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How minoritas perceive life periods of old age and death
HOLUBOVÁ, Adéla
Author: Bc. Adéla HOLUBOVÁ Head diploma thesis: doc. PhDr. Valérie Tóthová, Ph.D.,R.N. Name diploma thesis: How minoritas perceive life periods of old age and death Style thesis: Diploma thesis Place and year publication: České Budějovice, 2007 Rate pages: 132 Key data words: Culture, multiculture, nurse, nurse, death, old age, Vietnam, vietnam patient
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How to provide the satisfaction of patients` needs in a multicultural taking care from the nurses` point of view
ŠEBKOVÁ, Dana
Abstract The subject of research in this bachelor´ s thesis is to ascertain how the patients´ needs satisfaction is ensured in a multicultural nursing in view of nurses qualified in general nursing. The research was carried out in the hospital in Blansko by means of a questionnaire to be filled in willingly and anonymously. People of different nationalities, cultures, habits, and mentality have been coming to this country. Some of them come to work here and they want to build up a home, others come to spend their vacation only, to visit their relatives and friends, or they come to study. Each of them has different needs; they take care of their health in a different way; and they also perceive disease differently. A great bilateral problem is the language barrier and the communication closely related. The objective of the thesis was to find out what the greatest problem was in satisfying the foreigners´ needs in the hospital in Blansko; which of the foreigners were most frequently treated patients; and whether they had specific needs. The assumed hypotheses were determined as follows: 1. the greatest problem in satisfying the foreigners´ needs in the hospital in Blansko is the language barrier. 2. the most frequently treated foreigners in the hospital in Blansko are the Mongolians who have no specific needs. The nurses qualified in general nursing were provided with 140 questionnaires; thereof 115 were returned; 101 questionnaires were filled in correctly, and these were used for this quantitative research. Through the research investigation it was ascertained that the supposed hypothesis No. 1 was confirmed to state that the greatest problem in satisfying the foreigners´ needs in the hospital in Blansko was the language barrier and the associated communication (graphs 20 and 24). The assumed hypothesis No. 2 was confirmed; 26% of the respondent nurses replied that the most frequently treated foreigners in the hospital in Blansko were the Mongolians who had no specific needs (graphs 7 and 16). The investigation led to the ascertainment that the care of a foreigner is more demanding than that of a Czech patient especially due to the language barrier on both sides (graph 13). The foreigners´ satisfaction is not monitored in 56% (graph 17). The general results of the research show that the care of the foreigners in this country is at a standard level, while the language barrier remains the only and principal problem.
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Romany women and reproductive health
TREPPESCHOVÁ, Adéla
Reproduction health means ability to become pregnant, bear the full term and give birth to a healthy child. Every woman is responsible for her care for reproduction health. Health is also closely connected with love for family. Family is very important for Romani people as it is a source of power and deep roots and satisfies life necessities of its members. The thesis titled Romani Women and Reproduction Health deals mainly with the issues of reproduction health of Romani women which includes family planning of Romani women, pregnant Romani women, abortion, childbirth, contraception and also climacteric and preventive screening mammography. The issues connected with reproduction health are quite serious as preventive medical examinations are essential for subsequent treatment when a disease is diagnosed. The aim of the thesis was to find out whether or not there is any education in the area of family planning of Romani women; whether or not Romani women plan their parenthood; whether or not family planning is affected by the traditional Romani family pattern; at what age they give their first birth; whether or not Romani women undergo preventive gynaecological examinations; whether or not Romani women are informed about vaccination against uterine suppository cancer; and whether or not Romani women use hormonal substitution therapy during their climacteric. The hypotheses below were defined for these aims. The aim of the first hypothesis was to verify that there is no education in the area of family planning of Romani women. The hypothesis was verified by a questionnaire and its subsequent statistical evaluation. The aim of the second hypothesis was to verify that Romani women plan their pregnancy but this hypothesis was not verified. The aim of the third hypothesis was to verify that family planning of Romani women is affected by the traditional Romani family pattern which was not verified. The aim of the fourth hypothesis was to verify that Romani women give their first birth at the age of 17 or so. This hypothesis was verified by a questionnaire and its subsequent statistical evaluation. The aim of the fifth hypothesis was to verify that Romani women undergo preventive gynaecological examinations. This hypothesis was verified. The aim of the sixth hypothesis was to verify that Romani women are not informed about vaccination against uterine suppository cancer. This hypothesis was not verified. The aim of the seventh hypothesis was to verify that Romani women do not use hormonal replacement therapy during their climacteric. This hypothesis was verified. There were four research questions defined for a qualitative check. The first question concerned the fact how the lower socioeconomic status of Romani families affects the number of children being born. The second research question concerned the most frequent gynaecological diseases occurring of Romani women. The third question concerned the issues connected with pregnancy of Romani women. The fourth question concerned the fact whether or not Romani women let their daughters be vaccinated against uterine suppository cancer. The results of the research questions show that the informants did not have problems to become pregnant; when they had health problems during pregnancy they went to hospital to avoid complications; their lower socioeconomic status does not have any impact on the number of children in Romani families; five informants out of nine did not have any gynaecological problems; all Romani informants are informed about vaccination against uterine suppository cancer; and only three women out of nine would not let their daughters be vaccinated. A combination of quantitative and qualitative checks was used for the practical part of the thesis. A non-standardized interview and a questionnaire were used as the data collection technique. The research group consisted of Romani women of all age categories from České Budějovice.
