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Good dying from a view of nurses
Žabková, Simona ; Kutnohorská, Jana (advisor) ; Švecová, Dagmar (referee) ; Votroubková, Michaela (referee)
This bachelor thesis describes the issue of care for dying patients and dying in hospital. The theoretical part develops the concepts of palliative care, hospice care, needs of the dying, human dignity and also deals with the legalization of euthanasia. Empirical use of quantitative research seeks views of nurses about the last moments of life of the patient, prospect of meeting last wishes of the dying, good dying and also about feelings that nurses perceive while taking care of the dying. The interpreted results also seek views on the legalization of authanasia. The thesis should be a stimulus for reflection on the shortcomings in the care of terminally ill and dying and should lead to a better care for these patients.
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Quality of life in patients with Pancreatic cancer
Matoušová, Radka ; Mareš, Jiří (advisor) ; Slováček, Ladislav (referee) ; Švecová, Dagmar (referee)
62 Anotation Author: Radka Matousova Institute: Institute of Social Medicine Department ofNursing, Medical faculty ofHradec Kralove, CharIes University Thesis: Quality of life in patients with pancreatic cancer Supervisor: Prof. PhDr. Jiri Mares, Ph.D. Pages: 82 Appendix: 5 Year: 2011 Key words: pancreas cancer, quality of life, nursing care, port system, easypump The bachelors thesis is a pilot study which describes a quality of life patients with carcinoma of pancreas. I describe an anatomy and physiology of pancreas in the theoretic part, then carcinoma of pancreas is described, together with its risk factors, diagnostic procedures, treatment and outcome of the therapy. Furthermore, T focus in a support of suffered patients by this disorder, an importance of port systems and so called Easypumps which are used for applications of the chemotherapy. The next term quality oflife is specified in theoretic part ofthe study. The experiential part includes the inquiry by the help of questionnaire QLQ- C30 and QLQ- PAN26 which are standard ly intent on quality of life in patients with carcinoma of pancreas. The study includes patients who undergone palliative gastrointestinal operation with palliative chemotherapy. Checklists were completed as a whole 30 patients. Decreasing of quality of life dominates in the...
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Public participation in preventive examinations
Kroužilová, Monika ; Svobodová, Dita (advisor) ; Konštacký, Stanislav (referee) ; Skála, Bohumil (referee)
Author: Kroužilová Monika Institution: Institute of Social Medicine LF UK in Hradec Králové, Departement of Nursing Title of work: Public participation in preventive examinations Supervisor: Mgr. Svobodová Dita Number of pages: 92 Number of attachments: 2 Year of the defence: 2011 Keywords: Health, Lifestyle, Preventive examinations, Cancer prevention, Screening Bachelor's thesis is about participation of public on preventive medical examinations and trying to map knowledge and concerns of public about given theme. Theoretical part is divided to three chapters. In first chapter is author describing used nomenclature, health determinants, impact of lifestyle. In second chapter is analyzed status of preventive examinations in medical care, third chapter is aimed for oncology prevention. Practical part represents quantitative research, for which method of questionnaires was used. Examined sample contains 30 women and 30 mens. Gathered informations are presented using graphical illustrations, sometimes including graphs by demographical values. Goal of thesis was to find out, how well is public informed about preventive examination options and if is public interested in them at all.
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Change in nonmedical professions education at The Faculty Hospital Na Bulovce
Fľaková, Katarína ; Vrzáček, Petr (advisor) ; Pipková, Petra (referee)
This diploma thesis deals with a change in the non-medical professions education at The Faculty Hospital Na Bulovce (the FHB). The theoretical part of the diploma thesis contains a theory to the change management, the human resources management, the themes of development and life-long education of non-medical professions according to the Act No. 96/2004 Coll., on Non-medical Health Professions. The practical part of the diploma thesis is focused on a change in the organization related with the process of accreditations obtaining in order to provide the practical part of the specialized education programs "Operational Care" and "Nursing Care in Anesthesiology, Resuscitation and Intensive Care" and their following realization. In this part of my diploma thesis, I used a quantitative (the telephone interview and the questionnaire examination form) research. I implemented the questionnaire examination in three groups of respondents: medium management (the FHB head nurses); nurses-instructresses from the accredited specialized education programs in the FHB and the participants of the specialized education programs "Operational Care" and "Nursing Care in Anesthesiology, Resuscitation and Intensive Care". I completed the nurses-instructresses and participants of specialized education programs groups...
