|
|
The History and Present of Incidence of Multiple Sclerosis with the focus on the quality of life of MS sufferers.
RUSŇÁKOVÁ, Magdalena
This thesis deals with the topic of history and current situation of Multiple Sclerosis with the focus on the quality of people with this disease. The following objectives were set for the thesis: firstly to find out how multiple sclerosis influences the quality of life of individuals, secondly to analyse how much information about the organisation of care available to MS patients in the Czech Republic which has influence on quality of their life, and lastly to compare and contrast differences in diagnosing and treatment between the years of 1970 and 2016. To reach the set objectives the method of qualitative research was employed. Data collection was carried out through semi-structured interviews with individuals with multiple sclerosis. The data was then further coded and categorized. As the key discovery of my work I consider the low knowledge of MS patients about the organisation of care for MS patients i.e. MS centres, SMS club, rehabilitation, physiotherapy, spa treatments and other possibilities of improving the quality of their life. Being diagnosed with multiple sclerosis has a negative impact on the quality of life of patients, especially when the symptoms start manifesting, therefore prevention, positive attitude and an effort to maintain or improve their health play the key role. Following the discovered lack of knowledge of MS patients I would recommend to increase the activity in educating people with this disease. An information leaflet which resulted from my findings can be used as a visual aid to improve the situation. The leaflet can be found in appendix number 8.
|
|
|
Fieldwork of a Nurse in Our Territory in the 20th Century (before 1989).
ŘÍHOVÁ, Martina
The title of the bachelor thesis is Fieldwork of a Nurse in Our Territory in the 20th Century (before 1989). Fieldwork of a nurse has undergone substantial changes through its development. It was affected by numerous factors of those times. Nurses had to try to adapt to the factors as much as possible to be able to provide the necessary care. The aim of the thesis was to map nurses' fieldwork and to provide a complex outline of what the nurses' fieldwork looked like in the last (i.e. the 20th) century with regard to the social context of that time. The method of detailed literature search was applied to the thesis. The work captures how nurses performed the fieldwork from 1901 to 1989. The period was divided into individual time sections based on historical landmarks. Numerous sources had to be searched and studied to compile the thesis. After studying available sources a complex of information divided into the individual periods was prepared. Information showing the given period, like political and social aspects was added. A research question was set at the beginning: What did the fieldwork of a nurse look like in our territory in the 20th Century (before 1989)? A chapter mapping the fieldwork of a nurse before 1901 was added to provide more complex view of the issue. The fieldwork of nurses was not much developed in the early 20th century. It was mainly provided by nuns and a small part of trained nurses. The home nursing care mainly developed in the 1920s and 1030s. Counselling centres were founded and nursing care in families introduced in the 1920s. Nurses not only provided special care but often also took care about patients' households. The activities of counselling centres proved useful and were gradually extended. Nurses' fieldwork continued even in the time of occupation of our territory. Extra contributions for extension of these services were even allotted in 1940. Nurses ensured the basic needs, sometimes households, they cared about hygiene and instructed patients on treatment regimen. They organized various courses. During fights in our territory nurses provided the necessary care to both soldiers and civilians. Often directly on the front line and in air raid shelters. The visiting nursing care was abolished and counselling centres integrated to national health institutions in the post-war period. The visiting nursing care was organized within districts. Within their visits the nurses provided specialist practices, education and examination of patient's condition. Non-specialized practices were usually provided by employees of newly established home nursing services. Nurses were responsible not only for visits of patients but also for hygienic inspections and provision of first aid. Dispensary care and the function of company or school nurses was also newly established. The fieldwork of nurses was substantially deepened in the 1970s. So called half-district jobs were established, specialized in patients with chronic diseases and elderly people. Nurses working in this service were only allotted to visiting nursing care. The care about seniors and people with chronic diseases was extended in the 1980s. Home care service was also growing. Geriatric nurses visited all citizens older than 65 years twice a year. Home care agencies provide field care in our territory nowadays. The provided care is multidisciplinary and cooperation client agency is very important. The advantage of home care agencies is in lower costs compared to inpatient facilities. This care is only provided to people with health problems nowadays, so big proportion of clients consists of geriatric patients. The home care however has various spectre of clients. The fieldwork of nurses has always been a very demanding but also attractive job. The higher demands for nurses was balanced their higher independence. The care as well as the job description have substantially changed through the years.
|
|
|
Organization of nursing care as determinant of job satisfaction among hospitál nurses
VOLENÍKOVÁ, Kateřina
Effect of a treatment and care organisation on nurses' satisfaction Treatment and care organisations and systems of provided treatment and care are decisive for provision of quality care and for nurses' satisfaction. The presented Bachelor's work is devoted to this issue at both the theoretical and practical levels. The theoretical part explains the types of systems through which care can be organised and the factors most influencing nurses' satisfaction. The practical part examines systems of care and their effect on nurses' satisfaction. A research study was carried out using a quantitative research method, which included collection of data using a questionnaire. Two objectives were set. Objective 1: to determine what type of system nurses use the most for organisation of treatment and care. Objective 2 - to determine how the system of treatment and care influences nurses' satisfaction with their working conditions. For clarification of the objective we formulated three hypotheses. Hypothesis 1: Nurses working in hospital facilities mainly use a group system of care; this has been confirmed. Nearly 75% of the respondents work under a group system (at standard departments and at intensive care units). Hypothesis 2: The implemented system of provided treatment and care influences nurses' work satisfaction; this has been confirmed. Overall respondents working under a combination of systems (88.9%) are more satisfied. Major opinion differences among respondents working under a functioning system have revealed dissatisfaction among nurses using this system (80% of respondents were satisfied and 20% were dissatisfied). Partial indicators of satisfaction supported the results. Hypothesis 3: Nurses working in a standard department are more satisfied with the organisation of care than nurses working at intensive care units; this has been confirmed. Respondents from standard departments (80.7%) were more satisfied overall with the organisation of treatment and care and with their working conditions, unlike respondents working in intensive care units, 9.3% of whom expressed dissatisfaction. The satisfaction of nurses from standard departments was also supported by predominance of partial indicators of satisfaction with the organisation of work and working conditions. The results of the research will subsequently be submitted to KZ - MN (Krajská zdravotní a.s. ? Masarykova nemocnice o. z. [Masaryk Hospital]) in Ústí nad Labem as a potential contribution to improving the quality of care by increasing nurses' satisfaction. I will make recommendations to management employees of the organisation for implementation in practice, which will be based on the research survey (table 26). The results of the survey showed that it is necessary to monitor the organisation of nurses' work and their working conditions as well as the systems under which care is provided, because in some departments care is still being organised under an obsolete system, which today is disadvantageous. The survey presented the results of a treatment and care organisation's influence on nurses' satisfaction. Another studied phenomenon was the cause of nurses' fluctuations at various departments. The proposed examination should help uncover the causes of satisfaction and dissatisfaction of nurses with the organisation of their work.
|
guest ::
