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Orientation nurses to clients´needs or the technical equipment and the parameters ot the clients as a nursing problem
HOUSEROVÁ, Renata
Focus of nurses on clients' needs, technical equipment and client´s parameters as a nursing staff problem. People´s needs can be satisfied individually in different ways, depending on each person´s age, sex and disease, so that this disadvantage can be correctly and adequately removed and relieved with the aim to ensure a quality life of a particular person. The objective of this thesis was to find out the difference between the satisfaction of the clients´ needs in the Long-term care units and Intensive care units. Then it was necessary to recognize the nurses´ focus on the clients´ needs at these units, and to discover how the nurses actively identify and satisfy these individual needs of the clients. In this study we focused on both physiological and psychosocial needs which the nurses try to satisfy using nursing processes. The research was conducted by means of a qualitative research using interviews and hidden monitoring. The clients and nurses from the hospital in Tábor were interviewed, and the interviews were completed and verified by observation. The nurses´ focus on the needs and the satisfaction of the needs is dependent on the unit, which made the greatest difference based on the findings of this study. The nurses from the Intensive care unit shall always satisfy basic physiological needs of the clients without seeing in it any extra work. However, they do not satisfy the clients´ psychosocial needs as it is a short-term hospitalization, and the psychosocial needs are not priority at the given moment, therefore, the nurses may postpone them for a later time. On the other hand, the nurses from the Long-term care unit, which is a long-term hospitalization, shall satisfy both physiological and psychosocial needs, when the clients admitted to the unit are not at risk for life any more. Here higher needs such as safety and surety have to be satisfied, and the nurses of this unit deal with them more intensively than the nurses of the Intensive care units. This research resulted in the fact that each unit has its own specificity in satisfying the needs of its clients, which stems from the actual health of a client. Therefore, the nurses shall always take into consideration the health of the diseased client, ensure that the physiological needs of the client are met, and in addition they shall satisfy the higher needs which are priority at that moment.
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Fulfilling Needs of Appalic Patient from the Point of View of Family Members and Nurse as Part of Nursing Process.
DAŇKOVÁ, Alexandra
The apallic syndrome is a group of symptoms characteristic of a condition wherein the cerebral cortex ceases to govern the organism and only the brain stem remains effective. The condition is typical of a consciousness change known as the vigilant coma in which the patients' eyes move around without being able to fix on nearby persons or objects; the patients do not make any spontaneous movements and are unaware of both themselves and their surroundings, with which they cannot establish a contact. Adopting the viewpoints of nurses and family members, this paper addresses the needs of apallic patients. The theoretical part, while describing the syndrome and human needs in general, deals in detail with what the apallic patients may require and how they should be nursed. Moreover, the theoretical part specifies the role of nurses at the apallic patients' bedside, the issues of their families, and those of the way in which the nurse is supposed to communicate with the family. The paper aims to disclose the patients' needs; the level of their satisfaction; and the roles that nurses and families play in the care of apallic patients. These objectives yielded the following research questions: What needs of apallic patients should be met in the process of nursing? To what extent does the nursing process meet the needs? What role in the care of apallic patients should be assumed by nurses as assessed from their families' point of view? and What role in the care should be adopted by the family members themselves? The set being surveyed consisted of 10 nurses deployed at the Intensive Care Units (5 nurses from the Internal Medicine Department ICU and 5 from the 2nd Aftercare Department ICU of the České Budějovice Hospital) and 5 family members of the patients. The required information was gathered using the method of qualitative research applied through semi-structured interviews held with the nurses and the family members. The investigation took place on the premises of both ICUs of the Hospital. Answers obtained from the persons in response to the partial research questions made it possible to accomplish the paper's objective. The effort revealed certain deficiencies in the care being delivered. Not all the patients' needs were found properly satisfied, first and foremost psychosocial needs and those concerning activities. Such needs could be beneficially fulfilled with reliance on the concept of basal stimulation, a method not routinely used in the care. As follows from the interviews, in visiting their relatives the family members become depressed, and their emotions have not changed during the recent years. The paper can be instrumental in improving the quality of care provided by nurses to the apallic patients and in communicating with their families.
