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Perception of patient privacy
HOFREITEROVÁ, Anna
The bachelor's thesis dealt with the issue of patient privacy in hospital facilities. The aim of this work was to find out how patients hospitalized in the inpatient ward perceive privacy, how nurses perceived patient privacy and in what ways nurses ensured the privacy of patients in the inpatient ward. Three research questions were set to investigate how patients hospitalized in an inpatient ward perceive privacy. Furthermore, they focused on the nurses' view of the perception of patient privacy and the ways in which nurses ensure the privacy of patients hospitalized in the inpatient ward. In the theoretical part, the work defines basic terms related to patient privacy, such as the duty of confidentiality, providing information with the patient's consent, providing information without the patient's consent, patients' rights, medical documentation, human needs and ensuring the privacy of patients during selected nursing procedures. In order to achieve the goal, the qualitative research method, the interview method and the semi-structured interview technique were used for patients hospitalized in the internal inpatient ward and for the nurses caring for these patients, as well as for patients hospitalized in the surgical inpatient ward and for the nurses caring for these patients. The research sample consisted of 6 patients and 5 nurses. The results of the obtained data led to the finding that the nurses had adequate knowledge regarding the issue of dealing with sensitive patient information. Nurses had adequate knowledge of procedures to protect patient privacy, although not all nurses used these procedures in practice. The research investigation further revealed that patients hospitalized in inpatient wards often did not think about their own privacy in the hospital environment, and the issue of privacy was a problematic and difficult topic for them to talk about. If the management of the investigated hospital is interested in the results of the investigation, they will be provided with them.
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Alzheimer's disease and department of intensive care
Ježková, Kateřina ; Burišková, Klára (advisor) ; Nejdlová, Tereza (referee)
Introduction: The thesis "Alzheimer's disease and department of intensive care" deals with the specifics and difficulties of nursing care for patients with this chronic and degenerative disease in intensive care units (ICUs). The number of patients with Alzheimer's disease is constantly growing and caring for them in such specific wards is extremely demanding. The purpose of this thesis was to map the most problematic areas in the care provided and propose their solution. Methods and results: The empirical part presents the results of a conducted qualitative research which took place in the form of interviews with 10 general nurses who have experience with such patients. Following a word-for-word transcription of the obtained interviews, the results are summarized in a final discussion. They show that when caring for a patient with dementia, general nurses see the main problems in his decreased ability to cooperate, behavioral changes, which often appear as a result of environment change, and difficult communication. They consider the patient's confusion, his negativism, and the inability to find the right words to be communication barriers. This results in enormous demands on the caring staff's patience. The interviewed general nurses however approach patients with dementia generally positively...
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Rights of insured persons and patients by legislation
VLČKOVÁ, Simona
Even though the health care services in the Czech Republic are of high international standards and accessible to majority of the population, some drawbacks may be noticed in terms of the approach of health care providers to patients and patient rights. Until 2011, the Act No. 20/1966 Coll., on Public Health Care, had regulated the health care provision and patient rights in a complex way. Gradually, it became clear that the main part of regulations did not consider the patient-specific needs adequately. Legislators' efforts to bring the patient rights in conformity with the principles of the Constitution, Charter of Fundamental Rights and Freedoms, and the Convention of Human Rights and Biomedicine have led to the Act No. 372/2011 Coll., on Healthcare Services, which has replaced the Act on Public Health. The new foundation of patient rights guarantees that the failure to fulfil may be rectified as only the rights defined by law can be effectively enforced. The prerequisite for a patient to exercise and demand his/her rights to be fulfilled is their knowledge. This dissertation aims to provide a concise overview of the progression of patient rights and their origins within the international and national context, to outline some rights of an insured person and a health care user more in-depth, to introduce the protection of patient rights, and to verify the knowledge of selected rights among the patients in the South Bohemian region. Based on my own research which took place in outpatient and inpatient facilities in the South Bohemian region by the questionnaire form I wanted to find how are patiens informed about theirs rights and whether they are actively interested in them. I chose two hypothesis. The first hypothesis was verified claims than the patiens over the age of 50 have more knowlidges about their rights than the patiens to the age of 50. From the results of statistical data exploration it shows implies that the patiens over the age of 50 have really more knowlidges than the patiens of the second age category, therefore the hypothesis was confirmed. The second hypothesis should confirm whether the patiens are passive at getting informations about the patiens rights. The survey shows that the patiens are active and they are interested in finding out informations. The second hypothesis didn´t confirmed. My purpose wasn´t describe in detail all patient rights. I wanted compile basic patient rights and rights of an insured person and a health care user which can be used to more patient know-how, for use of health professionals utilization or to teaching students of the Social and health faculty of South Bohemian University.
