|
|
Care for the oral cavity in a hospitalized patient
CINCIALOVÁ, Kateřina
The term oral hygiene includes a set of measures to prevent the origination of parodont and hard tissues and their progression. These ailments belong to the most common and frequent ones despite the fact they may be prevented by appropriate care and by the proper choice of oral hygiene aids. The most frequent problems are dental decay, dental plaque, gum disease. For each of us, good oral hygiene practicing daily is essential for preventing troubles mentioned above. During hospitalization patients often alter their habits and modes because of the disease and the stay out of home. In patients who are not self-administering and patients with limited capabilities it is the nurse who is in charge of providing the oral hygiene. Each nurse´s priority should be to meet all the patient´s needs and the proper oral hygiene is one the basic ones. I set four aims in my thesis. The first was to find out patients´view of the oral hygiene level at hospitalization. The second aim was to describe the standards of oral hygiene the particular ward offers the patients. The third aim was to compare opinions of self-administering and non self-administering patients. The fourth aim was to compare the role of a nurse in providing oral hygiene for self-administering and non self-administerin patients. The results of my research confirm the first hypothesis {--} hospitalization brings about changes in oral hygiene. Also the second hypothesis proved to be right {--} during hospitalization oral hygiene worsens in patients because they do not have enough possibilities to carry out all the procedures they are used to. The third hypothesis was confirmed, too. Nurses are familiar with oral hygiene aids and know how to use them. The fourth hypothesis that nurses do not ask patients to tell them what their oral hygiene habits are was true. I conducted the research by the questionnaire method and the method of a stuctured interview. The research samples were nurses and patients in following units - neurological, internal, surgical and orthopaedic - in the České Budějovice hospital, Inc. and in the Tábor hospital. Inc. The results of this research could be used as a feedback for hospital management to help improve patients´oral hygiene. It is necessary to take some measures in this respect. Nurses should be more active in getting information about patients´ oral hygiene aids and their hygienic habits. They should ensure the highest patients´comfort possible. Then their efforts will be rewarding.
|
|
|
Mental hygiene of nurses at leading positions
ŠŤASTNÁ, Olga
The thesis concerning mental hygiene of divisional nursing officers is focused on nurse as entire being, how she takes care of her mind and body and which are the consequences on her behaviour and acting. If she keeps the rules of mental hygiene, she preserves herself against psychical and physical tiredness. Theoretical part of my thesis is devoted to mental hygiene, motivation, communication and history. In practical part three aims were determined: to find out whether nurses in leading posts know the rules of mental hygiene, whether they consider it important for their job and whether they act up with these rules.On the base of these aims three hypotheses were created. Quantitative research method was chosen, the form of questionning and technique of data collecting is a questionnaire. The questionnaire was distributed to 60 nurses in leading posts and 52 properly fulfilled questionnaires came back. The determined aims were fulfilled during the research. Hypothesis H1:Nurses in leading posts know what mental hygiene is and H3: Nurses in leading posts don´t act up with the rules of mental hygiene were confirmed. Hypothesis H2: Nurses in leading posts don´t consider mental hygiene important for their job, wasn´t confirmed. It means that nurses consider it important and that is right. Mental hygiene is very important for job of nurses and its omission can impact general mental and physical health.
|
|
|
The contentment with nursing care at children´s department from the view of a person accomplanying the child
MRÁZOVÁ, Iveta
Satisfaction monitoring is one of the indicators of quality of provided care. The quality of nursing care provided in hospitals has been largely discussed recently. For many health care facilities the patients´ opinion is crucial for the nursing care evaluation and represents a feedback for the nursing staff. The objective of my thesis was to examine opinions of persons accompanying child patients in hospital on the nursing care quality. I set three hypotheses: The first hypothesis is {--} persons accompanying child patients in hospital are satisfied with the care, the second states {--} persons accompanying child patients in hospital are satisfied with communication with the nursing staff in a paediatric ward and the third hypothesis suggests that persons accompanying child patients in hospital are not satisfied with the paediatric ward equipment. The research sample was formed by persons accompanying child patients in the Český Krumlov hospital,Inc. Those persons were staying is hospital together with children during their hospitalization. The research was conducted in the paediatric ward of the Český Krumlov hospital,Inc. by the questionnaire method. The research took place in January, February and March. I analysed data obtained from 69 filled in questionnaires. The data analysis shows that persons accompanying children in hospital were satisfied with the care provided {--} the hypotesis I is confirmed. The persons accompanying children in hospital were also satisfied with communication {--} the hypothesis II is confirmed, and they were satisfied with the paediatric ward equipment {--} the hypothesis III isn´t confirmed. The results of my research will be given over to the Český Krumlov hospital, Inc. management, primarily to the Chief Nursing Officer of the Hospital, to the Chief Physician and to the Senior Nurse Manager of the paediatrical ward. The results may serve as a feedback and an expression of respect for the quality of nursing care in the paediatric ward in the hospital Český Krumlov,Inc.
