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The role of nursing staff in mobilizing immobile patiens and ways of nursing physiotherapy
Nedělková, Hana ; Marková, Monika (advisor) ; Křemenová, Eva (referee)
The present master thesis titled "The role of nursing staff in mobilisation of immobile patients and possibilities of physiotherapy" is focused on the quality of providing movement support on the Ist clinical department ofinternal medicine in the local hospital of the town of Most. The thesis is divided into two parts-theoretical and empirical one. In the theoretical part I focus on the role od physiotherapy from the point of view of providing the high-quality integrated nursing care. In this part of thesis I introduce the issues of patients' needs, movement support as an improvement of patient's quality of life and legislative competences of nursing staff related to physiotherapeutical care and self-reliance training based on the respective bibliographical sources. Further I also focus on the consequenses of immobility and the aspects of life quality, which is very intensively linked to patient's movement compentences.Final chapter of the theoretical part describes the principles of kistestetics and its implementation in movement support. The empirical part is formed of a research and its results interpretation.There I introduce the methodology of qualitative research and further I describe the proper reasearch itself , which was carried out among registered nurses on the I st clinical department...
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The citizen participation on the decision-making process of the Czech health policy
Martiníková, Radka ; Háva, Petr (advisor) ; Mašková, Pavla (referee)
Diploma thesis "The citizen participation on the decision-making process of Czech health policy" deals with the patients participation in the Czech republic. The thesis is separated into two parts, one is a theoretical background and the second one is analytic. In the first part there you can find definitions of the key words such as health policy, democracy, citizen participation or public policy. It describes the key words and shows the history and their development through the last 20 years. There is also a chapter which deals with methodology. The second part describes situation of citizen participation in the Czech republic, Germany, Italy, Great Britain and Canada. It deals with citizen participation in health policy in these countries and describes their practical life. It compares countries above with the situation in the Czech republic.
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The role of nurses and their impact on the care of patients with total hip arthroplasty.
SLABÁKOVÁ, Květoslava
Total hip replacement is one of the most extensively and highly effective operating methods in orthopaedics. The patients are brought back the self-sufficiency, life without the pain and noticeably motion restriction. Irreplaceable function here is a role of the nurse, who helps the patient to return back to his common life...The aim of this work was to find out, how the patients feel the role of the nurse and its influence to given nursing care before and after the total hip replacement as the less fulfilled. There were following research questions set: How the patients feel the role of the nurse before and after the total hip replacement? How the patients before and after the total hip replacement feel the interpretation of the nurse roles? How the patients before and after the total hip replacement feel the role of the nurse and its influence to given nursing care. Which of the nurse roles are felt by the patient as the unsatisfactory in postoperative care? The patients before and after the total hip replacement feel through the everyday nurse activities the nurse in her role of the caregiver and education giving person, following the nurse vindicator and the nurse bearer of changes. The patients feel the care thanks these roles as a quality, holistic and continual. Nevertheless was the role of the education giving named as the least fulfilled. In connection with these research results was created a manual, a Guide book for the patients before and after the total hip replacement. This Guide book was given to testing purposes. This Guide book was appreciated by the patients very positive despite a large amount of information, which were surprising for many of them. We gained some data, which gave the impulse to complete the information in the Guide.The created Guide book can´t replace the effective communication of the patient with the medical staff, which could be always the most suitable "source" of information.
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Business plan - Home Care Service
Bodnárová, Martina ; Rak, Luděk (referee) ; Koleňák, Jiří (advisor)
The first part of the thesis is focused on he theoretical knowledge needed for a high-quality elaboration of business project. The second part of this work is focused on the creation of a business project in the area of health service and domestic nursing. It is concentrated on creating a firm and providing services in the area of health care. The aim of my thesis is to create a high-quality business project for a successful business start.
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The role of a nurse in a diabetes clinic with the indication of the insulin therapy at a patient with a diagnosis of Diabetes Mellitus 2nd type.
