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Competency of nurses working in intensive care in The Czech republic and Gerat Britain
Baletková, Lenka ; Hocková, Jana (advisor) ; Jurásková, Dana (referee)
Summary: The diploma thesis compares competency of nurses working in intensive care in The Czech Republic and Great Britain. Theoretical part of the thesis gives compact look to regulation of nursing profession, education of nurses and nursing registration in both countries. In this part are highlighted main differences of the legislation which nursing competency is based on in each country. There is also mentioned the public opinion of the nursing as a profession and its prestige related to both countries. Practical part of the thesis focuses on the interpretation of analysis of the research regarding the above mentioned topic. For the research have been used the method of collecting data by structured questionnaires. There was a questionnaire for each country in its own language. The aim of the practical part is to compare divergence of knowledge, skills and competency of nurses working in intensive care in both countries. Alternatively to assess any reason for exceeding nursing competency and to find out the explanation for that Key Words: Competency, Nurse, Critical Care, Education, Qualification, Great Britain
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Burnout by Nurses in Intensive Care
Jánová, Simona ; Mellanová, Alena (advisor) ; Honzák, Radkin (referee)
Burnout by nurses in intensive care Abstract: Objective of this thesis was to determine incidence of the risk of burnout by nurses in intensive care in the Motol University Hospital in Prague, compare to risk of burnout among nurses in intensive care for childern and adults and by age, sex, marital status, education, length of experience in health care and on the current department, satisfaction and performance in the workplace. The research method for data collection were two anonymous questionnaires: one prepared by author of the thesis and a standardized questionnaire by dr. Pines to determine the risk of burnout. It was found that more than hlaf of nurses in FN Motol had low risk of burnout and has not demonstrated that nurses have on children's or adult wards increased risk. Results confirmed that discontent and the increasing intensity of stress in the workplace is proportional to the risk of burnout. This research confirmed that although most nurses achieved good results has been shown a high percentage of nurses with alarmig score and even burnout. Therefore we should not ignore this issure, but rather to warn him and avoid unpleasant consequences through educational seminars, pleasant working environment and do not overload nurses. Keywords: burn-out, stress, nurses, intensive care, mental hygiene
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The living will in intensive care
Lamačová, Eva ; Prošková, Eva (advisor) ; Mellanová, Alena (referee)
v anglickém jazyce: The aim of the thesis is to provide description of nursing and medical aspects and offer ethical and legal context concerning the issue of living will. The body of the thesis is divided into theoretical section and practical section. The theoretical section deals with the issue of living will from the nursing and medical point of view with characterization of several serious conditions in intensive care such as apalic syndrome, terminal state etc. The chapter on legal aspects of living will defines the term 'lege artis', 'do not resuscitate - DNR', and characterizes the matter of decision making in the case of serious and terminal states. The chapter on ethical perspective discusses the process of dying and the Christian point of view on the issue of dying. The practical section processes the results of a survey based on 104 non-professional respondents and their replies to a provided questionnaire. The research section analyzes the level of knowledge which non-professional population has of the issue of living will. The closing discussion evaluates the confirmation of established hypotheses and provides practical suggestions. Keywords: living will, dying, ethic, resuscitation, terminal state.
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Abused child hospitalized in intensive care unit
Burešová, Lucie ; Hanušová, Jaroslava (advisor) ; Prchlík, Martin (referee)
Surname and name: Burešová Lucie Department: Nursing Title of thesis: Abused child hospitalized in intensive care unit Consultant: PhDr. Jaroslava Hanušová, Ph.D. Number of pages: numbered: 69, without numbers: 22 Number of appendices: 4 Number of literature items used: 24 Key words: battered child, abused child, Child abuse syndrome, vexation, sex abuse, critical states in childhood Summary: The work discusses the theme of abused children hospitalized in Intensive care units. Especially it is studying approach of the nurses of intensive care units to the children hospitalized for the reason of serious results of ill-treatment. The work is divided into the theoretical and practical part. In the theoretical part there is detailed characterization of the main topic - child abuse. The practical part is processed in form of research through the medium of lists of questions. Lists of questions were distributed to the nurses of intensive care units. It was research for the knowledge and view of nurses in questions of child abuse. This work would contribute to better providing of precise care for abused children in critical state hospitalized in intensive care units.
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Induced demand in health care
Konečný, Martin ; Šťastný, Daniel (advisor) ; Svoboda, Miroslav (referee)
In this bachelor thesis are examined two hypotheses. The goal of the first hypothesis is to provide an evidence of physicians induced demand. This hypothesis is examined by regression analysis using fixed effects method. An assumption, that outpatient surgeons will provide less control checks when facing increased number of patients was confirmed. However, final effect is negligible. The goal of the second hypothesis is to amend paper Fuchs (1978) and find out, if better quality surgeons recommend less surgery. The results of the analysis indicate that this statement is true and Fuchs (1978) did not underestimate this effect.