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Educational Process Focused on Prevention of Infectious Diseases in the Romany Population
VIDENSKÁ, Magdalena
The topic of the thesis is: ``Educational Process Focused on Prevention of Infectious Diseases in the Romany Population{\crqq}. The Romany minority is a part of the Czech society. In the population census conducted in 2001, the Romany nationality was claimed by 11 746 persons. However, the actual number of members of the Romany community in the Czech Republic is much larger. The Romany psyche differs from the psyche of the non-Romany population, which results in a different lifestyle. In common life we face various infectious diseases, such as respiratory infections, infections of skin and mucous membranes, blood-borne diseases, alimentary infections, sexually transmitted diseases and many others. Most of diseases endanger not only the majority society but also the Romany minority. However, the different lifestyle and psychological differences may result in higher probability of certain infections in the Romany minority. The objective of this thesis was to identify those infectious diseases and to elaborate an educational plan facilitating reduction of occurrence of the identified infectious diseases in the Romany population. The thesis raised four research objectives and four research issues. The research part of the thesis was implemented by the qualitative research method. The data were collected by the technique of semi-structured interviews based on study of technical literature. The questions are based on conceptual models of M. Gordonová, M. Leiningerová and J. Gigerová {--} R. Davidhizerová. The information obtained in interviews with members of the Romany minority group was processed into casuistics that form the basis for elaboration of categorized tables and charts. Based on the data obtained in interviews, the particular infectious disease which endangers members of the Romany minority group was identified and the educational plan was elaborated for them, supplemented with the educational material which was used for education at the following stage of the research. As the main results we consider identification of three infectious diseases that endanger the Romany population to the largest degree. The thesis provides nurses with recommendations what problems should be focused on in education of the Romany population not only within the Romany community but also in educational institutions. We would like to make the results of the thesis available to the professional public. The output of the thesis is the educational plan and educational material intended for all who work with the Romany community and wish to facilitate improvement of their health state and quality of life.
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The role of the nursing management in the human resourcing problems
PLOCKOVÁ, Helena
The aim of this task is to find out the present role of the middle nursing management in the human resource management and also to suggest a new plan of graduate training in the terms of adaptation process. In the end it is necessary to analyse its asset from the nurse managers{\crq} point of view. Questionnaire technique of information gleaning was used for the survey. First survey body was formed by nurse managers. There were 25 questions in the questionnaire. A part of the questionnaire was a plan of graduate training. These graduates had to be educated as state registered nurses or with university degree, either Bachelor or Master. There were 18 closed questions and 7 half-open ones. Second survey body was formed by graduates of nursing colleges and universities. There were 8 questions in the questionnaire and there were 8 answers in each question. All the answers were used for assessment of level education dependence on motivational needs. There were four hypothesis in the survey which should confirm or disconfirm the interest of nurse managers in further education, its providing by hospital managements, the dependence of motivation needs on education level (only graduates) and evaluation of adaptation process provided by nurse managers. The first hypothesis confirmed that the nurse managers are interested in further education connected with human resource management. The second hypothesis confirmed that hospital management offers the possibility of human resource education to nurse managers. The third hypothesis confirmed that motivational needs, which influence graduates´ job choice, change with the level of education. The fourth hypothesis confirmed that setting up ``The Adaptation Process for Graduate Training{\crqq} positively evaluates nurse managers. Considering positive survey results it would be suitable not only to set up the adaptation process with graduates but also to use the questionnaire of testing needs which can help the middle management to nominate graduates with certain posts. There is a great significance in it and it is very important for career and integrating in work teams. The results of the survey could be lent to hospital management as an instrument of human resource optimization.
