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The Theological Inspiration for Quality Nursing Home Care
BERKIOVÁ, Kateřina Adriana
The work deals with the holistic concept of comprehensive home care. First, it deals with different characteristic aspects of home care, who provides the care, the extend to which care is provided, principles to be followed when caring, attention is paid to the needs of clients and a good communication with them. Because home care often provide religious charitable organizations, it is also dealt with the Caritas Czech Republic. The last chapter of the first part deals with the common problem of workers in the helping professions, the burnout syndrome. For the implementation of quality health and social care were developed in the society quality standards, that are binding in providing care and assistance which can evaluate the quality of care provided. Our question is, how can theology contribute to the quality of home care. To implement certain elements of quality are in this work offered theological impulses, that can assist in providing quality holistic home care to clients.
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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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Role of healthcare assistants and nurses in the nursing process.
VODIČKOVÁ, Petra
This thesis treats the issues regarding the role of healthcare assistants in the nursing process and their mutual cooperation with general nurses. Four goals were set. The first goal was to ascertain in which way the general nurses allow the healthcare assistants to engage in the nursing process. The second goal was to ascertain what are the healthcare assistants? opportunities to participate in the nursing process. The third goal was to determine what problems are seen by managers regarding the integration of the healthcare assistants in the nursing care system. The last, fourth goal, tried to ascertain whether the system of integration of general nurses and healthcare assistants in the nursing team contributes to improvement of the patient?s care. The thesis is divided into two parts: theoretical and practical one. The theoretical part deals with the nursing process as a method of work of a nurse, qualification training of general nurses and healthcare assistants and possibilities of finding vacancies in the nursing practice. The practical part consists of quantitative-qualitative research survey. For the qualitative research a method of individually conducted, pre-prepared interviews with representatives of the above mentioned professions. Four research questions were determined, i.e.: 1. To what extent are the healthcare assistants, general nurses and managers in positions of ward sisters aware of the nursing process? 2. Have the healthcare assistants a possibility to use their knowledge of the nursing process pursuant to Act No. 96/2004 Coll.? 3. Is the cooperation of healthcare assistants and general nurses perceived as a positive element for improvement of nursing care? 4. What experience have managers in the position of ward sisters in integration of healthcare assistants into the nursing team? The surveyed group consisted of six healthcare assistants, six general nurses and eight ward sisters-managers from minor inpatient facilities in the Pilsen region and Cental Bohemian region. Qualitative research was realized through a survey by questionnaire. Students of the last grade of the study field ?Healthcare assistant? and the study programme ?General nurse? were addressed. For the qualitative part of the research survey the following hypotheses were set: 1. Students of the study field ?Healthcare assistant? are oriented in the competences of healthcare assistants and general nurses in accordance with At No. 96/2004 Coll. 2. Students of the study programme ?General nurse? are oriented in the competences of healthcare assistants and general nurses in accordance with At No. 96/2004 Coll. 3. Students of the study field ?Healthcare assistant? perceive the determined competences for individual fields as a tool for quality professional care. 4. Students of the study programme ?General nurse? perceive the determined competences for individual fields as a tool for quality professional care. In total, 200 questionnaires were distributed, and subsequently, 142 of correctly completed questionnaires were evaluated. The output of this thesis is the verification of the present status of the issue in question. The results will be provided to nursing care managers in the researched healthcare facilities where they could help to improve the management of healthcare activities. The results may be also used to prepare informational and educational sessions clarifying the rules of cooperation of healthcare assistants and general nurses. Furthermore, the results could be offered to the Ministry of Health of the Czech Republic, namely to the Working Committee for transformation of non-medical healthcare professions in the Czech Republic the main work objective of which is the amendment of Act No. 96/2004 Coll.
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Message nurses and ward sister in practice.
NOVÁKOVÁ, Jana
The ward sister round presents an integral part of the nursing profession. The ward sister round comprises a regular visit of the nurse directly at the patient´s bed. Its objective consists in determining and satisfying the unsaturated needs of patients, further in ensuring and providing a high quality and efficiency nursing care in a close link with medical care. Nursing handover can be divided into two main sections: written and oral handover. The oral handover takes place directly in the patients´/clients´ room under the use of nursing documentation. Its advantage consists in the direct involvement of the patient/client in the handover process. The written handover is then entered by the nurses into the Handover Book. The significance of my diploma work consists in increasing the nurses´ standard of knowledge related to the modernization of ward sister rounds and nursing handover as an integral part of the nursing profession.
