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Possibilities how the support the family of a newborn with developmental risk
ZIKEŠOVÁ, Ivana
This diploma thesis deals with the issues of a family of a newborn with a developmental risk. The theoretic part deals with the most common problems endangering the healthy development of a newborn, also with family and the process of coping with the crisis. Further on, it deals with possibilities of family support during their stay in hospital and also after the baby has been discharged into home care, using the support of non-health care groups. The objective of the diploma thesis was to detect possibilities of psycho-social support for the family of a newborn with a developmental risk. The thesis answers questions of, how parents feel in this situation after the birth of their child, during its stay in hospital and subsequently after the discharge into home care, what kind of support services they use to help them manage this period. Further on it deals with questions of whether the information of support options is sufficient and whether this support system works from the parent?s perspective.This diploma thesis was processed on a basis of qualitative survey results. The questioning method of half-format with parents was used and the method of document summary analysis. The investigated samples were parents of ten children treated in The Developmental Care Unit of Neonatology ward in the hospital of České Budějovice a.s. During the hospitalization of the child, it is important, that the medical team communicates openly, gives well timed and clear information and allows direct involvement in the child care. The outcome of this investigation points out the important role of the partner, family and friends as the main source of support. Also sharing feelings and needs with other parents is rand as a considerable source of support. However, the mothers especially, miss this sharing opportunity after their baby has been discharged into home care. Another interesting outcome is the absence of a psychologist, who specializes in newborn matters as an important source of support for parents. The survey shows, how important the psychosocial support is for parents, not just during hospitalization, but also after the discharge of their baby. Whereas they feel that the healthcare service is adequate, they especially miss the psychosocial support after the discharge from hospital. This is especially true of families of babies with developmental risk, without any serious health problem. Listed subjects could be used by professionals dealing with care of newborn with developmental risk, who provide complex care for families of the children with perinatal condition. Therefore, specialized psychological help should be an evident part of the care provided. The hypothesis were determined on the basis of qualitative survey results, which could be verified by further investigation:Hypothesis 1: For mothers of a newborn with developmental risk it is important to get help in the framework of supporting parental groups.Hypothesis 2: After the discharge of their child into home care, parents would appreciate psychosocial support in the framework of outpatient service.
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Transformation of father´s role after the birth of a premature child from the psychosocial viewpoint
ZIKEŠOVÁ, Ivana
The bachelor thesis is based on the experience of problems with premature babies from the fathers? point of view. The main target of the bachelor thesis was to find out how the father sees his role after the birth of the premature child, to point out his feelings and needs and simultaneously to map the psychosocial impact on the family from his point of view. In the bachelor thesis the following research questions were asked: How the father felt in the period before and straight after the birth of the premature child? What helped tothe father to manage the unexpected situation? Did the situation reflect in any way in his normal life? The thesis was elaborated based on the qualitative research. Data was acquired based on talks with fathers and by the analysis of contents of documents. The research sample was fathers of children who were hospitalized in the neonatology ward of the Hospital in České Budějovice. The results of examination show that the premature birth of a child is, for the father a very difficult life experience, influencing considerably his everyday life. For the father, the fact that he has the opportunity to share with somebody his feelings and needs is very important.
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Social worker as a member of a team handling the comprehensive care of a family with a child born prematurely
ZABILKOVÁ, Hana
The thesis deals with psychosocial aspect of premature birth, to which our society does not still pay the attention they would deserve. The aim of the thesis is to emphasise the need to provide specialized psychosocial care to families with prematurely born children within a neonatology ward and to evaluate the possibilities to apply the role of a social worker to provision of such care. The thesis is conceived as a qualitative research. The techniques of semi-structured interview and data content analysis were applied on data collection. The research sample consisted of 11 specialists of various professions involved in the care about prematurely born children and their families. The work partly continues in the research of 2007 where I dealt with the psychosocial issues of premature births from the point of view of parents of prematurely born children. The research results definitely confirmed that striving for creating a conception of specialist psychology care forming a link between health care staff and parents is necessary. Such care should be based on the following forms of assistance so as it supports family function and child{\crq}s healthy development: provision of crisis intervention, support of early relation between the mother (parents) and the child, support and strengthening parent competences, advisory on care about a prematurely born child or perhaps a handicapped child, social law counselling, mediation of related services, support of sharing experience among parents. A social worker is fully competent to provide such care. As the research shows no unified legislation dealing with his/her activities within a multidisciplinary team of a neonatology ward exists. The Social Service Act defines the conditions for the profession; separate activity would probably be subject to special regulations dealing with the activity of a social worker in hospitals. The work may be useful to all professionals pushing for rendering complex care about families of prematurely born children, i.e. care naturally involving specialist psychological care.
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CHOICES OF THE PSYCHO-SOCIAL CARE OF FAMILY WITH THE CHILD BORN PRE-MATURELY
ZABILKOVÁ, Hana
This paper deals with the problems of prematurely born children. Premature birth means an extremely stressing situation not only for the child itself, who is because of its premature birth in danger of many health complications, but also for the child´s parents. The objective of this thesis was to map the possible ways of psycho-social care of a family with a prematurely born child. The work was concieved as a quality research. The data gathering techniques used were semi-standardized interview, participant observation and secondary data analysis. The researched croup were mothers of prematurely born children who gave birth earlier than in the 32nd week of pregnancy and who spent more than three weeks with their children in the infant unit of the hospital in České Budějovice.
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