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Drop-out of patients with substance addiction from hospital treatment
Korbová, Markéta ; Kalina, Kamil (advisor) ; Libra, Jiří (referee)
Background: The drop-out phenomenon is a common occurrence in addiction treatment, despite playing one of the most crucial roles in achieving desired treatment outcomes for addiction. The issue of drop-out is associated with both the healthcare facility and the patient, making it necessary to examine risk factors and learn how to respond to them. Aims: The aim of this study is to map and describe the factors that led patients in medium-term residential treatment to prematurely terminate treatment at their own request. The specific objectives are to assess the treatment program's design from the perspective of both patients and members of the therapeutic team, focus on patient needs, describe common characteristics of these patients, and identify potential interventions suitable for the treatment adaptation phase. Methods: Data were collected using a qualitative method of semi-structured interviews. Interviews were conducted with respondents who met the selection criteria, including patients and members of the therapeutic team. The research sample consisted of a total of 11 respondents. Results: Premature termination of treatment is caused by a combination of various factors, including personal, family, organizational, and socio-economic factors. Improvements in individualized patient care,...
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How to meet needs of seniors in hospital care.
Bláhová, Hana ; Holmerová, Iva (advisor) ; Macková, Marie (referee) ; Kisvetrová, Helena (referee)
The submitted dissertation of the PhD study programme Longevity Studies was prepared and financially supported by the project GAUK - Grant Agency of Charles University No. 760219 entitled "Met and Unmet Needs Of Particularly Vulnerable Older Patients in Home and Inpatient Care", of which I am a co-investigator. The mentioned research project is also in the intentions of the strategic plan and long-term activities of the research team CELLO (Center for the Study of Longevity and Long-Term Care), which is the scientific basis of the PhD study programme Longevity Studies. The main goal of the GAUK project is to provide a comprehensive overview of the needs of vulnerable older patients who are provided health care. The project is focused on three areas, which are: the needs of patients with dementia, the needs of geriatric patients at home and the needs of geriatric patients in hospital care. Partial goals are the exploration of current knowledge of the issue based on a review of Czech and foreign literature. The aim of the survey is to find out attitudes and opinions on satisfying needs from the perspective of patients and healthcare professionals. The practical goal is to create recommendations for good practice for the health care of these patients. The dissertation consists of a total of seven...
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Meeting the needs of foreign in-patient at the isolation unit of tuberculosis treatment according to the principles of the holism.
STRNKOVÁ, Romana
Abstract:Even today tuberculosis is a major health problem all round the world. The Czech Republic belongs among countries with low incidence of tuberculosis these days. In recent years the representation of foreigners in the total number of patients suffering from tuberculosis in our country has been increasing due to migration. In practice this results in the increase of number of foreigners hospitalized at isolation wards ? units for treating tuberculosis. Due to differences concerning culture, language, eating habits, customs, rituals and traditions, the stay at the isolation ward is for those patients traumatic experience for those patients. Hence, the thesis deals with the issue of meeting the needs of patients ? foreigners hospitalized at isolation ward for treating tuberculosis according to holistic principles. Two objectives were set at the very beginning. The first objective was to find out whether the needs of patients- foreigners hospitalized at isolation wards are met according to holistic principles. The other objective was to find out whether there are differences in the patients´- foreigners´ perception of the hospital environment. The theoretical part deals with holistic approach in patients care, present multicultural nursing, communication in providing nursing care, specificities of nursing at isolation ward and cultural specificities of hospitalized patients. The research part is based on qualitative data collection. An interview, observation and content data analysis were the methods applied in the research. The research set consisted of 5 patients-foreigners, who were hospitalized at isolation wards for treating tuberculosis in Hospital of České Budějovice, plc. and in the Lung Hospital in Humpolec. On the basis of information collected from patients during interviews, case histories were completed and these histories say that during hospitalization patient?s ? foreigner?s needs are met according to holistic principles. However, meeting the needs is to some extend influenced by the necessity to follow hygienic - epidemiological standards, relating to specificities of the ward operation. The environment of the isolation ward is perceived by the patients ? foreigners, due to the cultural and language differences, very intensively. Hospitalization, where these people are in a foreign country isolated from their relatives and friends, influences their behaviour, perception and reactions in a negative way. Language barrier makes the problem even worse. We are able to provide multicultural friendly care respecting opinions, traditions, habits and cultural specificities of an individual and non- traumatic adaptation to new environment in hospital.
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