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The falls and the injuries under supervision so prevention contra quality
MÁŠKOVÁ, Jana
The problem of in-patients{\crq} falls and injuries, with the view to prevention and care quality at hospitalization units of Nemocnice Písek, a.s., is the theme of my bachelor thesis. The theoretical part of the thesis is focused on the problem of falls in its entirety. It describes causes of falls, effects of falls as well as prevention possibilities against falls. Three targets of the thesis were set down. Firstly, to find out the frequency of falls in hospitalization units of Nemocnice Písek, a.s. Secondly, to find out risk factors connected with falls of in-patients at hospitalization units of Nemocnice Písek, a.s. Thirdly, to find out if nurses know the fall prevention precautionary mechanisms. Six hypotheses were set down in the practical part of the thesis. The first hypothesis is: ``There are more falls in the internal unit of Písek Hospital than in the surgical unit of Písek Hospital.{\crq}q The second hypothesis is: ``The most frequent risk factor causing falls and injuries in Písek Hospital is the quick patients{\crq} getting up.{\crq}q The third hypothesis stems from the following premise: ``Nurses know the clients related fall prevention precautionary mechanisms{\crq}q. The fourth hypothesis predicates: ``The risk of fall and injury of senior patients is higher than the risk of fall and injury of junior patients{\crq}q. The fifth hypothesis says: ``Nurses in Písek Hospital follow rules which are related to falls and injuries.{\crq}q The last hypothesis predicates: ``The care quality audit which is focused on falls and injuries is carried out in Písek Hospital{\crq}q. A quantitative method, in the form of a general nurses{\crq} anonymous questionnaire, was used within the first part of my research work. For monitoring the falls of patients, which is a quality indicator of Nemocnice Písek, a.s., the qualitative method of data analysis was used within the second part of my research work. The documentation belonging to Nemocnice Písek, a.s. was the basic data source. The research results were processed into 29 graphs and two charts. Technical literature is confronted in the Discussion section of the thesis and author{\crq}s opinions are pronounced there. Confirmed and unconfirmed hypothesises, thesis summary and author{\crq}s suggestions regarding the client{\crq}s fall risk and care quality improvement are pointed out in the Conclusion of the thesis.
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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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Cooperation parent, nurse, child in nursing process
PAPOUŠKOVÁ, Kateřina
This thesis concentrates on the problems of the cooperation between nurses and parents being hospitalized together with their ill children in a hospital. The factors influencing the experience of the illness by the children as well as the aspects in connection with the hospitalization of the parents and their children are described. Furthermore, specificities of the nursing process at the children´s ward and the possibilities of the cooperation between nurses and parents in different areas of the childcare are discussed. Moreover, this work determines the quality of the cooperation between nurses and parents being hospitalized together with their ill children in a hospital. In addition, it discovers the drawbacks of this cooperation and compares the involvement of the parents into the nursing process from the nurses´ point of view and from the parents´ point of view.
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For- social behaviour of nurses
KOCMICHOVÁ, Kateřina
This work is focusing on questions of for-social behavior and altruism of nurses. For-social behavior is an important social phenomenon, such an antipole of non-provoked agresivity and probably of all other bad behavior (asocial, antisocial) . It is such behavior that keeps social bindings and that makes us closer one another. For-social behavior is characterized by acts done in favor of others without expectation of reward (financial, material) or social approval. In the first part of the diploma paper, there is outlined question of for-social behavior at theoretical level. Here is defined the term of for-social behavior, altruism, empathy with effort to answer the question why we help others, under what conditions, circumstances and to whom. The intention of this work consists in exploration-description of for-social behavior of nurses. The work deals with scale of empathy, altruism and affiliation of nurses in comparison with women non-working in helping professions. Furthermore, there is investigated the ability of nurses to cope with stress and that is measured by means of optimism scale. I did four hypotheses, all of which proved to be right. I used a method of questionnaire in terms of quantified research. Each hypothesis was based on its own separate questionnaire in question form. It was 200 question forms in total, 100 forms for nurses and the same for women non-working in helping professions as a control group. 174 filled forms were given back. The basic group was formed by 88 nurses and the control group by 86 non-nurses. The outcome of questionnaire research is that nurses show higher measure of empathy, altruism and affiliation than women non-working in helping professions. The nurses were also proved to be less adaptable to stress than non-nurses.
