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Formation of Nursing Documentation and its Usage in the Home for Seniors Chýnov
CHAMROVÁ, Anna
Nursing documentation is becoming an important part of the medical documentation and it is an integral part of the nursing process in the homes for seniors too. The theoretical part of the Bachelor thesis ``Formation of Nursing Documentation and its Usage in the Home for Seniors Chýnov{\crqq} contains chapters concerning the nursing process and nursing documentation. Further this part deals with the characteristics of the Home for Seniors Chýnov and with the specific problems and needs of geriatric clients in particular the clients suffering from Alzheimer dementia. The target of the work is to make nursing documentation in the Home for Seniors Chýnov, to apply it in this establishment and to find out whether the availability of this documentation influences the holistic attitude of nurses to the client. The first stage of the research part involved formation of the new documentation and its application in the Home for Seniors. The respondents had an opportunity to work with the documentation in the months of January and February 2010. In the second part we tried to survey opinions of the respondents of the made documentation. Four research questions were preceding the research. Research question number 1: Shall the nurses working in the Home for Seniors Chýnov accept the newly made documentation as a part of the medical documentation? Research question number 2: Shall the nurses working in the Home for Seniors Chýnov refer to time consuming work with the documentation? Research question number 3: Has the new documentation influenced communication among the members of the nursing staff? Research question number 4: Shall the newly made documentation contribute to the change of the nurses´ opinion of the patients from the holistic philosophy point of view? To fulfil the set aims there was carried out the qualitative research using the method of questioning and semi-standardized interview. The research set consisted of 7 respondents (general nurses) working in this establishment. Considering the research results we suppose that the work target has been fulfilled. The research has proved that the newly made documentation has improved communication among the members of the nursing team and the nurses have accepted it as a part of the medical documentation. The aim of the work was making a quality nursing documentation which should be simple, not time consuming and which should be focused on specific needs of the clients of the Home for Seniors Chýnov. The thesis has practical contribution.
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History and the present of nurses´ education in the South Bohemia
HUBOVÁ, Vilma
Modern nursing has its roots in the past. It has undergone an enormous change moving from the original tending approach of sick-nursing to organized activities based on professional training of nurses. This study gives a historical account of the nursing development from 1945 to the present and describes the opportunities of nurse training. The aim was to describe the development of nurse education in the Region of South Bohemia in individual periods of time. It is a qualitative research using the secondary data analysis method and depth interviews with a number of nurses who graduated from nursing schools in the fifties and the sixties of the last century. The study shows the development of nurse education in the Region of South Bohemia until 1989 and continues with describing the innovation of educational programmes in nursing schools after 1989. It analyses syllabuses of nursing schools in the past and compares them to the present ones. The study shows how the nurse education has developed from the past to the present. It compares and presents opportunities of persons who are interested in nursing studies and also compares the contents of curricula. It is a historically comparative study.
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Motivation for education of healthcare assistants with regard to their future practice
ŠMÍDOVÁ, Jaroslava
After accession to the European Union and adoption of Act No. 96/2004 Collection, on non-medical healthcare professions, changes occurred, which concern mainly nurses. These changes affect mainly administration and competences of the nurses. The act currently differentiates between and defines the procedures of secondary educated staff as procedures without special supervision and procedures with special supervision, and also defines the process for obtaining the certificate for the performance of a profession without special supervision based on the credit system. In practise this means that if the health care assistant does not achieve a higher or university level education, he/she cannot work independently without any special supervision. And it is the interpretation of the term without special supervision and with special supervision that is the subject of discussion. The nurses refuse to be responsible for the work of somebody else and present this attitude openly. The main goal of this bachelor thesis is to find out what motivates current healthcare assistants to work in healthcare and what their approach to education is, which should be an integral part of their life. There was also a discussion as to whether the information about the speciality, provided to basic school children, is appropriate for such a life-long decision as the selection of occupation. There were two hypotheses established during the investigation. H1: The pupils of the basic schools have no information about studying in Nursing Schools, H2: The students are motivated for further education and H3: The graduates of the Nursing Schools want to study in order to improve their qualification in the higher level schools. Based on a questionnaire, all established hypotheses were confirmed and the goal of the thesis was accomplished. The research was therefore successful. Obtained information may be used mainly for improving the approach while providing information to the pupils in the basic schools before their decision about the choice of profession, since the education advisers are interested in the results obtained. For teachers in the secondary schools, this knowledge will be useful to improve motivation of students for future professions
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Incorporation of university graduated nurses into the multidisciplinary team.
MINAŘÍK, Martin
My bachelor thesis {\clqq}Integration of university-educated nurses into multidisciplinary teams``deals with integration of nurses into working teams where such cooperation takes place. The theoretical part of the thesis refers to the history of nursing, the today´s conditions for this profession, roles played by nurses and relations they have to cope with. The thesis outlines the concepts of team, medical multidisciplinary team and advantages of multidisciplinarity. It also points to potential pathological phenomena in case of poor acceptance and cooperation. University-educated nurses have been working in various departments as members of nursing teams, as well as multidisciplinary teams. The first objective of my thesis was to find out whether university-educated nurses are included into multidisciplinary teams. The second objective of my thesis was to find out how the university-educated nurses are accepted by medical doctors. A quantitative method using anonymous questionnaires was used to collect the data and to meet the established objectives; the questionnaire was developed based on information obtained from professional literature and it was divided into two sections. The first section contained questions for all members of the multidisciplinary teams and the other section was intended specifically for the university-educated nurses. The results of the quantitative survey have shown that university-educated nurses have been included into teams, i.e. the hypothesis - The university-educated nurses are included into multidisciplinary teams - has been confirmed. The second hypothesis {--} The university-educated nurses are not accepted by medical doctors - has been also confirmed. On the contrary, the third hypothesis - University-educated nurses are accepted by nurses with secondary education - has not been confirmed.Results of this thesis may be used by the higher and top management of the surveyed hospital and they should be also used for improvement of care of the clients.