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Incidence of multidrug-resistant Klebsiella spp. in University Hospital Hradec Králové 2008-2010.
Schrammová, Kateřina ; Paterová, Pavla (advisor) ; Lesná, Jiřina (referee)
Charles University in Prague Faculty of Pharmacy in Hradec Králové Department of Biological and medical Sciences Candidate: Bc. Kateřina Schrammová Supervisor: MUDr. Pavla Paterová Title of diploma thesis: The incidence of multidrug resistant strains of Klebsiella spp. at UH in Hradec Kralove in the years 2008-2010 Klebsiella pneumoniae producing a broad spectrum beta - lactamases ( ESBLs ) are of global common pathogen causing nosocomial infections that are associated with higher mortality and limiting treatment options. To prevent nosocomial transmission is necessary to determine and compliance with procedures of the correct nursing practice focused on multidrug-resistant strains. The practical part is focused on the occurrence of ESBL-producing K. pneumoniae in a University Hospital Hradec Králové from January 2009 to December 2010. The file contains all the positive culture of material from patients of HK Hospital. The incidence of K. pneumoniae is evaluated by material, capture the individual clinics, in intensive and standard care, in surgical specialties, age and time. In 2009 is isolated a total of 1545 strains of ESBL -producing K. pneumoniae, 1716 strains in 2010. The most positive material is urine (34-35 %) and samples from the respiratory tract (43-52 %). ESBL K. pneumoniae account for...
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Physical and psychological stress for nurses in intensive care
Hroudová, Šárka ; Eislerová, Iva (advisor) ; Marunová, Alice (referee)
A profession as a nurse is one of the most responsible and the most hazardous jobs. According to the statistic data a discipline of health care has the great number of "occupational diseases" cases and they are caused by overdone physical load and mental stress. The thesis targets are the assessments of the load related to the type of work, the awareness of nurses about the prevention against the undue physical load and the mental stress, the motivation and the satisfaction for the nurses at their work. The important parts are the options for a prevention and a reduction of the load and the methods of relaxation and rest. I used two types of questionnaires for my research, the first one was non standard which was focused on the individual targets and the other one was the standard Maslach Burnout Inventory questionnaire focused on finding a degree of burnout in individual cases. The research was carried out in General University Hospital and in Thomayer University Hospital in Prague. There were compared two departments- a department of internal medicine and a department of surgery in intensive care. The conclusions of my research are: H1: the increased level of load was found in both cases, in the department of internal medicine is dominant the mental stress and in the department of surgery it is...
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Creation and implementation of nursing standards in terms of emergency medical care
Mathauser, Radek ; Vrzáček, Petr (advisor) ; Uhlíř, Marek (referee)
This work deals with the creation and implementation of standard nursing practice in a specific environment prehospital emergency care in the Medical Emergency Service Královéhradecký region. Study work is close to the case study. Author in the theoretical part defines the quality of health care from different perspectives and expectations of individual actors within the system of health services, reflects on the historical development of quality management and standards as its principal tool in the general form and applied. In detail, the author tries to define the pre-hospital emergency care (PNP) as a specific field and describe its evolution in diverse global and domestic formats. In conclusion, the author attempts to define the quality of the PNP under the criteria drawn from published materials and their own perspective of the provider. The practical part describes the author of various articles making process and implementation of standard nursing practice for paramedical crews rapid medical assistance (EPA) in the Working Group on Education and Standardization EMS Královéhradecký region. The conclusion discusses the results of a qualitative study - focus group member working group in order to analyze the strengths and weaknesses in the process and submit their own work due his own...
