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Communication with hospitalized patients that show signs of aggressive behavior
Kvardová, Zuzana ; Štefančíková, Mariana (advisor) ; Šlaisová, Ivana (referee) ; Hosák, Ladislav (referee)
The aim of this bachelor work is to have a look at the problems of communication with patients who have agressive behavior. The knowledge is gained on the base of teoretical study completed by investigations on specific group of medical personals with help of questionnaires. On the ground results of this investigation I refer to absence in communication between medical staff and patients. The impression is put on the individual nurses who can contribute to prevention and to solving this fact.The center of gravity of this work makes quantitative research completed by elements of qualitative research on selected departments directed on various types of agression and ways of communication with agressive patients as well as on the possibilities of prevention and on the all understanding of problems by individual medicals.
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Security Standards Analysis of the Health Facilities in the Czech Republic
Tomášková, Pavla ; Vrzáček, Petr (advisor) ; Fryšar, Miroslav (referee)
This thesis is mainly focused on the security standards of the health facilities in the Czech Republic and on the precautions case study in the field of the security (the areas of the personal protection, of the property protection and of the personal data and diagnosis protection) in the concrete hospital. The thesis is opened with the theoretical part. It is attended to the specification of the key stone and basic concepts of the issue (security, safety analysis and audit, security standards, non-standard situations, safety measures) that allows readers to understand all of them in the proper way. The following chapters are focused on patient safety and health care in the Czech Republic and on the activities of the international organizations. Furthermore the chapters make reference to the International programmes of Accreditation of healthcare Organizations, ISO (standards of the International Organization for Standardization and technical standards). The second part is a case study. The aim of this practical part of the thesis is to discover, through a combination of the quantitative and qualitative research methods, the current security status in one specific Czech hospital. Another intention of the thesis was to compare the obtained pieces of knowledge and information in the selected security areas...
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The use of games and outdoor activities in teaching general education subjects at Elementary School (applied to Homeland study).
Švach, Jan ; Bartůněk, Dušan (advisor) ; Šafránek, Jiří (referee)
The name: The use of games and outdoor activities in teaching general education subjects at Elementary School (applied to Homeland study). Objects ofthe thesis: To mak:e up the hand-book of games and exercises for teaching Homeland study in 4. and 5. year ofElementary School. To get the feedback from involved teachers trough the practical validation ofthe hand-book. Methods: We have studied proper literary sources dedicated to games and playing, curriculum of homeland, too. We have used the methods of qualitative research for fit feedback from teachers - the method ofopen questionnaire alias inquiry and method of substandard dialogue with persons involved in research. Results: Creating of improved hand-book of games and exercises - we have made the changes according to teachers' advices and references. They validated the hand-book with their pupils during the lessons. Keywords: Homeland study, Nature, Game, Movement, Education, Pedagogy, Didactics
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Problems of nursing care for a child with spinal muscular atrophy
BUBALOVÁ, Petra
Spinal muscular atrophy (SMA) is a hereditary disease characterized by progressive loss of -motoneurons of the spinal front corners, the consequence of which atrofizaci of muscles occurs. As a result, children become disabled and infirm dependent on the help and care of others at an early age. This is a relatively rare disease, the prevalence is about 1: 6,000 children. Spinal muscular atrophy is divided into 4 types according to its severity and time of onset of symptoms. Despite significant longtime research, it has failed to find a drug that could cure this disease so far. To the present date, there are only methods that slow the progression. The survey also contained 4 research questions, namely: What are the principles of treating a child with spinal muscular atrophy ? What are the most common problems in the care of a child with spinal muscular atrophy ? Are parents adequately educated on the issue of child with spinal muscular atrophy ? What impact has the presence of a child with spinal muscular atrophy in his family? Qualitative research was used in the implementation of the empirical part . Two qualitative methods were used to collect the data, a semi-structured interview and a hidden observation of the participant . Interviews were conducted with 3 research files, with 11 general nurses from the České Budejovice Hospital and University Hospital Motol, 7 mothers of children with I and II. type SMA of a summer camp for children with SMA and with 5 personal assistants. This thesis should help nurses and the public to gain awareness of the disease of Spinal Muscular Atrophy. It refers to all aspects of care of such a sick child, with which their parents daily struggle. Caring for a child with SMA is very difficult for their caregivers and requires considerable restrictions for the whole family. Information observed during the research were presented at a seminar for nurses in the České Budejovice Hospital in January 2015.
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Problems of nursing care in endoscopic retrograde cholangiopancreatography.
