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Role of General Nurse in Rehabilitation Nursing
Procházková, Michaela ; Hošťálková, Monika (advisor) ; Svěráková, Marcela (referee)
The bachelor thesis deals with problems of rehabilitation nursing in practice. The main aim of the work was to establish the awareness of general nurses on rehabilitation nursing and whether they co-operated within the scope of a multi-disciplinary team. My Partial Aims were to find out what did general nurses consider to be rehabilitation nursing, whether they rehabilitated with patients and whether the multi-disciplinary team was used in practice. The theoretical part of the thesis aims at summary of information as related to rehabilitation nursing. There is also stated the way of education of general nurses nowadays and statutory stipulations on their work contents. The empiric part used quantitative investigations with the data obtained through an Internet questionnaire. The respondents were the general nurses from the Czech Republic. The results reached clearly indicate that general nurses have sufficient knowledge in the field of rehabilitation nursing and they sufficiently co-operate with other members of the multi- disciplinary team. The knowledge obtained will be published in social networks and there will also be created a plan for better orientation in positioning of patients. Keywords: rehabilitation nursing, rehabilitation, nursing, multi-disciplinary team, inter- disciplinary co-operation
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The Use of a Coordinated Rehabilitation in the Organisation of the Focus
HÁVOVÁ, Markéta
The diploma thesis is dedicated to the way of using and way of functioning of the coordinated rehabilitation and the multi-disciplinary team in the organization Focus in Pelhřimov which works with the people with mental disorders. The thesis is divided in the theoretical and practical part. The theoretical part describes the history and function of the coordinated rehabilitation, mental health care history, psychiatric reform and multi-disciplinary cooperation functioning. There is used the strategy of quality analysis in the research part. It was done by the questionnaire and the technique of half-structured interview. The results coming out of the interview were focused on the functioning of multi-disciplinary team in the institution and the cooperating subjects in the first part. The second part was dedicated to the basic parts of the coordinated rehabilitation provided in the organization in view of the fact that there were other participating professionals and non-formal participants during the care of the person with mental disorder. The aim of the research was to map the sectors of the coordinated rehabilitation used by the individuals with mental disorders in the organization Focus in Pelhřimov. The research team was created with the help of the method of the snow ball and basic criteria was employment of an "communication partner" in the particular organization. Their ability to evaluate their job and take part in the lead interview depended on their experience in Focus. In connection with the thesis aim there was also set the main research question: What parts of the coordinated rehabilitation are used in the organization Focus in Pelhřimov? Partial questions were devolved from that which were connected to the particular parts of the coordinated rehabilitation and the function of the multi-disciplinary team. The first contact and the next cooperation is developed by the seriousness, necessity and wishes of the client. The work with the client with mental disorder is based on the philosophy of recuperation, not recovery. In the relationship and the concentration, the work is done in all sectors of the coordinated rehabilitation. The client has the closest relationship to the key worker who provides the care in the multi-disciplinary team and other professionals in the organization. There is the conclusion from the results that there was an agreement that the coordinated rehabilitation is used in this institution and no other from the basic sectors can be omitted. The results of the diploma thesis can be used as feedback for the organization Focus in the practice where it can be useful for mapping of the sectors of coordinated rehabilitation and making clear the needs of the individuals with mental disorder. Taking into consideration the recommendation to use the feedback of the respondents about information sharing, to prefer common space of the whole team and bigger promotion.
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Role of General Nurse in Rehabilitation Nursing
Procházková, Michaela ; Hošťálková, Monika (advisor) ; Svěráková, Marcela (referee)
The bachelor thesis deals with problems of rehabilitation nursing in practice. The main aim of the work was to establish the awareness of general nurses on rehabilitation nursing and whether they co-operated within the scope of a multi-disciplinary team. My Partial Aims were to find out what did general nurses consider to be rehabilitation nursing, whether they rehabilitated with patients and whether the multi-disciplinary team was used in practice. The theoretical part of the thesis aims at summary of information as related to rehabilitation nursing. There is also stated the way of education of general nurses nowadays and statutory stipulations on their work contents. The empiric part used quantitative investigations with the data obtained through an Internet questionnaire. The respondents were the general nurses from the Czech Republic. The results reached clearly indicate that general nurses have sufficient knowledge in the field of rehabilitation nursing and they sufficiently co-operate with other members of the multi- disciplinary team. The knowledge obtained will be published in social networks and there will also be created a plan for better orientation in positioning of patients. Keywords: rehabilitation nursing, rehabilitation, nursing, multi-disciplinary team, inter- disciplinary co-operation
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Home hospice care from the perspective of family members of the incurably ill.
