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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.
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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.
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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.
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Postoperative treatment in case mammary reconstruction operation for female after ablation.
BOUŘILOVÁ, Hana
Abstract A woman{\crq}s breast represents one of the most important attribute of women beauty. This is why any congenitally conditioned anomaly is usually perceived very sorely. The impact an ablative operation has on a woman is thus more than obvious. Breast loss or deformation for treatment purposes affects a woman in two spheres. With the fear of further treatment procedures, health condition development and further fate most women are scared of how a loss of such a dominant femininity symbol will change their lives. The effort to have a new breast created is often as important as the exactly performed primary operation for an affected woman. It actually relates to recovery of self-reliance and self-confidence in social life of such a woman. A reconstruction operation to create a new breast belongs to very complicated and painful operations. The subsequent post operation period is difficult for the patient and the postoperative regime is strict. The nursing care is long and intensive and it is limiting and burdening for a patient. Nevertheless a woman takes courage to undergo all that and bear all the difficulties linked to the intervention patiently. However such a physical but particularly mental change it brings is worth it. The aim of the thesis was to find out how a woman approaching the operation perceives the nursing care. The next aim was to find how the nursing care affects a patient after such an operation. Six women hospitalized at two different surgery wards were invited to participate in the research. Four patients, one of which was taken to the surgical ward and the three others to the casualty and plastic surgery ward, agreed with the interview. A research question focused on the nursing care perceived from the viewpoint of a patient revealed that patients mainly concentrated on the surgery intervention itself and its success, while the nursing care acts were perceived as a burden and they even became bothering during the time. Another research question was focused on finding how nursing care might affect the course of hospitalization. With regard to the conditions the patients were taken to the nursing personnel was perceived very positively by the patients. Their approach and behaviour helped the patient stand the distress of the postoperative regime and they finally felt satisfied with the hospitalization course. Upon the discovered facts this thesis should clarify the issues of hospitalization to nurses, so as they are able to get a better insight into the patients{\crq} feelings and their perception of nursing care. To be able to focus their care more efficiently and provide it with the knowledge that helps them care about a patient in the demanding conditions from the somatic point of view but also be supportive in the mental sphere. To focus more intensely on communication in the early postoperative period and on helpful approach, which is very important for a patient, as a nurse has possibility to influence a patient positively to a large extent. With regard to the facts discovered we may form a hypothesis that improper environment has negative influence on a patient{\crq}s psyche. The other hypothesis may be a statement that suitable communication may influence patient{\crq}s welfare during hospitalization positively.
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The employment of medical assistants in acute nursing care
JIRÁKOVÁ, Marcela
The thesis is aimed at to what extent nursing assistants are used for providing acute nursing care and whether nursing assistants are interested in providing nursing care, and, in addition, it focuses on what the attitude of the management to employ nursing assistants is. Moreover, it deals with the historical development of the nursing education until today and with the impact on education of non-medical staff after the Czech Republic joined the European Union. It deals with legislation and decrees in force laying down conditions of work of non-medical staff {--} defining professions and their members, defining the scope of work (primary, secondary, tertiary care), defining requirements for obtaining a certificate of professional competence, defining lifelong learning, defining job competences etc. The aim of the bachelor thesis was to find out how much the services of nursing assistants are used in acute nursing care and whether they are interested in working in this area. The instrument for gaining these targets was the quantitative method in a form of a questionnaire intended for the pupils in the 4th grade at the Medical Secondary Schools in České Budějovice and Český Krumlov, specialization Nursing Assistant, and then the qualitative method in a form of a semi-standardized interview conducted with the middle and low management, in particular ward sisters and nursing officers on wards with acute beds. The questionnaire responses were plotted in graphs using descriptive statistics, interviews were summarized in a paper and synoptic charts. The results ascertained were described and evaluated in terms of disproving or proving the hypothesis and in terms of findings based on the questions raised in the final discussion.
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Problems of Women in the Postnatal Time Period.
CHARVÁTOVÁ, Jana
This bachelor thesis is a theoretic {--} research work directed to the problems of women in the postnatal time period. The bachelor thesis summarizes basic information not only about physiological confinement, but also about possible complidcations that may occur in the course of this time period. All these problems involve Health, psychical and social spheres are involved into these problems. The practical part presents the results of the research focussed on finding the problems that the the women go through during the time of their hospitalization in the obstetrical ward after the childbirth as well as on the problems of the women´s acquaintance with these problems.
