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Approaches of healthcare professionals toward the ethical aspects of extremely preterm infants' treatment
Šimečková, Barbora ; Růžička, Michal (advisor) ; Povolná, Pavla (referee)
This diploma thesis deals with the attitudes of neonatologists and nurses to the ethical aspects of the treatment of extremely immature infants. The aim was to capture and interpret the attitudes of health professionals to the ethical issues of intensive neonatal care and their role in the decision-making process. The data were gathered through qualitative methodology using semi-structured and informal interviews with five neonatologists and five nurses. Data analysis was performed using open coding and data categorization. The results of the research are presented in individual categorical units by interpreting and retelling the received information. In conclusion, the attitudes of health professionals to selected ethical problems and the roles of individual members of the multidisciplinary team in decision-making about treatment procedures are discussed separately. The evaluation of results leads to the formulated recommendations for practice, which include several proposed solutions to the interpersonal problems associated with ethical issues of care for immature infants. Key words: immature infant, medical ethics, ethical decision making, perinatology, nursing, qualitative approach, interviews
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The nature and importance of clinical pastoral care in perinatal centres (with an emphasis on family support) and the possibility of subsequent pastoral care
HRACHOVCOVÁ, Hana
The thesis deals with the essence and importance of clinical pastoral care in perinatal centers (focusing on the family) and the possibilities of subsequent pastoral care. This problematics opens up brief descriptions of the family and the treatise on the pregnancy and the child. The following is an introduction by field of perinatology and outline of care in the perinatal centers (with a preferential view of the risk department and pathological pregnancy, the obstetrical hall, neonatological JIRP and the puerperology department). The selected are risk and pathological conditions in the perinatology are mentioned , as well as the specific conflicting situations in perinatology . The following outline is problematics at the beginning of an individual human life, which goes into another very controversial question, touching the human right to a (healthy) child and a look at ethical reproduction problems. Furthermore, the work is already focused on the definition of the essence and importance of clinical pastoral care in the perinatal centers and in the area of possibilities of subsequent pastoral care. The chapter on human freedom and its responsibility for decisions is closed by the topic.
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Formation and development of neonatal intensive care in the Czech republic
Uhlířová, Lucie ; Fendrychová, Jaroslava (advisor) ; Dynáková, Šárka (referee)
Diploma thesis deals with historical formation of neonatal intensive care in the Czech Republic. Its aim is to map the evolution of intensive care, from the very beginning up to the contemporary period, and provide a concise overview of events leading to Czech Republic being one of the countries where level of neonatal care is considered to be most advanced. Theoretical nature of the thesis required a study of historical and contemporary literature, particurarly artticles and books. As an extra supplement, authentic information have been gathered from the pathfinders. In the introduction to the thesis, reason for choosing the topic is described, then current status of knowledge in this area is summarized. Following that, process of creating of the historical analysis is described. Chapter on neonatology introduces and explains terms that are crucial for comprehending the context stated in the historical part of the thesis. Chapter which maps the historical evolution itself is divided into seven sub chapters which describe course of events in the particular periods. Evolution of perinatal care abroad is also shortly described. Thesis reviews an extraordinary evolution of neonatal intensive care which has occurred in very short period of time. During this period pioneers had to overcome many hurdles,...
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The potential and benefits of pastoral care in perinatal child loss
HRACHOVCOVÁ, Hana
The thesis focuses on the potential and benefits of pastoral care in perinatal child loss. Discussion of the main topic of the work is preceded by a definition of perinatal child loss, information on Dead Foetus Syndrome, an introduction to new-born palliative care at neonatal intensive and resuscitative care units, as well as a reference to the experience parents go through in the death of their own child. A brief introduction of the field of practical theology is followed by the characteristics of clinical pastoral care and the potentials for its practical application. Emphasis is placed on the fact that clinical pastoral care can benefit not only sick patients and their loved ones, but also healthcare workers who are often confronted with pain and suffering during the course of their work. This discussion is then followed by a brief mention of the three theological virtues (love, hope, and faith) that are an essential prerequisite to the efforts of pastoral workers. The topic is concluded with a chapter touching on eschatological perspectives, the importance of baptism, and hope for the salvation of children who pass away before having been baptised.
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