SVOBODOVÁ, Anna
The goal of my thesis I have chosen is to identify the way hospice care is perceived in the Telč region by family members of terminally ill patients. I based my thesis on available specialised literature, current legislation and internet sources dealing with home hospice care. In the first theoretical part, I deal with the definition of hospice care trying to explain the term of general and specialised care that have a common objective, namely dignified and tranquil dying. The second section deals with family in the context of palliative care that plays the key role in the patient care. If the family decides to care for the incurable patient at home, it is vital to support it. Moreover, in this section I define needs of family members summarised in three core topics. Including the care for the patient family that I included to the hospice care as not only the patient suffers from the illness but all his/her family does. That means that each family member needs palliative care. The end of this section deals with mourning of the survivors. The core point is not leaving them alone in their mourning, to have them accompanied by someone in their grief. The third chapter focuses on the role and position of the patient. It changes when a seriously ill human becomes dependent on third party´s help losing his/her capacity to fulfil his/her professional and family role. This enormously affects his/her physical and emotional condition. Moreover, I describe needs on terminally ill people that change when the patient approaches his/her death depending on his/her family and social situation. It changes also during his/her adaptation to adverse diagnoses and forecast and emergence of difficulties and complications. I describe four groups of needs: biological, psychological, social and spiritual. The fourth chapter characterises home hospice care that is described as specialised palliative care provided in the home environment amidst patient´s family and friends. I describe the history of Czech hospice care stating that before the WWII it was quite normal to care for terminally ill patients at home till the end. This trend emerges again in the 90s. I define objectives of the home hospice care and related activities. The fourth chapter includes the description of a multi-disciplinary team and funding of home hospice care. In the fifth chapter, I characterise the home care organisation that try to expand the range of services by including the home palliative care and also deal with the home care history, objectives, delimitation of the scope of activities, agency human resources management and home funding methods. In the sixth chapter, I represent the organisation Sdílení, o.p.s. Telč, services provided by it and basic duties according to the Act No.108/2006 Coll. as well as the mission and objectives of this organisation concentrating on help and support of seriously ill people and their family members/friends in such difficult life situation. The key objective of Sdílení is to preserve maximum possible self-sufficiency and dignity of seriously ill people and support of families that are able to find the courage and force to accompany a terminally ill family member to the end of his/her life. In the practical part of my thesis, I analyse data collected by means of qualitative research based on an inquiry in the form of semi-standardised and open-code processing. Who was included to the basic file were family members of terminally ill patients who were divided to two parts. The first group consists of 3 respondents who were entrusted to the care of the home hospice Sdílení. The second group are 3 respondents entrusted to the Home Care hospice. In the practical part, I describe the process of collection of data, record results of the interview process by the open-code method.
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Cooperation nurses and nutritional therapist in the multidisciplinary team
VĚTROVSKÁ, Lucie
The bachelor thesis deals with the cooperation of nurses and nutrition therapists within one multidisciplinary team. The theoretical part focuses on the multidisciplinary team, its tasks and also on what members of medical staff belong to the team and their role in the team. The next part describes the relations between medical staff members and their problems. The following parts describe the education, competences and responsibilities of the nurses and nutrition therapists. The closing part of the theoretical work concentrates on nutritional care and nutritional screening options. The practical part contains the results of the qualitative research. First, an objective was set, which focused on finding out about the cooperation between the nurses and the nutrition therapist within one multidisciplinary team. The objective was established six research questions. The semi-structured type of interview was used for the research. 20 respondents took part in the research, 10 nurses from the departments of dermatovenerology, gastroenterology, surgery, neurology, carcinology and 10 nutrition therapists from the Všeobecná fakultní nemocnice v Praze (General TeachingHospital in Prague). During cooperation, the nurses should focus on the hospital diet system, on the diet types, how to order meals through the hospital information system. They should also learn about the options and news in nutrition therapy at workshops and courses. The nutrition therapists should give the nurses more information about the news in nutrition care and subsequently consult it with them. Both parties should communicate more with each other and make an effort to improve mutual relations in general.
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