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The nursing care based on humanistic-altruistic values by model of Margaret Watson.
SCHOLZ, Pavel
Abstract The theme of this dissertation is the nursing care based on humanistic-altruistic values by model of Margaret Watson. Creating conceptual models and their designation in itself was a very important progress in the field of nursing. Conceptual models of nursing are some connection among philosophy, theory and practice. Conceptual model of M. J. Watson is unique in that it focuses on self-nurses, are also among the humanist conceptual models based on the principles of humanism respecting patient rights. Foreign authors talk about the content of the model as a return to the deep roots of professional nursing and values, such as helping others, empathy, trust, finding and meeting the needs of ill people. For practical application of established M. J. Watson there are 10 factors of humanistic care. In the area of research there was carried out questionnaire survey focused on awareness of selected conceptual models of interest in nursing education courses in the area of conceptual models. In addition the conceptual model was applied by M. J. Watson, in practice, for which interviews were used the original author designed and the nurses diaries. Qualitative results were processed by using a modified approach by Ritchie and Spencer. We set two objectives. To achieve the objective to inform nurses about the conceptual model of M. J. Watson was determined by six hypotheses. Hypothesis 1: Nurses are not informed about the conceptual model of M. J. Watson. This hypothesis was confirmed. Hypothesis 2: Nurses do not use M. J. Watson conceptual model for a care of their clients. This hypothesis was confirmed. Hypothesis 3: Nurses recognize an empathy as an important ability to nurse. This hypothesis was confirmed. Hypothesis 4: The interest of nurses in training courses in the area of conceptual models vary according to the length of experience. This hypothesis was confirmed. Hypothesis 5: The interest of nurses in training courses in the area of conceptual models vary according to their age. This hypothesis was not confirmed. Hypothesis 6: The interest of nurses in training courses in the area of conceptual models varies by their educational attainment. This hypothesis was not confirmed. To consider the surprising result that although the nurses admit a lack of information on conceptual models which prevails at the lack of interest in any course in this area. To gain the objective to find out what causes the changes of nursing care are based on a conceptual model of M. J. Watson for selected nurses and clients, we realized the practical application of the model. During our research we set goals to achieve more research questions which we work. Research question 1: Will nurses in implementing nursing care according to M. J. Watson indicate greater satisfaction with their work than before? Research question 2: Will the nurses recognize the increased benefits in the way of nursing care according to M. J. Watson compared to their normal practice? Research question 3: How does the nursing care according to M. J. Watson influence the clients? Research question 4: How nurses will evaluate the success factors of ten applications of humanistic care by M. J. Watson? Research question 5: What do nurses perceive negatively when applying the model of M. J. Watson in practice? We believe we have done this work to break the barrier of lack of information in the conceptual model of M. J. Watson in the country while we described how to return to the loving care in nursing. This model leads to a nurse wondered at herself, carried out their activities at the client with respect and the build confidence. Through the humanistic factors of ten to reach a tenderness in the nursing care.
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A Chinese patient in the Czech health care service
SCHOLZ, Pavel
The name of this thesis is: "A Chinese patient in the Czech health care service". China with approximately 1.3 million inhabitants belongs to the largest countries in the world. Migration and tourism of inhabitants of the Folk Republic of China and Republic of China towards the Central European region, is higher year by year. Simultaneously, with increasing accumulation of the Chinese minority group members in the Czech Republic, even the number of provided health care for this minority group of inhabitants is rising. Different conception of health and disease markedly affects the approach and understanding of the patient/client from another culture both from professional point of view and from the view of patient/client. Medical personnel should be aware of main differences in behaviour of the members of minority group and their population, and not only in connection with provided health care. This research work is worked out by means of qualitative research methods. Working out of nursing care peculiarities which the members of Chinese minority want to respect was the research goal of this thesis. Collection of data was carried out by means of a half-structured interview in members of the Chinese minority group in the Czech Republic. The content of questions of the half-structured interview is based notably on conceptual, nursing models developed by Gordonová, M., Leiningerová, M., and a model developed by Gigerová, J. {--} Davidhizerová, R. The five research questions were specified for the goal accomplishment. The results of research were treated by means of casuistics and a slightly modified approach of general analysis by Ritchie and Spencer. Established nursing care peculiarities in the area of blood taking, and information of physician´s diagnosis, especially towards the family, and apprehension of medicament addiction, and even the pain and answer to it belong to leading results. Description of how the members of Chinese minority group understand the Czech nursing and a nurse as a provider of professional nursing care also belongs to other results. The hypotheses decided on further research use were suggested on the basis of results of this thesis. This thesis and its results are determined to the professional health care purposes and for direct provision of nursing care in health service facilities in the Czech Republic. One of the outcomes of this thesis is also a propsal of the nursing care standard in members of Chinese minority group living in the Czech Republic, and, hereafter, an information summary book for nurses concerning trans-cultural specificity of the Chinese patient/client in the Czech health services.
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