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Education of mothers about breastfeeding at the general practitioner for children and adolescents.
BEŇOVÁ, Aneta
Introduction: This bachelor's thesis is concerned with maternal breastfeeding education in a general practitioner for children and adolescents. Breast milk is the most natural food for the baby if the mother has a proper lifestyle. It also contains all the essential vitamins, nutrients and minerals that a baby needs for healthy development. Breastfeeding is a complex process and mothers are discharged to the home environment very early, thus there is little time for education during hospitalization. After discharge from the hospital, the educational process about the newborn is passed on to the paediatric nurse and the paediatric and adolescent general practitioner, which includes breastfeeding. The aim of the education is that the mother is informed about both theoretical knowledge and appropriate practical practices about breastfeeding. Objectives: The first objective was to find out how nurses at the general practitioner for children and adolescents educate mothers about breastfeeding. The second aim was to find out how mothers are satisfied with the education provided by the nurse practitioner for children and adolescents. Results: The study revealed that nurses most often educate mothers using verbal, practical and written methods. Mothers are most often educated during preventive check-ups, in the nursing clinics or individually according to the mother's needs. Furthermore, the research showed that four mothers out of eleven were not satisfied with the education. Then, the research showed that re-education for mothers who have a second child is lacking or insufficient because nurses assume they already know everything, but two mothers were satisfied. The reassurance given to them by the nurses was sufficient. One mother was not re-educated and another mother of two was partially re-educated. Furthermore, the research shows that two first-time mothers were satisfied with the nurse's breastfeeding education and another mother who had her first child rated her education as sufficient. Conclusion: Our research shows that there are differences in the statements of the two research groups regarding maternal education by the nurse at the GP for children and adolescents. This issue should be further addressed to avoid negative experiences of nurse education about breastfeeding at the paediatric and adolescent GP, and to ensure that more mothers continue breastfeeding after discharge from hospital. This undergraduate thesis can contribute to improving maternal breastfeeding education by nurses at the GP for children and adolescents and the results will be presented at the Lactation League conference.
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Problems of Autism Spectrum Disorders from the perspective of pediatricians
VLÁŠKOVÁ, Lenka
This bachelor thesis deals with the issue of autism spectrum disorders from the perspective of pediatricians. The aim of this thesis is to identify how general practitioners for children and adolescents in the South Bohemia region carry out screening for early detection of autism spectrum disorders in their practices and how they proceed in case of a positive result. The sub-objective was to find out what general practitioners for children and adolescents see as the biggest problem in the diagnostic process for these children. The thesis is divided into two parts - theoretical and practical. The first chapter of the theoretical part is devoted to individual autism spectrum disorders, the second chapter explains the so-called "triad" of problem areas, the third describes screening and diagnostic tools, and the last chapter focuses on the possibilities of care for individuals with autism spectrum disorders. The practical part is conducted through qualitative research and semi-structured interviews were used to collect data from pediatric and adolescent general practitioners. Furthermore, two case studies of children with autism spectrum disorder are presented in this part. Semi-structured interviews with parents and educational staff and a desk study were also used to collect data for the case studies. The data obtained show that general practitioners for children and adolescents perform screening for early detection of autism spectrum disorders during regular preventive examinations at 18 months of the child and repeat the screening again after six months in case of a positive result. Child and adolescent practitioners see the biggest problem in the diagnostic process as the lack of specialists to follow up their work.
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Primary care from the point of view of a pediatric nurse working at a general practitioner for children and adolescents
TLAČILOVÁ, Tereza
This bachelor's thesis deals with primary care from the perspective of a pediatric nurse working in a general practitioner for children and adolescents. Our aim was to find out the specifics of the work of primary care nurses and their collaboration with parents of children during preventive checkups.The theoretical part focuses on the definition of the term primary care in pediatrics, regular preventive checkups, the job description of the primary care nurse, and educational and communication skills. Our aim was to find out the specifics of the work of primary care nurses and their collaboration with parents of children during preventive checkups. The practical part was developed in the form of a qualitative investigation using a semi-structured interview technique with non-medical staff in a general practitioner's office for children and adolescents
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