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Present information level of parents concerning the vaccination possibilities
ZEMAN, Jaroslav
Questions arise nowadays, whether vaccination is needless or whether there are other forms of prevention that could replace mandatory vaccination. At the same time, people undergo vaccination out of obligation and do not seek further information. On the other hand, public awareness on vaccination is rising thanks to well-known vaccination against {\dots} or {\dots} This bachelor thesis on general awareness of vaccination describes present situation in České Budějovice and Litvinovice with emphasis on mothers aged 20 to 50. Quantitative analysis served as the research method with questionnaires used as the data-collection technique. Questionnaires were placed in offices of practitioners, local Hygiene station, local municipalities and in kindergartens. The objective was to ascertain the level of awareness of vaccination in the country and in a city, namely in Litvínovice and in České Budějovice, respectively. Differences between the country and a city as well as effect of education were studied, too. My research confirmed the hypothesis of people in the country refuse to get a vaccination less frequently and do not seek to make vaccination optional, whereas people who live in cities disapprove of vaccination more often and stand out for abolition of mandatory vaccination more often. Furthermore, mothers with higher education tend to seek alternatives to vaccination as for prevention. This thesis proved that mothers are often poorly informed or their knowledge on this topic is incomplete. Parents are not aware of possibilities of financing vaccination by public health insurance. I would recommend more information brochures and more detailed coverage of this topic in media. This thesis will be directly used by medical personnel in terms of creating an information leaflet, which would answer questions raised by my research, and by public health insurance companies, who will be made improve their information and education policy on vaccination refunds .
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Specifics of measuring pressure in children
JANTAČOVÁ, Dana
The number children and young people with high blood pressure has been increasing. The current lifestyle is one of the contributing factors to the disease. The most adverse is poor quality diet and excessive intake of salt. Further, the energy expenditure is lower, e.g. due lack of physical activities. Many children and young people do not have enough information about the risks of high blood pressure and its prevention. It is critical to identify groups with a risk of hypertension, i.e. children and young people with the so-called ?high normal? blood pressure. At the beginning we set four objectives: to learn the blood pressure measuring techniques suitable for children ? using digital and mercury tonometers, to find 25 ? 30 children with the ?high normal? blood pressure, to instruct nurses, particularly in the primary care, about the correct technique of blood pressure measurement in children and to compare the values of blood pressure measured with mercury and digital tonometers. The research was conducted in basic and secondary schools in České Budějovice and in a pediatric surgery. The researched group consisted of children and young people aged 13 ? 18. To achieve the first objective we measured blood pressure in 613 children with a digital tonometer and to achieve the second objective we measured blood pressure in 50 children both with mercury and digital tonometers. The results have been presented in form of tables. We found out that it was not necessary to examine more children, as we had expected, to get a sample group of 30 children with the ?high normal? blood pressure. Further, we found out that there was no significant difference between the values measured with a mercury tonometer and with a digital tonometer. The results have shown that it is essential to use the correct technique for blood pressure measurement in children. Based on our findings we have developed an educational material for nurses.
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Nursing diagnostics and nursing diagnoses in Pediatrics
FIKAROVÁ, Lucie
Children´s nursing has its particularities, whether in differences between child care during individual development stages or in the range of illnesses and their clinical manifestations. Nurses taking care of a child patient should observe all particularities of pediatric nursing which surely makes the nursing diagnostics diffucult and demanding. The theoretical part of the bachelor{\crq}s thesis {\clqq}Nursing diagnostics and nursing diagnoses in pediatrics`` opens with a description of pediatrics alongside with an outline of history and development in pediatric nursing. The following part of the thesis describes the current state of child care. The main operating method used by nurses who take care of hospitalized children complies with the Section 4 (1) of the decree No. 424/2004 concerning the nursing procedure. Nursing diagnostics is one of the stages described in the nursing procedure. The following parts of the thesis include detailed accounts of the theory of nursing diagnostics, taxonomy of nursing diagnoses, and particularities of the nursing diagnoses in pediatrics. The survey was based on quantitative method by way of questinnaires. Also, the data content analysis was utilized in order to complete the data acquired. The aim of the bachelor{\crq}s thesis was to find out whether the nurses addressed knew the nursing diagnoses used in pediatrics, if they use such diagnoses in practice, and what is the biggest obstacle when performing nursing diagnostics in pediatrics. The outcome from the data collected proves all three hypotheses correct. Hypothesis 1 is: Nurses have a good command of nursing diagnostics in pediatrics. Hypothesis 2 is: Nurses utilize individually the nursing diagnoses in pediatrics. Hypothesis 3 is: Lack of time is considered to be the biggest obstacle while using the nursing diagnostics in pediatrics by nurses. The survey has also found out that there are utilized different taxonomies for nursing diagnoses with respect to differences at various age and other particularities, which certainly respects the child as an individual human being but makes the diagnostics more time demanding. Therefore it is suggested to unify the used terminology within individual departments with respect to a number of published books on nursing diagnostics in pediatrics and make otherwise time demanding nursing work a little easier.
