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Dual diagnosis from a social work perspective
Čermáková, Judita ; Angelovská, Olga (advisor) ; Janečková, Hana (referee)
The goal of this bachelor thesis named Dual diagnosis from the standpoint of social work is to shed light on what role a social worker has in the process of a patient's recovery and social rehabilitation from dual diagnosis. In addition to that, this thesis should clarify the position of a social worker in a multidisciplinary team and to describe dual diagnosis as a complex problem from the biopsychosocial standpoint. Both primary and secondary literature (printed and in the form of internet resources) were used as the theoretical framework of this thesis. The theoretical framework should primarily act as a guide to help better understand the phenomenon that is dual diagnosis in the context of social work. Qualitative interviews and case studies were then used as the practical framework for this bachelor thesis. The group of respondents is made up mainly by social workers, psychiatrists, adiktologists, and psychologists that work in the respective field. Keywords Social work, dual diagnosis, psychiatric comorbidity, addiction, mental health, multidisciplinary team.
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Position of a Nurse in a Multidisciplinary Team that is Taking Care of Retired People
MORAVEC, Martin
Introduction: Each nurse will be part of a multidisciplinary team. The differences will be only in the patients who will take care of them, and the goals and implementation plans of multidisciplinary teams will be proportional to that. However, the essence and intention remain the same. Satisfy the needs of the patient and perceive his needs as needs from a holistic being. To do this, more experts from individual fields in a multidisciplinary team are required, who fully cooperate to achieve this goal. Objective: A total of two objectives were set for the bachelor's thesis. The first goal was to evaluate how nurses perceive their position in a multidisciplinary team that cares for the elderly. The second goal was to find out how nurses perceive the benefits of a multidisciplinary team as such. Methodology: A quantitative method was used for the research survey. A questionnaire collection, where the target groups were nurses working in a multidisciplinary team caring for the elderly. The questionnaire contained 22 closed questions, including one table. Results: The results show that the nurses perceive the contribution of the multidisciplinary team positively as such. Nurses have been shown to feel as complete members of multidisciplinary teams and to work with other members to meet the needs of their patients. Nurses working in functioning multidisciplinary teams also have a better overview of the individual needs of their patients and, with information from the multidisciplinary team, are able to provide better nursing care. Nurses also consider the sharing of information within the multidisciplinary team to be positive. Conclusion: We conclude that a well-functioning multidisciplinary team of nurses is an integral part of proper and quality patient care. The results of this work could be beneficial in the field of education, practice.
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The role of the nurse in providing multidisciplinary care in spinal units
HARAZINOVÁ, Lucie
The aim of this master's thesis is to map the role of the nurse in the spinal unit, describe the collaboration of multidisciplinary team members in the spinal unit and describe the needs of the hospitalized patients. To meet these objectives, a total of five following research questions were set: "What is the role of the nurse in the care of patients in the spinal unit?", "What are the specifics of nursing care of patients in the spinal unit?", "What is the composition of the multidisciplinary team in the spinal unit?", "How does the cooperation between these workers take place?" and "What are the needs of patients hospitalized in the spinal unit?". The theoretical part of the thesis is designed to provide the reader with a comprehensive overview of the issue of spinal cord injury. At the very beginning, it defines the basic anatomical and physiological conditions of the nervous system, spine and spinal cord. Injury of these structures is the subject of other chapters, which discuss the causes, symptoms, diagnosis and treatment options in more detail. It also describes the development of spinal units in the Czech Republic and abroad. It defines a multidisciplinary team, whose work is an integral part of the care of a patient with a spinal cord injury. The nursing care chapter is devoted to areas that require a specific approach by nurses in patients with spinal cord injury. A qualitative research study was chosen for the empirical part of the thesis. Data collection took place using a semi-structured interview with thirteen nurses from selected spinal units. After finding out their personal information, they were asked a total of twenty-nine questions focused on the functioning of the spinal unit, characteristics of provided multidisciplinary care and the nurses' experience of the patients' condition and needs. The obtained information was subsequently transcribed and processed with the open coding method and colouring text. For easier orientation in the results of the interviews, four categories and seventeen subcategories were created, which clearly present the answers to the above research questions. It was found that the informants perceive their role in the spinal unit mainly as a nurse-caregiver. The cooperation of the multidisciplinary team is conditioned by various forms of verbal and non-verbal information exchange, for example during ward rounds, by change-of-shift handoff, operational meetings or information boards. Most of the nurses rate this cooperation as effective and mostly problem-free. The results also show that the needs of patients are closely related to mobility restrictions and long-term hospitalization. Most often, these are physiological needs and the need for contact with the society. This master's thesis points out the importance of a multidisciplinary and sensitive approach to patients with a spinal cord injury, who experience many worries and tense moments in their return to everyday life. The results may serve as educational material not just for students of healthcare professions, but also for the medical staff themselves. An output of the thesis is a manual for new nurses on spinal units, which aims to make them easier to integrate and prepare for the significant specifics about the nursing care for patients with spinal cord injury.
