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Significant factors influencing the social rehabilitation of mentally ill
BAUERNÖPLOVÁ, Alexandra
Mental illness significantly influences all aspects of life. Mental health care goes beyond horizons of medicine and becomes the object of interest of society-wide importance. This thesis is devoted to people with a psychotic disorder. It is focused on their subjective view of themselves, human relations and perspectives of their lives. The theoretical part of the bachelor thesis defines basic concepts and characteristics of psychotic disorders. Social problems of human life with psychotic illness, self-stigmatization question and the impact of the disease on family members is summarized in the next section. Following part is devoted to the status of the mentally ill in society, social issues connected with mental illness, their life perspective and communication problems which face mentally ill persons. End of theoretical part deals with the areas of complex psychiatric, psychosocial and community care, including psychiatric care reform, which is currently being very slowly implemented. The practical part includes qualitative research aims, research questions and methods of data collection. The research group consisted of people with psychotic illness. The data were obtained through interviews. The resulting audio data have been transferred by verbatim transcription into written form and processed by open coding. Subsequently, all data were analyzed and interpreted most complex and interrelated in story form.
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Community Care about People with Mental Disorder
BEJBLOVÁ, Tereza
This thesis focuses on a community care of people with a mental disorder. The topic of the bachelor thesis deals with social workers and organizations who provide this care and people who use it. The aim of this thesis is to map the social and health services for people with mental disorder including its continuity and to create a concept of these services for people above 18 years of age and above in the district of České Budějovice according to the development plan of social services České Budějovice. I focused on the types of services which are in district of České Budějovice and its linking and the function of community care within. This information was focused on mainly in the practical part of the thesis. In the theoretical part, I focused on the meaning of community service, the development and focus, next subjects were mental disorders and its typology and the quality of the patients lives. The file was worked out by a quantitative research method, using survey questionnaires and half-standardized interview with informants. Informants were chosen by purpose quota choice. The evaluation was classified by cluster method and the diagrams, graphs, charts were made and based on the information I had obtained and subsequently described. The solution provides a detailed overview of frequency and linking of the organizations in the district of České Budějovice. This overview contains processed health and social services which the mentally disordered people are provided by. I focused on an importance of the role of a social worker in my research and I broke it down and typified it in the charts. I also created a SWOT analysis of a community service, its strong and weak sides and also opportunities and risks based on all data obtained from informants. The output of the research is a lack of health services for people with mental disorder and a huge scale of social services. Next finding was that the organizations enquired have provided these services for a long time and they have been cooperating together. The system is tight and the climate is very positive.
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The role of nurses in community care for newborn.
BROŽÍKOVÁ, Radka
This diploma thesis examines the role of paediatric nurses caring for newborns in the community. It aims to determine if and how newborn care in the home environment takes place and the role of the paediatric nurse. The research is based on one of the primary objectives set out by the member states of the WHO to improve the health of the entire population in the twenty-first century with the focus on community care and its development. The theoretical part is dedicated to the definition of community care and its history in the Czech Republic. We initially focus on how childcare at home was provided in the past. This is followed by a description of the current situation regarding care of a newborn and the mother during the first weeks following birth, both here and abroad. We evaluate the role of the paediatric nurse in terms of nursing care for newborns and research the duties that the nurse carries out within the clinic, family, and community.We have set out two objectives and five research questions. The first objective was to identify nursing care problems encountered by mothers at home and how they solve these problems. The second objective was set out in order to explore how nurses become involved in the community care of a newborn. We have chosen a qualitative method for the research part of the thesis. Data was collected through semi-structured interviews. Subsequently, a qualitative analysis and categorization of collected data was conducted. Two research sample groups were created in the first phase. The first consisted of mothers with newborns, i.e. children from birth to 28 days. The second group consisted of paediatric nurses who work in outpatient care with children and adolescents. The second phase of the research addressed paediatric nurses working in the neonatal clinic, which is run by the hospital's paediatric department. The result of our thesis is the finding that community care provided by the paediatric nurse in the field, in a natural environment and with the cooperation of the entire family and community, as defined, is