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Specifics of prenatal care for women from certain minorities in the gynecological clinic.
NOVÁKOVÁ, Markéta
Due to the fact that from the 1990s there has been a noticeable increase in the number of foreigners residing in the Czech Republic, it is necessary to respect their cultural specifics in health care. Many foreigners in our country have a long-term or permanent residence and have families here. Increasing emphasis is given to care for pregnant women. In the pregnancy period, the woman experiences significant physical and mental changes. The main aspect of caring for a pregnant woman is the continuous monitoring of the health and proper development of the foetus. For midwives to be able to provide quality care for patients from different cultures, they must be culturally competent and empathetic enough to handle the specifics of working with these pregnant women. Many complications in nursing care are caused by a communication barrier that arises between the medical staff and the patients, even if they are of the same nationality and speak the same native language. The risk of communication problems increases in the case of women from minorities. The objectives of this thesis are: Objective 1: Determine how women from selected minorities view the prenatal care in the country. Objective 2: Map the knowledge that midwives have of the specifics of care in individual cultures. The following research questions were determined: 1) How do women from selected minorities perceive the prenatal care in the Czech Republic? 2) To what extent is the culture of the client respected during care? The practical part was elaborated based on qualitative research. Data was collected using semi-structured interviews. Respondents were asked the same questions, but these were elaborated on during the interviews, which led to the subsequent categorization of interviews. A total of 20 basic questions were compiled. The research sample consisted of six pregnant women and four midwives. The criterion for selection of the pregnant women was Vietnamese or Ukrainian nationality. The criterion for choosing midwives was that they had to be employed at gynaecological and obstetric clinics. From interviews with midwives clear that they strive to respect the wishes of all patients, both those related to their culture and environment from which they came, as well as those related to their character and personality. However, the research also shows that there are also slight doubts that could lead to misunderstandings, and these are solely due to lack of information. Therefore, the output of this work should be the organization of a seminar or a contribution within a conference, which would provide healthcare professionals with basic information and experience in the care of patients from selected minorities in Czech health care facilities. The topic of this seminar could be: "The specifics of caring for selected minorities in Czech health care." The first part of the research sample consisted of pregnant women who have different experiences with care in their home country. In their testimonies they mention minor shortcomings, but are satisfied with the care provided in the Czech Republic and some of them expressed that they are certain that this level of care could not be provided to them in their home country.
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Keeping client´s intimacy in gynecological ambulance.
BRAUNOVÁ, Václava
The concept of intimacy, is defined as privacy, confidentiality, comfort and intimacy, in dictionary of foreign words. Intimacy is not only in everyday life, but also in nursing. With increasing requirements for quality care holistic care become needed. This care includes all client's needs in gynecological ambulance. Intimacy can be included into the needs of self conception and self esteem. The midwife as a provider of nursing care should meet all the client's needs in the gynecological clinic. Therefore a client who attended gynecological ambulance expects compliance with its intimacy. The theoretical part deals with the client's needs, especially the need of self conception and self-esteem and the need for certainty and security. Knowledge of history of nudity and intimacy is included. It focuses not only on the client and her personality, but also on the midwife. Midwife acts here as an educator, controls hers communication skills and respects the client's rights. The theoretical part also includes the specifics of nursing care in the gynecological ambulance. To handle the practical part of the thesis method of quantitative research was used. Interviews were used for quantitative research method. For this purpose two questionnaires were developed. One was intended for midwives and the other for clients of all ages. The questionnaires were mapped for area of intimacy and its observance in the gynecological ambulance. The aim of this study was to determine whether and how is the client's intimacy in gynecological ambulances. Objective 1 was met. Based on the selected targets were set hypotheses. H1: Midwives provide intimacy with clients in gynecological ambulances. Hypothesis H1 was confirmed. H2: Clients who attend ambulances for preventive gynecological examinations, expressed greater satisfaction than to comply with client's intimacy that comes with health's problems. Hypothesis H2 was not confirmed. H3: In the gynecological outpatient clinics is provided by physical rather than psychological intimacy. Hypothesis H3 was not confirmed. Results of the research thesis can be applied to some of the conferences of the Regional Hospital in Usti nad Labem. Part of the thesis is an information leaflet - intended for clients in the gynecological ambulances.
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