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Importance of Identity in Nursing Profession and its Impact on Quality of Care
DRÁBKOVÁ, Kateřina
The nursing profession belongs to helping professions which are heavily demanding in terms of mental and physical aspects. The nurses who are university graduates enter into practice more mentally and physically mature, and their approach to patients and the care provided may be better than in nurses with secondary education. In care provision nurses have to cooperate with physicians, but also with other healthcare professionals. Due to the lack of medical personnel nurses assume responsibilities of other team members, which they may perceive as a restriction in fulfilling their professional identity. This restriction may be reflected in the quality of the care provided. It often happens that a nurse cannot fulfill her professional identity because of the pressure of her family which requires the fulfillment of their own requirements prior to fulfilling the professional identity of a nurse.The aim of the thesis was to determine how nurses, but also their family members, perceive the professional identity of nurses. The aim was achieved. The research was carried out in two phases. The first phase was conducted using interviews with six nurses of different ages both with and without university education. The second phase was carried out through a quantitative survey using a questionnaire method in health care facilities in Písek, České Budějovice and Plzeň. Results of the research can be used in qualification and lifelong education of nurses to strengthen their identification with the profession.
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Nurse as Risk Manager in the 21st Century Hospitals
LAŠTOVKOVÁ, Marie
The main intention of this thesis was to monitor the activities of nurses as risk managers in selected healthcare facilities. The first objective was to map the current state of accreditation procedures in the Czech Republic, the number of accredited facilities and the types of accreditation. Another objective was to find out in which healthcare facilities there is a nurse as a risk manager or who has the responsibility of a risk manager in healthcare facilities. The third objective was to explore the activities of nurses - risk managers. To achieve these objectives, the following research questions were set: 1st What is the current state of accreditation procedures in the Czech Republic? 2nd In which accredited facilities there is a nurse - a risk manager? 3rd research question: What are the activities and roles of a nurse - a risk manager? (What activities nurses carry out in the performance of their duties; whether nurses feel a change in the provision of nursing care; which risks and incidents nurses encounter in their facilities and what are their solutions; what is the level of communication between the parties in the risk management process in a given facility; which benefits are seen in risk management). The research was conducted with respondents from those healthcare facilities that were willing to cooperate. The research conducted is a qualitative one. The respondents underwent interviews according to the structure of categorized questions. Subsequently, transcripts of the interviews were made as well as the analysis and categorization of the data was carried out and presented in tables under the framework analysis according to Ritchie and Spencer. The research revealed the answers to the research questions. In no of the facilities that have responded to the questions there is a nurse with the function of a risk manager. Activities within the risk management are taken over by staff at other positions, mostly quality managers, head nurses or auditors. Detailed proportion of these functions is clearly presented in the accompanying graphs. Research question 3 yielded a great number of responses. For example, nurses who have competence in risk management play mainly the roles of communicators, defenders, authors, auditors and mentors. In exercising their functions, they have observed changes, as compared with the past, in the responsibilities of nurses, patient activity, greater transparency, the quality and safety of the care provided. They describe in detail the risks and incidents which they have met at their workplaces, and how they have been solved. The respondents see the advantages of risk management in the fact that it is a good tool for defending not only patients but also nurses themselves; that it is a tool to increase responsibilities and activities of patients and to improve the quality and safety of the care provided. All the responses are clearly presented in tables and confronted with the knowledge derived from professional literature and our own experience. The results of the thesis can be provided to the healthcare facilities where the research has been carried out; it could be provided to competent institutions and also, in the form of an informative brochure, to nurses and other healthcare personnel. We would suggest a higher level of education about risk management potential. Our suggestions also include changes to legislation - powers, the establishment of clear procedures and rules, and the regulation of education in risk management so that implementation of this tool is unified and becomes accessible to all facilities.
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Need of a resuscitation standard in inpatient medical facilities
DLOUHÁ, Hana
The diploma paper presents a brief overview of the development of resuscitation in the world and current recommendations for resuscitation by the European Resuscitation Council. Also included is a description of basic diagnosis of a sudden cardiac arrest, providing vital functions, including the use of alternative materials and the problems of resuscitation in hospitals. Providing effective resuscitation is reflected in the quality of care provided, which is much emphasized nowadays, especially for the accreditation of medical facilities and the creation of standards for nursing care. The objective of this paper is to determine and compare the extent of knowledge of nurses in the inpatient departments of emergency cardiopulmonary resuscitation at two hospitals, one of which uses a standard resuscitation. Another objective is to create a resuscitation standard for nurses at inpatient departments, submit it to involved nurses for assessment and to determine to what extent the created resuscitation standard contributes to the work of nurses who have not used it yet. The first research question is: How do nurses view the newly created standard? The second research question is: Will nurses appreciate the contribution of the created standard? A given hypothesis implies a greater knowledge of nurses who use the resuscitation standard, than nurses who do not use it. The first phase used a quantitative survey using the questionnaire technique; skills and knowledge of nurses were mapped at two medical facilities, one of which uses a resuscitation standard valid for the entire facility. The questionnaire included 34 items, 21 questions dealt with the knowledge of nurses surveyed, and 13 questions mapped demographic data, work organization and the respondents{\crq} workplace experiences with resuscitation. Based on the results of the quantitative survey, the hypothesis has been confirmed. The results also unveil weaknesses in the training of medical personnel at both hospitals and the surveyed nurses{\crq} knowledge. In the second phase of the survey, nurses who did not have a resuscitation standard were presented with the resuscitation standard version for assessment. The assessment of the standard was carried out with qualitative survey using semi-standardized interviews with senior nurses at nursing stations. These nurses assessed the presented resuscitation standard positively; they welcome its presence and see its benefits in improving nursing care.