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The role of nurses in the nursing care for a deceased child
KOUTNÍKOVÁ, Radka
This thesis deals with the nursing care for a deceased child and it focuses on the role of nurses, their attitudes and the way nurses care for a deceased child. In a highly professional care, it is necessary to humanize the last moments of life of a child; therefore, there are rituals that are acceptable for the dying child, the family and nursing staff. Caring for dying children is a very demanding task for medical staff and it may be divided into medical, social, psychological and spiritual care. In case of severely ill or dying children, we must identify real and potential problems, set short and long term goals, set out plans of care, provide specific nursing activities and evaluate their effectiveness and efficiency. All health professionals must work together and with the whole family. To say that life has ended is a challenging and difficult moment in the medical profession. Talking with the bereaved families requires a high level of communication skills. The entire medical team must manage this situation with dignity. The results and the theoretical part of the thesis will serve as an information resource for nurses who care for dying and deceased children. Nurses may be inspired by the thesis results, which may serve to improve nursing care in these situations. The benefits of this thesis lie in the recognition of the need for expanding the education of nurses and subsequent utilization of the acquired knowledge and skills in practice. It could also serve the employer?s reflection over the care for the staff working in such a demanding profession.
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Nursing care of patients with systemic connective tissue disease - lupus erythematosus
KAAS, Jiří
Lupus erythematosus is a chronic disease that is classified as a systemic or diffuse connective tissue disease. This is an autoimmune inflammatory disease which may affect virtually any organ of the human body. The nature of the disease lies in the increased activity of B cells that produce organ-nonspecific autoantibodies reacting with various structures of cell nuclei. The most frequently affected organs are the joints, skin, heart, kidneys and the central nervous system. The disease is accompanied by a number of clinical manifestations such as fatigue, musculoskeletal pain, increased body temperature and other symptoms. For the nurse standing at the bedside of a patient with this disease, the knowledge of different manifestations of the disease and the readiness to provide highly individualized nursing care is important. The aim of this thesis is to determine the specifics of nursing care and the most frequent nursing problems of patients with systemic lupus erythematosus. The empiric part of the thesis was conducted through the qualitative research. The data collection technique was a semi-structured interview, which was practically carried out with ten patients from the South Bohemian and Pilsen regions. Interviews with individual respondents were integrated into case studies. The most interesting data were represented in the form of categorized tables. The results of the research have proved a wide spectrum of patients´ problems and have shown that the disease does not affect only the patients´ physical aspects, but it significantly affects both the psychic and social aspects. Based on the results of the work, a booklet that can be used as an educational or informational material for students of medical disciplines and also for qualified nurses, was created. The booklet is supposed to provide a comprehensive view on patients suffering from this disease.
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Pregnant women and their perception of nursing care provided by midwifes during their stays at the Department of Gynekology and Obstetrics.
VONDRÁKOVÁ, Alena
Hospitalisation is a very stressful moment in everyone?s life. It is even more stressful for a pregnant woman. Woman?s worries about her healthy pregnancy development and child?s life become even greater at such time. Pregnant women are more sensitive and receptive to people and environment that surround them. Out of all medical staff, midwives spend the largest portion of time with pregnant women. Midwives utilize not only their nursing skills while providing nursing care to their clients, but also provide support and take care of clients? emotions. The theoretical part of the bachelor?s thesis at hand focuses on descriptions of physical and mental changes during pregnancy, and provides explanations of risk and pathological pregnancies. Subsequently, it provides information on psychosomatics during pregnancy, indications for hospitalisation during gravidity, and nursing care during the stay of a pregnant woman in hospital. This thesis identified two objectives. The first objective was to find out how hospitalised pregnant clients perceive the nursing care provided by midwives. The second objective was to observe whether the pregnant clients trust the medical staff. Based on these two objectives, five research questions were developed. Information needed for data processing and meeting the objectives was gathered by qualitative research using the technique of interview that was held with nine pregnant women. The data were collected in three different hospitals: a regional hospital, a district hospital (both in the South Bohemian Region), and a university hospital in Prague. Research corpus comprised of nine pregnant women that had been hospitalised with risk pregnancies at the department of gynecology for a period longer than 10 days. The research was carried out on the basis of the two defined objectives and five research questions. Both of the identified objectives have been met. The clients assess the nursing care provided by midwives positively and they trust the medical staff. The research questions were answered in full and necessary information was retrieved. The interviewed respondents would most preferably welcome antenatal courses held during their hospitalisations; more information given during their treatment process; and better quality communication with the medical staff. The author would welcome the idea that this thesis helps the other medical staff in better understanding of emotions, feelings and perceptions experienced by hospitalised pregnant women, which may in result help diminish some of the negative effects observed while staying in hospital.