almost nonexistent. The long-established system of primary care directs all nursing work into the surgeries of the paediatric practitioner, and only the first visit to the newborn, but not in all cases, is conducted at home. This system is insufficient to cover all the specifics of childcare. The needs of the newborns and their parents are becoming more urgent and in the first weeks following the birth the mothers only very slowly begin to gain healthy self-esteem and confidence in their maternal abilities, hence the need for an individual approach and help in the proper care of their baby. They feel there is a lack of information and they do not know how to deal with the needs of their newborn. The most problematic issue described is breastfeeding. The addressed nurses are of the same opinion and also consider breastfeeding as the most common focus of their intervention, and therefore, the most important part of their work.We have discovered that the skills and competencies of the paediatric nurses are sufficient to enable them to become a relevant element in the comprehensive care of newborns within the community. The interventions delivered by the nurse are fully integrated into paediatric nursing.The parents of newborns would, according to our survey, prefer a home visit from health professionals, particularly if it concerns the first contact with the baby and family. The out-patient care does not provide enough time and space to pursue common nursing issues, therefore, home visits are an essential part of the care that should be offered to the mother and baby. Community nurses would help to coordinate the services provided to families as well as help solve the nursing issues that mothers encounter in the first weeks of their child's life. A paediatric nurse would, therefore, become a partner to the parents in a joint effort to ensure the healthy development of their child.
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Fieldwork of a Nurse in Our Territory in the 20th Century (before 1989).
ŘÍHOVÁ, Martina
The title of the bachelor thesis is Fieldwork of a Nurse in Our Territory in the 20th Century (before 1989). Fieldwork of a nurse has undergone substantial changes through its development. It was affected by numerous factors of those times. Nurses had to try to adapt to the factors as much as possible to be able to provide the necessary care. The aim of the thesis was to map nurses' fieldwork and to provide a complex outline of what the nurses' fieldwork looked like in the last (i.e. the 20th) century with regard to the social context of that time. The method of detailed literature search was applied to the thesis. The work captures how nurses performed the fieldwork from 1901 to 1989. The period was divided into individual time sections based on historical landmarks. Numerous sources had to be searched and studied to compile the thesis. After studying available sources a complex of information divided into the individual periods was prepared. Information showing the given period, like political and social aspects was added. A research question was set at the beginning: What did the fieldwork of a nurse look like in our territory in the 20th Century (before 1989)? A chapter mapping the fieldwork of a nurse before 1901 was added to provide more complex view of the issue. The fieldwork of nurses was not much developed in the early 20th century. It was mainly provided by nuns and a small part of trained nurses. The home nursing care mainly developed in the 1920s and 1030s. Counselling centres were founded and nursing care in families introduced in the 1920s. Nurses not only provided special care but often also took care about patients' households. The activities of counselling centres proved useful and were gradually extended. Nurses' fieldwork continued even in the time of occupation of our territory. Extra contributions for extension of these services were even allotted in 1940. Nurses ensured the basic needs, sometimes households, they cared about hygiene and instructed patients on treatment regimen. They organized various courses. During fights in our territory nurses provided the necessary care to both soldiers and civilians. Often directly on the front line and in air raid shelters. The visiting nursing care was abolished and counselling centres integrated to national health institutions in the post-war period. The visiting nursing care was organized within districts. Within their visits the nurses provided specialist practices, education and examination of patient's condition. Non-specialized practices were usually provided by employees of newly established home nursing services. Nurses were responsible not only for visits of patients but also for hygienic inspections and provision of first aid. Dispensary care and the function of company or school nurses was also newly established. The fieldwork of nurses was substantially deepened in the 1970s. So called half-district jobs were established, specialized in patients with chronic diseases and elderly people. Nurses working in this service were only allotted to visiting nursing care. The care about seniors and people with chronic diseases was extended in the 1980s. Home care service was also growing. Geriatric nurses visited all citizens older than 65 years twice a year. Home care agencies provide field care in our territory nowadays. The provided care is multidisciplinary and cooperation client agency is very important. The advantage of home care agencies is in lower costs compared to inpatient facilities. This care is only provided to people with health problems nowadays, so big proportion of clients consists of geriatric patients. The home care however has various spectre of clients. The fieldwork of nurses has always been a very demanding but also attractive job. The higher demands for nurses was balanced their higher independence. The care as well as the job description have substantially changed through the years.
