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Implementation of hospice fieldwork
PFLEGROVÁ, Petra
This work deals with the idea of dying patients in the terminal stage at home. In the theoretical part I describe the concepts relating to the care for the dying and dying itself, as well as the potential risk of marginalization, which is associated with dying. Furthermore, the mention of palliative care in the form of a mobile hospice, with its multidisciplinary team that should try as far as possible to avoid marginalization. There is also the issue of euthanasia, in contrast with the use of palliative care. Hospices are the last topic in the theoretical part, the history and current state of hospice fieldwork. In the practical part I try to determine through research if and how mobile hospice avoid marginalization. Another aim of the research was to map the motives of the workers in hospice care, identify their goals and the problems they must overcome.
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Role of a Nurse during an Acute Hospital Admission of a Patient with Trauma
KOTRČOVÁ, Ivana
Incidence of injury is currently the third leading cause of death in the Czech Republic. A good link between pre-hospital emergency care and hospital care becomes a priority. Nurses play an important role during an acute admission of patients with trauma to in-hospital care, they are the connecting link of all members of the multidisciplinary team, whose common mission is the patient and saturation of his /her needs. With the changing role of nurses in the modern concept of nursing, nurses become equal partners of physicians and other health care professionals. To be accepted by other members of the team and to be able to work with the full extent of her sphere of action in the acute phase of a trauma patient admission, she has to know perfectly her competencies under the applicable legislation. In the theoretical part the roles and responsibilities of nurses under the applicable legislation are defined. There are also chapters dealing with individual injuries and the organization of care for patients with trauma. In the final section of the theoretical part there is a chapter dealing with the holistic care for patients, including ethical care issues, the role of a patient and the importance of cooperation with the family of the trauma patient who is acutely admitted into the hospital. In the empirical part of the thesis three objectives were stated. To determine the cooperation of nurses with other members of the multidisciplinary team, as well as to find out whether the nurses involved in the admission of a trauma patient into hospital know their own competencies under the Decree No. 424/2004 Coll. The third objective was to determine how trauma patients perceive the process of admission to the hospital. Based on these objectives two hypotheses and two research questions were established. The objectives were successfully met, both hypotheses were confirmed and the questions answered. The research was conducted on the basis of a quantitative qualitative survey at departments of selected hospitals where the patients with acute trauma emergency were directed by emergency medical services. For the quantitative research the interviewing method using questionnaires was selected. Interviews with patients were conducted by the qualitative research method. The respondents were 117 nurses and 5 patients.
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Incorporation of university graduated nurses into the multidisciplinary team.
MINAŘÍK, Martin
My bachelor thesis {\clqq}Integration of university-educated nurses into multidisciplinary teams``deals with integration of nurses into working teams where such cooperation takes place. The theoretical part of the thesis refers to the history of nursing, the today´s conditions for this profession, roles played by nurses and relations they have to cope with. The thesis outlines the concepts of team, medical multidisciplinary team and advantages of multidisciplinarity. It also points to potential pathological phenomena in case of poor acceptance and cooperation. University-educated nurses have been working in various departments as members of nursing teams, as well as multidisciplinary teams. The first objective of my thesis was to find out whether university-educated nurses are included into multidisciplinary teams. The second objective of my thesis was to find out how the university-educated nurses are accepted by medical doctors. A quantitative method using anonymous questionnaires was used to collect the data and to meet the established objectives; the questionnaire was developed based on information obtained from professional literature and it was divided into two sections. The first section contained questions for all members of the multidisciplinary teams and the other section was intended specifically for the university-educated nurses. The results of the quantitative survey have shown that university-educated nurses have been included into teams, i.e. the hypothesis - The university-educated nurses are included into multidisciplinary teams - has been confirmed. The second hypothesis {--} The university-educated nurses are not accepted by medical doctors - has been also confirmed. On the contrary, the third hypothesis - University-educated nurses are accepted by nurses with secondary education - has not been confirmed.Results of this thesis may be used by the higher and top management of the surveyed hospital and they should be also used for improvement of care of the clients.
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The importance of the comprehensive rehabilitation system of children with a combined handicap
ČÍŽKOVÁ, Zdeňka
The bachelor work investigates the integral rehabilitation system of care for children with a severe complex handicap. A partial aim of the work was to map out this problem in the ARPIDA Centre, a.c. in České Budějovice which provides services in this field. The research proved hypothesis no. 1 which presumes that when applying an integral rehabilitation system, close cooperation between interested professionals and the parents of a handicapped child is necessary. Hypothesis no. 2 was also proved. It states that the basis for complex care of children with severe complex handicap within the integral rehabilitation system is therapeutic physical education, especially the Vojta{\crq}s reflex method. Therapy is a long term and team effort and, as proven by the research, the parents are an integral part of the team. The results of the research proved the parents´ satisfaction with the activities of ARPIDA centre, including the opportunity to cooperate with professionals working at the centre. In my opinion there is also significant room for appropriate education for parents of children with a severe handicap with regards to the difficult task of caring for their children. This work can be used as study material for those interested in work in helping professions.
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