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Regime measures and cardiologic patient
BOROVKOVÁ, Michaela
This bachelor thesis deals with problems of regime measures accompanying a cardiac patient. Since the term cardiac patient can vary widely, we determined solely one cardiac disease and it is a myocardial infarction. The theoretical part deals with the characterization of disease myocardial infarction, the term prevention and more specific secondary prevention and individual regime measures for patients after myocardial infarction. Furthermore, in this part, there is mentioned the role of a nurse who takes care of a patient, and ultimately problems accompanying recommended regime measures and their compliance. The practical part included determination of two aims. The first was to find out what regime measures are recommended within the secondary prevention to cardiac patients. The second had the task of mapping the nurse's role in an educational process of regime measures. A qualitative research survey applied by non-standard semi-structured interviews, was used for the work. The interviews were held with 10 nurses at the field of cardiology and 6 patients after myocardial infarction event with a gap of one month. The main topic was recommended regime measures and educational process, that generates information transmission. The research survey showed satisfactory knowledge of nurses and the fact that the cardiological nurses are well informed about the matters. The nurses know their role very well and they are aware of what this role involves. The research also revealed a negative section of educational information. The little time security for quality educational process was an unfavourable part. The benefit of this bachelor thesis should be to ease the nursing care and to help the cardiological nurses. We wanted them to have the material at their shoulders, where everything related to the problems of recommended regime measures for patients with myocardial infarction will be summarized.
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Attitude of the public towards disease prevention and possibilities of a nurse regarding this issue
VLADYKOVÁ, Kateřina
Abstrakt The topic of my thesis is {\clqq}Attitude of the public towards disease prevention and possibilities of a nurse regarding this issue{\crqq}. Health, as defined in 1946 by the World Health Organization, is {\clqq}a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.{\crqq} People can put their health in danger but on the other hand they can protect it and recover. It is therefore important to motivate, support and provide people with enough information so that they can look after their health properly. The thesis has two parts, a theoretical part and an investigative part. The theoretical part is focused on preventive medical examinations, various types of vaccination (compulsory vaccination, additional vaccination or special vaccination), health education and the prevention itself. The research was carried out by the method of quantitative research. Data were collected by questioning, by the questionnaire method. The research sample were members of the non-medical public coming from several regions of the Czech republic. Altogether, 150 questionnaires were handed out, the rate of return was 100 %. The respondents were members of the non-medical public over 18 years of age, from all education levels and from all walks of life. Three age groups were made up, the first group was from 18 years to 35 years, the second group from 36 years to 49 years and the third group consisted of citizens older than 50 years. Likewise, three education groups were created, in the first group were persons with basic education - without the General Certificate of Education, in the second group were secondary school graduates with the General Certificate of Education and the third group consisted of university graduates. The third criterion was comparison according to profession where citizens were classified as administrative staff or manual workers. The objective of my thesis was to find out the attitude of members of the non-medical public towards disease prevention in general, in particular towards preventive medical examinations and vaccination. Another objective of the thesis was to find out how members of the non-medical public view their role in care for their own health. The last objective was to find out how members of the non-medical public view the role of a nurse in care for their health. Except the main objectives we set two partial objectives as well. To compare attitudes of people to disease prevention according to age, education and profession, and the second partial objective was to survey desires and suggestions of members of the non-medical public regarding care for their own health by age, education and profession. Six hypotheses were stated. H1 {--} Members of the non-medical public go the preventive medical examinations, H2 {--} Members of the non-medical public follow compulsory vaccination, H3 {--} Members of the non-medical public younger than 35 years take active care of their own health, H4 {--} Members of the non-medical public older than 50 years expect activity from medical staff in care for their health, H5 {--} University graduates are more active than citizens with lower education as far as disease prevention is concerned, H6 {--} Members of non-medical public working as administrative staff have easier access to information regarding disease prevention than manual workers. The thesis could be used for educational purposes and also could help nurses to create preventive programs for the public and thus improve awareness of the general public.
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The role of a nurse concerning subsequent care of a patient after reimplantation of total hip joint endoprosthesis.
KLAPAČOVÁ, Kateřina
The topic of my Dissertation is a role of a nurse in subsequent care at a patient after reimplantation of a total coxe endoprosthesis. The aim of this Dissertation is to find whether nurses provide patients with specific (medical) intervention (after reimplantation of a total coxe endoprosthesis) according to the diagnosis for care or in a standard way according to the performed act. Another aim was to find specific needs of patients (after reimplantation of total coxe endoprosthesis) and to create a plan of care, as possible. The last aim is to find whether patients after reimplantation of a total coxa endoprosthesis are provided with sufficient information about prevention of possible complications.To gain the necessary data, quantity research in combination with quality one was carried out. The hypothesis that nurses provide nursing intervention in a standard way, no matter if patients are after a primary implantation of a total coxa endoprosthesis or after a reimplantation of a total coxa endoprosthesis, was not proved. The other hypothesis, that nurses does not differ nursing care of clients after a reimplantation of a total coxa endoprosthesis from nursing care of clients after a primary implantation of a total coxa endoprosthesis, was not proved.