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Expectations of mothers hospitalized at childbed ward, in newborn-care area
KÁLALOVÁ, Andrea
Bachelor{\crq}s thesis entitled ``Expectations of mothers hospitalized in the maternity ward in the field of newborn care{\crqq} has a research nature. The work is divided into two parts {--} a theoretical part and a practical part. The theoretical part has seven main chapters. The first chapter is devoted to the psychomotor development of the newborn. The second chapter is devoted to newborn care in the labour ward. The third and fourth chapters are devoted to nursing care in the newborn ward and to the needs of a newborn. The fifth and sixth chapters are devoted to breastfeeding and formula milk. The last chapter is devoted to discharge and care at home. The practical part is devoted to research. The aim of the work was to map out expectations of mothers hospitalized in the maternity ward in the field of newborn care and to find out the level of satisfaction with the nursing care of the newborn among mothers after childbirth. In order to prove or reject the hypotheses, I used a questionnaire with 16 questions. 115 questionnaires were handed out, 105 were returned. The rate of return was 91%. The results were translated in to graphs. The sample for the questionnaire research consisted of mothers on the third day after childbirth hospitalized under the rooming-in system; there were 100 mothers in the end sample. In the first hypothesis I presumed that mothers expect to gain basic information {--}especially practical - on providing basic needs in the care of the newborn. On the basis of processing the data obtained it was found that mothers prefer individual theoretical discussions with practical examples. The first hypothesis was therefore rejected. In the second hypothesis I presumed that mothers are satisfied with the provided nursing care of the newborn. The second hypothesis was proven; mothers are satisfied with nursing care provided. I would like to inform the nurses in the newborn ward about the results of my research.
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Quality control of nursing care in the strategic plan of the Faculty Hospital in Motol
Sládková, Jana ; Vrzáček, Petr (advisor) ; Buda, Otakar (referee)
In 2009, the faculty hospital Motol acquired a certificate of accreditation SAK ČR. In fact it means that our hospital accomplished requirements of accreditation enquiry, accepted all standards of SAK ČR and this way it became one of several medical facilities in the Czech Republic, which are allowed to use this certificate of quality. By this accreditation, these facilities bound themselves to improve continually all-round care of their patients, medical background and to minimalize all hazards for patients and working staff. This graduation thesis is the guide through the whole accreditation process in the biggest medical facility in the Czech Republic. It goes through all phases of this complicated process from the preparation of the hospital through the before accreditation counsel, the correction of imperfections and shortfalls and the final comparison of the results before and after the accreditation. This work aims to become a small manual for other medical facilities trying to get the accreditation because it brings the whole process of the accreditation from the view of its author. It deals with the particular problems on workplace, not just from the point of view of an observer but from the position of a person incorporated in the process thanks to my position of the head-nurse, which...
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The specifics of nursing care in women with gestosis
KOLPOVÁ, Ivana
Pregnancy, delivery and puerperium represent a biological strain for a woman. A healthy woman, however, overcomes it without major problems. Many pregnant women even feel better in pregnancy than out of it. Sometimes, however, the woman{\crq}s body cannot adapt to the new situation and therefore in overcomes the biological strain with exertion. In these women a group of symptoms develops, they are generally called gestosis. The gestoses are illnesses bound exclusively to the pregnancy and they require a specific nursing care. The objective of this project was to establish whether women with gestosis require a specific nursing care, and whether pregnant women with gestosis need specific information about their illness. The first hypothesis was proposed as follows: The women with gestosis need a specific nursing care. The second hypothesis says: Pregnant women with gestosis have sufficient information about their illness. The first hypothesis was confirmed by this research: the investigation has shown that women with gestosis require specific nursing care. The second hypothesis was also confirmed: pregnant women with gestosis have enough information about their illness. The research was carried out with a quantitative method by means of questionnaires. The questionnaires were handed out at the departments of obstetrics and gynaecology in the Písek Hospital Písek, a.s., České Budějovice Hospital, a.s., Jindřichův Hradec Hospital a.s. in te period from January to July 2007. A total of 79 questionnaires were processed. The work will be used in the teaching at the South-Bohemian University and published on the Internet.The objectives of this research were fulfilled. The specifics of the nursing care in women with gestosis were established, and also the information of pregnant women with gestosis about their illness. The specifics of the nursing care in women with gestosis include the measurement and monitoring of the BP, oedemas, the regulars weighing of the patients, the position on the left side is recommended, the midwife carries out various examinations, she cares for the patient in the sphere of hygiene, emptying and mental health. The majority of the women questioned (54 %) stated that they were adequately informed about their illness, 15 % thought that they were not sufficiently informed and 31 % did not know. In spite of the fact that the majority of the women (54 %) were sufficiently informed, which are somewhat more than a half, we think that the information should improve in the future - and this bachelor{\crq}s thesis could contribute to this. This bachelor{\crq}s thesis could also serve as the study material for the next years of midwives, as education material for midwives in practice, and published on the Internet.
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