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Planning System for Healthcare Services
Schauer, Marek ; Beran, Vítězslav (referee) ; Kolář, Martin (advisor)
The information system presented in this work allows planning of nursing care and simplifies its implementation and reporting of care givers. The development of the information system was consulted with a real nursing service located in Bratislava - Karlova Ves. The system offers client records, care giver records, planning of caretaking with the possibility of exceptions and a unique reporting mechanism using geolocation and time stamps. The caretaking system was implemented using web technologies and it is possible to use the system independently of platforms or places. Introduced information system is possible to expand by creating plug-in modules. The goal was to create an application, which is easy to use and has user-friendly experience with the possibility of using in terrain.
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Cultural competences of home care nurses
RÁSOCHOVÁ, Marie
The diploma thesis themed as the "Cultural Competences of Nurses in Home Care Agencies" is aimed at mapping a level of cultural competences of nurses in home care agencies. On basis of the objective stipulated in advance, two research questions were formed: What is the extent of cultural competences of nurses and what the nurses' particular cultural challenges exist in such home care agencies? Qualitative research methodology was applied in the empirical part of the diploma thesis. Data collection was performed using a semi-structured interview which was created in collaboration with a group of researchers participating in the Project Research Grant No. GAJU 046/2021/S. The research file consisted of eleven (11) nurses working in home care agencies. The interview acquired were processed by means of coding resulting in five (5) categories and 16 sub-categories generated. It is apparent from the research results that nurses in home care provide patients with a highly individualized care which fully meets conditions set up by the cultural competence care. Simultaneously, certain weaknesses were detected standing ahead of nurses as a form of challenges. For instance, it is a language barrier and an interpreter being engaged in the patients' care in home care, quality improvement of lifelong education and training for nurses in home care and an inclusion of the critical reflexion in the nurses' jobs. It was also disclosed that nurses are challenged by the technical handling of their work in home environment of their patients. In terms of the results, it is evident that medical facilities are facing with the challenge of how to increase the efficiency of information transfer within individual subjects of the care provision, and thus to improve possibilities of nurses' preparation for their clients' visits. The diploma thesis can be exploited to intensify the quality and efficiency in the care for clients originated from diverse cultures, and moreover as the grounds for further research activities and progress and development in nursing.
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Nursing care for patients after amputation of the lower limbs in the home environment
RŮŽIČKOVÁ, Karolína
My bachelor thesis deals with nursing care in patients after amputation of lower limbs in the home environment. The main objective of the thesis was to describe the provided nursing care in patients after amputation of the lower limb in the home environment, to find out the cooperation of nurses and family members in these patients and how nurses evaluate self-sufficiency in patients after amputation of the lower limb in the home environment. In order to meet these goals, we have chosen the following research questions. What nursing care do nurses provide to patients after lower limb amputation in the home environment? How do nurses providing nursing care in a home environment to patients after lower limb amputation cooperate with their family members? How do nurses providing nursing care in the home environment evaluate patients after amputation of the lower limb their self-sufficiency? The research was carried out using qualitative research, specifically in the form of a semi-structured interview. The research sample was consisted of 10 respondents. The selected respondents were nurses from home care agencies of the South Bohemian Region, caring, among other things, for patients after amputation of the lower limb. Based on a research investigation, we found that nursing care provided in the home environment of an amputated patient is almost no different from nursing care provided in a hospital facility. Nurses focus on very similar activities such as wound dressings and stump bandaging. For some nurses working in home care, psychological support for the patient also played an important role in the provision of nursing care. The results also showed that cooperation between nurses and family members is largely effective. The family took care of its amputated family member primarily as part of personal hygiene and eating or provides daily assistance with walking and movement. Not only in the hospital, but also in the home environment, nurses evaluated the self-sufficiency of amputated patients. Thanks to the research investigation, we have revealed that some nurses evaluate self-sufficiency according to evaluation scales, for some the mobility of the amputated patient is essential or they take into account the general condition of the patient.