|
|
|
Knowledge of outsider public about services which is offer of home care agency
LENKOVÁ, Klára
Home care is a modern form of health and social care which has been provided in the Czech Republic since 1990. It is focused on persons who would be hospitalized if it were not for home care. The costs are fully covered by health insurance. Those who make use of this service are people of all ages, with various diagnoses and medical indications. Home care is focused mainly on health support and maintenance, health restoration and self-administration development, pain management of incurable patients and terminal care to ensure patients meeting their death fearless and reconciled. The objective of this thesis is to learn more about the public awareness of services provided by home care agencies. The other objective is to find out if nurses working for these agencies promote the home care service well enough. The data collection was carried out by the questionnaire method and the method of public inquiry. The first sample was a group of people living in the South Bohemian region aged 18 49 years. The second sample was a group of people living in the South Bohemian region aged over 50. These two groups were supposed to fill in the same type of a questionnaire. The third sample were nurses working in home care agencies in the South Bohemian region who were handed out inquiry sheets. The hypothesis I {--} the public are not informed enough about services provided by home care agencies {--} was confirmed. The hypothesis II {--} there are differencies in awareness of the public in relation to the age of respondents -was confirmed. The hypothesis III {--} nurses promote home care services only among their patients {--} was not confirmed. It is advisable to hospitalize patients only when it is inevitable. In other cases there is an option to make use of home care services. The aim of my thesis was to bring up a survey of services provided by home care agencies and give some suggestions for the awareness of the public to be enhanced.
|
|
|
Application of the basal stimulation in nurcisg care
JILEČKOVÁ, Zuzana
Basal stimulation is a pedagogically-nursing concept, based on the knowledge of pedagogy, development psychology, anatomy, physiology and nursing. The basic elements of the basal stimulation concept are movement, communication and perceiving. The concept enables to clients with changes in the field of perceiving, movement and communication the integration into the present life with the maximum usage of their former life habits and experience, it respects the preserved abilities and moreover accepts their future life needs. The correct integration of basal stimulation elements into the nursing care enables to intermediate to the man the perceptions from his body and the stimulation of perceiving organism enables him to perceive better the surrounding world and to establish the communication with it. Hereby the total development of the individual is supported.
|
|
|
A nurse and physical examination of a client/patient
BENEDIKTOVÁ, Martina
My thesis deals with physical examination of the patient by a nurse and its right technique. Physical examination generally follows the taking of the medical history - an account of the symptoms as experienced by the patient - in internal and surgical wards. It becomes part of the medical record. The theoretical part describes the complete physical examination and gives its definition. Physical examination is focused on the somatic condition of the patient. A systematic examination generally starts at the head and finishes at the extremities. The main organ systems are investigated by inspection, palpation, percussion, auscultation and per rectum examination. For physical examination a nurse uses her senses - sight, hearing, touch, sometimes also smell. My thesis examines the right technique of physical examination and why this examination should be carried out by a nurse. I also wanted to give reason why the physical examination should become a common part of the nursing process.
