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The needs of vulnerable older people in home health care
Dostálová, Vladimíra ; Holmerová, Iva (advisor) ; Macková, Marie (referee) ; Auer, Stefanie (referee)
The present dissertation, which focuses on the needs of particularly vulnerable older people in home health care, was written within the framework of the PhD study in Longevity at the Faculty of Humanities, Charles University and was carried out as part of the project supported by the Charles University Grant Agency "Met and Unmet Needs of Particularly Vulnerable Older Patients in Home and Inpatient Care" (GA UK No. 760219). The overall aim of the three researcher project, where I was the research coordinator, was to clarify the needs of particularly vulnerable older patients in both home health care and inpatient care, including the needs of patients living with dementia. The aim of this dissertation was to identify the needs of vulnerable older patients in home health care. This dissertation consists of four papers. At the time of writing, two articles had been published in peer-reviewed journals and two articles were under review. The thesis has chapters in the introduction and conclusion that set the professional articles in context, creating a comprehensive view of the needs of particularly vulnerable older people in home health care. As three of the four peer-reviewed articles submitted have been published (1) or under review (2) in international journals, the entire dissertation is written...
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How to meet needs of seniors in hospital care.
Bláhová, Hana ; Holmerová, Iva (advisor) ; Macková, Marie (referee) ; Kisvetrová, Helena (referee)
The submitted dissertation of the PhD study programme Longevity Studies was prepared and financially supported by the project GAUK - Grant Agency of Charles University No. 760219 entitled "Met and Unmet Needs Of Particularly Vulnerable Older Patients in Home and Inpatient Care", of which I am a co-investigator. The mentioned research project is also in the intentions of the strategic plan and long-term activities of the research team CELLO (Center for the Study of Longevity and Long-Term Care), which is the scientific basis of the PhD study programme Longevity Studies. The main goal of the GAUK project is to provide a comprehensive overview of the needs of vulnerable older patients who are provided health care. The project is focused on three areas, which are: the needs of patients with dementia, the needs of geriatric patients at home and the needs of geriatric patients in hospital care. Partial goals are the exploration of current knowledge of the issue based on a review of Czech and foreign literature. The aim of the survey is to find out attitudes and opinions on satisfying needs from the perspective of patients and healthcare professionals. The practical goal is to create recommendations for good practice for the health care of these patients. The dissertation consists of a total of seven...
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Reform of mental healthcare in Czech Republic
Šilhanová, Andrea ; Válková, Monika (advisor) ; Mlejnková, Kristýna (referee)
In the thesis I examine current legislative anchoring of healthcare and social care of mental health. In the second chapter of theoretical part I write about classification of mental illnesses. Third chapter, which is very important from my point of view, describe transformation of healthcare and social care in the foreign countries. Practical part contains pilot survey for the Ministry of Health. The purpose was to find out the satisfaction of the clients with social and health services, which are part of the treatment of mental health. Satisfaction was detected by questionnaires, which patients had available with their ambulant psychiatrist. Those questionnaires were created at round tables by experts, patients and service providers in a hospital. Social care and healthcare do not connect. Experts do not communicate with each other. Tragical finding was that ambulant psychiatrist has in average thirteen minutes for examination of a client. Definitely Czech Republic need Centre for Mental Healthcare for complex care of the patient.
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Hand hygiene of healthcare workers providing care in a medical facility
Hájková, Iveta ; Kordulová, Pavla (advisor) ; Kulířová, Veronika (referee)
The subject of the bachelor thesis is focused on issues related to hand hygiene in health care workers, in the provision of care in the health facility. Even though this topic is often mentioned, it is in practice less understood or misinterpreted. Sometimes, it is neglected or downplayed by health workers. The theoretical part is divided into 7 chapters. Here is anatomy and physiology of the skin, microbiological and epidemiological situation, measures aimed at eliminating the source and avoiding the route of transmission, effective methods of disinfection, sterilization, elimination of microorganisms and their transmission, in the health facility. Hand hygiene and its techniques, proper use of personal protective equipment, nail hygiene and, last but not least, skin care. Explaining the concept of hospital infection, which increases morbidity and mortality of patients, increases both diagnostic and therapeutic interventions and generally aggravates the quality of care provided with prolonging the period of hospitalization. I have worked on a search for relevant resources on the subject. The sources I drew mainly from WHO guidelines, CDC, Decree No. 306/2012 Coll. and on the basis of a literature search from the National Medical Library. I received the consent to perform the action research from...
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Palliative care from the perspective of hospice caring professional
Kýhosová, Petra ; Havránková, Olga (advisor) ; Dragomirecká, Eva (referee)
(in English): The thesis Palliative care from the perspective of hospice caring professional concerns the hospice palliative care, the attitudes of caring professional towards death and dying and an effect of the values and needs on the quality of hospice care. The theoretical part defines the specifics of the palliative care and stressful situations of the staff. The practical part focuses on the hospice palliative care issues through the qualitative research from the perspective of hospice staff.
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Magnet hospitals
Klokočková, Šárka ; Havrdová, Zuzana (advisor) ; Zvoníčková, Marie (referee)
Summary: The aim of thi disertation was to enlighten the term magnet hospital. Introduction of this thesis describes personnel situation in health care systém in the Czech republic and globaly. It also shows predictions of the future critical nurse staff shortage on labour market all around the world and it's possible impact on quality of care. Magnet hospitals as the kind of organization that creates work enviroment which increases nurses work satisfaction, quality of care and patients outcomes, sees the author as one of the possible solution of nursing shortage in the Czech republic. Second part of this theses, rpresents the results of the qualitative and quantitative research, participant were 16 nurses at the management positions (structured intewies) and 250 nurses (questionare NWI-R autor's own translation). Results: It was obvious that still prevails the traditional hierarchy and medical model of care delivery. Also there is streotypical view of the role and position of the nurses in health care teams, nurses do not feel like they are involved in management of the hospital. According to the findings we cannot describe those organizations as magnet hospital. It's also clear that the nursing care managers play the key role in creating the good work environment. We should pay more attention to their...
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Patient safety in the operating theatre
Fejglová, Pavla ; Holečková, Zuzana (advisor) ; Milfaitová, Vlasta (referee)
Author: Pavla Fejglová Institution: Department of Social Medicine, Charles University, Faculty of Medicine in Hradec Králové, Department of Nursing Care Title of the thesis: Patient safety in the operating theatre Supervisor: Ing. Zuzana Holečková Number of pages: 133 Number of attachments : 8 Year of defence: 2014 Key words: perioperative care, safety, quality of care, adverse events This bachelor thesis deals with one of the crucial roles of the medical staff in the operating theater - the issue of ensuring patient safety and quality of nursing care during the perioperative period on central operating theaters of the University Hospital in Hradec Králové and Liberec Regional Hospital from the perioperative nurses point of view. The core of the empirical part consists of quantitative research in the area of compliance with the measures to ensure the safety of patients during their stay in the operating room. Research data were obtained thanks to the understanding of perioperative nurses from operating theatres of the above mentioned hospitals. Based on the data, analysis was conducted with interpretation of results and several measures aimed mainly to improve the safety of patients during the perioperative period and the prevention of adverse events are proposed.
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