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Nurse and her work in prison system of the Czech Republic.
KRÁLOVÁ, Michaela
Abstract The title of the Bachelor´s thesis is "The nurse and her work in the prison service of the Czech Republic. The nurse´s work always starts from the patient´s needs and shall provide the patient with the feeling of surety. The nurse´s work is focused not only on the nursing care but also on the support of the health and healthy living standard. It is a set of measures and particular activities which the nurse carries out, is qualified to carry them out and is responsible for them. The nursing care depends entirely upon the patient's condition and the surroundings where the patient is found. It is beneficial for the nurse working in the prison service to have experience in more nursing specialisations as her work is large-scale and the nursing care is not just focused on one body organ and its associated complications. The main objective was to map out the specifics of the work of the nurse working in the prison service of the Czech Republic whether within outpatient or inpatient wards. We were interested in what had motivated the nurses to work in the prison service of the Czech Republic, what her duties were and how the nursing care was carried out in the prison service of the Czech Republic. The research was done using qualitative research methods. The selected research technique was a semi-structured interview, which was developed based on valid standards and legislation and according to specialized literature related to the problems of the prison service of the Czech Republic. The results of the interviews were analysed by means of casuistries which then became the base for categorised charts and graphs. The research sample composed of six respondents who work as a general nurse in the prison service of the Czech Republic. By means of the research, we found out that the interviewed nurses work in compliance with valid standards and legislation. The nursing care is carried out in the form of a nursing process and the work of the interviewed nurses working in the prison service of the Czech Republic has its own specifics and differs especially in the approach to the prisoner/patient and in the communication with him/her. The most frequent specific facts of the work of the interviewed nurses were accompanying the prison service officers whether accompanying the respondents or a prisoner/patient, day-and-night locking, more administrative work. The motivation of the nurses to work in the prison service appeared to be an interesting salary, new experience and curiosity. The job description of the interviewed nurses in the prison service of the Czech Republic is defined by a given specialisation of a particular facility and internal rules of the facility where the interviewed nurses work. The thesis concluded that the interviewed nurses working in the prison service of the Czech Republic have got a different and specific job which is mainly influenced by the structure of the patients and the surroundings where the patients are located. It is a mentally-demanding job. In practice the results of the research could be used at the specialised conference for non-medical professions in healthcare or published in a specialised journal of health care.
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Stigmatization using identification bracelets from the view of patients
NOVÁKOVÁ, Lada
The Bachelor Thesis is focused on stigmatization from the perspective of patients as well as nurses and their view on the use of identification bracelets in the process of providing nursing care. Stigmatization is based on certain distinctness. The identification bracelet is functioning here as an element of distinctness from a given standard; accordingly, it can be understood as a stigma. The aim of the work was to map what is the very attitude of patients towards the attached identification bracelet including recorded data, colour dot differentiation, and at the same time to find out what is the most frequent reason stated by nurses when fixing the identification bracelet to patient. At the same time, functional check of identification bracelets has been monitored, and also whether the staff performs identification of patients using these bracelets. Another aim was to find out whether nurses know and use the methodical guideline dealing with problems of patient identification including assigned procedures. Last but not least, it has been mapped which risky activities connected with providing nurses' care are considered by both groups to be priority in relation to exact patient identification. Also, whether the risk of mistake in provided care can be reduced by verification of identity by means of properly labelled bracelets. The data have been obtained during a qualitative survey from two different non-standardized interviews. One type of interview was conducted with ten randomly selected patients of department of neurology and department of surgery at the given hospital facility and the other type of interview was conducted with ten randomly selected nurses from these departments. Qualitative investigation ascertained how patients themselves perceive the attached identification bracelet including inscribed data, how the reason for color dot differentiation was explained to them, how checking of bracelets regarding their functionality is performed, and what other means are used by nurses to verify identity of the patient. Furthermore, attitude of nurses to carrying out the check of bracelets, their possible replacement if damaged, and knowledge of the recommended methodological guideline was determined. Subsequently, it was determined which procedures or practices are regarded by respondents as high-risk in relation to the correct patient identification and the possibility of certain mistake. Aims of this work have been fulfilled. The results obtained in the investigation will be provided to individual departments where the investigation was performed and at the same time they can be a source of information for the management of the given hospital facility within the framework of monitoring of compliance with managed documentation. An appropriate solution would be to organize educational event for all members of the nursing team on the topic of the safe patient identification and his/her education in the process of using identification bracelets.
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