|
|
The importance of health as a life value for hospitalized patients
VACKOVÁ, Veronika
From the nursing care point of view, health represents one of the most basic terms. Many authors claim as priority, that nurse is endowed with knowledge concerning health, illness, patients' as well as her own values on the understanding effective managing of the skills from the fields of systematic observation, effective communication, the ability to show willingness to help and permanent recording of patients´ state of health. As well as many theoreticians, every individual recalls something else under the term "health". Therefore, it is needed to be patterned on the definition of health, helping to understand human actions and human own health. Aim of the research method was to find out, what specific interventions can be used by nurses in the field of the hospitalised patients' health on the basis of this value disruption. To reach this aim, it was necessary to divide the research into several fields, namely how the value of health is perceived by the hospitalised patients, what is their scale of values when they are hospitalised, what values were significant for the patient before his hospitalisation and how does the hospitalisation affect the patients´ scale of values during the hospitalisation in view on the future life after the discharge. From the patients´ point of view, it was crucial to recognize, what aspects within nurses´ nursing activity are the most essential in connection with hospitalisation and his state of health and also what options nurse has got to saturate the value of health. The other group of respondents was concentrated on nursing staff. Crucial intention was to discover, how do the nurses perceive possible affection of patients´ scale of values in connection with hospitalisation and how do they perceive their own possibilities in saturation of this value. Methodology: For the research method, the method of qualitative research and data analysis has been chosen by using half-structured interviews. The first part of the interviews was aimed at patients, who have been admitted on surgical, rehabilitation and traumatological ward without any even more specific determination. The second parts of the interviews were held with nurses in same wards. The data collecting took place in January and February 2018 directly in medical facility. After data satiety, categorisation has been proceeded by using opened coding namely by method "paper-and-pencil". Results: On the basis of qualitative method of research, several interesting findings came out. Only one respondent perceives his health from a holistic point of view, as being stated in the worldwide respected WHO definition of health. It was also confirmed, that the value of health is not for every patient the priority value in comparison with other values. Also the value of health perception from time point of view relates to it. It has been proved, that the hospitalisation on its own or development of problems leading to hospitalisation, has caused a change in a positive way in perceiving the value of health within almost one half of the respondents. But there were individuals among the respondents, who do not feel any difference and do not assume one. Asked patients have also proved that the hospitalisation is a crucial event, leading them to being aware of the circumstances causing the hospitalisation. Consequences of the experienced emotions are different expectations from themselves and nurses. It was also discovered, that the patients demand different approach and interest of the nurse, so that the most effective saturation of value of health can be achieved. Nurses did acknowledge the value of health as priority, even though they could not find any feasible solution, how to attend properly to this value also in practice. Although they perceive the value of health a
|
|
|
Comparison of health care in the Czech Republic and Germany
Dutá, Sára ; Kocmánková Menšíková, Lucie (advisor) ; David, David (referee)
This thesis deals with comparing the two health systems, the differences between the quality of medical care in the Czech Republic and the Federal Republic of Germany, and more specifically with the individual physician access to the patient. The thesis explains in the theoretical part the basic concepts relating to the topic of health (the value of health and its determinants, lifestyle, prevention, illness, disease, health care, health care system and health policy) further discusses the Czech and German health care system and compares them basic structure, where the most fundamental difference is the difference of the German health system, which is divided into two levels, national and federal. The thesis also studies the role of the doctor and patient and the relationship between them. Secondary and comparative data analysis of the differences in health care in the Czech Republic and Germany showed that respondents are with care and physician access to the patient rather satisfied in Germany, although there are also drawbacks. Data obtained through semi-structured interviews show that views on health care varies according to the number of years spent in Germany (respondents who lived in Germany for example for 15 years, had with the local health care more experiences). Almost all interviewees seem to agree that the difference in health care in these countries is due to the differences in funds that are spent on health care. Annually put Germany on Health care about 11, 6% of GDP, of which 76.8% are public funds. On health care in the Czech Republic it is 7.5% of GDP. Participation in the payment of health care in the Czech Republic was 15.8%, Germany 23.5%. From the data obtained suggests that the quality of care affects the confidence in it and the need to treat the patient.
|
guest ::
