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Possibilities of using nursing model Betty Neuman in prevention of overweight and obesity.
TŘÍSKOVÁ, Lucie
Lifestyle, decrease in physical activity, advance in new technologies, industrialization and globalization contribute to the increasing prevalence of overweight and obesity. Considering the number of factors participating in their formation might be beneficial for the nurses to use the Betty Neuman's conceptual model to evaluate the involved factors and the level of their influence. In accordance with this evaluation also set the interventions in the individual stages of prevention. The aim of this thesis was to describe the possibilities of utilization the Betty Neuman's conceptual model in prevention of overweight and obesity. In the investigative part the quantitative and qualitative research were used. The quantitative research was performed by means of a non-standardized questionnaire intended for the nurses from Vysočina region and Jihočeský region. The qualitative research was implemented via a semi-structured interview with the overweight or obese individuals and nurses from the same regions. Relating to the people with overweight and obesity, no significant differences in stressors were found after the quantitative data analysis. However, the results reveal a considerable dissatisfaction with the overall appearance and health condition. They also reveal the perception of the overweight and obesity impact at work. The respondents show an interest in weight reduction, some of them try repeatedly. Equally, the qualitative data analysis implies that the overweight and obese patients percept themselves with less satisfaction. The most frequent problems are higher weight, troubles with breathing and pain in legs while walking. With regard to general nurses, it was found out that they approach the overweight and obese patients the same way as the rest of the patients. They would recommend regular and healthy diet and exercise. The gathered results reveal the necessity of communication with the individuals who suffer from overweight and obesity. For the lifestyle transformation, sufficient education supported by motivation is crucial.
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The possibilities of application of the Roy and Neuman model in clinical practice in the 50+ generation.
HEJNOVÁ, Iveta
The 50+ generation has become an age group that is aging according to the statistical data and the number of individuals in this age category is rising. The aging process is accompanied by numerous physical, mental and social changes. As a consequence of these processes new and modified needs occur in these individuals, to which the provided care has to be adapted. We have linked this issue with conceptual models in nursing. This is because a conceptual model will help us integrate patient information into coherent and comprehensible blocks. An important goal of conceptual models is to simplify the work of nurses, who can see a patient as a whole thanks to them. We chose two models in relation to this issue, namely Calista Roy's model and Betty Neuman's model. We chose two research goals on the basis of the topic of the thesis. The first one was to map the knowledge of selected conceptual models among nurses. And the second goal was to find out the specifics of the nursing care in the 50+ group with the application of selected conceptual models from the point of view of nurses. We applied both, qualitative and quantitative methods to the research. Within the quantitative research we used a non-standardized questionnaire. In the qualitative part we applied the focus group method. Three hypotheses and one research question were set in relation to the research. We are able to confirm two of the three hypotheses. The statistical results have shown that the knowledge of the open-systems model and the adaptation model corresponds with the education of the respondents. Respondents with tertiary education show better knowledge of these models. On the other hand, no relation in taking the specifics in the satisfaction of the needs into account in the provision of nursing care in the 50+ generation was confirmed. A procedure for collection of the nursing anamnesis in the 50+ generation was created on the basis of the research. On the basis of this procedure we can enable healthcare staff to classify the patient information into logical systems and therefore to obtain a quality and comprehensive view of a patient. After the completion of the qualitative research we evaluated the proposals of our respondents for the theoretical as well as the practical part of the anamnesis collection. These respondents showed knowledge of the models. They most often criticized bad intelligibility or even redundancy of a question. Among benefits they named simplicity, reasonability and quality evaluation of the nursing care.
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