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Evaluation of the availability and quality of hospice home care in the area of Jindřichův Hradec´s region from the perspective of patients and nurses
ŠABOUKOVÁ, Alžběta
The bachelor's thesis deals with the issue of hospice services in the selected area of Jindřichův Hradec, with a focus on the roles of nurses in field hospice services, the coverage of these services and the behavior of employers in supporting the mental health of nurses in hospice care. Palliative care in field forms is a developing sector of global health with an expected rise. In the theoretical part of the thesis, issues related to hospice and palliative care, such as its history and present, legislative framework and financing, are explained. The thesis aims to clarify how the roles of nurses differ in hospice care provided by a home care agency and in a multidisciplinary mobile hospice group, to further analyze the structure of palliative care provision in a selected area and to describe the activities of providers to work with the mental health of their employees. In the practical part of the work, research was carried out using qualitative method of using semi-structured interviews. A total of 14 respondents participated in the research from groups of nurses, managers of palliative services in the selected area and caregivers or patients under the care of hospice providers. The results of the research revealed an overlap of the roles of nurses in both forms of hospice care. The research finds the difference in the characteristics and personality traits of nurses and the concept of care provided. The thesis presented the structure of the provision of hospice services, where research points to the insufficient availability and unprofitability of specialized services in sparsely populated areas of the selected area. The bachelor's thesis describes activities to improve the mental health of nurses in hospice services. The research finds an underestimation of these activities by home care agencies and the Czech healthcare system as a whole. The conclusions of the bachelor's thesis can serve especially for administrative authorities, providers and nurses interested in hospice care.
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