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The attitude of nursing branch students at South Bohemia University - Health Care and Social Studies Faculty to paliative care.
MAŠKOVÁ, Vlasta
Thesis title: Approach to palliative care among nursing care students of the Faculty of Health and Social Studies of the South Bohemian University. This bachelor thesis is dedicated to students undergoing their practical training in St. Jan Nepomuk Neumann Hospice in Prachatice. I decided to choose this topic for several reasons. Hospices are often discussed nowadays, they are massively publicized and numerous charity events are held for hospices. Nevertheless people do not have confidence in hospices, they are afraid of them. This might be the first reason. The other one is my own experience with students coming to the hospice for their practical training. I work in the hospice as a ward sister and am in everyday contact with the students. Unfortunately most of the students are persuaded at the beginning of their training that death comes every day to this ?house?. They have fear and cannot imagine how to cope with this situation during a fortnight stay?! The aim of our research was to find out whether the present studies influence the attitudes to the incurably ill among the students. Whether their attitudes change after the theoretical and practical training. We set two basic questions to reach the goal. 1: How does theoretical schooling of palliative care influence the attitudes of students to the care for the incurably ill in the hospice? 2: How does practical training of palliative care influence the attitudes of students to the care for the incurably ill in the hospice? The research was implemented in two phases: before the start of theoretical schooling of palliative care and after the practical training in the hospice. We used the experiment method; a deep interview with student was the questioning technique. The research sample consisted of 5 full-time students of the Faculty of Health and Social Studies of the South Bohemian University, specialization of general nurse. After processing the responses we found out that the attitude to the care for the dying had not changed a lot after theoretical schooling. The students feel lack of theoretical information that would help them eliminate the fear of unknown situation, fear of pain, fear of everyday confrontation with death and dying people. They also do not feel prepared for communication with the close relatives of the dying people. They are convinced that there is not enough time for such a complicated topic like care for incurably ill people in the schooling. Practical training in the hospice changes the attitudes of the students to the incurably ill. They were provided more information on the palliative-hospice care. They assess their own attitudes to the care of the terminally ill more positively and they no longer talk about fear and uncertainty. They would like to have more personal experience with communication with the patients and their families. The goal of the research was met. The present studies do influence students? attitudes to palliative care of the incurably ill in a hospice. However the fear of this not really new field still prevails. Changes only occur after practical training. The research results may be used for grasping the students? feelings, for possible modification of the didactics and methodology of theoretical and practical training in palliative care. The elaborated informational brochure might also help students choose practical placement and make the start of the practical training in an inpatient hospice easier.
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