RYVOLA, Lukáš
Theoretical groundwork Endoscopic Retrograde Cholangiopancreatography (ERCP from now on) is nowadays referred to as the golden standard in diagnostics and treatment of bile duct and pancreas diseases. At the same time it is regarded as the most reliable method of modern medicine in diagnostics of most common oncogenic diseases of pancreas. This examination combines endoscopic diagnostics with X-ray screening and it is unique thanks to the direct display of bile and pancreas ducts. Final picture is made by probing of Vater papillae filled by a contrastive liquid. Other merit consists of completing eventual therapy that follows the diagnostic ERCP. Disadvantages of this examination are complications that may arise already when probing or after a certain period of time. Therefore it is essential to consider each ERCP procedure carefully. Nursering ERCP at the endoscopy section as well as at the ward block of the gastrointestinal department bears its particularities. The priority at the endoscopic section is to employ manually and technically competent nurses skilled in ERCP so they can assist the gastrointestinalist properly. The nurses must be also able to establish contact with the patient to guide him through the examination, using professional skills. Exactly the nurses moderate possible concerns of the examined person. Communication at the ward block is crucial as well ? the nurses explain particularities of the treatment and instruct the patient in basic rules of hospitalisation. They also must be professionally skilled to care for patients after ERCP. Goals of the thesis The aim of this thesis is to monitor particularities of nursing ERCP at the endoscopic section of the gastrointestinal department and to learn how the general treatment of ERCP patients is carried out at the ward block.Qualitative methodology was used for the empirical part of the thesis. Data were collected by interviewing and hidden observations.Results The research survey indicated that ERCP examination nursing treatment bears its particularities that are well known and reflected by nurses at the endoscopy section. Patients confirm that the skills of nurses minimize their stress when undergoing the treatment. The survey indicated that an ERCP examination should be assisted by a nurse with not only technical and manual skills but also empathic and anticipating qualities in order to react appropriately without confusion. Nurses should be able to explain the treatment to the patient properly and to create a comfortable ambience. The survey also indicates that nurses actively seek for courses to keep their knowledge up to date. Particular complications are managed very well by the nurses, they are familiar with specific complications and are always prepared and able to provide the patients adequate nursing. Nursing at the ward block is also at high level in the field of knowledgeableness when informing patients or preparing arrangements and regimes. The patients themselves are satisfied with the overall care after the ERCP examination. The hidden observations show that the nursing after ERCP examination follows the literature properly. Pleasant surprise was that nurses at the ward block of the gastrointestinal department fully implement the five parts of nursing process ? from reviewing the health status of the patient in the beginning to their final evaluation, and that they concurrently create up-to-date nursing diagnoses.
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Media image of the Workers Party during Janov events on the pages of Mlada Fronta DNES and Lidove Noviny
Werner, Lukáš ; Slanec, Jaroslav (referee) ; Láb, Filip (advisor)
Diploma thesis "Media Image of the Workers Party During Janov Events on the Pages of Mlada fronta Dnes and Lidove noviny" deals with the manner how two chosen Czech newspapers referred about the commotions in Janov, which is a part of Litvinov, Northern Bohemia. In autumn 2008 members and supporters of ultra-right Delnicka strana (the Workers Party) clashed with police and local Romany after they tried to break through to the Janov housing estate. According to them, their aim was to support and protect the local non-Romany inhabitants. The methods of the thesis are quantitative and qualitative analysis of the media content. Thanks to them it is able to compare the amount of space which two chosen newspapers used to refer about these events and if their news were balanced and in which manners did they differ. There is also a theoretical part, in which a development and rise of Czech rightwing extremism after the Velvet revolution is described and summed up, focusing on the political parties who represented the Nazis in the 1990s and now - the SPR-RSC (Republicans) and Delnicka strana.
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Support and motivation of unsuccesful pupils from sociocultural disadvantaged environment
Linhartová, Tereza ; Kargerová, Jana (referee) ; Stará, Jana (advisor)
The thesis deals with non-achieveving pupils with socio-cultural handicap. The introduction explains the importance of the problem, while the theoretical part is concerned with school failures, their reasons and their effect on pupils. It deals with the impact of the socio-cultural handicap on the child, its learning, training, education and free time. Emphasis is laid on the motivation, the individual approach and the ways of teaching, including the marking of pupils with reference to the non-achievers' emotions. Attention is also paid to the problems arising from dyslexia. The empiric part is based on qualitative research, during which a multi-aspect analysis of two non-achievers has been carried out by means of interviews, observation and other case study methods. There are general and concrete goals which should be achieved within the empirical part. Use is made of action research principles based primarily on action, reflection and revision, leading to probable causes of problems encountered. The data synthesis offers a relatively self-contained insight in those boys'developmental process. The core of the empiric part lies in the description of my work with these pupils, including the activities and special aids which I created for them.