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The influence of the client´s home environment on the quality of nursering care provided by a home care agency
VONEŠOVÁ, Petra
Home care in its full extent respects client`s integrity with his/her own social environment. The task of home care is to secure nursing care corresponding to client`s actual needs respecting his/her health condition. Home environment and presence of close people have an immediate impact on human psyche playing a significant role in the healing process. Absence of nosocomial infections is an advantage of providing a client with nursing care in his/her home environment; however, social environment being sometimes unsatisfactory, unwillingness to alter the home environment according to the actual needs and not following the healing regime can be a disadvantage. The aim of the thesis was to find out the way client`s home environment influences the quality of the nursing care provided by Agentura domácí péče (Home Care Agency). The research was carried out using the method of a qualitative research, by half-standardized interviewing nurses and clients of Agentura domácí péče. Five nurses working for Agentura domácí péče were the first research sample. Four clients being provided with the home care regularly several days per week for a period of several years were the other research sample. Clients` case reports were compůeted with observation of their own environment while interviewing.The research suggests that the quality of the provided nursing care is influenced by several factors {--} mainly by collaboration of the client and his/her family, by the condition of the home environment and by collaboration with the attending physician. Concerning the nurses, their theoretical knowledge and practical skills are of high importance. Two hypotheses were established based on the results. H1: In order to secure continuous home nursing care, collaboration with family is essential. H2: The quality of the nursing care provided by nurses of home care agency is influenced by the condition of the home environment.In conjunction with the research, specifications of home care were clarified and possible problems a nurse providing nursing care in the home environment can face were mapped.
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Nurses´opinion on regulation fees in public health care in connection with nursing care provided
SALOTOVÁ, Jana
This bachelor work is focused on regulation fees in public health care that sere introduced in the Czech Republic on 1/1/2008. The issue of regulation fees in public health care is a very delicate and discussed topic at present, still filling front pages of newspapers, magazines and television programs after almost a year. The work is divided into theoretical and practical part. The theoretical part lists the principles when the regulation fee is and is not to be paid. We mention also the protective limit and the office job related to collection of regulation fees. We describe the situation abroad to give an idea how regulation fees work in neighbouring states. The practical part of this work had three goals. The first goal was to find out how nurses perceive the introduction of regulation fees in public health care. The second goal was to find out whether the regulation fees affect the nursing care provided, and the third goal of our research was to find out what nurses consider the most problem-loaded area within the regulation fees. Those goals were met. Research questions were set on the base of the goals. How nurses perceive regulation fees in public health care, what they would like to change in the collection of regulation fees, what the provided nursing care should look like from the nurses{\crq} point of view and what they consider the most problem-loaded area within the regulation fees. The research questions were answered. Qualitative investigation, questioning method were used to process the bachelor work. The data collection was implemented in the technique of non-standardized structured interview. Our inquiry took place in the Nemocnice České Budějovice a.s. and the Nemocnice Strakonice a.s. hospitals. The nurses{\crq} answers were processed into twenty pieces of casuistic. The investigation took place in February 2009. The results of our bachelor work could serve as feedback for the hospitals where the investigation was implemented. Subsequently they could contribute to create a united form for collection of regulation fees, both from the point of view of payment and of office work. Further the results could serve to support cooperation between the patient and the health care staff. I would also suggest training events for health care staff so that they are able to master problem-loaded situations. For example how to approach a patient who refuses to pay the regulation fee. I would suggest regular training events also for ward sisters and head nurses in the area of legislation of regulation fees.
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Social services in certain town
Šabatková, Martina Bc. ; Sedláková, Jaroslava (advisor) ; Nový, Jan (referee)
Práce hodnotí na vybrané skupině ohrožené sociálním vyloučením (senioři, zdravotně postižení, etnikum, mládež s rizikovým chováním,..) nabídku sociálních služeb pro tuto skupinu v konkrétním městě, uvádí SWOT analýzu vybraných institucí sociálních služeb a doporučuje změny v kvalitě a financování vybraných institucí sociálních služeb.
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