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The application of the King´s model in the care of client to the orthopedic department
KREMSOVÁ, Alžběta
My thesis deals with the possibility of applying King?s model to client care at an orthopaedic department. King?s model is focused on interaction between a nurse and a patient. Achievement of harmony in interaction between a nurse and a patient/client creates better conditions for attainment of the care goals and thus saturation of his/her needs. In combination with Gordon?s model better satisfaction of needs and thus improvement of the care at the orthopaedic department would be achieved.
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The influence in the operative procedure
ZRZAVÁ, Monika
This essay is focused on examining of the influence of global mass media on people´s lifestyle and shopping behaviour of consumers. It desribes the problems of how today?s people percieve advertising and what they think of it. It also evaluates the pros and cons of advertising messages. The marketing communication, media and influence of advertising on people´s lifestyle and their decisions are the next important parts of this work. This part also observes the effectiveness of advertising and it´s close links with psychology. The paper also suggests the direction the advertising should take and it also discusses some of the things that should be avoided in advertising. The advertisement became an inseperable part of everyday life. What kind of attitude towards the advertising they create and how much they let influence themselves by it depends solely on each and every single person. This issue would need a further and deeper study in order to provide the necessary information not only for the creators of advertising.
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The Centre JANA Domazlice and it´s client´s ethical motivational aspects of becoming a prostitute
NĚMEČKOVÁ, Kateřina
Women, who earn a living as prostitutes, have their own needs, hold certain values and want to fulfil their objectives. The purpose of my work is to make these values and objectives specific and compare the results with fact given in specialized literature. The first part of my work makes basic for the quantitative research. There are chapters about phenomena which can influence the step in prostitution. Secondly, there is a description of motivation phenomenon. Additionally there is a chapter about specific motivation aspects leading to prostitution behaviour. The practical part shows the summary of theoretical data and creating assumptions. All the information are reflected in questions which are involved in these half-structured interviews. All interviews were hold with clients of JANA Centre in the Czech Republic and with clients of Kassandra Centre in Germany. There is the congruence between data gained from my quantitative research and data published in specialized literature. Women working for sex business are not a group which would be easily generalized. Each person experiences various circumstances and all these conditions diversity of their behaviour. Respondents advocate similar values and want to reach suchlike objectives. These is first of all a normal family, a normal job and own children. This term "normal" means for these women a full family and any other job except prostitution.
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Age as a phenomenon and disadvantages suppression of human rights and needs
RÁČKOVÁ, Monika
The main reason to choose my thesis on "Age as a phenomenon of discrimination and repression of human rights and needs" as a theme of my bachelor thesis are my own experiences that I gained during work experience and job offers in the home care for seniors and hospice. The theoretical part deals with periodization of old age, ageism and its resources, disadvantage of older people in the field of health, social services and employment. I pay attention to the psychosocial needs and rights of older people. The practical part of the thesis deals with the research itself. The aim of the research was to determine the handicaps of the seniors within the population and the possible manifestations of inappropriate treatment in the social services. For the purpose of verifying hypotheses, and meet the given objectives I have used a quantitative method of research evaluation - interviewing. I chose a printed questionnaire as an interrogation technique. There were evaluated 160 questionnaires in total. The sample was population in age between 60 to 90 and more years of district Breclav. The condition for selection of respondents was age greater than 60 years. The respondents were chosen randomly. The results are recorded in charts and tables. Pleasantly surprising for me was finding that seniors said they are not disadvantaged in the society. My bachelor thesis can serve pedagogues, constitutional workers in hospitals and hospices and carers of old people in families.
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Diagnosis of Motivating the Child´s Personality in a Leisure Activities.
KŘIBSKÁ, Magdalena
This bachelor paper is writing down the evolution of the Child´s motivation between its 3 and 15 years old. Here are also writing down the needs, which are obtained in the each one introduced age groups. This bachelor paer teoreticaly meets you and explains the the word motivation in a leisure time activities. You can read here also about the methods, which are using in the leisure time activities {--} there are: the observation, the interview, the list of quesions.
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