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The process of education of patients as a part of a nursing process
ŠEFČÍKOVÁ, Michaela
Education is an integral part of the nursing process. It is a proposeful activity, systematic training, which leads to gain knowledge and skills by means of a special process of learning. The aim of this work was to find out, whether nurses provide patients with education within the nursing process and whether patients feel that this education is sufficient enough to keep an optimal level of their health. All hypotheses I have set were confirmed. Apparently, from the results of the survey, health-educational activity, which is in plenary powers of nurses, is done by nurses themselves for the most part, but in some cases also the doctor took part in this activity. Although most of the asked expressed satisfaction with the information provided, there were still clients who were not satisfied with the number of information both theoretical and practical. In most cases, clients said that the instructions, which had been given to them by the nurse within the educational activity, were very significant for improving their health. Cooperation between a nurse and a client is based on a good communication between both parts. The result of this understanding is a situation when a client obeys the instructions given. From results it is obvious that all clients tried hard to keep professional recommendation provided by the nurse and reach the goal this way.Nowadays, the nurse, who is thanks to her learning within the area of education highly professional, puts an emphasis on mutual cooperation not only with the client but also with his family. The nurse respects client´s individual needs and tries to make him participace actively in his health care.
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Nurse status today and in the future
KOZÁKOVÁ, Martina
Nowadays the status of a medical nurse represents a fairly actual topic. It is a profession where many changes had to be undertaken during a few years beginning with scholars education up to a graduation of a nurse and their responsibilities. A nurse not only plays the role of a caretaker and a helper but is also an individually thinking professional who has received a proper education and has his or her competence bound by the jurisdiction. The theoretical part focuses on the status of a nurse from the sociological viewpoint, on its development from a historical perspective, on changes taking place in the present and stretching to the future and on the trends we might expect in this profession. The practical part contains information obtained by the research which focused on the perception of the status of a nurse by patients, nurses and physicians. The aim of this graduation research was to question nurses in the Czech Republic about their contentment with their current status and explore their future visions, furthermore to obtain opinions on the topic from both patients and physicians. The H1 hypothesis was: nurses are not content with their current social status, was proved correct. The H2 hypothesis was: the ideas of a nurse about his or her future status in the society are positive was proved correct. The H3 hypothesis was: the assessment of the status of a nurse by a patient is negative, wasn´t correct. The H4 hypothesis: physicians do not follow the current status of a nurse, correct. The H5 hypothesis was: physicians do not display any interest in following the status of a nurse in the future was correct.
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The effect of nursing magazines on the development of nursing
BLÁHOVÁ, Marie
This thesis ascertains the influence of nursing magazines on the development of nursing. The first aim of the thesis was to perform historical analysis of nursing magazines from their emergence to the present. I would like to state on the basis of the historical analysis processed that nursing magazines do influence the development of nursing in large measure. I analyzed six nursing magazines in total {--} Diplomovaná sestra (Graduated nurse), Zdravotnická pracovnice (Health care worker), Sestra (Nurse), Ošetřovatelství (Nursing), Diagnózy v ošetřovatelství (Diagnoses in nursing), Florence. The aim was met in my opinion, which I comment further in the theoretical part. The practical part includes research results, 17 diagrams, discussion and annex. The research is quantitative, performed with the help of the technique of a questionnaire consisting of 16 questions. I can state on the base of the results that nursing magazines have influence on introduction of new nursing procedures and aids by nurses-managers into health care practice in the ward, obtained from nursing magazines.
