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Usage of NANDA II Classification in Nursing Care for Senior Citizens in the Old People´s Home
ČERVENÁ VRÁTNÍKOVÁ, Michaela
Old People´s Homes represent one of the options of caring for senior citizens. They focus on senior citizens over 65 who, due to deterioration of their physical and mental status or unfavourable social situation, need permanent assistance from another person. The role of Old People´s Homes is to enable the clients to spend their old age in a worthy and satisfying way, and to keep and support their self-sufficiency. Senior citizens there are looked after by a multidisciplinary team of experts comprising doctors, nurses, physiotherapists, ergotherapists, attendant care workers and social workers. Nurses in Old People´s Homes work according to standards of nursing and social care, and they work using the method of nursing process. Nursing diagnostics is its integral part. It works on careful collection of information about a client and serves for exact and brief naming of his/her state of health ? current or potencial nursing problem, and subsequently helps to choose appropriate interventions that will lead to maintenance or restitution of client´s health. Theoretical part of the thesis describes ageing and old age, options of caring for senior citizens, care in Old People´s Homes. It also deals with geriatric syndroms, NANDA classification, its history and importance, and making nursing diagnoses.Practical part of the thesis is divided into two parts. The first part aims to discover how NANDA II classification is used in nursing care in Old People´s Homes, and to find out the attitude of nurses in Old People´s Homes to use of NANDA II classification. To reach these objectives, two research questions were asked: ?How do nurses use NANDA II classification?? and ?What is the attitude of nurses to use of NANDA II classification?? The aim of the second part of the research is to discover how education of nurses affects their attitude to use of NANDA II classification. To reach this objective, the following research question was asked: ?How do nurses change their attitude to use of NANDA II classification after the educational training course??To find out the necessary information, the qualitative research, the method of asking questions and true experiment, and the technique of in-depth interview were used. The interviews were recorded on a voice recorder, their exact transcription followed. Data gained from the interviews were processed by the technique of open coding using the method of pencil and paper, and classified into particular categories and subcategories. Education of nurses by giving a presentation in PowerPoint was an integral part of the research investigation.Analysis of data gained from the interviews, which were held before the educational training course, resulted in categories Nursing Process, Nursing Diagnostics and Attitude of Nurses to Nursing Diagnostics; these categories were divided further into particular subcategories. Research investigation showed that nurses had basic knowledge of nursing process and that they used methods of nursing process in their work. However, they had unsatisfactory knowledge of nursing diagnostics, they didn´t regularly work with nursing diagnoses and their attitude to nursing process was mostly negative. Analysis of data from interviews held after the educational training course resulted in the category Change of Attitude of Nurses, which revealed a change of nurses´ attitude after education about NANDA II classification, making nursing diagnoses and its importance. Nurses mostly responded that a properly and exactly defined diagnosis is beneficial for a nurse and client as much as a properly chosen intervention. All five respondents agreed that preconditions of good quality work with nursing diagnoses are to use them in a cohesive way by all nurses, revise them regularly, and promote the knowledge of NANDA II classification and nursing diagnostics among nurses who work in the Old People´s Home.
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Social services for seniors in Strakonice
Kulířová, Petra ; Poláková, Olga (advisor) ; Szabová, Lucia (referee)
The diploma thesis evaluates the capacity and financial availability of social housing for the elderly living in a town called Strakonice, comparing it to the demographic processes related to the age structure of this town. This thesis also introduces all social services relating to the ageing population of the Czech Republic and compares them with the demographic forecast process and the country's age structure. A similar approach is used when analyzing this reality in the town Strakonice. The secondary objective of this thesis is to detect all sorts of social services funding, considering the revenue and expenditure structure of elderly social housing in the Czech Republic and also in the town Strakonice. In the last part of this paper, there is an economic analysis of one residential social service, which is designed for seniors living in the town Strakonice.
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