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Newborn individualized developmental care of the babies born before week 32 their gestation age from the view of the nursing staff
TROUPOVÁ, Jitka
Currently, the care of premature newborn infants and their parents is mainly focused on the so-called Newborn Individualized Developmental Care and Assessment Program (NIDCAP) that is aimed at protection of the developing central nervous system of a premature child.The aim of nursing care is to help premature child to cope with the premature delivery. To adjust the environment and the way of care so it suits the individual needs of every child. The support of the parental role and the efforts to involve parents in the care of a newborn infant as early as possible are stressed. The following objectives were defined in the diploma thesis. To process experience with introducing new forms of the developmental care of excessively or extremely premature newborn infants from the point of view of nursing. To characterize current provision of individualized developmental care of newborn infants born before week 32 of gestation. To map the role of the nurse in delivering individualized developmental care and to find out how parents perceive the developmental care of excessively and extremely premature newborn infants. 4 research questions were raised on the basis of the objectives of the thesis. Which forms of the individualized developmental care are used in care of a newborn infant born before week 32 of gestation most? Which problems do nurses have to cope when employing individualized developmental care in the day-to-day care of newborn infants born before week 32 of gestation with and which roles of nurses are applied most when providing care? How do parents of newborn infants born before week 32 of gestation perceive the care of their child included in the individualized developmental care? The theoretical part of the thesis deals with the issue of excessively and extremely premature newborn babies, characteristics of the individualized developmental care and the nursing strategies, the role of a nurse and the role of parents. The practical part is focused on the qualitative research. The results of the research suggest the nurses have included the individualized developmental care into the nursing care of premature newborn infants at the Department of Neonatal Medicine in the Hospital in České Budějovice, however, not in its full extent. The parents perceive the included aspects of this care positively,the nursing staff is important. The research has identified problems nurses have to cope with when they implement this care and what the reserves in the implementation are. A map of the individualized developmental care that can be used by nurses in practice is the result of the research.
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Cooperation between nurse and client´s relations hospitalizationed in house department
JÍLKOVÁ, Veronika
Medical workers, patients and family members are three groups, which often meet in demanding and critical situations, which they tend to experience in different ways. That is why the inforamtion leak may occur and also the basic conditions are not met (and this applies not only to clients, but also to specialists). Nurses should be opened to communication with family members and regularly offer them the exchange of informations. If the family comes with new ideas, we should be able to find a way to transform them into our profession. We should be able to counsel the family on where to get help or additional informations, or coordinate them. The cooperation between medical workers and family members creates the sanctuary of peace, where the patient and his family feel much better then they used to in the times, when profesionals used to be too much authoritative The subject of my bachelors work is the cooperation between nurses, family members and clients hospitalizated on the ward of internal medicine. The aim is to find out, how nurses percieve the family members of the clients hospitalized on the ward of internal medicine.find out which problems represent the greatest struggle for nurses, who have to deal with family memebers of hospitalized client. find out, whether the family members are satisfied with nursing staff on the ward of internal medicine. The vital informations were collected using the method of answering sheets, which were filled in by the nurses working on the ward of internal medicine and by the relatives of hospitalized clients on the ward of internal medicine of the České Budějovice Hospital. Hypothesis No. 1: `` The Hypothesis that the nurses in the internal department perceive the presence of the hospitalized patients{\crq} family members positively{\crqq} was confirmed. Hypothesis No. 2: `` The Hypothesis that the nurses are lacking the understanding of given information in the communication with the hospitalized patients{\crq} family members{\crqq} was not confirmed. Hypothesis No. 3: `` The Hypothesis that the hospitalized patients{\crq} family members are satisfied with cooperation with the attending personnel in the internal department{\crqq} was confirmed. I hope, that the findings made by me, will help widen the space for cooperation between nurses and family members of our patients, help realize better exchange of informations between families and nurses, which will lead to better treatment for our patiens.
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COMMUNICATION AS THE PART OF NURSING CARE
FIALOVÁ, Hana
My final project was divided into two parts- theoretical and practical one. In the theoretical part I focused on the definition of communication itself as well as the communication in terms of nursing care. In the practical part I am dealing with the results of the socilogical research based on the questionnaire. I interviewed the nurses in the Rest centre in České Budějovice and Žďár nad Sázavou. I also worked with a great deal of interviews with the clients in these two institutions.
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