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Usage of modern sport centres by employees of multinational companies operating in the Czech Republic
Pevný, Jan ; Tuček, Milan (advisor) ; Kuchař, Pavel (referee)
The primary subject of the thesis is the way how employees of multinational corporations in the Czech Republic devote their free time to sport activities in modern sport centres. It studies motivation and reasons for visiting the sport centres among 15 respondents through structured interviews. It stems from initial enquiry which points out to high attendance of integrated sport centres where a customer has a variety of sport activities to choose from under one roof. The author of the thesis closely focuses on grounds and advantages which stand behind the subject of the research. Through the performed qualitative research the author refers to particular causes of the examined social phenomenon. Central point of the thesis is to point out to environment and culture of the multinational companies. The author has chosen Master degree employees of multinational companies between the age of 22 to 35 as a target group.
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Composition of daily diet for adults with pathological BMI
ADÁMKOVÁ, Martina
Bachelor thesis named "Composition of daily diet for adults with pathological BMI" deals with the issue of overweight and obesity. In theoretical part, I first analyzed individual components of nutrition, requirement of energy, fluid intake and food pyramid. Then I described overweight and obesity, body mass index, single types of obesity, methods for body fat detection, obesity complications, diseases and treatment. Here I was most focused on describing appropriate and inappropriate diet while reducing weight and diet composition during the day. Detecting intake of energy and macronutrients of monitor selected respondents with overweight and obese according to the BMI and subsequent discovery of their physical activity were the main goal of study. Another aim compares detected values with recommended values for given respondents. There was chosen qualitative research for processing of the research method. The research group consisted of 20 respondents aged 20-65 years. Each of them received an answer sheet where you fill the data about their height, sex, weight and occupation. Subsequently, for one week, there was recorded the type and quantity of received food and fluids, and a physical activity. Consumed food and drinks were noted and after returning of record sheets were assigned into the "Nutriservis Professional", which calculated energy intake and individual macronutrients, like proteins, fats and carbohydrates. Ideal weight of each respondent, I detected by using BMI. For each of them, I calculated from gathered data of gender, age, height and ideal body weight according to the Harris-Benedict formula, the recommended energy intake, which I multiplied by a factor of physical activity.Then, with help of the book called "reference values for nutrient intake", I calculated recommended amount of protein, fat and carbohydrates. These values were compared with actual energy intake values and macronutrients in the diet of respondents. I found out, that almost every one of them has an abundance of energy, protein, fat and carbohydrates. The results are compiled in tables and plain text.
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Patients with implanted cardioverter defibrillators
HEŘMANSKÁ, Marie
This Bachelor Thesis deals with the issue of implantable cardioverter defibrillator usage, namely with the impact of implantable cardioverter defibrillator on patient life and the details of nursing care in scope of implantation of these devices. The implantable cardioverter defibrillator (hereinafter referred as to "ICD") enables to prevent or avert heart failure which affects approximately 2 % of population. Nearly 3/4 of cases of sudden death take place at home and 2/3 of these cases are witnessed by other person. Indications for the ICD implantation are severe malignant ventricular tachycardia (ventricular tachycardia, fibrillation and chamber flutter) which rapidly lead to the circulation failure, unconsciousness and, finally, death. The rapid termination of such arrhythmias by ICD saves the life of its holder. The diagnostics shall commence by the standard electrocardiogram (ECG). The field study of the Bachelor Thesis includes results of the qualitative research based on the semi structured interview. The research group contained thirteen patients with implantable cardioverter defibrillator, residing in Středočeský kraj (Central Bohemia Region) and Jihočeský kraj (South Bohemia Region), who have had their ICD at least for a year. All respondents were asked ten basic questions as a part of the interview. The interviews were recorded over voice recorder and subsequently were directly transcribed to text. The interviews were processed while using the open coding, paper and pencil method. The data analysis produced five categories: Difficulties before the implementation of ICD, Changes in lifestyle after the implementation of ICD (with subcategories of Life certainties, Common activities, Employment, Driving and State of mind), Defibrillator shock, Nursing care and Importance of ICD for patients. The research shows that patients are predominantly satisfied with the nursing care. Nearly all respondents do not feel the need for increased nursing care while being in hospital. Patients greatly appreciated the wound care all respondents were satisfied with this precise type of care as no complications did occur while healing and the wounds healed per primam. I see imperfections in the patient education although ten patients state that they were duly informed, they were informed only by their doctor. Only one patient states that he was given "certain" information from the nurse. However, these results may be misrepresented by patients due to the time lapse (from the hospitalization). Furthermore, the research shows that ICD device does not influence common activities of majority of respondents. Nearly all respondents experience mental relief and the improvement of life quality. The respondents do not consider the restriction connected to the ICD usage to be negative. The majority of them try to observe given advices (in scope of driving, travelling, magnetic security systems, etc.) which do not restrict them in their common life significantly. Even though their disease is severe and endangers their life, the patients with these devices may travel abroad, do sports, work and live their normal life with less risk of sudden heart failure. Twelve respondents out of thirteen consider the ICD to be of great significance to their life. The outcome of this Bachelor Thesis is the Guide for ICD Patients.
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