TESAŘOVÁ, Martina
Basic theoretical part Theoretical part of this bachelor thesis points to concrete data about Type 2 Diabettes Mellitus diagnosis. It also includes the characteristic of an illness, it´s subsequent treatment either the medicine or physical activity and diet. Next part of the theory deals with special problems, complications and social aspects of patients. The last part of this theoretical unit is focused on patient´s education and the following educational process. Goals of the thesis The first goal of this bachelor thesis is to map the quality of education from a diabetics´ point of view. The second goal is focused on information and later complications related with Type 2 Diabettes Mellitus diagnosis. The third aim is information about diabetological tool prescription. The fourth aim is to announce to patiens about possibilities of using social services. Conclusion The aim of chosen topis of bachelor thesis is thinking about nursing care for patients with Type 2 Diabettes Mellitus diagnosis in all ages, which is supposed to be a daily routine for a nurse in a diabetic surgery. Bachelor thesic could be a manual for each nurse, which works in this field. Each nurse should be helpful for improoving the patients´ healthcare with this type of illness. There came up an educational material, in accordance withidentified shortcomings of current educational resources and from a conclusion of empirical part and from the needs of patients. This simple educational material should be helpful for easier insulin application. The whole application is explained to patiens on the base of clear and simple instructions step by step. According to the next respondent research from a diabetological surgery I suggest several improvements of diabetical aids like diabetic needles due to presbyopia and aviolationof fine motor skillsindiabeticpatients. It is also necessary to providea device forfacilitatingpatienturine collectionfor24 hours. I would like to achieve the result validity. Another bug problem came out of respondent research is waste disposal
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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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Sleep disorder as a nursing diagnosis
HANZALOVÁ, Erika
This bachelor's work deals with somnipathy as a nursing diagnosis. This topic has been current problem for many hospitalized patients. This bachelor's work is divided into the following two parts: theoretical part and empiric part. The theoretical part deals with sleep as such, specifying its phases, factors affecting sleep, identifies individual sleep disorders, sleep diagnosis and its therapy, which is divided to the following two: pharmacological and non-pharmacological. As last but not least the theoretical part deals with nursing process and its phases with regard to a patient who was diagnosed nursing somnipathy. In the empiric part the following goal has been set. The aim has been to find out specific items of nursing within the scope of nursing somnipathy diagnosis with patients. The following two research questions have been set meeting the goal: 1. What are the specific things of nursing care within nursing diagnosis of somnipathy with patients? 2. What are sleeping troubles solved by nurses who are the integral part of our research group? For the purpose of elaboration of the empiric part of the work it was the qualitative examination that was used. Data acquisition was performed by semi-structured interviews. Standard questions were expanded when necessary by using supplemental questions. The research itself took place in Neurological and Gynecological-Maternity Ward of the Hospital of the City of České Budějovice, The chief nurse of the aforementioned hospital was approached beforehand and asked for permission. Both workplaces were submitted both prepared intended topics and questions for their consideration, the whole group of respondents consisted of 12 respondents of which there were 6 nurses working in Neurological and Gynecological-Maternity Ward of the Hospital of the City of České Budějovice and 6 patients hospitalized in the ward. S far as the patients are concerned it is important to mention that these patients were diagnosed nursing somnipathy and of course the nurses were those who diagnosed the somnipathy. In the very beginning of interviewing all respondents were informed about the purpose of the research and assured that everything in connection with the research was anonymous and all pieces of information gained should be used only for this bachelor's work. At the same time i.e. at the very beginning all respondents were informed about the purpose and basis of the research examinations to be carried out. To types of interviews were applied one for nurses and the other for patients. The results achieved in these research examinations are compared with the same or similar results published in professional literature and of course discussed. The results can be summarized as follows. The nurses for their patients perform the following measures taken to improve quality of sleep for their patients: airing the patient's rooms, making their beds, keeping their eyes on observing night silence and assistance with evening hygiene. Majority of the patients interviewed were informed about the measures to be taken for improving the quality of sleep and they showed positive attitude resulting in positive effect. All of the interviewed were satisfied with nursing care provided in last two days. Moreover the tables in the case reports show that the nurses were solving the following problem regarding the patients sleep: the problem arising from falling asleep and frequent waking up during the night. The knowledge that I have gained by elaborating this bachelor's work I will do my best to make use of it in my future work as a nurse. The results can be used by students as a basis for elaborating their works and higher level of nurse information regarding the problems of somnipathy of the hospitalized patients. Furthermore the results may be used as a feedback for the hospital itself in which the research work has been performed.
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Commercial Communication in Czech Pharmaceutical Industry
Kadlecová, Barbora ; Mikeš, Jiří (advisor) ; Hrubá, Kamila (referee)
Thesis titled Commercial communications in czech pharmaceutical industry is about how to use marketing communication tools (advertising, public relations, sales promotion, personal selling, etc.) in the pharmaceutical industry. A specific feature of pharmaceutical marketing is separate communication to public (patients) and to professionals (doctors) which requires using different communication messages and also different channels to each target group. Pharmaceutical marketing is regulated by advertising law, by the Council for Radio and TV Broadcasting and by the provisions of the State Institute for Drug Control which control the ways how two target groups are addressed. Possible marketing tools are described from both theoretical (legal) and also practical (marketing communication of specific pharmaceutical company) terms.
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