|
|
|
Health insurance and settlemento of nursing and rehabilitative care provided in institutions of social services
VOBORNÍKOVÁ, Gabriela
The topic of my diploma thesis is Health insurance and reimbursement for nursing services and rehabilitation care provided in social services facilities. I chose this topic not only because social services and related fields are currently very topical but also because I wanted to find out what changed whit regard to social services facilities with the arrival of the possibility of funding nursing and rehabilitation care. I wanted to explore opinions of people who work in this field and encounter such issues on a daily basis. Since the possibility of reimbursement for nursing and rehabilitation care has been in the Czech Republic for a relatively short period of time, I assumed that the collection of data would bring new insight into the matter. The theoretical part of my thesis deals with social services and subjects that establish and provide social services. Furthermore, I also discuss the main aims of social services. Next chapter deals with the funding of social services and the factors that help improve the quality of social services. This is followed by the description of nursing and rehabilitation care in residential care facilities. This part focuses closely on the new legal regulation and the types of residential care facilities and also analyses the term competence for the performance of health profession. The practical part of the thesis contains the results of my research work. It describes the methodology (in order to achieve the goal established and to confirm, or reject the hypotheses, I did a questionnaire-based survey and performed the secondary analysis of data). The group studied included all facilities that met the following condition: they had to be residential social services facilities located in the South Bohemian Region. The aim of my work was to find out whether the change in the legal regulation helped improve the funding of nursing and rehabilitation care in residential care facilities. It follows from my research that the possibility of reimbursing for rehabilitation and nursing care from public health insurance means more resources for a social services facility. Furthermore, the obligation to charge a particular health insurer a fee for health care implies more administrative work for the facility. I conclusion, the hypotheses suggested were confirmed and the goal of the work was achieved. My diploma thesis can serve as a full-range source of information for the facilities providing social services. It can also become a useful study material for other students.
|
|
|
Holistic approach in providing nursing care for disabled children in the health and social facilities.
GUIDOVÁ, Hana
Holistic nursing care requires body and psyche orientation. That means it stresses both, body and psychosocial human needs. It is necessary for nurses to understand the principle of psychosocial interaction and care of the whole person including his/her dearest in health and illness. The aim of the thesis ?Holistic approach in providing nursing care to handicapped children in health & social facilities? was to find out how the needs of handicapped children are satisfied in health & social facilities from the point of view of holistic approach. The work involved both, qualitative and quantitative research. 104 nurses filled in a questionnaire and 10 respondents were observed within the quantitative research. Two hypotheses were set. The first hypothesis was focused on handicapped children in health & social facilities and on satisfaction of their needs from the point of view of holistic theory. Most of the nurses are convinced that they are providing holistic care. However on the other hand a lot of nurses answered that they preferred provision of physiological needs to psychosocial needs. This finding does not fully confirm the holistic approach in providing nursing care. The second hypothesis says that nurses provide more holistic care in non-profit making facilities than in those operated by regional authorities. Non-profit making facilities could not be included in the research as nurses are not employed there and those who work there work at the positions of social workers and caregivers, not at the positions of nurses. Comparison was only performed at facilities operated by private limited companies and the regional authority. The research also compared the approach to holistic nursing care between head nurses and ward sisters and nurses working on shifts. The nurse managers answered more positively than the nurses working on shifts. A nurse providing holistic care sees a human as a unique complex being, not as its single parts. Such a nurse is ready to help people achieve and maintain optimal health, helps in prevention and reduction of diseases and provides support to those incurably ill. It is important to realize that body and psyche are closely linked, not separated. This thesis may be used by nurses working with handicapped children in health & social facilities. Elaboration of a standard for holistic nursing care for handicapped children in health & social facilities is the practical output of the thesis.