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The importance of Anamnesis within the Treatment of Children in Various Development Stages
KUBIŠOVÁ, Pavla
The Bachelor{\crq}s work deals with a theme on Importance of Anamnesis within the Treatment of Children in Various Development Stages. The treatment documentation, in our case referred to as treatment anamnesis, is an essential part in order to provide a relevant treatment care. First of all, a nurse or other healthcare professional has to learn more about a patient as well as to find out detailed information in order to formulate a diagnosis and to decide on the most suitable treatment plan provided. Individual procedures and the principles followed when obtaining the information are as well very essential. There were two aims and two investigative questions established. The first aim of the Bachelor{\crq}s work was to focus on different ways that vary in obtaining the treatment anamnesis concerning children in various development stages. The second aim of the work was to draft a treatment documentation used for obtaining the anamnesis concerning children in particular stages of development. The first investigative question raises query if there are any distinctions in obtaining data or information about children{\crq}s patients in particular life stages. The second investigative question focuses on methods used by nurses or healthcare professionals to collect a medical history about children{\crq}s patients in particular life stages. The investigation was executed by a qualitative method using non standardized encounters, data analyses and observations. Nurses working in the children{\crq}s ward in the hospital in Strakonice and Písek were the subject to the research. The investigation was carried out during two weeks. It was ascertained during the investigation that the nurses working in the particular children{\crq}s wards in the hospital selected proceed differently when obtaining anamnesis information about particular children{\crq}s stages of life. The investigative question results in hypothesis no. 1: `Nurses who carry out the task vary in used methods of obtaining the anamnesis data concerning children.{\crq} Hypothesis no. 3: `Supporting documents used for obtaining the anamnesis data concerning children{\crq}s patients are not equal in healthcare centres.{\crq} The second investigative question result in findings that anthropometric measurements are ascertained in all children of different life stages. Some nurses do not follow the standard methods and principles of the encounters and not all nurses use correct methods when obtaining the information. Three further hypotheses result from the second investigative question: Hypothesis no. 2: `When collecting the anamnesis data, nurses do not follow the rules of guiding the interview with a patient.{\crq} Hypothesis no. 4: When collecting the anamnesis data concerning children{\crq}s patients, nurses always ascertain their anthropometrical features according to individual stages of development. Thus shows that the first aim was fulfilled as well as the second aim assessed. Within the context of the actual findings, we would recommend to propose documentation for obtaining the anamnesis data aimed for children{\crq}s wards in hospitals which would have the same, equal layout, best within the whole Czech Republic. It would be important to make the supporting documents simple and clear to understand in order to make nurses{\crq} job easier. The documentation would consequently simplify the formulations of treatment diagnoses, thus would contribute to provision of high quality of treatment in order to meet the patient{\crq}s needs. At the same time, it would be suitable to arrange courses and seminars focused on the stated theme aimed for individual hospitals and healthcare centres in the Czech Republic and to solve relevant problems concerning anamnesis documentation on the spot.
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Contribution of children nurse{\crq}s work to community nursing both within the Czech Republic and abroad
PĚTIVLASOVÁ, Alena
My dissertation is aimed at the following questions: System of children care, organization of health-care policy in the Czech Republic, competencies and abilities to children care, document Health for Everybody in 21st Century, community nursing, nurse interventions in particular age categories, and my own research proceedings. The research section of the work contains both quantitative and qualitative research procedures. The data were collected of a questionnaire and semi-structured interview. The examined set of a qualitative research consisted of 9 respondents {--} 5 nurses and 4 medical practitioners for children and youth. The quantitative data were collected with an interview method. The questionnaires were designed for the unprofessional public {--} parents of children who are up to 18. The examined set of the questionnaire research consisted of 73 respondents (100%). The research proceeded from mid June 2008 to the end of July 2008 and its results have been processed into category tables and graphs in the program of Microsoft Office Excel 2007. I especially try to find the opinion of children nurses and children medical practitioners on introduction of a community children nurse in the Czech Republic and specify the functions that a community children nurse can perform in the Czech Republic when working with children community. I also try to find locations at which the community children nurse could work, and obstacles hampering to establish this new working position within the Czech Republic. Last but not least, I am interested in the public interest in the nurse{\crq}s affect to health protection and care for children. So far, there has not been a community nurse position established as an independent community professional in health protection and care for children within the Czech Republic. However, in other countries, community nurses work in the state interest and they form a part of the public health-care system. They are rewarded for their work, which is highly appreciated, from the public budget. Development of the community health-care is a WHO priority, and it has already established its firm position in the Czech health-care conception. As the main advantage of introduction of a community nurse I consider the fact, that both children and parents would have a better chance to use a wider variety of health-care services at school, in their household or at the doctor{\crq}s consulting room. Community nurse{\crq}s activities could help to inform families and to improve the health-care edification level. They could also assist the families that need highly intensive health and social care. Because of independent work of community nurses, nurse{\crq}s profession would become more attractive and nurse{\crq}s social position would improve.
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