar environment, restriction of their needs, hostile attitude of the medical staff and of the other neighbouring patients. They were also frightened of the death and of the darkness. Most reported nurses mean, that the most effective solution of the children ´s fear is the friendly attitude of the medics. They also mentioned the fact of taking the focus off the fear and the presence of the parents is also beneficial. The nurses ´ answers were in conformity with patients opinion in two fields - friendly attitude of the medics and taking the focus off the fear. Then the children mentioned abiding of their specifics in connection to falling asleep and the demand of beying treated by the same sister or by few same sisters. All respondents also talked about the benefit of parents presence. Regarding the principles of the cooperation, nurses answered the importance of united medical procedures, especially the proper way of information transfer. Then the respondents nurses mentioned the psychical and emotional support for children and their accompaniments, the atmosphere of confidence and the value of well done education. Also the need of calm, silence and privacy was stated. Unlike nurses, children and their parents regarding to principles of the cooperation prefer the psychical and emotional support, then the importance of enough information was mentioned. The fourth research question bears on the methods used for children pain monitoring. The nurses said, that the intentional interview with the patients or with the parents was used as a main technique, that was stated by patients as well. Research question number five said: What are the most used nursing methods of non-pharmacological pain relief at children? Most responded nurses mentioned the distraction of children attention from the painful incentive, then the importance of physical methods, relief position and purposeful preparation for the unpleasant intervention. Nurses also named the helpful contribution of the parents, relaxing exercises and the method of imagination. Regarding the pain treatment, it was noted, that all patients prefered the analgesic therapy. Then they quoted the distraction of their attention from the painful incentive, the friendly attitude of the medics, using the ice compress and the relief position. In the pain acute phase, children required mostly calm, comfort and privacy. All children also considered the presence of parents as very helpful. The theoretical and empirical part of the thesis are suitable for being studied by nurses taking care of children and it can be helpful for nursing quality improvement at children ´s wards in hospitals.
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Nursing care in a hygienic and epidemiological regime from the patient's perspective.
KŘEPELOVÁ, Lenka
Considering contemporary lifestyle and possibility of travelling imported infections accrued and some illnesses come back that have not occurred nearly at us more. Not only haemorrhagic fevers and other highly infectious illnesses but also hospital multiresistant bacterial strains that mean high risk for patients constitute a threat. The number of nosocomial infectious grows still. The patient is in the case of suspicion or already diagnosed infectious illness isolated and treated in the infectious department or in the tribal department in the room with increased hygienic-epidemiologic regime. The patient is saved in a single room, the possibility of visits is reduced and the staff uses personal protective equipment. The man is holistic being and it can come due to isolation to lack of satisfaction of his/her bio-psycho-social needs. The aim of this thesis is to identify unsatisfied bio-psycho-social needs of patients in increased hygienic-epidemiologic regime and to describe changes in needs of the patient depending on the time of hospitalisation. The theoretic part describes the problematics of infectious illnesses, system of the care for the patient with infectious illness and changes in human needs in the period of the illness. The empiric part of the thesis deals with unsatisfied bio-psycho-social needs of isolated individual through quantitative research. The research suite was made up of 10 patients who were hospitalised in the room with increased hygienic-epidemiologic regime. The survey was carried out in the Hospital Jihlava by semistructured interview and the results of the survey were processed by opened coding by method paper and pencil. It is emphasized that the most needs of the patient have biological, psychical, social and even spiritual aspects. The rate of satisfaction with caregiving depends on the health condition and personality of the patient. Not small influence has the length of the hospitalisation, too. It was found out during the survey that the patients have not enough information about specifics of the care in the infectious department and that is why there is often a misunderstanding of necessity of barrier measures. It is possible to avoid useless misunderstanding through timely and suitable education. It was created an educational material with the title "Guide for patients hospitalised in the infectious department of Hospital Jihlava" for this purpose. Employees of the infectious department of Hospital Jihlava were informed with results of the research during a workshop, too.