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Home hospic care from the point of view of the nurse
HERDOVÁ, Elena
The subject of this bachelor's thesis is "Home hospice care from the point of view of the nurse". It consists of parts theoretical and research. The theoretical section describes: home hospice care, its definition and for whom it is intended; necessary equipment, instrumentation or personnel: the meaning and composition of a multidisciplinary team; the extent of the care and role the nurse holds for the dying, family and survivors or description of dying according to Elisabeth Kübler Ross. This thesis includes overview of the hospice care agencies operating in the South Bohemia Region according to the expertise of 926 and last but not least the legislative regulation of the home hospic care. The research part was processed in the form of qualitative research with the main aim of finding out the nurse's point of view on home hospice care. Partial targets have been also set - to determine the extent of nurse's care in home hospice care and see how nurses themselves assess their workload and identify the factors complication the delivery of this care. Research questions are set for each objective aim. The data collection took the form of semi-structured interviews, which were carried out with nurses working at home hospic care agencies in the South Bohemia Region. The conversations were recorded on a dictaphone with permission of the interviewed nurses and then literally transcribed into written form. A total of six categories and twenty subcategories were created. The research took place between February and March 2022 and the size of the research file was based on the saturation of the responses of the interviewees, as a result eight nurses. The result of the thesis can be published for both lay and professional publics, which could result in increased awarness in families where a dying member is located, who wishes to die at home, or increase nurse's interest in the field.
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Quality of Social Services Provided within Mobile Hospice Care from the Point of View of Caring Families and Relatives.
VEITHOVÁ, Gabriela
The aim of this work was to find out the opinion of people taking care of their loved ones and their relatives, who are clients of mobile hospice palliative care, on the current quality of this care, especially in the South Bohemian Region. The way to achieve the goal was qualitative research which was made mainly in the third and fourth quarters of 2021. For the research cooperation with 6 organizations was established. Then a semi-structured interview with 12 informants was conducted. It was supplemented by an observation technique. The evaluation method was the grounded theory method performed in the Atlas.ti 9 program. The benefit of the work is the information which is useful for both, providers and related authorities. It shows current public awareness of mobile hospice care, it also shows impressions and opinions that occur in the laic public and which are also spread. Specific dating is also usable. It opens the possibility to monitor the development of mobile hospice palliative care here in the South Bohemian Region, as well as comparisons between localities. The final output is the knowledge about the quality of this service and it is very positive. The people taking care mentioned the possibility of using mobile hospice care, they saw the quality in the fact that it exists and they have an alternative to institutional care. According to the caring people, the quality was also that they are not alone in the home environment to take care of their loved one. Mobile hospice palliative care is qualitative despite shortages that were revealed in the research.
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Health Social Worker in the Psychiatric Hospital
DVOŘÁKOVÁ, Klára
The aim of the bachelor thesis is to map the specifics of social work of a health and social worker in a psychiatric hospital. The partial goals are to describe the role and activity health and social worker, how the health and social worker is involved in multidisciplinary care in the psychiatric hospital and what means of psychohygiene are used by the health and social worker in the psychiatric hospital. The method of interviewing by means of half-structured interview, as well as qualitative research strategy were chosen for the research. Data analysis was performed using open coding. The research group was selected by means of a subsequent selection and consisted of four health and social workers. From the research it can be concluded that the course of health and social work in psychiatric hospitals is relatively the same. The health and social worker is an integral part of a multidisciplinary team in a psychiatric hospital, where patients are provided with comprehensive health and social care. A health and social worker in a psychiatric hospital plays a number of roles and activities. We rank among the roles service provider and social adaptation trainer and we rank among the activities providing professional social counseling to the patient and his family, participation in visits and treatment programs and meetings, support in processing documents, in solving debt problems and in solving housing problems. The employment of a health and social worker is one of the helping professions where self-care and observance of the principles of psychohygiene are necessary. The most important means of psychohygiene is supervision, which is observed by the employer of psychiatric hospitals and health and social workers participate in it at regular intervals. The bachelor thesis can be used as feedback for the facility where the research will be carried out. The results of the work can be used by health and social workers in health care and students in the field of health and social care who are considering employment in a psychiatric hospital.