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Electronic documentation in nursing practise
KRÝDLOVÁ, Michaela
As a consequence of the quick development of information technologies there has been a natural and gradual transition to the electronic data storage in nursing. The firstversions of the software application for such documentation have been developed in cooperation with professionals dealing with information technologies in the States of the European Union and it is the nurses who decide what the content of the nursing documentation will be. Therefore it is very important that the nurses {--} as the main users of this software {--} are actively involved in the creation process of the electronic nursing documentation. The advantage of introducing the electronic nursing documentation is filing of the important data about a client in the NIS where it is possible to retrieve the history anytime. In contrast to the traditional records, it is easier to read these records and it is not possible to cross any information out or lose it. Further, it saves nurses{\crq} time, it automatically records time and name of the medical worker who logged in the NIS and it meets the recommendations of the accreaditation standards. A qualitative research was used in the research part of this thesis. A semi-standardized interview with the head nurses and a structured interview with the senior staff nurses and ward sisters of the departments of internal medicine and of surginal wards of the selected hospitals were used to collect the data. Further, the method of content analysis was used to compare the electronic nursing documentation in the individua surveyed hospitals. The structured interview with the senior staff nurses and ward nurses was not done in the Hospital České Budějovice, a.s. because the programme of the electronic nursing documentation has not been started there. Case reports are created based on the gained interview results. The case reports comprise the research base on which categorized charts in which the research results are recorded are based. The research was conducted from January till June 2009. The surveyed group consists of head nurses, two senior staff nurses and two ward sisters of the departments of internal medicine and of surginal wards of the selected hospitals of the chosen regions of the Czech Republic. The research was conducted in the South Bohemian Region {--} the Hospital České Budějovice, a.s., the Pilsen Region {--} the Teaching Hospital Plzeň, the South Moravian Region {--} the Teaching Hospital Brno and the Vysočina Region {--} the Hospital Jihlava, p.o. Four research questions were defined at the beginning of our research in order to achieve our goal. The research questions 1: Does the electronic nursing documentation contain all phases of the nursing process (anamnesis, diagnosis, care plan and assessment)? The research questions 2: Is the nursing taxonomy a part of the electronic nursing documentation of each patient? How is the record of the nursing diagnosis created (crossing x filling in)? The research questions 3: Which nursing model has become the basis for the nursing anamnesis of the electronic nursing documentation? The research questions 4: Can the nurses take an active part in the preparation process of the electronic nursing documentation? All our research questions have been answered. We defined the following hypotheses based on the results of our research: H1: The electronic nursing documentation contains nursing anamnesis based on the Marjory Gordon{\crq}s conceptual model. H2: The nurses are offered to cooperate in the creation process of the electronic nursing documentation. H3: There is a taxonomy part in the nursing documentation. H4: The electronic nursing documentation covers all phases of the nursing process. We belive that the results of he
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Nursing care women during wirt abortion
KOUTNÍKOVÁ, Radka
A birth assistant should manage several roles when taking care of women {--} she should communicate well, be a good nurse, should show empathy to women, introduce new trends and knowledge into her work, discuss them with her colleagues, be able to defend her actions and contribute to the improvement of nursing care. My work uses a quantitative survey based on the collection of data through questionnaires combined with a qualitative survey using interviews to clarify survey questions. The survey was carried out from October to December 2008. Research subjects included birth assistants and women patients at Gynaecological and Obstetric Departments. Questionnaires for birth assistants were distributed in 5 hospitals in the Czech Republic (Ústí nad Labem, Jindřichův Hradec, České Budějovice, Třebíč and Brno). I distributed 150 questionnaires for birth assistants; 105 (70%) questionnaires were collected. 15 questionnaires were discarded for being incorrectly completed; the research uses the total of 90 (100%) questionnaires. Interviews with women patients were carried out in the hospital in Ústí nad Labem. I interviewed 8 patients, who had been informed about the structure of the interview. They agreed that the interviews were recorded by dictaphone; the interviews were subsequently transcribed and assessed in charts and tables. My bachelor thesis formulates four targets and four hypotheses. The survey confirmed the targets and the hypotheses. The bachelor thesis deals with women after abortion; it focuses on nursing care, information provided to women patients, the securing of their intimacy and the care rendered to them according to standards. During the collection of data, I did not encounter unwillingness or displeasure on the part of birth assistants or women patients. The approach of both these groups was positive; 70% of birth assistants and 100% of women patients cooperated on the research. Both groups were interested in the results of the research. The results and theoretical part of the bachelor thesis will be used as a source of information for birth assistants and women after abortion. Birth assistants promised to use the results of the work as inspiration for the improving of their care of women after abortion. The bachelor thesis may also be used as an information brochure for women after abortion and the general public. It may provide information for the production of leaflets available at Gynaecological and Obstetric Departments or lectures.