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The need for security and safety in connection with a planned surgery with the patient's perspective and nurses
BOHDALOVÁ, Jaroslava
A planned operation performance always affects patient´s needs for assurance and safety. It is important to provide necessary information connected with the planned operation performance itself so that the patient can feel assure and safe. The key role for the patient and her/his needs for assurance and safety is in general nurse´s hands because she is the closest person to the patient and can help to inspire her/his needs for assurance and safety with konfidence best through the aid of her knowledge and skills that she should have as well as through the aid of her attitudes. The target of the thesis was to find out how a planned operation performance affects patient´s needs for assurance and safety and how a general nurse inspires patient´s needs for assurance and safety connected with a planned operation performance with confidence. The following research questions were stated: How does a planned operation performance affect patient´s needs for assurance and safety? How does a general nurse affect patient´s needs for assurance and safety connected with a planned operation performance to inspire her/him with confidence? What is insufficient in filling patient´s needs for assurance and safety before a planned operation performance? How can a general nurse help a patient control her/his fear and state of anxiety related to a planned operation performance? The method qualitative research with the use of depth interview was used to figure out the investigation. The respondents were willing to record the interview which were verbally rewritten and then subjected to the contents analysis by the method paper and pencil. From the research it is clear that a planned operation performance affects patient´s needs for assurance and safety in a negative way disregarding to her/his previous experience. Patient´s worries and negative feelings can be eliminated by a general nurse who treats her/him as equal, taking up an individual approach, informing her/him about all performances and proceedings, having a calming and welcoming way of communication, using empathy and listening as well as trying to meet patient´s wishes according to her possibilities. The research reveals the advantage of patients´ readiness for planned operation performances. Patients can learn it in the framework of educational proceeding in the out-patients´ department at the same time when they learn that they are going to be operated. The research also shows that general nurses do not have enough knowledge in the sphere of therapeutical communication. The results indicate that it would be suitable to start educating patients as soon as it is known how their disease will be solved and treated in order to reduce the negative impact of surgical treatment to patients´ needs for assurance and safety. General nurses should complete their knowledge and skills to be able to help patients to cope with their difficult life-situation. On the basis of the research investigation and after the consultation with the senior nursing officer, the training course will be organized. The topic of the training course will concentrate on communication with patients before planned operation performances with a view to therapeutical communications and therapeutical interviews. Other discovered facts, for example, the lack of information provided to patients and possibilities regarding better patients´ readiness for planned operation performances will surely be solved by the hospital management.
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Students´ motivation for the work in social sphere
DUCHOŇOVÁ, Kristýna
The topic of this bachelor thesis is the motivation of students to work in the social sphere. Selecting a domain is an important milestone in the life of each of us, the aim of the work is to determine what factors affect the young person during the election field with a social focus and how his motives during his studies and during his practical experience varies.The work is divided into two parts, theoretical and practical. The theoretical part describes the social work and its history, definition, ethical standards and goals. The work deals with the role of a social worker and describes his competence. Presents preconditions for occupational choice and the factors that influence this choice. It also deals with motivation, defines it and acquaints us with concepts such as motive, value or need. Work is affected by motivation theories and recalls the hierarchy of needs of Maslow. In the seclusion does not stay the work motivation in helping professions, questionable motives or burnout, which occurs currently in the social sphere more frequently than in other sectors. The practical part is focused on quantitative research, when the survey begins with primary school pupils who have just chosen their future focus. This part aims to determine what percentage of these students opted for the social sphere and what lead to this decision. Further quantitative research conducted among high school and college students who attend branch with a social focus. Here, the work reveals the most common and most important motives of students, satisfaction with the chosen field of study and their expectations of future studies and career. Here we will also learn how many students want after graduation stay in the field. In the practical part there is also a qualitative research, which complements the whole job. Semi-structured interviews are conducted with students, but also with a social worker. These respondents describe us closer their motivation for working in the social sphere. According to the results which this research brought, it can be stated that most of the students choose a subject with a social focus to have the opportunity to help the others. But is true that many students are choosing a school prematurely and are influenced by the place of residence, their friends or the nature of the study, most of these people don´t know what they can expect from the field and are often discouraged during their studies. From this work could in practice benefit pupils and students who decide for the field of social affairs. For teachers working in schools where the research took place,could this work serve as a feedback. Especially the part which describes the differences between expectations and reality can be used.