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Multicultural approach of nurses to the chinese minority
ZAPLETALOVÁ, Květa
This survey assignment is orientated towards subjects closely linked to each other to establish how NHS nurses in the Czech Republic perceive ethnic minorities. What are the opinions on tuition of multicultural nursing and if there are any differences between university and college educated nurses? It was established that the better-educated influences viewed an importance in multicultural nursing. The next aim of this research was to monitor knowledge of nurses working in areas of multicultural nursing and how they prepare to meet their clients. Also if introduction of carer models is needed in preparation. Multicultural education has already been introduced in colleges, but is lacking evidence how effective this is in practice. Even though nurses are dissatisfied with the obligatory lifelong education (mainly because it is an involuntary system), this is still a necessary way to complete their training, especially the older nurses. The last phase of study was investigating the knowledge of nurses caring for clients from China and their awareness of the Chinese culture. Again, the differences between university and college educated nurses was evaluated. The second hypothesis determined that the level of education did not play a role in this survey, the nurses had no particular knowledge of Chinese clients or any special care that would be needed. Collecting of all information was carried out by the usual method of survey forms. Rating the statistically important results was achieved by using the ``Pearsons {$\omega$}- square test{\crqq}. This is a method of maximum credibility and a ``Fishers exact test{\crqq}. The statistic analyses proved that the first hypothesis did not confirm the second hypothesis. This survey assignment showed the importance of introducing multicultural education at college level and no later, And also the importance of stimulating students in taking more interest in other cultures. My work on this subject revealed that there is no awareness of specific care required when dealing with Chinese clients, hypothetically because of the lack of exact and scientific literature of this minority living in Czech Republic.
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Nursing care of the child with constitutional dermatitis
OLIŠAROVÁ, Věra
ABSTRACT Constitutional dermatitis is one of the most frequent skin diseases that come into being especially on an allergic basis. Establishing the number of individuals suffering from this disease is immensely difficult, although its growth has become obvious in recent years. Combined with this, the need of sufficient information in relationship with this diagnosis has grown, too. The thesis is aimed at surveying the knowledge of nurses in this field and at establishing the situation in the field of providing information on regime measures. Further, the thesis is aimed at surveying the informedness of parents of children suffering from constitutional dermatitis and verifying whether the measures related to this disease are observed. Altogether, five such work hypotheses were formed. The first hypothesis found out the differences in the knowledge of nurses in dermatological and pediatric surgeries, on the questions of the lifestyle of children suffering from constitutional dermatitis. The second hypothesis found out, whether parents requesting information on the disease, more frequently turn to nurses in the surgeries of pediatricians than to those in dermatological surgeries. The third hypothesis focused on surveying the informedness of parents of children concerning regime measures. The fourth hypothesis focused on surveying the parents{\crq} informedness of associations of patients suffering from this disease. The last, fifth hypothesis dealt with surveying the situation in observing the regime measures related to this disease. The second, third and fourth hypotheses were confirmed within the actual research, while the first and fifth hypotheses were not confirmed. The research was carried out in the Regions of South Bohemia and West Bohemia, in cooperation with the doctors and nurses in dermatological and pediatric surgeries. The quantitative exploration research, using the method of questioning was applied. The technique of data collection was that of an anonymous questionnaire. For the research purposes, two kinds of questionnaires were handed out, a different questionnaire for nurses and a different one for the parents of children suffering from constitutional dermatitis. The research set consisted of about 30 nurses from the above institutions, and 45 parents of children suffering from constitutional dermatitis. The outcomes of the research were summed up in the research part of this thesis and compared with expert literature and my experience. The information obtained from this thesis gave rise to a manual for pediatric nurses that contains basic information related to the questions of constitutional dermatitis. A great contribution of this thesis is the possibility to compare the theoretical knowledge of nurses and its practical use in everyday life and nursing care.
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