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Patients knowledge about their rights during hospitalization in medical institution
ADAMCOVÁ, Eliška
Current situation: "As a result of social, economic, cultural, ethical and political progress, a movement for improvement and full utilization of patients' rights ensued (1. s. 56 )" . For a patient to know his legal rights may lead to his speedy recuperation as well as a psychological comfort. From my personal experience I know that, in the nursing patient´s case history records regarding familiarity with their rights, the corresponding column is but checked through without informing the patient about his rights. As well, I know the patient´s feelings in the absence of this information. Therefore, I wish to address this problem and furthermore, I wish to contribute to changes in this situation through this research. Research Aim: The aim of this research undertaking was to find out if patients know their rights and if they can describe them. Further, the research aimed at finding out if, upon admittance to healthcare facilities, the patients were advised of their respective rights and, if these rights were being observed by the nursing staff. For the purpose of this research aim the following questions were chosen: What is the cognizance of the patients regarding their rights during hospitalization in a healthcare facility? Through what approaches are the patients familiarized with their rights? To what extent do the nursing staffs adhere to the legal rights of the patients while in the hospital? Methodology: For the purpose of this research survey qualitative methodology and analyses of data were chosen. The qualitative study was realized through a technique of in-depths interviews with anonymous individuals. The collection of data took place in July of 2014 in the Hospital in the City of Jindrichuv Hradec. Data analyses were done through an open coding system, utilizing methodology "pencil and paper" (2). Consequently, individual categories of answers were organized in graphic diagrams in SmartArt program. Conclusion: From the research survey it is evident that, the patients lack knowledge about their rights. The reason for this rests in an incorrect education of patients by nursing staff upon admittance. Nevertheless, adherence to patients' rights within the wards under questioning meets good standards. This work should contribute to better familiarization with the rights; thus increasing the herein mentioned knowledge of the rights of the patients.
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Legal aspects of the phenomenon of uncooperative patient
Minářová, Zuzana ; Vondráček, Jan (advisor) ; Pauly, Jan (referee)
The thesis refers about the phenomenon of uncooperative patient - with doctor if the treatment is commanded, if the patient does not follow the recommendations from doctor, conceals health information, etc. This phenomenon is defined in thesis and its juristic aspects are listed (mainly complexion of responsibility). The thesis is based on several aspects - especially the phenomenon of uncooperativ patient has significant economic consequences. Due to principle of uncooperative patient is about the lack of cooperation providing health care or health services the most important rights (laws) and obligations are included. Main part of the thesis deals with valid institutes, which affect relationship between patient and doctor, patient's behavior and attitude to treatment. These all aspects help to reduce of non-cooperation of patient.
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The observance of the national accredited standards concerning the patient{\crq}s rights in the selected health establishment
POLÍVKOVÁ, Eva
The topic of this bachelor thesis is "Observation of national accreditation standards concerning rights of patients in the selected healthcare facility ". The main research objective was to map observation of rights of hospitalized patients in conformity with the accreditation standards. Four hypotheses were set up. The first hypothesis "Each patient is after the hospitalization informed about his/her rights". The second hypothesis "Patients are kept informed about all facts concerning their health condition". The third hypothesis "The information provided to each patient by the nurse within the education process is sufficient". The fourth hypothesis "The nurses posses sufficient knowledge about means of immobilization and restriction of patients". A quantitative research survey has been used to achieve our goals. The method of the research survey was inquiry through questionnaires. Two types of questionnaires were used for data collection. Questionnaires for patients and questionnaires for nurses were distributed in the hospital Nemocnice České Budějovice, a.s. The resulting data were processed into tables and diagrams using SPSS 15.0 and Microsoft Office Excel software. The results have shown that the first hypothesis was not confirmed: not all patients were informed about their rights after the hospitalization. The second hypothesis was confirmed: the patients have sufficient information about their health condition. The third hypothesis was not confirmed: the results failed to meet the purpose of the accreditation standard. The education of patients performed by the nurses is insufficient and, if the education is provided, the nurses fail to record in into the respective documents. Despite that, the patients assessed the education by nurses favorably. The fourth hypothesis was confirmed: the nurses have demonstrated sufficient knowledge about the application of restriction means. The bachelor thesis will be provided to the deputy director in charge of nursing in the hospital Nemocnice České Budějovice. The results may serve as a guideline for implementation of corrective actions and for preparation of the accreditation survey. I would like this bachelor thesis to serve not only to healthcare professionals but also to the general public as a valuable source of information about patients´ rights.
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Consumer protection in health service
Cermanová, Šárka ; Kotoučová, Jiřina (advisor) ; Švarc, Zbyněk (referee)
This thesis is dedicated to a specific scope of customer rights -- rights of the patient in providing of health care in Czech republic. It gives a survey of legislation in customer protection describing principal patient rights, ethical rules and means how these rights can be claimed. Compiling relevant topics of some branches of medicine, it deduces the consequences. Level of knowledge about customer rights among patients is evaluated by questionare.
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