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Pick´s disease and the specifics of the nursing care of a patient with this disease
KOPKAŠOVÁ, Lenka
Pick's disease is a degenerative-atrophic process that primarily affects the frontal and temporal lobes of the brain. Besides Alzheimer's disease, it is a lesser known form of dementia which affects people of younger age. Although the exact range of Pick's disease occurrence varies in the literature, the average reported age is between 50-60 years. The disease can change eating habits, cause emotional swings, inappropriate behaviour and sloppy appearance of the patients. The behaviour to others is often selfish, the patients are unable to listen to others and ignore their surroundings. Pick's disease is also characterized by inappropriate sexual behaviour. Globally, the number of dementia patients is still growing and according to expert guesses the increase will continue. Nursing care for patients with dementia is therefore becoming a very actual topic as dementia is called a quiet epidemic of our century. Nurses in their departments quite frequently encounter patients suffering from dementia of various origins at different stages of disability and the staff at healthcare facilities often regard these people as a burden. The aim of this thesis, which is called Pick's Disease and Specifics of Nursing Care for Patients with this Disease, is, based on the theoretical knowledge, to map definitions and diagnosis of Pick's disease, to define the needs of such a patient, and to list the most common problems in the nursing care. It focuses on people with dementia within medical facilities. For proper understanding of the problem, the thesis starts with the anatomy and physiology of the brain and the description of cognitive functions which are affected by the dementia syndrome and the definition of dementia. Based on the studied literature, dementia is divided according to various criteria. It has been found out that dividing dementia is not entirely uniform, but the essential facts and overall opinions of the authors do not diverge. Pick's disease belongs to a group of frontotemporal dementia and its position in this group has changed over time, as it is recorded in the literature. The thesis includes recommendations resulting from the studied literature in the approach to patients with dementia and emphasizes personal communication with the patients and empathetic and humane approach. Although medicine cannot prevent dementia, an early diagnosis of a specific type of dementia and correctly targeted treatment can increase the quality of life not only of the patients but also of their families. I have chosen this topic because I find it very current and interesting. During my nursing practice at the Surgery Department and Aftercare Department, I have met patients suffering from dementia and I did not know how to properly and efficiently communicate with them. For the theoretical part of my work, the methods of explanation, synthesis and induction on the basis of Czech and foreign information sources have been used. The most frequently quoted Czech authors in my thesis are doc. MD. Roman Jirák, PhD., the head of the center for diagnosis and therapy of Alzheimer's disease at the psychiatric clinic of the General University Hospital in Prague, the 1st Medical Faculty of Charles University. This thesis can serve as an informational and educational source both for nurses and the general public who may experience the disease within their families. It would be considered a great success if it helped nurses or family members to diagnose Pick's disease or other dementia at an early stage.
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Christian principles in social work.
JENŠOVSKÝ, Jiří
JENŠOVSKÝ, JIŘÍ. Bachelor's thesis with the title ?Christian principles in social work? University of South Bohemia in České Budějovice. Faculty of theology. Department for practical theology. Thesis supervisor: Dr. Ing. Křišťan Alois, Th.D. The first part of the thesis is focused on the possibility of decrease of the stress impact on the client after his/her arrival into the stationary social facility. It offers possibilities to believing and not believing employees of the facility how to find the way to the client, to recognize his needs and to try to comply with them. In the second part of the thesis I focus on the activities as basal stimulation, sense activation and ergo-therapy. I present these job activities as an additional possibility how to find out the information about the client and how to develop the relationships of the employee in the social services or a trained therapist to the client. In the third part, I investigate by observing with participation the development of the relationship of two believing clients to the believing and not believing social employees. The research deals with reactions of clients in particular daily situations on employee in social services (believing and not believing). The research examines and records acting of the observed clients in various types of mood, during health problems, depression or also in good mood. It tries to present as real picture of acting the observed clients as possible in contact with belief and non-belief of the social employee.
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Potential of sustainable development of the Village
Uhlíková, Ivana ; Varvažovská, Pavla (advisor) ; Marcela, Marcela (referee)
This thesis analyzes the sustainable development strategy focusing on the environmental pillar and the subsequent evaluation of the implementation of environmental sustainability in Kladno. The main aim was to evaluate the active and environmental policy perspective of the city.
In the theoretical part are described various laws, documents and instruments relating to environmental policy and sustainable development. The thesis is talking about the area of interest, its historical development, demography, environment, social and cultural fields.
Using concrete examples it is recommended how the environmental management of Kladno could proceed in the future. The proposed recommendations are a result of analysis of all available information which include the needs and requirements of city residents.It is important to update Strategy of environmental policy and introduction of activities from the Sustainable Development Strategy SO ORP Kladno in to practise. Improving of public services and community cohesion. Establishment of school forums in primary schools.
The final part contains the results of a field survey. Questionnaires were handed and collected in combination with controlled interviews.
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Marketing strategy
Rosenbaumová, Klára ; Kala, Štěpán (advisor) ; Pavel, Pavel (referee)
This thesis describes a suggestion of a marketing strategy for a specific joinery company when it implements a new product on the market. This product is a wooden crate. The aim of the work is to identify individual marketing strategies as well as to set a new marketing mix. The whole work is compiled in a comprehensive process that provides instructions for suggestion of strategies in a way that the company has a precondition for survival on today's market.