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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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The role of educative nurse in the infectious diseases ward
PŘITASILOVÁ, Vladimíra
One of very important competences of nurses is educational activity. This research is focused on the educational activity pursued by nurses in isolation wards {--} how the nurses perform the educational activity, in what manners the activity is conducted and what problems inhibit nurses from performing the activity. It also examines clients{\crq} awareness and their opinions on the information provided by nurses. The objective of the thesis was to ascertain implementation of the educational process in isolation wards {--} to ascertain clients{\crq} awareness of the care of their health in isolation wards and to ascertain preparedness of nurses to perform the educational activity. In order to fulfill this objective and to confirm hypotheses, a quantitative research using the method of examination through questionnaires was applied. Two questionnaires were drawn up: one for the recipients of the educational activity {--} patients/clients and the other one for the providers of the educational activity {--} nurses. The examination through questionnaires was undertaken by 177 informants of which 96 were patients/clients and 81 nurses. The data were processed by way of the descriptive statistics using diagrams. The research was conducted in five hospitals. Three hypotheses were raised. Nurses working in isolation wards perform the educational activity. Clients of isolation wards are informed about the care for their health. A general nurse of an isolation ward possesses skills to perform the educational role. All the three hypotheses have been confirmed on the basis of the implementation and the analysis of the research. It follows from the data analysis that the educational activity pursued by nurses is important. A positive finding is that the nurses working in isolation wards implement the educational process, feel the need of further training in the area of education and communication, and are interested in application of their competences also in particular areas of the work with HIV-positive clients and with the clients suffering from chronic infectious hepatitis. It is obvious from the research that the objectives that had been set have been attained. It is necessary to address the topic henceforth since some problems have appeared in the educational process, hindering nurses from performing the educational activity. These are insufficient spatial, time and material conditions that can be solved through the proposed organizational and personnel measures.
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Problematic of fluctuation of nurses
PAVLÍKOVÁ, Lenka
Abstract High turnover of nurses is a hot topic in the Czech Republic. There is a shortage of general nurses in health care facilities. This research is engaged on the reason why nurses are discontented and give up their jobs in health care services. The aim of this paper is to find out the reason for the high turnover of nurses. I used a quantitative research by means of a questionnaire survey to fulfil this aim. The questionnaire contained 35 questions, 26 of which were closed and 9 of which were semi-open. 134 respondents participated in this questionnaire survey. The data were processed by descriptive statistics by means of charts. It follows from the data analysis that nurses turnover is influenced by continuous operation. Wide offer of jobs on the job market, too, affects the high turnover of nurses. Moreover, managers of health care facilities do not take appropriate measures to prevent the staff fluctuation. It results from the research that it is necessary to keep paying attention to this matter. We have mapped out several spheres in our research which are, according to our opinions, narrowly associated with this theme. Our research is based on the theoretic part of this paper. The present paper contributes to mapping out the situation in health care facilities from the point of view of general nurses, leading to increased turnover and lack of staff. The research also shows that there will be sufficient number of nurses if hospital managements are more interested in what their nurses are concerned about and why they cannot exercise their profession and help them out to the highest possible extent. This paper can serve as a matter of consideration for nurses themselves, ward sisters, staff nurses, managements of health care facilities, as well as students of nursing.
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Problematics of General Nurses in Health Service
BABKA, Jakub
Currently, nursing is mostly taken as a profession for women with the title generel nurse. According to the Law of the Ministry of Health of the Czech Republic Nr. 96/2004 Sb. Is the man who successfully completed degree course nurse, would be called a general attendant. Therefore was for processing selected work entitled Problems of general nursing in health care. In the theoretical part of it is elaborated in detail their involvement in the care of patients from past to present. Next, there are mentioned competence of general attendant in the theoretical part, nursing as an independent science and syndrome of burnout. The aim of the work was to determine patients satisfaction with general attendant, to determine which departments give priority general nurses and identify problems of general attendants. Based on it, they were established four hypotheses and one research question. H I: General attendants better handle physically demanding work than the nurses. H II: Patients give priority general attendants to general nurses in wards for male patients. H III: General attendants in urgent wards more often then in the standard wards work. H IV: Patients perceive positively general attendants in the hospital. Research question: What problems have general attendants? Investigation was carried out by means of questionnaires and interviews. Questionnaires were addressed to patients, in the wards where general attendants work, in hospital in Písek, Prachatice, České Budějovice and Český Krumlov. Interview were made with 11 general attendants working in different wards of chosen hospitals. The questionnaire showed results that the general attendants better handle physically demanding work in a hospital and he is perceived positively. It follows that the hypothesis number 1 and 4 were confirmed. Interviews with general attendants pointed out that the general nurse works on the department of emergency care more frequently that on the standard wards. This confirms our hypothesis H3. It is obvious that the biggest problem is the designation of men in the field of general nurse as a general nurse. This designation is considered degrading. Other problems include dissatisfaction with the financial rewards and administration. We can draw following conlusions and hypotheses: 1) The biggest perceived problem is a general indication of the nursing profession, 2) general attendants are dissatisfied with their financial rewards; 3) General administrative work abstains general attendants of exercise of their profession. Work should help in resolution and answer of problem of general attendants, open wider and fruitful discussion. If it is possible.
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