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Falls as an Indicator of Quality of Care in Social Organization
Widenská, Kristina ; Furmaníková, Lada (advisor) ; Procházková, Martina (referee)
The diploma thesis deals with the issue of falls among the elderly placed in residential social care facilities. The author mainly focuses on the issue whether the falls can be viewed as a quality indicator of the offered care. The author deals with the issue of falls both on the general level (legislation, standards of quality) and also on the level of a specific residential social care provider represented by home for the elderly Sue Ryder in Prague. Further, the author deals with the issue of falls in inpatient healthcare facilities, as this issue is viewed as an important indicator in terms of comparing quality of care between social care and health care facilities. The key issue of the thesis are the ways to prevent falls of the elderly, so that their basic rights (especially the right to have their own choice), independence and self- sufficiency can be maintained, and also the intervention procedures in these cases. The aim of the thesis is to provide its readers with suggestions on how to improve quality of healthcare in terms of dealing with falls. These suggestions are based on the author's thorough examination of the relevant theoretical and legislative materials. The suggestions are further based on analyzing the fall records, covering a period of 18 months, provided by Sue Ryder...
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Self-assessment at the Primary School focusing on integrated pupils
Dudová, Zdeňka ; Tomková, Anna (advisor) ; Krčmářová, Tereza (referee)
This thesis is divided into two main parts. The theoretical part defines the concept of self-assessment and focuses on the significance and forms of self-assessment, as well as the factors arising during implementation of self-assessment in education. This part also contains findings from specialized publications analysing the relationship between assessment and self-assessment directed towards individualisation (personalisation). The practical part of this thesis takes the form of pro-active research, the aim of which is to observe implementation of self- assessment by a specific pupil with a specific learning disability. It describes how to teach an integrated pupil to self-assess, confirms that the pupil is able to self-assess his work and describes the steps involved in the implementation. Key words evaluation, self-assessment, pupil with special needs, integrated pupil, descriptive language, evaluation criteria, quality indicator, forms of self-assessment, action research
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Management of the nursing care quality
Hrdá, Šárka ; Marsová, Jana (advisor) ; Svobodová, Dita (referee)
The aim of the study was to determine what proportion of nurses on the continuous improvement of quality of nursing care in a medical facility IKEM. The thesis is divided into theoretical and practical part. The theoretical part deals with the quality of health care and how you can control. A separate section is devoted to system models, the quality and the quality of nursing care. The empirical part discusses nurses' opinions of continuous quality improvement. The method used to implement the survey questionnaires were our own design. Research sample consisted of 84 nurses' hospital IKEM. The exploratory survey showed that nurses participating in the process of continuous quality improvement, well aware of the importance and benefits of standardization of nursing care. Have feedback on the quality of care provided, which can enable them further improvement. Nurses in the hospital IKEM are interested in the issue of continuous quality improvement. For the future it is important to involve the largest possible number of nurses in the process of continuous quality improvement. Only then can we achieve improvement of nursing care. Keywords: management, quality, nursing care, standard, quality indicator, audit, nurse.
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Internal audits and their effectiveness from the perspective of nurses and internal auditors
HAVLÍČKOVÁ, Šárka
The final thesis topic focuses on the issue of internal audits and their contribution to enhancing quality of the provided care. The aim of the final thesis was to find out how the nurses working shifts and head nurses assess internal audits. Next, the aim was to research nurses? opinions on further enhancing quality of the provided care. Another goal of the thesis was to explore internal auditors? professional qualifications and find out their opinion on the issue of internal audits. In the empirical part of the diploma thesis, I have chosen a quantitative and a qualitative research method. The quantitative research was carried out in the form of an anonymous questionnaire for non-medical workers. In the qualitative research I have applied in-depth interviews, carried out with three quality managers and three internal auditors. Furthermore, three internal audits of nursing units and three internal audits of medical documentation have been carried out. The results of the thesis may be practically used as a source of information about quality, continual enhancement of the quality of the provided care and ensuring quality by the means of internal audits.
