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Self-reflection of cultural competences among nurses working in home care
CHVALOVÁ, Miroslava
Cultural competence is a set of cultural knowledge that enables non-medical health professionals to achieve appropriate outcomes when caring for and working with clients/patients from a different country. The main aim of our study was to find out what cultural competencies nurses have in home care. The empirical part used a quantitative research method in home care settings. Respondents answered a questionnaire consisting of 88 questions and two parts namely standardized and non-standardized part. We surveyed the nurses' awareness of the culture of patients/clients, their level of cultural competence, focusing on cultural skills, cultural knowledge and cultural sensitivity and lastly, we surveyed the nurses' self-assessment of cultural competence. 108 respondents took part in the research and the results of the survey indicate that the characteristics mentioned in the hypotheses, age and educational attainment, are not related to the level of cultural competence of non-medical health workers. It also shows that the majority of nurses do not think that knowledge of a foreign language is important in practice and half of them do not even use a foreign language. However, they do not have negative attitudes towards foreigners and recognize the importance of lifelong learning in order to provide culturally competent care. This work could serve as educational material for students, future non-medical health workers. The results of the thesis will be published in a journal that will be beneficial to non-medical health personnel as well as the general public and will also be presented at a conference.
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Awareness, knowledge and skills needed to provide culturally competent care
NOVOTNÁ, Štěpánka
Introduction: Population migration is still a topical issue today. Nurses working in general practitioners surgeries should receive lifelong training in cultural competence. Every nurse should have cultural knowledge, attitudes and skills to be able to treat different minorities. The aim of this thesis is to determine the level of cultural competence of non-medical health care workers working in general practitioners surgeries. Methodology: The research investigation was conducted using a quantitative method in general practitioner's offices as part of a GAJU research grant project number 046/2021/S. The research was being conducted from May to November 2022. Nurses from three regions were contacted. The results were collected using an anonymous questionnaire, which consisted of a non-standardized and a standardized part. It contained a total of 79 questions. The questionnaire looked into the nurses cultural knowledge, sensitivity, skills and whether they were aware of all these. Results: The research group consisted of 120 respondents. From the research results, it is clear that nurses in general practitioners surgeries provide culturally competent care. Some flaws concerning nurses work were revealed, which are communication barrier and the interpretation relationship with the set institution. Nurses have cultural knowledge, cultural skills and are culturally sensitive. They realize that cultural competence is an ongoing process and they should be educated continually in this area. It was noted that they do not have negative attitudes towards patients from other cultures. Conclusion: This thesis provides a comprehensive view of multicultural nursing in general practitioners surgeries. Based on the results of the thesis, a journal article will be written that will be beneficial to non-medical health care personnel and also the general public.
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Multicultural approach in Pre-hospital care
JANOVÁ, Andrea
The topic of the bachelor thesis is dedicated to multicultural nursing specifically in the conditions of pre-hospital emergency care. In today's globalized society it is necessary for paramedics to have basic knowledge of multicultural care. The theoretical part defines basic concepts in multicultural treatment, it is dedicated to communication and characterizes individual minorities living in the Czech Republic. For the practical part, there were three goals set: 1. To map out the approach of paramedics while providing care to a member of another nationality in the conditions of pre-hospital emergency care. 2. To map out the experience of paramedics with the individuals of given cultures within pre-hospital emergency care. 3. Find out the opinion of paramedics on whether they were sufficiently prepared for multicultural care within the qualification study. To fulfil set goals, qualitative research method was used, via the approach of queries and semi-structured interview technique. The research sample consisted of paramedics of the Karlovy Vary and South Bohemia regions with various lengths of experience. The research investigation found, that paramedics choose the same approach when in contact with ethnic groups. They are aware of various differences, though the most common problem is the communication barrier. The paramedics have both positive and negative experiences considering providing care to minorities. The research revealed, that the education about multicultural care is mostly insufficient and that the paramedics are willing to further educate themselves on the issue. Based on the research, an option of developing a special application was proposed. It would be able to quickly and precisely translate even professional medical terms from different languages in action. An information brochure about the principles of providing pre-hospital emergency care to ethnic groups was also made. Furthermore, it would also be possible to compile information from the bachelor thesis into scripts, which would be intended for teaching about multicultural nursing.