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Nurse documentation in Czech republic
RAK, Michal
Topic of the diploma paper: Nursing Documentation in the Czech Republic. The paper compares nursing documentations used in various health-care establishments. Examining their printed form, it takes their main parts and focuses on the contents of individual components and on the records of implementation of the nursing process. These areas are analyzed and compared in the practical part of the paper. The objective of the diploma paper was to ascertain what documentation is used by health-care establishments in the Czech Republic and to compare these internal materials. From 49 contacted establishments in all regions of the Czech Republic, the research covered 15 establishments that consented to cooperation and provided nursing documentation in a printed form. All obtained materials were analyzed and used in research. In order to attain the objectives, qualitative research was used. A record sheet, based on 12 areas of the Gordon{\crq}s model, was made up for the purposes of the comparison. Individual documentations were kept and processed, and are referred to in the paper under letters of the alphabet so that anonymity of the research is maintained. Individual materials were analyzed. The contents of the sheets were compared and evaluated. The collected data were processed by means of Microsoft Office Word program. From the results of the research it is apparent that the documentations maintained by all the health-care establishments have a similar composition. They contain the nursing anamnesis, nursing care plan and other documents examined in detail in the paper. The nursing anamnesis is divided into individual fields that are not based on any mode and whose number varies. Measuring techniques are used in the documentations. The most widespread was Barthel{\crq}s test of activities of daily living. A nursing anamnesis is connected with a nursing care plan. All 15 documentations contain this plan. Six health-care establishments decided for a free form, six establishments for a preprinted form and the last three establishments combined the printed and the free form into one. According to the findings, all the examined samples are on a comparable level and comply with all the criteria of quality care of a patient, given by the needs of practice. The results of the paper will be provided to the cooperating establishments that may use them in order to achieve better quality of patient records.
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Peculiarities of nursing care of clients of the Jewish denomination
JÍLKOVÁ, Veronika
Judaism, that is dealt with in a lot of publications, is a religion scattered all over the world. In the history of all countries you can find mention of a Jewish locality, ghetto, some famous Jew, or a court case with Jews. Jews were persecuted for centuries, and nearly everybody remembers World War II and the Holocaust. Globalization brings migration and multicultural society. To provide clients with efficient nursing care, it is necessary to ensure good professional readiness of nurses for transcultural nursing. The dissertation deals with the peculiarities of nursing care of clients of the Jewish denomination. For the research part techniques of quality research were used {--} semi-standardized survey interview and content data analyse. The research set consisted of 11 clients from Domov sociální péče Hagibor in Prague (care home), and there were 37 files of medical documentation at our disposal. At the very beginning of the research we set 3 aims. Do hospitalized clients of the Jewish denomination require specific nursing care? Are there differences in providing specific nursing care for clients of the Jewish orthodox or conservative type? Are there differences in the care for clients of the Jewish denomination between the terminal stage hospital and the facility for clients of the Jewish denomination? Based on the aims we set the research questions. We fulfilled the aims, and the research questions were answered during the research. Based on the done research we set these hypotheses: Hypothesis 1. When providing nursing care, it is important to know the type of Judaism a client professes. Hypothesis 2: Jews prefer vegetarian meals in medical facilities. Hypothesis 3: Practising Jews refuse hospitalization in a hospital during important feasts unless their life is in danger. Hypothesis 4: There are differences in providig nursing care for Orthodox Jew clients comparing with care for clients of conservative type. Hypothesis 5: There are differences between the care for clients of Jewish denominations in the terminal stage hospital and in a facility for clients of Jewish denomination. The dissertation brings surprising and interesting research results, which were processed into the model of culture friendly-adjusted care of Joyce Newman Giger and Ruth Davidhizar, and a standard nursing care process for a client of Jewish denomination was developed.
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