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The impact of the pandemic on the work of nurses in home care agencies
PAĎOURKOVÁ, Aneta
Current situation: Nurses working in home care agencies take care of clients in their natural home environment and are an integral part of healthcare. Their system of work was affected by the coronavirus SARS-CoV-2 pandemic. Nurses had to adhere to many extraordinary precautions and rules to prevent the spread of this infectious disease, whilst ensuring the ongoing care of their clients. It is important to note that the work of home care nurses was classified as a frontline service during the fight against the pandemic. Objectives: 1. To find out how home care agency nurses provided nursing care to their clients during the pandemic. 2. To determine the impact of the pandemic on the work of home care agency nurses. 3. To find out what crisis situations the nurses from home care agencies encountered during the pandemic. Methodology: The research part of the bachelor thesis was effected through qualitative research - asking questions. The data collection technique was semi-structured interviews. The obtained data were analyzed by applying the pencil and paper method, open coding. Five categories and 14 subcategories have been created on the basis of the data analysis. Research group: The research group consisted of 10 nurses working in 4 selected home care agencies in the Region of South Bohemia. Results of the work: The results show the influence of the covid-19 pandemic on the work of nurses in home care agencies during the pandemic. Particularly affected were the organization of the work and home visits. The nurses provided nursing care to the clients in the same way as before the pandemic, with the only difference being they wore personal protective equipment. From their subjective point of view, the care provided was of as high a standard as before the pandemic. The nurses also faced several specific crisis situations. Use in practice: The results can be used by non-medical students as well as practitioners of the nursing profession.
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Planning System for Healthcare Services
Schauer, Marek ; Beran, Vítězslav (referee) ; Kolář, Martin (advisor)
The information system presented in this work allows planning of nursing care and simplifies its implementation and reporting of care givers. The development of the information system was consulted with a real nursing service located in Bratislava - Karlova Ves. The system offers client records, care giver records, planning of caretaking with the possibility of exceptions and a unique reporting mechanism using geolocation and time stamps. The caretaking system was implemented using web technologies and it is possible to use the system independently of platforms or places. Introduced information system is possible to expand by creating plug-in modules. The goal was to create an application, which is easy to use and has user-friendly experience with the possibility of using in terrain.
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The immobile ill person at home
LANGOVÁ, Tereza
The aim of this thesis was to find out the most frequent problems of the immobile patients and the people who care about them at home. This thesis is divided in two parts. The first part is theoretical and the second part empirical, which is based on the scientific reasearch itself. The theoretical part contains the definition and the contents of the expression immobility and the immobility syndrome. Then we follow with the most frequent demonstrations of the immobility syndrome. In the next topic there are needs of the immobile patients and the family that cares about them, then we mentioned the help for the members of the family and the home care agencies. The part that is very important is the area of the surroundings of the immobile patients that need more attention. In the last section we mention the allowances for disabled people and the areas where the patients can find help. The empirical part of this thesis was based on the quality approach and with the assistance of the semi-structural dialogue. The dialogues were carried out with the immobile patients at their homes and the people who take care of them as well. The information we got were afterwards analysed and put in the tables. The results of the research showed the most frequent problems of the patients and the people who take care of them at home and that is non-sufficient awareness of the care at home and the help of the home care agencies, social services and some other kinds aids. Concerning the patients it was mainly the problem of hygiene, food, emptying, building amendments at home. It is very important to mention that all the problems mentioned by both sides patients and their helpers wouldn´t appear if they were sufficiently informed before leaving hospital and going home.
