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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.

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