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Parents´ and nurses´ attitude from the general pediatrist surgery, to obligatory and optional children vaccination.
SUCHANOVÁ, Martina
Abstract Vaccination is an important part of medical prevention, particularly as prevention of some infectious diseases. A primary care nurse checks vaccination status and informs parents on vaccination terms. She is responsible for trouble-free course of vaccination. Apart from compulsory vaccination parents may have their children vaccinated against some diseases, which is non-compulsory and paid from private funds. The practical part of the thesis is a combination of quantitative and qualitative research. A questioning method, the questionnaire technique was chosen for the quantitative research, the research sample consisted of parents of children between 0 and 10 years of age. The 1st goal of the research was to map how well parents having 0-10 year old children were informed on compulsory and non-compulsory vaccination in České Budějovice. A hypothesis was set upon the chosen goal: Parents of 0-10 year old children are informed on compulsory and non-compulsory vaccination. The hypothesis was confirmed. The 2nd goal was to find out what the most frequent fears of vaccination were among parents of 0-10 year old children. The hypothesis formulated to this goal, that parents of 0-10 year old children were afraid of vaccination side effects was not confirmed. A half of the questioned parents have fears. The 3rd goal was to find whether parents were was interested in non-compulsory vaccination. The hypothesis set to this goal, that parents of 0-10 year old children are interested in non-compulsory vaccination was confirmed. The quantitative research employed a questioning method, the technique of depth interview with nurses working at paediatric surgeries in České Budějovice. The fourth goal was to map the role of a nurse in motivating parents to have their children vaccinated. A research question was based on the chosen goal: What is the role of a nurse in motivating parents to have their children vaccinated? I found from interviews with the nurses that a nurse motivates parents through information on vaccination, vaccination terms, on contradiction and adverse responses. She helps solve vaccination related problems. The bachelor thesis may improve knowledge among students, parents and nurses working at paediatric practitioner surgeries and among the public interested in vaccination.
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Urinary Inkontinence as a Stress Faktor on Seniors- Women
MARŠÍKOVÁ, Jana
Abstract Urinary incontinence is involuntary leakage of urine, which causes medical, psychological, social and hygienic problems. Incontinence is a common problem of senior age and influences all fields of women´s life. Almost every senior woman has some kind of experience with this issue, either personal or linked to someone she knows. This thesis deals with causes of incontinence origin, its diagnostics and treatment possibilities. The aim was to find out whether incontinence influences mental condition of senior women and if so, in which way the problems connected with the incontinence are present. The thesis further examines how senior women cope with information about their problems, whether they have sufficient information and whether the information is understandable. It is also important to know what the modern-day options for treatment of this problem are, and whether senior women are willing to undergo the procedures and examinations. The thesis also deals with the question whether senior women have sufficiency of incontinency aids, whether they are satisfied with the nursing care and whether their privacy during sanitation is satisfactory. The survey shows that senior women are stressed by urine leakage, they reduce their activities, socially isolate themselves, are dissatisfied with the quantity of the incontinency aids, limit the fluid intake. The finding, that senior women are not much interested in receiving more information, in further detailed examinations, or in pelvic muscle rehabilitation, was surprising. It has been proven that doctors offer mainly pharmacological and compensational treatment to senior women. Regarding the privacy issue, it has been proven that senior women are satisfied with the nursery care and have adapted to the lack of privacy. It resulted from the survey that nurses do not have enough professional information for education of senior women. Elaboration of a new educational plan for the Senior House clients and nurses working in the facility is the output of this thesis.
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Influence regulation charges on relationship between nurses and klients
DIVOKOVÁ, Jitka
Influence regulation charges on relationship between nurses and klients ABSTRACT On 1.1.2008 Act No. 261/2007 Coll. on stabilization of public budget came into force and became effective. This law implements into practice the long-prepared regulation fees, defines precisely what medical procedures will be subject to CZK 30, 60 or 90 fee. This way the financial involvement/contribution of the clients becomes legislatively valid and justified. Introduction of fees is aimed at reducing the excessive use of medical care, making the existing medical care more effective. The result of that should be the clients better taking care of their health and thinking of prevention, maintaining proper regimen and directing their investments at the right direction. In the theoretical part we have dealt with the concept of regulation fees in health service which work as a financial contribution of citizens to health care funding, and with the fact how and where the regulation fees are levied to. The administration of collection of regulation fees is treated as well. The theoretical part also mentions the experience with health service reforms in abroad, that is in Slovakia, Germany and Austria. An important part of the health care reform is the role of a nurse, her communication skills and duties in relation to regulation fees. We treated the ethic and psychological viewpoints of the relationship between the patient (client) and a nurse, and the factors which affect the behaviour of a nurse. The aims of the degree paper were determined within the survey: to ascertain the impact of regulation fees on the relationship between general nurses and clients, to ascertain the level of awareness of nurses regarding the collecting of regulation fees, to ascertain the abilities of nurses to provide correct information to patients, and to find out whether the patient, as a client, expects better medical care. The aims were investigated on the basis of hypotheses created. Hypothesis 1 in which we assumed that regulation fees in health service had negative impact on the relation between general nurses and clients; Hypothesis 2 in which we assumed that both the nurses and clients evaluated general awareness of fees as insufficient; Hypothesis 3 assuming that nurses are not able to provide patients with correct and complete information regarding the issues of regulation fees; and Hypothesis 4 assuming that patients require better medical care based on regulation fees. Improvement of medical care which can be implemented immediately irrespective to the collection of regulation fees is within the compass of every individual. This improvement requires a smile, patience, introducing of both the nurse and a patient and holding out a hand which should become a matter of course. In connection with the improvement of care each health care facility should issue publicly available regular reports, about how it spends the collected regulation fees which should help to improve the awareness of the clients/patients.