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Foreign language as a communication barrier in intensive care
Zachová, Eva ; Mellanová, Alena (advisor) ; Svobodová, Dita (referee)
This diploma thesis analyzes if there is communication barrier with foreign patients at the selected intensive care units. We dealt with question whether hospital employees perceive communication with foreigners as a problem or not and how can they solve the problem. The first (theoretical) part is devoted to the role of communication in nursing process and to the definition of term communication barrier. In next chapters we have analyzed the profile of multicultural nursing. Then we focus on the issues of cross-cultural communication and communication barriers in contact with foreigners and the most common causes and techniques used to deal with such situations. We pay great attention to prevention and potential solutions to barriers between cultures and ethnic groups. The motivation for the thesis was supposed effecto of communication gaps on health and higher psychological burden on staff, especially when one of the basic activities of nurses is to educate patients. Research interprets the information obtained from a self-designed questionnaire survey. Questionnaires were distributed to intensive care and resuscitation units in four hospitals in Prague. Statistical evaluation of the questionnaires either confirms or refuses the hypothesis that I set at the beginning of the research. According to...
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Transcultural Midwifery Care Focusing on the Mongolian Women Living in the Czech Republic
Hromková, Lucie ; Hroníková, Linda (advisor) ; Vrublová, Yvetta (referee) ; Šima, Jiří (referee)
The dissertation aims at the issue of transcultural care in the practice of midwives with a specific focus on Mongolian women, who currently represent the fifth largest group in terms of the number of births of foreigners in the Czech Republic. The theoretical framework of the text consists of chapters on nursing with subsequent differentiation of the field with regard to specialized care in the field of gynecology-obstetrics, as well as the divided subdiscipline of transcultural nursing care. An integral part of the theoretical part of the work are the basic general information about Mongolia and the Mongols. The practical part of the work is represented by my own qualitative and quantitative research. Qualitative research was carried out in the field through in-depth interviews with Mongolian women living in the Czech Republic and having experience with their own childbirth in a Czech maternity hospital. The aim of the research was to uncover possible peculiarities and requirements that a midwife may encounter from Mongolian women in the provision of transcultural care related to pregnancy, childbirth and the postnatal period. Additional quantitative research was conducted in the form of a questionnaire survey among Prague midwives and was focused on finding out the awareness, previous experience...
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Multicultural communication on the intensive care unit
Korfelová, Lenka ; Kordulová, Pavla (advisor) ; Jankovcová, Kateřina (referee) ; Lukášová Jeřábková, Lenka (referee)
(v AJ) The theme of the theses is the nursing process from the point of view of multicultural nursing care of the patient-foreigner in a critical condition admitted to the intensive care unit. Considering the rise of tourism and the number of immigrants in the CR, the increasing number of patients-foreigners can be expected. The mutual communication and the impact of ethno-cultural influence on nursing is becoming a subject of the global interest. Patients' life threatening, stress, and a necessity of prompt and swift decision-making both by patients and health care professionals play a role in the intensive care. The theoretical part of the theses explains the basic concepts associated with multicultural nursing, the legislative framework of the nursing process and the topic of communication with foreigners in an intensive care. The language barriers and ways of overcoming the barriers are defined in this part. Methodology: I chose the case study method for my bachelor theses. A case report of a French patient hospitalized in a critical condition in an intensive care unit was processed from the point of view of multicultural nursing. The basis of the work was the application of theoretical knowledge of the Transcultural Nursing Society and deep insight and understanding my own cultural values and...
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The work of a nurse on the abroad mission
ŠATROVÁ, Lenka
Now a days nurses can work not only in health institutions but they can get involved in abroad missions. In the Czech Republic there are several organizations which offer humanitarian help in the countries of the third world. The concept of the bachelor thesis is theoretical - empiric. The theoretical part is devided into some parts. The first part is about globalization and about migration of people. Then there is written about religion and about individual humanitarian organizations. The other chapter points to the role of the nurse in the past and now a days. The last part of theoretical work contains demands that you must fulfil before your abroad mission. Then there is written about diseases which you can meet during treatment on the abroad mission. The second part of the bachelor thesis is a research survey. The aim of the work was to find what the nurse must do on the abroad mission in individual organizations. Three research questions have been identified to achieve the goal. What is the preparation of the nurse before leaving? What is the specific of her work on her abroad mission? What is the experience of nurses on the abroad mission? In the empiric part of the thesis a method of qualitative research surney. Responses were obtained through a pre-prepared semi-structured interview with nurses who took part in some abroad missions. From the researching results follows, that the main aim of the nurse on the abroad mission is to treat wounded persons during the war conflicts. But she must take care of expectant mothers and new born babies too. She looks after inhabitants who didnt't have enough money to pay their medical treatment in the hospital. She educates local health personnel to give a specialist health treatment to sick persons. The results can help students and nurses to know their possibilities to go to the abroad missions with the humanitarian organization.