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Community care for the women recovering from a gynaecological surgery
VALENTOVÁ, Daniela
The subject of this thesisis community care for the women recovering from a gynaecological surgery. Community care is, by definition, a policy that provides help and support to people at the right time, at the appropriate level, and in the suitable form to enable people to achieve the highest possible level of independence, self-sufficiency and control over their lives. It is a set of health, social and other services provided to the sick as well as healthy persons, their families, or groups of a specific community.The objective is to provide as much as care at home as possible, even in the event of disablement, reliance on others, or chronic disease. With the growth of the nursing care, it is exactly the individual work and qualifications of the nurses and midwives caring for healthconsolidation, protection and recovery that is one of the basic characteristic features of an advanced health system. Generally, the time spans of institutional care are getting shorter and this trend can be seen in gynaecologyas well. The primary care is gaining more and more importance. The ongoing health reforms are based on the principles of primary health care which strives to encourage individuals as well as the society to accept responsibility for their health and their healthy lifestyles. Care in the community focuses on the support of health and, in the primary care, is to provide protection of health and prevention of the disease formation.It is more directed at groups of persons and entire communities and draws on their specific needs. The theoretical part of this Bachelor Thesis provides explanations of terms such as "community nursing care", "community", "community care history", and on the practice of thedomiciliary care system in the Czech Republic. The next part focuses on the work of midwives in the primary gynaecological care. Because gynaecology belongs largely to a field of surgery, the thesis also provides categorization of surgical approaches in the gynaecological surgery. The research part of this Bachelor Thesis is concerned with the post-operative period from the perspective of the women. Two main aims were set down. The first aim was to findout whether women undergone genealogical surgeries are interested in community care provided by midwives.The second aim was to find out what is the woman expectation from community care and midwives. Two questions come out from research aims. What is the need of woman undone genealogical surgery after coming home? And how would woman perceive care of midwife? The collection of data was worked out as half structured individual interview. To ensure privacy for all the participants, the interviews were held at a quiet, prearranged setting from February to April 2015. All the respondents provided only oral consent. The information thus obtained was subsequently analysed, sorted into several categories and subcategories and, in order to be clearly understood, represented in well-arranged charts. Direct quotations were used in this thesis. It is written in italics. The research group was made of nine women who went through serious gynaecological surgery. They were able to evaluate their post operative period. In the text they are marked as R1-R9. The results of the research show that the majority of the interviewed women have no idea how community care works. However, they all - with but one exception- showed great interest in the service that would enable them, after they had time to think things over, to call the midwife in order to discuss their problems with a professional person in the quiet of their homes. And indeed, the research discovered that the women are in bad need of such service. For most of the respondents, their first visit at their local gynaecologistfor removal of stiches was a most stressful experience. They all complained about having to wait too long in the doctor's office and about their physicians and nurses being too busy to answer all their questions.
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Implementation of community work by social workers in hospices
KAŠOVÁ, Ivana
Bachelor thesis focuses on the description of the competences of social worker in inpatient hospices, his work with the public and presents proposals power of community work in hospice care. The first part deals with the definition of the concept of hospice care, a description of its forms and the economic situation. It also describes the tasks of social workers in hospice care and in connection with the listing of job descriptions of social workers in specific hospices, outlines the involvement of social workers inpatient hospices in the process of community work. Based on the description of the problematic areas of hospice care in working with the public in the fourth chapter were formulated in the last chapter category, which was dependent on the findings of the implementation of community work in specific inpatient hospices.