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The retirements homes nurses´knowledge of how to provide the first aid as an assumption of decreasingt the mortality
ULBRICHOVÁ, Dagmar
The subject chosen by me is knowledge of first aid principles of nurses in Pensioner´s Houses as a precondition of death rate reduction, since first aid is the first, essential element of the rescue chain. First aid must be often provided also in number of health institutions, for example in Pensioner´s Houses. Pensioner´s Houses are home for old people, who are the most risky group considering injuries and acute sickness. In order to achieve the above objective a qualitative research has been applied in the form of asking open questions in interviews as well as observations. Data collection has been performed with nurses in Chýnov Pensioner´s House. Data collected during interviews were recorded in a record sheet providing space for answers to all questions. Observations were more of the type complementing and extending information on knowledge concerning resuscitation obtained from the interview. Observations focused on situation when nurses solved a practical task with a figurine used for first aid training. The target and subject group included ten nurses working in Chýnov Pensioner´s House, who may experience situations requiring their first aid skills. The research has been conducted between February and March 2008. Prior research initiation I have been granted permission of the Pensioner´s House´s management to perform this research in their institute. The objective of the work was to map knowledge of first aid principles of nurses in Pensioner´s Houses. This objective has been achieved. Nevertheless in my opinion nurses would benefit from training concerning new first aid practices. The following hypothesis have been defined on the basis of the completed research. H1 Nurses do have knowledge of first aid principles. H2 Nurses are not aware of new recommendations for resuscitation. The following research question may be formulated based on the achieved results: {\clqq}Wouldn{\crq}t it be beneficial to organize periodical fist aid training for health staff in Pensioner´s Houses?`` Results of this research will be provided to Pensioner´s House management to assist them in improvement of their care provided to old people. Chýnov Pensioner´s House will provide first aid training to nurses.
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Regular Trainings for Nurses as an Integral Part of Preparation for Accreditation Survey.
MATĚJČKOVÁ, Marie
Regular trainings are to ensure an employee maintains or enhances his/her knowledge and skills he/she needs to do his/her job and for his/her professional development. Therefore quality regular trainings are one of the conditions for successful accreditation survey, too. In order to reach our survey targets we have chosen a qualitative research method, we used an anonymous questionnaire intended for all nurses working at the standard departments and at the Department of Anaesthesia and Intensive Care (ARIP) at Šumperk Hospital a.s. We have defined two goals. The first goal is to find out what the extent of the regular trainings for nurses is. The other goal is to find out the nurses{\crq} level of knowledge of the issues of cardiopulmonary resuscitation, occupational safety and health, and hygiene regime. Both goals have been fulfilled by obtaining the results of the research. Six hypotheses have been defined. The first hypothesis that the nurses are trained in the issue of cardiopulmonary resuscitation at least once a year was confirmed with table No. 21. The second hypothesis whether the nurses are trained in occupational safety and health at least once a year was confirmed with table No. 35, too. Even the third hypothesis that the nurses are trained in hygiene regime at least once a year was confirmed with table No. 50. The success rate of answering questions on the issue of cardiopulmonary resuscitation was 85.5 % which confirmed the fourth hypothesis that the nurses know the principles of cardiopulmonary resuscitation. The success rate of answering questions on the issue of occupational safety and health was 57.9 % which did not confirmed the fifth hypothesis that the nurses know the principles for occupational safety and health. And the success rate of answering questions on the issue of hygiene regime was 57.7 % which did not confirmed the sixth hypothesis that the nurses are aware of the principles for the issue of hygiene regime. The results of the research obtained for the bachelor thesis will be provided to Šumperk Hospital a.s. for internal purposes to improve the quality of these regular trainings.
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