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Efectiveness of education of mothers in Strakonice Hospital, Inc. about newborna baby care in home environment.
BLÁHOVÁ, Miloslava
The current trend is the shortest possible stay in a medical facility. This also involves mothers with babies after birth. The five-day hospitalization of mothers with newborns after spontaneous delivery has shortened to 72 hours. In maternity wards mothers are educated about newborn baby care by midwives, pediatric nurses. The education is focused also on care in home environment. After leaving hospital for home the entire responsibility for care of the newborn is relegated to its mother. Is she ready for this situation? The aim of the thesis was to determine if education of mothers is sufficient and if mothers are able to use properly the obtained information about newborn baby care in home environment. How a mother can cope with a problem situation without medical personnel at hand. In the thesis a combination of quantitative and qualitative research is used, five goals and five research questions were set up. For data collection anonymous questionnaires were distributed to mothers, who gave birth to a baby in Strakonice Hospital, during the period of confinement and then after discharge from hospital in the first weeks in home environment, and non-standardized interviews were also conducted. The interviews were carried out with mothers in home environment, where effectiveness of the education about newborn baby care provided in hospital was examined. The results of the quantitative research are shown in graphs, the results of the qualitative research are presented in individual case studies and tables, where individual differences are assessed. The set up goals were met in the form of results of the field research investigation and also hypotheses, on which the goals had been based, were confirmed. Based on the quantitative survey three hypotheses may be established. The first hypothesis: In newborn care in home environment the most useful piece of information it that on breastfeeding. The second hypothesis: Mothers in home environment lack continuity of community care. The third hypothesis: Mothers ask for creation of a clear educational material about care of a newborn baby in home environment. The findings of the research could be used as basic information to create educational materials for women after giving birth for the confinement period and for the care of a newborn in home environment. Findings from the research could be used as one of arguments for negotiations with insurance companies to extend community care both for mothers in confinement and newborn babies in home environment.
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Expectations of mothers hospitalized at childbed ward, in newborn-care area
KÁLALOVÁ, Andrea
Bachelor{\crq}s thesis entitled ``Expectations of mothers hospitalized in the maternity ward in the field of newborn care{\crqq} has a research nature. The work is divided into two parts {--} a theoretical part and a practical part. The theoretical part has seven main chapters. The first chapter is devoted to the psychomotor development of the newborn. The second chapter is devoted to newborn care in the labour ward. The third and fourth chapters are devoted to nursing care in the newborn ward and to the needs of a newborn. The fifth and sixth chapters are devoted to breastfeeding and formula milk. The last chapter is devoted to discharge and care at home. The practical part is devoted to research. The aim of the work was to map out expectations of mothers hospitalized in the maternity ward in the field of newborn care and to find out the level of satisfaction with the nursing care of the newborn among mothers after childbirth. In order to prove or reject the hypotheses, I used a questionnaire with 16 questions. 115 questionnaires were handed out, 105 were returned. The rate of return was 91%. The results were translated in to graphs. The sample for the questionnaire research consisted of mothers on the third day after childbirth hospitalized under the rooming-in system; there were 100 mothers in the end sample. In the first hypothesis I presumed that mothers expect to gain basic information {--}especially practical - on providing basic needs in the care of the newborn. On the basis of processing the data obtained it was found that mothers prefer individual theoretical discussions with practical examples. The first hypothesis was therefore rejected. In the second hypothesis I presumed that mothers are satisfied with the provided nursing care of the newborn. The second hypothesis was proven; mothers are satisfied with nursing care provided. I would like to inform the nurses in the newborn ward about the results of my research.
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Nursing care and nourishment of premature baby
LONGÍNOVÁ, Ilona
NURSING CARE AND NOURISHMENT OF PREMATURE BABY A newborn baby isn´t a little adult, a newborn baby is basically a defenceless creature demanding a very complex care that aims at creating secure conditions for its life. It requires love, tenderness and a lot of devotion for the whole period of 24 hours. The bachelor´ s dissertation paper is dealing with the subject `` Nursing care and nourishment of a premature baby{\crqq} In the theory section the difference between a physiological and high risk newborn baby, the principles of care on the intermediary ward, the nourishment problems and the favourable consequences of breast feeding and breast milk not only on these children are described. Some of the aspects of the care are pointed out aiming at satisfying the basic needs of a baby. Dissertation objective: The paper itself is engaged in finding out something about how well mothers of high risk newborn babies, who are hospitalized on intermediary wards in Jindřichův Hradec and České Budějovice, are informed on a suitable care and nourishment procedures in their children. It should find out how far they have gone with their knowledge of the way their children should be taken care of before they leave the hospital. It is supposed to highlight the drawbacks of the staff , to remove these drawbacks and thus to improve the quality of care. Hypotheses: Two positive hypotheses were formulated referring directly to the particulars goals. 1/ The mothers who are hospitalized on the intermediary wards for newborn babies in Jindřichův Hradec and České Budějovice are aware of the necessity of properly nourishing the child. 2/ The mothers who are hospitalized on the intermediary wards for newborn babies in Jindřichův Hradec and České Budějovice are sufficiently informed about the proper care leading to meeting the needs of their children. Data Collecting: The research mentioned above was carried out on the intermediary wards in Jindřichův Hradec and České Budějovice. A questionnaire was composed to collect the relevant data. There were 22 questionnaires handed out in each ward and the research group was set up including 37 mothers of the hospitalized children. The questions included in the questionnaire referred predominantly to how well the mothers are informed about the child´s care and nourishing problems and they were supplemented with some identification. The gained information was properly processed and evaluated. The results were put in graphs. To get a more distinct picture of the results a pie chart was selected. The research results are assessed in the discussion and confronted with the hypotheses. Conclusions: Both the nourishing care and the nourishment of a premature baby are a subject involving a lot of medical, psychological and social problems. A maternity ward nurse plays a very important and definite role in the care of a premature baby. Supported by her profesonal abilities she is able to initiate such a method of work that reacts immediately to the needs of a child in a positive way. The educational contact with the child´s parents is eqally important and plays a very precise role. The fact how well mothers are informed is influenced by their age, by how much they are interested in getting information and its resources and how much they are willing to be educated by the medical staff on the intermediary wards in Jindřichův Hradec and České Budějovice where they are hospitalized with their children. The research results are very good.
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