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The effekt of accreditation on the quality of health care providet in selected medical facilites.
SOMROVÁ, Jana
The quality of nursing care is becoming an increasingly important concept in contemporary nursing. The most effective means of achieving quality of nursing care and the means of proof is the accreditation of medical facilities. It is a significant appreciation of professionalism, the work of health professionals and an important signal for the patients. Quality of care, security of supply and preventing potential risks for health care priority. The main aim of the thesis "The influence of accreditation on quality of care in selected health facilities" was to map the set of quality management and impact monitoring and evaluation of quality indicators in hospitals accredited by the Czech Republic. To determine whether accreditation has become an instrument to ensure comparable quality, and time has changed from an unpopular instrument into an instrument for continuous quality improvement. The survey took place from November 2010 to March 2011 in the form of quantitative data collection using an anonymous questionnaire survey in selected hospitals accredited by the Czech Republic. In the research study were asked managers of nursing care, main, upper station and sisters. The thesis has been established 6 goals. The first objective was to determine what indicators of quality nursing care in accredited hospitals pursue. Interested in us as quality indicators that were studied before accreditation, and quality indicators to setting up medical facilities in preparation for accreditation. The second objective was determine how frequently watched indicator of quality is monitored in hospital. The third objective was to determine whether there was in accredited hospitals to reduce adverse events - falls. The fourth objective was to determine whether there was in accredited hospitals to reduce the incidence of nosocomial infections in complying with barrier nursing regime. The fifth objective was to identify the biggest problems arose during the implementation of audits, completeness and comprehensiveness of nursing documentation management into practice. " The sixth objective was to determine whether there was during the preparation of an increase in hospital nursing staff. The thesis then was examined six hypotheses. First hypothesis Accredited hospitals monitor the quality of care provided by at least ten quality indicators - were confirmed. Hypothesis 2 The most frequently monitored indicator of the quality of nursing care, the prevalence of pressure ulcers - was confirmed. All respondents said they monitor the prevalence of pressure ulcers as an indicator of quality nursing care. Hypothesis 3 gaining accreditation to reduce the incidence of falls - was confirmed. Hypothesis 4 obtaining accreditation decreased nosocomial infections - was confirmed. Hypothesis 5 The biggest problem in implementing the audit, management complexity and completeness of nursing documentation in practice "has been an increase in paperwork for nursing staff - were confirmed. Hypothesis 6 During the preparation for accreditation has been an increase in nursing staff - has not been confirmed. Accreditation is perceived by respondents as beneficial for the hospital. Due to accreditation standards and developing quality indicators were identified risk areas in the provision of hospital care and detail can be paid to the prevention of adverse events, nosocomial infections and other risks. The results of work will be to provide medical facilities where the research was conducted investigation, the presentation of the research will be presented at a conference, the South Bohemian nursing days "and also gives the United Accreditation Commission of the Czech Republic as a presentation at the conference to be held early next year (spring ) 2012th Nursing standards were created.
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Quality assurance system of radiotherapy in the composition of radiology assistant
URBÁNKOVÁ, Veronika
The aim of radiotherapy is the accurate direction of a radiation dose in the defined tumour volume with minimum damage of the health tissue. Development of modern radiotherapeutic equipment provides new therapeutic possibilities, but the excellent operation parameters cannot be fully utilized if there is not reached a high level of accuracy and reliability. This can be reached only by insertion of a programme of quality assurance in radiotherapy that includes not only monitoring of the predetermined quality indicators like e.g in vivo dosimetry and portal indication and further external and internal audits. The aim of this bachelor thesis is increase in quality of health care and safety treatment at departments and clinics of radiation oncology from the position of a radiology assistant. The thesis provides an integrated view of possible methods which can be used as the quality indicators of performed care. Here acquired information can serve as knowledge completion for the existing radiology assistants as well as for new staff training.
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