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Organization of the neonatal transport servis from the view of nurses
SCHWARZOVÁ, Lucie
Even though it has been managed to concentrate deliveries of premature infants to the perinatal centres thanks to the ?in utero? (before-delivery) transports in recent years, there are still a certain number of newborn infants who are born outside the centres and, thus, it is required to transport them to the specialized departments. The transport of a newborn infant is characterized with special therapeutic procedures and it requires different equipment for providing intensive or resuscitation care and it is provided by transport service for newborn infants that is an integral part of the regional system of the differentiated care of newborn infants. The objective of the diploma thesis is: Objective 1: To characterize current provision of neonatal transport services. Objective 2: To map the role of nursing staff when providing neonatal transport service. Objective 3: To find out if nurses deliver care by nursing process when providing neonatal transport service. A hypothesis and research questions were defined on the basis of these results. Hypothesis 1: Presence of a nurse when providing neonatal transport service is important. Research question 1: What is the role of a nurse when providing neonatal transport service? Research question 2: How is the nursing process applied when providing neonatal transport service? The investigation proved the hypothesis and the research questions were answered. The goal of the thesis was met. The standard ?Nursing Care of Newborn Infants during Transport? is the result of the diploma thesis.
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Knowledges of nurses about classified crisis intervention on the standard internal and surgery wards
SOCHOROVÁ, Alena
Crisis intervention introduces professional help to a person in crisis. Every person experiences their crisis in specific way. Crisis intervention doesn`t only mean communication skills, which include verbal, nonverbal, and paraverbal areas. Even though crisis intervention is especially a domain of psychiatric units, knowledge of it is important even in departments not specifically conversant with illnesses of psyche. In health care within the Czech Republic exist standards for crisis intervention not yet clearly defined. It is provided by a clinical psychologist as a professional service, or in the terms of psychotherapy, a person who is competent to give systematic psychotherapy in health care (clinical psychologist, doctor {--} psychiatrist with specified education). The steps of professional crisis intervention are among the basic working tools of a nurse. The knowledge of crisis intervention from nurses and its usage in communication with patients presents significant improvement of the nursing (caring) system of clients who are in crisis situation. The chapter current status discusses crisis, crisis intervention, questions of nursing, and about the role of the nurse in crisis intervention. The goal of this work was to explore the knowledge of nurses in professional crisis intervention. In the research process, I focused myself on the nurses{\crq} professional crisis intervention knowledge. In addition, I focused on how the nurses perceive the importance of professional communication with patients and, last but not least, whether the nurses perceive patients` problems solely on a physical level, or also as a psycho {--} social {--} spiritual part of a human, even within the perception of crisis situations. The first stated hypothesis called ``Nurses do not have efficient knowledge in crisis intervention{\crqq} was confirmed. The second stated hypothesis, ``Nurses do not have sufficient information sources{\crqq}, was not confirmed. And the third hypothesis called ``Nurses do not know the rules of communication with components of crisis intervention{\crqq} was also confirmed.
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Home violence and primary care
VRTIŠKOVÁ, Eliška
Domestic violence and primary care. Domestic violent is the most frequent form of violence. But it is also the least observed and the most underestimated form of domestic abuse. It often refers to physical violence, sexual and emotional abuse between spouses that occurs hidden away and does not draw attention of others despite the intesifying abusive behaviour of a family member. The victim feels humiliated and distressed and suffers from a high level of fear. The theoretical part of my thesis gives the definition of domestic violence, its forms and causes. Other issues within the context of domestic violence are also addressed: characteristics of persons commiting domestic violence, medical care and assistance rendered to victims of domestic violence, primary care, the role of a nurse in identification of domestic violence, administrative measures relevant to domestic violence. The practical part of my thesis examines the role of a nurse in treatment of a victim of domestic violence. The aim of the research was to learn if nurses often come into contact with such patients and have enough information on the issue. I suggested 3 hypotheses to be confirmed or rejected. The information was obtained by a quantitative research in the form of questionnaires handed out to nurses working at general practitioners´, pediatricians´ and gynaecologists´ offices. The hypothesis I was rejected, hypotheses II and III were confirmed. The conclusions of the research show that nurses get into contact with the victims of domestic violence but do not have access to enough information on the issue to be able to treat them properly.
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