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Long-term care for the elderly from the perspective of nursing
PAVLÍKOVÁ, Hana
Long-term care for the elderly people is a widely discussed topic in recent years not only among health professionals but also by the general public. And it will not change in the future. According to the Czech Statistical Office (2012) in 2050, the population aged over 65 will double and the population older than 85 years even quintuple. This work deals with long-term care for the elderly from the perspective of nursing, for the current demographic trends affect it significantly. Long-term hospitalization of the elderly in medical facilities is linked to many complications, not only physiological, but also psychological, social and spiritual. The aim of the thesis entitled "Long-term care for the elderly in nursing perspective" was to find out what the nurses in long-term care for seniors consider as the greatest problems, if they would welcome a change in competences in long-term care for the elderly, and to obtain an opinion about the long-term institutional care and long-term home care. Individual opinions of nurses from different departments were compared; what kind of solution to the current problems of long-term care for the elderly the nurses propose themselves. Objective 1: Find out what the sisters find as the most crucial problem in long-term care for seniors. Objective 2: Determine whether nurses feel the necessity for change in nursing competences in the management of long-term ill elderly. Goal 3: Find out what is the opinion of nurses about long-term institutional care for the elderly compared to long-term community care at home. The main research question based on the research problem and the research objectives was defined as follows: What is the prospect of long-term care for the elderly in terms of nursing? I decided for an exploratory approach. I was looking for another connection to general research question and examined them in depth. I decomposed this relatively broad topic covered by the research questions into several specific questions: 1. Will it be necessary to make additional changes in financing long-term care, due to a growing demographic age of the population increases? 2. Could nurses in long-term care for the elderly take over certain powers previously belonging to doctors? 3. Will the importance of providing nursing care long-term ill seniors at home increase? 4 Should be a long-term care for the elderly moved out of hospitals to specialized facilities? 5. Will it be necessary to increase the number of health care facilities with the focus on long-term care because of the growing number of senior citizens? 6. In connection with the increasing number of hospitalized elderly, will medical facilities have enough of gadgets? For the research was chosen a qualitative interview method. Nurses from various departments were interviewed and the outcomes were processed using the content analysis. Sisters? perspective on a long-term nursing care for elderly is: closer connection of health and social services, to increase quality of care, to strengthen the autonomy of elderly, dignified care for the elderly, increased use of home care and informing the general public about it, streamlining communication with seniors and their families, safer environment and to increase the motivation of nurses to provide the highest quality of nursing care.
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Options in further training of home care agency nurses
PEČLOVÁ, Kateřina
This diploma thesis deals with the possibilities of further education in the agencies of domiciliary care. This is a very current topic. Like any other profession, the nursing profession requires a particular education. The development of the new methods in the medical treatment and home care demands more thorough and specialised education of the nurses employed by the domiciliary-care agencies. The aim of the thesis was to find out the present situation of the nurses´ education in the domiciliary-care agencies, the professional specialisation of nurses, the possibilities of education, the nurses´ need of further education and the employers´ willingness to enable the nurses of the agencies to take part in the further education in their field. It can be said that the aims of the research have been fulfilled.
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Evaluation of effectiveness of social services in civic association Fokus Tábor
BRYNYCHOVÁ, Markéta
The work is concerned about Evaluation of effectiveness of social services in civic association Fokus Tábor. It consists of two parts-theoretical and practical. There are two chapters in the theoretical part. In the first chapter I try to outline all issues of people with mental illnesses and in the second one I deal with social services and their evaluation. Practical part is based on results of quantitative research and its interpretation. The aim of my reseach is to find out whether social services of Fokus Tábor are perceived as effective from the viewpoint of users and workers.
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