There has been used marketing research in the practical part to find out satisfaction of customers with purchased crates, their requirements and opinions about he new product. By comparing the individual factors with competitors, there has been evaluated the company's position on the market thanks to which there have resulted possible points for improvement of company operations. Value chain analysis and 7S analysis have shown the strong and weak points which the company needs to focus on. Among other things, these analyzes have shown that the company uses an intermediary to sell the product and so loses a part of possible profits. It has further been found that the company still uses no promotion and therefore there have been proposed several low-cost forms of the product promotion. Marketing mix includes several action plans which can improve the company success on the market.
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Small sacral buildings in the area Macha region
Sobotková, Lenka ; Zilvar, Josef (advisor) ; Tomáš, Tomáš (referee)
Abstract
The thesis maps and identifies a small religious monuments in the countryside and smaller settlements in the cadastral area municipalities Association Macha, which is located in the southwestern part of the Liberec region and its southern edge, which is Kokorin, extends into the Central Region. These small structures of sacred significance were set up at intersections of roads, trade routes, near Wells, but as expressions of gratitude and remembrance to joyful, significant and tragic event. Each of these small sacred building affects perception of a person's environment, enriching area villages and landscapes, along with accompanying greenery which acted as a refuge on the road, landmark or feature lightning form a common artistic and traditional value. His mission lost partially or completely inappropriate transfer.
The main benefit and purpose of this work is to determine the current state of these monuments in the area, and create a detailed catalog, serving as a source of information for tourism, regional development, such as integration into existing and also into emerging hiking, biking and nature trails, but also as the basis for a partial analysis in the evaluation of the landscape, the creation of the zoning plan, the draft plan during land consolidation or the needs of a particular community.
The catalog is compiled on the basis of professional and regional literature, detailed field survey, including cadastral territory of the municipalities that are part of the voluntary association of municipalities Macha maps and testimonies of some residents is compiled catalog of small sacred buildings. Buildings are photographically documented and described both in terms of the status quo, and in terms of landscape significance here is the location of the building indicating the GPS coordinates and plotting the current actual map of the selected area.
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Growing of rapeseed for energy purposes - impacts and context.
Charvát, Michal ; Kuchtová, Perla (advisor) ; Josef, Josef (referee)
Biofuels are generally based on biomass. It may be a waste biomass or biomass grown specifically. It is used as fixed or lump fuel, and also to as liquid and gas. Liquid biofuels are used both for energy purposes, ie to produce heat, electricity generation, but also as a motor fuels. In this thesis goes on biofuel purposefully grown, about oilseed rape and from it made liquid fuel, in this case of RME rapeseed methyl ester, which is a fuel of the first generation.
The European Union expected that the use of biofuel will reduce CO2 emissions by up to 35% further premised that the development of biofuels will be a positive impact on local employment and it the both on direct and indirect. Further help diversify Europe's dependence on oil imports. They were introduced direct support for growers in order to exlarged the area where grew plants intended for biofuel. These direct resistances were abolished in 2010. Similar support was also intended for producers.
Regarding rapeseed, peak in the sown area across the EU was in 2010, when it was sown almost 7 mil. ha, which is almost 3,5 times more than the original plan for the EU. Last year, it was only 6,45 mil. ha, but with higher-yielding rapeseed seeds. Similarly, increasing the sowing areas you can watch in the Czech Republic. Moreover Czech Republic is the fifth producer of rapeseed in the EU. In 2013/14 have been sown most ha rape, total 418,8 th. ha, but production was the highest in the following year due hectare yields, although with reduced the area sown. Yet is rape sown on 14% of cultivated land.
We can not talk about drastically restricting cultivation of rape, even after termination direct aid. First, the price of rape is very decent and steady and almost half designated for industrial processing it is processed on RME. However, the system of cultivation is not good for the soil. Rape in plans crop rotation is ranked every two years mostly, but the best would be once for five years.
The only assumption was confirmed by the EU, CO2 emissions are lower, but is also needed to count with the amount of N2O emissions, which this benefit is reduced. However on employment it had no effect, or rather negative. More jobs in agriculture provides livestock production and the like can be evaluated also process industry. Another problem is the destruction of ecosystems so that could be grown plants suitable for biofuels. It is a matter of developing countries, in our lands is it about the depletion of fertile land to cultivation fuel instead of food. First, it needed more to fertilize and use pesticides. But also in case of crop failure it is revenue designetid for biofuels producers is delivere even at the cost of food price increases.
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