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Dignity and ethics in the designated aspects of nursing applied in care homes for the elderly
HLINŠŤÁKOVÁ, Lucie
This thesis deals with the dignity and ethical aspects in the areas of communication with the elderly; dignified approach towards the clients during the hygienic care; and dignified approach towards the clients when serving meals and drinks in a specific care home with nursing. There were three objectives chosen for the purpose of the qualitative research of this thesis. The first objective focuses on monitoring how the dignity is maintained in communication with the elderly; the second objective focuses on monitoring how the dignity is maintained when providing hygienic care for the elderly; and the final objective focuses on monitoring how the dignity is maintained when providing the nutrition and drink scheme care for the elderly. There were three research questions established to meet the objectives of the qualitative research of this thesis. The first research question: "What elements of dignified communication are used by nurses during communication with the elderly?" The second research question: "What elements of dignified care are used by nurses when providing hygienic care?" The final third question: "What elements of dignified care are used by nurses when providing nutrition care for the elderly?" The thesis consists of two parts: theoretical and practical. The theoretical part defines the basis of dignity and ethics; as well as three other areas, such as the communication with the elderly, hygienic care and appropriate application of nourishment and drinking scheme. Data callected for the empirical part are based on the qualitative research using techniques of covert and overt observation followed by semi-structured interviews. Research respondent group consisted of five nurses previously chosen by the director of the care home with nursing. The research showed that the approach of nurses towards the clients was not always with dignity. The aim of the covert and overt observation was to understand whether the nurses were aware of their behaviour. The outcome of the empirical part show that nurses who did not treat the clients with dignity and ethically, were aware of their behaviour. The output of the diploma thesis is a forthcoming article describing particular issues and findings of the research in this thesis.
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Perception of patient privacy
HOFREITEROVÁ, Anna
The bachelor's thesis dealt with the issue of patient privacy in hospital facilities. The aim of this work was to find out how patients hospitalized in the inpatient ward perceive privacy, how nurses perceived patient privacy and in what ways nurses ensured the privacy of patients in the inpatient ward. Three research questions were set to investigate how patients hospitalized in an inpatient ward perceive privacy. Furthermore, they focused on the nurses' view of the perception of patient privacy and the ways in which nurses ensure the privacy of patients hospitalized in the inpatient ward. In the theoretical part, the work defines basic terms related to patient privacy, such as the duty of confidentiality, providing information with the patient's consent, providing information without the patient's consent, patients' rights, medical documentation, human needs and ensuring the privacy of patients during selected nursing procedures. In order to achieve the goal, the qualitative research method, the interview method and the semi-structured interview technique were used for patients hospitalized in the internal inpatient ward and for the nurses caring for these patients, as well as for patients hospitalized in the surgical inpatient ward and for the nurses caring for these patients. The research sample consisted of 6 patients and 5 nurses. The results of the obtained data led to the finding that the nurses had adequate knowledge regarding the issue of dealing with sensitive patient information. Nurses had adequate knowledge of procedures to protect patient privacy, although not all nurses used these procedures in practice. The research investigation further revealed that patients hospitalized in inpatient wards often did not think about their own privacy in the hospital environment, and the issue of privacy was a problematic and difficult topic for them to talk about. If the management of the investigated hospital is interested in the results of the investigation, they will be provided with them.
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Communication with elderly people with dementia in nursing care
Novotná, Michaela ; Kutnohorská, Jana (advisor) ; Vachková, Eva (referee)
Institution: Charles University in Prague, Faculty of Medicine in Hradec Králové Department of Non-Medical Studies Title: Communication with elderly people with dementia in nursing care Supervisor: doc. PhDr. Jana Kutnohorská, CSc. Number of pages: 107 Number of appendices: 15 Year of defense: 2023 Keywords: Communication, elderly, dementia, ethics, dignity, nursing staff, nursing care, burnout syndrome Bachelor thesis focuses on the communication of nursing staff with elderly people with dementia in nursing care. It deals with communication with respect to human dignity, and also looks at the prevention of burnout syndrome. The basis of the bachelor's thesis is a quantitative research on the way of communication of nursing staff with elderly people with dementia syndrome and methods of staff's respite from work. The personnel studied are direct nursing care workers in hospitals and homes for the elderly in a total of 11 facilities (4 hospitals and 7 homes for the elderly) in the Hradec Králové region.
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Coaching as a profession: bases for professional ethics of coaching and reflection on selected topics
Červenka Kocourková, Karolína ; Jinek, Jakub (advisor) ; Sousedík, Prokop (referee)
This diploma thesis presents coaching as an independent profession. It shows that it is not just a method of training, counseling or employee management, which would then follow the ethics of the fields in which it is applied, but that coaching is a profession that has its own methodology, research and practice, during which atise a specific ethical issues, and this diploma thesis will focus on selected ones. The first part deals with the issue of the concept of coaching. Based on the definition of coaching and its historical development, it tries to distinguish coaching from psychotherapy, mentoring, counseling and also from sports coaching. It examines the etymology of the word coach, whether there is any more suitable Czech equivalent of this profession designation, which is closely connected primarily with the sports environment. It tries to define the professional base of coaching, to find its position among the helping professions, to show its independence and thus to obtain starting points for future ethical reflections. In the second part of the diploma thesis, the paradigm of the coach- client relationship is determined, the coach's professional competencies and assumptions on the client's side are defined. It also presents ethical issues that are specific to the coaching profession. These...