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The issues of communication of pediatric nurses with the parents of the patients coming from the certain ethnic groups
TROJANOVÁ, Veronika
The aim of this thesis was to find out barriers which occur during the communication of pediatric nurses with the parents of patients belonging to the other ethnic groups and how they deal with these problems. More specifically, it was ethnic Vietnamese, Romany and Ukrainian. The theoretical part deals with the concepts belonging to multicultural nursing, general principles of communication and its forms. It also described three ethnic groups living in the territory of the Czech Republic, together with the characteristics of their specifics in the field of culture, health and communication. The research part of the thesis was divided into three phases. The first phase consisted of interviews with nurses in GP surgery for children and adolescents and nurses working at the peditric department, as well as additional interviews with parents of child patients belonging to another ethnic group which recorded view at the communication from their side. The second phase of the research was concerned with observing the communication of nurses with representatives of ethnic groups in practice. There were three observations in three different GP surgeries for children and adolescents. During this part of the research, there were identified deficiencies that occur in communication. The third stage of the research was built on the basis of these findings. Its aim was to give child nurses recommendations that can make their communication more effective in practice. In conclusion, the nurses were acquainted with the information brochure, which contains information on how to communicate with foreigners. The research has shown that the greatest problem in communication with representatives of other ethnic groups is, according to pediatric nurses, the lack of knowledge of foreign languages, as well as the lack of knowledge about the cultural and communication specificities of the representatives of the Vietnamese, Romany and Ukrainian ethnic groups. It was also found that nurses are very interested in information on multicultural nursing.
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Gipsy patients in Czech medical care
ŠEDIVCOVÁ, Daniela
The theoretical part of the bachelor thesis is devoted to multicultural nursing, Roma ethnics, Romany history, Romany family, lifestyle and communication with patient from minority community. There are also topics such as pregnancy and childbirth, dying and death and, last but not least, Romany attitude towards health and disease. The practical part of the bachelor thesis is focused on Romany patients who have been hospitalized in various departments in the hospital and nurses from inpatient wards who provide nursing care during their hospitalization. For the research part of this bachelor thesis, a method of qualitative research was used, using semi-structured interviews with patients from minor community and also with nurses from the hospital. The aim of the thesis was to find out what are the specifics of nursing care for a Romany patient. One of the most important specifics of nursing care for a Romany patient is repeated education on ongoing treatment and nursing care and the need to place great emphasis on intelligible information during hospitalization. Another aim was to map out the most common problems encountered by Romany during hospitalization in the hospital, such as the feeling of limited freedom, separation from family and disturbed privacy. The third objective was to map out the problems encountered by nurses in nursing care of a Romany patient. Among the main problems mentioned, the nurses have encountered difficulties in adhering to the set rules of hospital facilities and insufficient or limited cooperation and communication with these patients. The obtained answers from the interviews of the interviewed nurses and Romany patients were classified into individual categories and subcategories. This bachelor thesis could raise awareness of this issue among healthcare professionals and improve the quality of nursing care for Romany patients during their hospitalization. The data and information obtained were summarized and processed in the information leaflet for nurses who treat patients from minor community.
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Pain perception in selected ethnic and religious minorities
KOPČÁKOVÁ, Sandra
The diploma thesis is focused on the perception of pain across selected cultures and religions. The thesis is divided into theoretical and practical research. The theoretical part describes transcultural nursing and development, pain and perception. Subsequently, selected ethnic and religious minorities, namely the Vietnamese, Ukrainian, Roma minority and Islamic minority, are characterized. In the practical part, the data obtained during the research survey are processed. At the beginning of the research were compiled two goals. The first was aimed on mapping the perception of pain among members of selected national and religious minorities. The second objective was focused on the use of pain therapy options among members of selected national and religious minorities. Data were obtained using a semi-structured interview of 25 open questions. The interviews were attended by five probands from each minority residing in the territory of the Czech Republic. Only an Islamic minority was represented by two members residing in the territory of the Czech Republic. It can be seen from the results that the perception of pain and its symptoms are probably among ethnic minorities differ. Individuals of the Ukrainian and Vietnamese minorities hide their pain as opposed to individuals of the Roma minority. Islamists were represented by two individuals of Czech nationality, which influenced the results of the research. Furthermore, the research part deals with minorities access to pain therapy. It is important that each individual is approached individually. The results only outlined possible assumptions that would influence pain relief. Based on the results of the research was compiled information material for nurses, which briefly describes the specifics of the perception of pain in selected minorities. Its aim is to help nurses orientate in this field and introduce them pain therapy technique or to select suitable methods of its measurement.
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