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Evaluation of life satisfaction of pensioners (healthcare institutions,homecare agencies, retirement houses)
FUJDLOVÁ, Radka
Theoretical concepts: The central topic of my thesis is the life satisfaction of the elderly, although this concept is perceived very subjectively. Moreover, it varies even in one person at different life stages and it depends on various circumstances and events that accompany people on their life journeys. However, experiencing satisfaction always requires the saturation of one's needs, physical ones as well as mental, social and spiritual ones. Most of the times, one is able to provide for their needs, or at least affect them, through their activities and their will, but the older ones grows, the more one becomes dependent on others in this respect. This task is usually taken in part by one's family members who are willing to help and take care of their close relative, but there also arise situations where one has to entrust themselves into the hands of health professionals, especially nurses. The nurses' tasks do not just include staffing surgeries, but it is necessary for them to pay attention to the individual needs of their clients. Importance of both these components of care is entirely equivalent, because treatment success depends largely on the psychological state, defined by the satisfaction of the clients' life needs, and, on the other hand, the measure a patients' well-being is strongly influenced by the state of their health depending on successful treatment. Professional care that their clients receive is often linked to the placement of the elderly in some health institutions; possibly there may be a situation when an elderly person stays in their home and receives care from field medical staff for only a few hours a day. In any case, the objective of such care, through whatever methods it is provided, should be to achieve the highest possible degree of satisfaction of elderly individuals. Objectives of the thesis: To find out about subjective evaluation of life satisfaction of the elderly depending on their age To find out about subjective evaluation of life satisfaction of the elderly depending on their sex To find out about subjective evaluation of life satisfaction of the elderly depending on institution type Hypotheses: H1: Men are more satisfied than women H2: Satisfaction of the elderly decreases as they grow older H3: The most satisfied are the elderly who use the services of ADP Methods: The method of quantitative research was used in the practical part. For this purpose, the reduced SQUALA standardized questionnaire was used. It had been transferred to interview form due to the age of the target group of the elderly. The obtained data was processed with Microsoft Office Excel and some calculations were made with the Statistica programme. Answers from one hundred respondents were obtained as part of the survey; the respondents came from South Bohemia, particularly from the Český Krumlov and České Budějovice regions. Three types of health care institutions were contacted: a home care agency, retirement homes and hospital aftercare wards. Fifteen elderly persons were obtained for cooperation in the home care agency, 39 persons in retirement homes and 46 persons in hospitals. Results: The results of the survey show that satisfaction of the elderly is most affected by the type of health institution used, i.e. by the environment in which they are provided with health care. Definitely the most satisfied are the people who use the services of the home care agency. On the other hand, age or sex did not play a significant role when evaluating life satisfaction. Conclusion: The importance of this thesis may lie mostly in the opportunity to use the acquired knowledge, regarding the satisfaction of the elderly and the factors that influence this satisfaction, to improve the quality of care provided by nurses and other health staff.
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Task of nurse in support of care about ill senior in a family
MRÁZOVÁ, Lucie
Old age is a natural part of our lives. Poetically, it is considered to be its autumn. Aging is a natural process and in nature it can be observed at every living creature. Everything is aging, and also we are becoming old. These days, longevity is an indicator of how much civilized each country is. As a result of quality health care and the development of society, people are living to higher age. These days, men are on average expected to live up to 79 years, women up to 74 years {--} figures that would have been considered unthinkable in the past. Taking into account these figures, several questions arise: Are we adequately prepared? Do we have, today, a system of care for the elderly to assure a respectable life for us and our parents in future? In the most ideal world, it would be the family or a close relative who would look after the old, ill or the person with limited self-sufficiency. However, this is a very demanding claim on family environment in these nervous and fast-pacing days. My bachelor thesis analyses the question of old age and all the problems it brings. I have attempted to look deeper into the role of a nurse in homecare. The practical part aims to map the role of a nurse in a home-based care and to determine her possibilities (on the basis of a questionnaire technique) in treating the elderly with health problems at home. Another partial goal of this thesis is to ascertain what needs do the ill elderly people have at home and in what ways can the nurse satisfy these needs, and to determine the physical and social strain it creates on the caregiver. After analyzing the results, my conclusion is as follows: The role of a non-professional caregiver is very significant. Family has and will always have an irreplaceable place in the care for its dependant members. There is no way any medical organization can replace the role of a family in the care for its ill family members. Care, especially long-term care, can be both mentally and physically demanding and puts an enormous strain on the caregiver. Caregivers are threatened by the deterioration of family ties, loss of friends, limited social contacts leading up to social isolation, they are prone to suffer from health problems and, in many cases, great exhaustion. The solution is to make use of a home-based care: professional nursing care provided by professional nurses. The purpose of a home-based care is to leave the patient in his/her home environment as long as possible and, at the same time, to provide professional nursing care. This care is complementary to family care; the nurse is helping the caregiver - family member. Based on my analysis, it's a very gratifying fact that nurses working in this line of work provide it gladly and with loving care. The care for the elderly is based on the principle of gratefulness, love, on the principle of sharing mutual feelings and the joys of small improvements. If we manage to increase the quality of life of caregivers with an adequate help, we will also enable the elderly or ill people to lead a contended and better quality life.
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