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Decision Making of Nurses in Intensive Care
Vyskotová, Jana ; Marková, Eva (advisor) ; Prošková, Eva (referee)
The aim of this thesis was to find which factors prevail to influence the decisions that nurses make in intensive care and on what basis they decide. The work is divided into theoretical and empirical part. In the theoretical part the terms such as decision, decision-making situations, mistakes in decision-making have been determined, and the issues concerning the decisions in nursing and in the competences of nurses connected with decisions have been analysed. In the empirical part the results of questionary regarding the decisions of nurses in intensive care have been processed and analysed. 97 subjects among the nurses in intensive care have taken part in the testing. From the analysis of the data received from the questionary there comes out that the majority of nurses in intensive care (74 %) are not convinced that the school has prepared them for making decisions from both the theoretical and practical point of view. On contrary, the majority of nurses in intensive care are convinced that their education (79 %) and practice (97 %) may enable decisions. The majority of nurses in intensive care (96 %) are able to make independent decisions mostly in the area of basic nursing care. The majority of nurses in intensive care (72 %) experience stress during their decision-making. The nurses are...
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Quantification of liver function using breath test with 13C labeled methacetin
Hendrichová, Miluše ; Horák, Jiří (advisor) ; Ehrmann, Jiří (referee) ; Martásek, Pavel (referee) ; Moťovská, Zuzana (referee)
Kvantifikace jaterních funkcí pomocí dechového testu s 13 C-methacetinem MUDr. Miluše HENDRICHOVÁ SUMMARY Efforts to evaluace and quantify liver functions has accompanied hepatology over the last 50 years at least. Quantification of liver function was hindered by multiple blood samploing, the low specificity of monitored parameters and the risk of allergic reactions when using conventional chromoexcretory tests. The introduction of breath tests using the non-radioactive isotope 13C allows non-invasive and highly accurate measurement of liver function. Especially 13C.methacetin is a very suitable substrate for evaluation demethylační and oxidative capacity of hepatocytes. Using the breath test with 13 C-methacetin is noninvasive, easy for patients and the results are reproducible. The aim of this thesis is to introduce the use of breath test with 13 C-methacetin into clinical practice as one of standard items in the care of patients with chronic liver diseases. In the first study we are evaluating liver function using breath test with 13 C-methacetin in patients with liver cirrhosis. The results show that the breath test reliably distinguishes patients with liver cirrhosis from patients without liver damage. Using ROC curves we demonstrate that the most advantageous time of the breath test that best predicts...
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Application Basal Stimulation in Intensive Care Unit
Hornychová, Petra ; Hocková, Jana (advisor) ; Hošťálková, Monika (referee)
Precis This graduation theses discusses about application of the concept of Basal stimulation in the work of nurses in intensive care. A theoretical part explains the concept of basal stimulation, briefly outlining the history of this concept and describes the different elements. Elements' name are include somatic, vestibular, visual, olfactory, auditory, oral and tactile - haptic stimulation. The work also highlights the importace of biographical history of the client. Research part determines the level of knowledges about basal stimulation between nurses in the ICU (intensit care units) and its use in the ICU at University Hospital in Hradec Králové. Research method is a survey. The questionnaire established author. Keywords: basal stimulation, nest location, location mummy, biographical history, communication.
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Nursing process procedure in patient with acute necrotic pancreatitis
Herzigová, Jana ; Šamánková, Marie (advisor) ; Loučná, Tereza (referee)
Subject of my baccalaureate lS acute necrotic pancreatitis which lS on increase in the Czech republic. Incidence of the disease features 5- 20 on hundred thousand inhabitans. The work is devided m two parts: clinical and nursmg .. The clinical parts deals with anatomy, physiology, characteristic of acute pancreatitis, investigative methods and its treatment. Nursing part includes care of 67 years old woman with acute necrotic pancreatitis. I used the Virginie Henderson's method in nursing process. I hope this work to be helpfull not only for nursig staff who take care of these patients. Powered by TCPDF (www.tcpdf.org)
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An analysis of the determinants of sales decrease in spa Teplice nad Bečvou
Hošťálková, Tereza ; Melzochová, Jitka (advisor) ; Mirvald, Michal (referee)
This work deals with analysis of determinants affecting sales of spa facility of Teplice nad Bečvou between years 2008 and 2012 and determining how recommendations of patients for spa medical treatment affect its sales. Using logical reasoning we can assume that increase of recommendations will also cause increasing of sales. In the theoretical part, the reform of public health care and its expected influence on financing spa care is elaborated. Empirical analysis is based on dates, which contain 60 observations overall. Using regression, the crucial finding of this study is that increasing of recommendations of patients by a unit (=one suggested patient) leads to decreasing of sales by 0,051%. The amount of sales was applied to December and the result showed that the sales are higher throughout the year than in December, excluding January, where sales are lower.
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