|
|
|
Manager of a basic line as a member of multidisciplinaire team and his possibilities of the nursing care quality impact
VACHTOVÁ, Ivana
A manager is the one who sets everything on movement in an organization. He/she is also the one who gives order to the movement and who conditions success of all the processes running in an organization. His/her aim is to lead the team to efficient and good quality work performance. A nurse-manager performs the tasks of nursing care of individuals or groups by managing the nursing process. People and their work activities are her goals. She leads them to work, influences them and coordinates their performance, checks, assesses, guides and manages their professional careers. She affects the everyday workplace operation towards high performance and cooperation. She indirectly influences patient satisfaction, the nursing care and moreover also the organization prosperity in her everyday effort. She does all that with regard to satisfaction of the team members and their professional development. If she is to be a really efficient source she must be perceived basically as a capable and motivated person. This also means to do everything for her to become like this. The first goal of the work was to find out the determinants of success of an operative manager and his/her position in general. The second goal was to map the attributes of manager{\crq}s managerial position. The third goal was to map manager{\crq}s work with an operative group. Quantitative research was applied on the issue processing. Questioning, the technique of a questionnaire, was chosen as a data collection method. The questionnaire was designed for head nurses working in hospitals and social care facilities within the region. It consisted of 48 closed and one semi-closed questions. Hypothesis No. 1 states that managerial position is affected by horizontal and vertical relations within an organization. According to the research results the vertical relations may affect a position of a manager in both, positive and negative senses. The position may also be affected by relations between the manager and the staff reporting to him/her. If a manager lacks managerial skills his/her team might be unstable. Such a team might not perform good work and might provide medical care of poor quality. In the sense of vertical relation the position of a manager may thus be uncertain. Hypothesis No. 1 was confirmed. Hypothesis No. 2 says that quality relations between an operative line manager and the staff managed by him affect positively the nursing care. According to the research results the good quality relations may affect the nursing care positively under particular conditions. If the manager creates condition for successful team work and nurses in the team are satisfied. Hypothesis No. 2 was confirmed. Hypothesis No. 3 on a stable team that forms upon forming a functional network of informal social and work relations was also confirmed. In some managers{\crq} opinion a stable team forms upon a functional network of informal social and work relations. The thesis might be utilized for providing the found out information to the basic line managers at professional training sessions. It may contribute to better understanding in relation to the managed staff. Actually if managers are able to understand the issues of leadership and management of people they will have sufficient information in this field and will be able to understand it and lead their teams much better.
|
|
|
Effect of supervising students of Healthy and social faculty to mentor´s nurse attitude at offer nursing care.
SOUKUPOVÁ, Kristýna
This diploma thesis is focused on the influence of teaching students of the Faculty of Health and Social Studies of the University of South Bohemia in Czech Budejovice on a mentor nurse´s attitude to nursing care provision. In the first chapter of the theoretical section the term nurse is introduced, and it is dealt with her duties, roles, attitudes, it is explained who a mentor nurse is and what topics a pilot certified course contains. The next four chapters are focused on a supervisor´s personality, supervision issues, teachers and their non-traditional roles and the didactic skills of a mentor. The description of a mentor´s didactic skills is divided into education, student diagnostics, teaching goals and classroom practices. The sixth part deals with student clinical practice mentors, their role in clinical practice, assessment and feedback and mentorship as an advancement of nurses´ work. The seventh chapter of the theoretical section introduces the issue of communication as an integral part of nursing practice teaching and in the last section we have focused on the issue of evidence-based nursing. The aim of this thesis was to investigate the impact of nursing practice teaching on a mentor nurse´s attitude to nursing care provision and students´ evaluation of a mentor nurse´s achievements in nursing care provision. The outcomes of the quantitative research, conducted by using a questionnaire method, confirm the hypothesis 1 suggesting that students regard mentor nurses´ nursing procedures as standards for their future practice. We can also confirm the hypothesis 3 suggesting that students believe that a mentor nurse considers the correct information registration into nursing documentation as necessary, and also the hypothesis 2 suggesting that students believe that a mentor nurse can communicate more effectively than other staff nurses was confirmed. Mentor nurses´ attitudes to nursing care provision were identified by using qualitative investigation by asking research questions. Out of the six nurses interviewed, four mentor nurses consider mentorship as knowledge contribution to the field of communication with people, four mentor nurses consider mentorship as stimulation for improving their own expertise, four mentor nurses would be willing to introduce new knowledge into practice and provide nursing care in accordance with the EBN. The knowledge gained form this research work may serve as a suggestion and aid for students planning to carry out clinical nursing practice at a clinic, for nurses who have been working or have been preparing to work as clinic mentor nurses, and certainly for all of those who wish to learn more on this issue and to understand the mentor nurse job.
|
guest ::