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Ethics in Social Work
POLÁČKOVÁ, Radka
The thesis deal with the theme of death and dying. Above all, it focuses on the ethical issues of palliative care oriented to quality of life for terminal patients. The main goal is to formulate ethical principles of care, reflections on the ethics of care for patients with terminal illnesses and difining ethical problems and dilemmas associated with the process of dying.
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Respect to human dignity as a baseline of the quality of social work with people with mental illness
PODLIPNÁ, Martina
The thesis deals with the quality of mental health care, key aspect of which is the respect of human dignity. The first part characterizes the ethical and legal basis of human dignity. Further, it summarizes the ethical principles regarding human dignity formulated in codes of ethics of the particular professions represented in a multidisciplinary team providing services to people with mental illness. The next part describes selected approaches to this target group - the medical and rehabilitation models of treatment in particular. After that, the recovery approach is introduced. Recovery from mental illness is approached as a psychological process, in which people strive for a dignified life. This process has four fluid stages - hope, empowerment, self-responsibility and having a meaningful role in life. The final part discusses the contributions and difficulties of recovery approach in connection with dignity of people with mental illness. This approach fulfils the fundamental requirement of quality of social work, which is the respect to human dignity. The potential difficulties do not come from the principles of the recovery approach, but from its possible wrong implementation.
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The issue of death and dying from the perspective of the paramedic
RŮŽIČKOVÁ, Tereza
This bachelor thesis is titled The Issues of Death and Dying from the Perspective of a Paramedic. The topic of death and dying has always been a part of human life, especially in health care. The views on death and its definition have been constantly changing throughout the centuries, as there was a change in the care for the dying. Death is omnipresent and the paramedic is expected to cope with it, accept it, or else talk about it. At the same time the paramedic has to act professionally during difficult responses in the field, he or she is expected to act humane and with respect towards the patient or the grieving. The main goal of the thesis was to determine how the paramedics perceive the issue of death and dying in the conditions of pre-hospital medical care (PMC), and also to compare their experience in these conditions. Through this goal were then set down questions for this study: What are the experiences of paramedics with death and dying in the conditions of pre-hospital medical care? How do they perceive the issue of death and dying in these conditions? The thesis is divided into the theoretical and practical part. In the theoretical part is concerned with definitions of death and dying, their history and ethical level. Death and dying are then described when happening directly in the of pre-hospital medical care, their specifics, and also the position of paramedics themselves. In the more extensive, empirical part of the thesis there was employed a qualitative inquiry with the use of semi-structured interview with paramedics working at a previously chosen centre of emergency medical services. Acquired responses were analyzed by using the method of open coding and categorization. The data were interpreted by a technique of card sorting. The inquiry provided answers for both of the research questions. We compared the experiences of paramedics with the given issues and interpreted their perception of death in PMC. The results express that paramedics consider the course of dying in pre-hospital medical care more problematic than the death itself. Also, the majority of paramedics agree that the most mentally challenging are the medical responses involving children, especially their resuscitation. The results of the analysis also showed that paramedics after finishing their studies did not feel informed and educated enough in the field of death and palliative medicine. The thesis thus may serve as a supplementary educational material for students of final years of the paramedic study programme. The results may also serve as a foundation for a more profound studies or inquiries.
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The nurse's work in the care of the patient in the terminal stage.
LAŠKOVÁ, Vendula
The bachelor thesis submitted deals with the topic of palliative treatment of dying people. Its aim is to map the approaches used by nurses during palliative treatment of dying patients admitted either to hospitals for long-term patients (LDN) or to inpatient hospices. This work explores the differences in treatment and in meeting the requirements of these hospitals. Three research questions were identified in the present work: 1. "How does a nurse take care of patient's biological needs when he/she is effectively dying?" 2. "How does the nurse take care of patient 's psychological and spiritual requirements?" 3. "How does the nurse take care of patient's social needs?" The research part was conducted methodologically and qualitatively by using the technique of semi-structured interviews with nurses who work either in LDNs or in inpatient hospices. The interviews were steered on the basis of a prepared questionnaire. The research group consisted of a total of sixteen nurses. The interviews were recorded and subsequently typed. The gained data yielded evidence that was put it through the coding method (via "pencil and paper" technique) in order to obtained the categorized results. Based on the obtained information, the research shows the differences in terms of treatment provided in hospitals for long-term patients (LDN) and in inpatient hospices. Whereas LDN nurses are focused primarily on patients' biological needs, nurses in inpatient hospices, apart from providing the biological needs of patients, focus more on spiritual and psychosocial requirements. Another difference can be seen in the individual approach to patients provided adequately in inpatient hospice. This difference is justified by LDN nurses' saying that they have to look after a large number of patients while facing a lack of medical staff. Despite the difficult conditions, LDN nurses try to ensure that this lack of staff is not reflected in their work. Clearly, many of them take their work as a mission. The bachelor thesis can be a source of information for both nursing students and nurses. A brochure has been created that can help nurses work with patients who are terminally ill.
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The subjective view of nurses on the issue of dignified dying
FORMÁNKOVÁ, Kateřina
This bachelor's thesis deals with dignified dying from the subjective point of view of nurses. Whether it is possible to die with dignity in the hospital. What is important to ensure a dignified death. Which factors affect the quality of care for dying people. What are the needs of dying people. Furthermore, the attitudes of nurses to education in this area and also to the creation of palliative teams in hospitals. The empiric part is in the form of a qualitative research with the use of a semistructured interview. The focus group was made of 9 nurses working on hospital wards.
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