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The Contribution of Paliative Care Teams to Healthcare Facilities
KŘÍŽOVÁ, Helena
The aim of this bachelor's thesis was to find out how palliative teams work and their benefit for healthcare facilities and need while providing care for patients with incurable diseases and finished treatment. The thesis is also focused on the individual members of the palliative care team and their roles. Methodology and research: For the fulfilment of the aims was used qualitative research in the form of a semi-structured interview with members of the palliative care team. The results of the interviews were analysed using open coding method which is called the pencil-paper method, then they were divided into individual categories and subcategories. As part of research four categories with three subcategories were established. The research team consisted of eleven members of the palliative care teams of four selected hospitals in the Czech Republic. Results: It was found that the establishment of palliative care teams in the interviewed hospitals is a great benefit for medical facilities. Results obtained by us can serve as a base for creation of an information brochure for individual departments, medical facilities, but also for the public. Bachelor thesis can be used for educational seminars for nurses, doctors and other helping professions.
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The Issues of Multidisciplinary Approach to Abused and Neglected Minor Victims in České Budějovice
VOLÁROVÁ, Andrea
The diploma thesis focuses on the issues of a multidisciplinary approach to abused, maltreated and neglected minor victims in České Budějovice. The main aim of the thesis was to explore ways of how involved assisting staff approach minor victims of the child abuse and neglect syndrome. The diploma thesis is divided into two parts, a theoretical part and a research part. The theoretical part deals with basic children's rights in the Czech Republic. It also deals with the description of the child abuse and neglect (CAN) syndrome. The following chapter focuses on the systemic abuse of minor victims, which is closely related to the CAN syndrome. Furthermore, it provides a description of helping professions that are involved in the issue of the child abuse and neglect syndrome. The penultimate chapter deals with interventions and procedures employed when working with minor victims. And the final chapter dwells on multidisciplinary approaches to minor victims. The research part was based on a qualitative research strategy that employed the method of questioning, involving techniques of semi-structured interview, which consisted of twelve open-ended questions and others if necessary. The results of the qualitative research showed that the interviewed respondents from helping professions use individual approaches, therapeutic approaches and multidisciplinary approaches while working with minor victims. The results of the research will serve as a source of information and inspiration for the workers in helping professions dealing with the described issues.
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Positives and negatives of members of the multidisciplinary team in mental health centres
TOPINKOVÁ, Petra
This diploma thesis deals with the cooperation of social and health workers within multidisciplinary teams in a relatively new project - Mental Health Centers. This principle of care is new in the Czech Republic and is based on multidisciplinary cooperation. It is now aimed at people with serious mental illness. The team consists of psychiatrists, psychologists, social workers, general nurses/nurses for psychiatric care and peer consultants. The purpose of this work is to describe what work in such a multidisciplinary team looks like, how respondents perceive it and what positives and negatives they find in this work. The work is composed of two parts, theoretical and practical. In the theoretical part, the reader will learn that the Mental Health Centers (MHC) are part of the Reform of Psychiatric Care. The Flexible Assertive Community Treatment (FACT) model, which is based on community care, is implemented at the MHCs. The thesis further explains how MHCs work, what services they provide and who they are for. The practical part is based on qualitative research. Data were collected through in-depth interviews with respondents, who consisted of nine employees from one MHC. Their interviews revealed several basic categories that partially answer research questions. The categories that are interrelated are: Peer Consultant, Covid, Risks of a Multidisciplinary Team, Importance of Professions, Main Word in Care, Positives and Negatives of Teamwork, Expectations from Other Professions. The results of this thesis may be used as a basis for further research and provide an interesting insight into how the workers themselves perceive such demanding work.
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