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Providing the patient´s privacy on regular wards and intensive care units
ŠVAGROVÁ, Soňa
Providing the patient´s privacy on regular wards and intensive care units Abstract At present, dignity and intimacy of a patient has been increasingly put in the shade. The issue of security of intimacy differs at each ward. The objective of the bachelor thesis on the topic ``Security of intimacy of a patient at a standard ward, an anaesthesiology-resuscitation ward and an intensity care ward{\crqq} is to map out the knowledge of nurses in the field of intimacy and its observance at various sorts of wards. Conducting a number of activities, a nurse enters the intimate zone of a patient and disturbs their intimacy. Therefore we intended to ascertain whether nurses have sufficient knowledge in this field. In a number of cases, patients are not able to defend themselves so their protection is to be secured by the health workers who should behave in the manner respecting the patients in any situation and state. They must do anything not to disturb their intimacy at all or only to a minimal extent. For this reason we raised the questions: Do nurses observe intimacy of patients sufficiently? Do the nurses working at an anaesthesiology-resuscitation ward (ARO) and an intensity care ward (JIP) observe the intimacy principles more than the nurses at standard wards? The research group consisted of the nurses working at ARO, JIP and standard wards of surgical sections in Nemocnice České Budějovice a.s. and Nemocnice Český Krumlov a.s. The research method I used was a questionnaire. Hypothesis No. 1 that nurses have a sufficient knowledge in the field of intimacy was confirmed on the basis of the knowledge test results. Regrettably, hypothesis No. 2 that nurses observe patient intimacy insufficiently was confirmed. Hypothesis No. 3 that the nurses working at ARO and JIP wards observe the principles of intimacy security more than the nurses working at a standard ward was not confirmed. It follows from the results of the research that while nursing the patients, nurses observe the principles of intimacy security insufficiently at all the types of wards. On the basis of the undertaken research, the hospitals that have not internal regulations (guidelines) on this issue elaborated should do so e.g. in the form of ``Ten Rules of Patient Privacy{\crqq} and should pay attention to observance of principles of patient intimacy protection. It is necessary that the nurses serve as defenders of the patients{\crq} rights in this field.
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The influence of nursing care on the course of hospitalization of the patient with MRSA diagnosis
ŠTVERÁKOVÁ, Martina
The aim of work to find out, how clients with diagnosis MRSA hospitalized in isolation, perceive nursing care from medical staff. Results emerged from the questionnaires are: Patient diagnosed MRSA hospitalized in isolation are well-informed about reasons of their isolation and about rules of nursing care provided. Epidemiological protection during the nursing care in isolation are perceived by clients in a positive way like needed safety precautions to prevent illness transmission.
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Specialities of nursing with representatives of Church - dignitary
ŠEVČÍKOVÁ, Kateřina
The main theme of our thesis was the Specificity of church representants´ treatment {--} church dignitaries. We set 3 targets: 1. to allocate the specificities when treating church dignitaries of various religious directions, 2. to describe daily schedule of various religious directions, 3. to find out, how much are the church representants of various religious directions satisfied with provided health care. We devided the thesis into two parts, theoretical and practical. In the theoretical part, nurses, but even general public, can get the basic information about five religions, whose representants we can meet in our hospitals: Roman catholic, protestant, orthodoxy, judaism, islam. Within our thesis we also deal with the treatment of nuns´ treatment. Chaptres are clearly ranged, in the inroduction we always mention short world history of the particular religion, then history in Bohemia, followed by brief history and important dogmas of the particular belief. At the end of each chapter we mention daily schedule of a church dignitary and specificity of his treatment. In the practical part, we discuss the results of our research. To obtain necessary information, we used two methods. By questionnaire method, we found out the nurses´ level of knowledge about mentioned religions and their opinion concerning the necessity of a specific attitude when treating church dignitaries. The level of their knowledge was satisfactory. Hypothesis, in which we supposed that the health personnel, taking care of church representants of various religious directions, do not make any difference between them and other patients, was not after statistic elaboration confirmed. To obtain information from church dignitaries we used a method of a standard interview. After evaluation of obtained information there were following hypothesis: church representants of various religious directions are satisfied with offered health care. Upon the results of this research we recommended to insert this theme, specificity of church representants´ treatment, to curriculum of health schools (for health assistants, nurses Bachelor and nurses Master). Then also impose this theme to programs of specific conferences, retraining courses or educational seminary, in order to inform even graduated nurses about this new disscused theme. It would be also convenient, if educational institutions used more often various offers from jewish or islamic fondations, which willingly offer conferences and closer approach to the particular religion. Nurses should be motivated to get new information about various religions in order to be generally more cultivated, which is indispensable for a nurse.
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Using the compensative aids helping with movement and handling at an immobile patient
JAROLÍNOVÁ, Romana
This BA thesis looking at "The Use of Compensatory Aids Enabling Movement and Handling of Immobile Patients" describes the reaction of the organism to immobility, the compensatory aids and handling of immobile patients. The practical part takes form of a quantitative research. The research compares nurses' experience with handling immobile patients correctly in hospitals and the homes for the elderly. Furthermore, the research states which establishments use lifting equipment and if nurses are aware of the existence of compensatory aids.
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Problems of nursing care about patient with apalic syndrom
DRÁBKOVÁ, Kateřina
This thesis deals with problems in nursing care of clients with apallic syndrome. There were 4 hypotheses. The first hypothesis presumes that nurses give patients care focused mostly on treating developed complications. After evaluation of the results focused on nursing care, we found out that some nurses know the correct processes while others do not. This means that patients are sometimes given the correct care and sometimes not. So hypothesis 1 was proved valid. The presumption for the other three hypotheses was that nurses do not have information about BS conception, do not know about possibilities of its usage, and do not use this conception in their care of clients with AS. However, the results concerning BS conception were very positive. Nurses know the conception and use it in their care about clients with AS. Hypotheses 2, 3, and 4 were not proved valid.
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Humanism and philantrophy in nursing
ŠEVČÍKOVÁ, Jitka
Aim of the pursuit {\clqq}The humanism and filantrophy in nursery`` is to find out if nurses participate on volunteery in nonprofit organizations. The aim was reached by two knowledge: at first {--} the hospital nurses don´t participate on volunteery in nonprofit sector, at second {--} in nonprofit organizations works mainly nurses. The hypothesis No.1 {\clqq}Nurses do participate on volunteery in nonprofit sector.`` was not confirmed, but it was confirmed from nonprofit organizations respondents. The hypothesis No.2 {\clqq}Nurses use principles of a humanism and filantrophy in their profession.`` was confirmed by the knowledge that more than a half of respondents use a humanism and filantrophy principles in their work .
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Prospective study: Influence of BMI, comorbidity and aplication of antibiotics on healing of laparotomical cuts by women
CIMLOVÁ, Ivana
ABSTRACT At the end of the 20th century, the rapid development of new information also affected the gynaecological surgery. Ever new diagnostic and therapeutic procedures have been proposed, huge quantities of ever more effective medicaments are being developed, the physicians are being confronted with the solution of problems resulting from the adverse effects of the environment on the modern man. The care for women and mothers has completely changed in the last twenty years. In the classical gynaecology the diagnostic methods and the classification have changed (the inflammatory diseases, for example), new surgical methods were introduced into the routine practice. In this paper, we address the classical gynaecological surgical methods - the surgical therapy which only uses invasive surgical methods. We monitor the surgical wound healing after abdominal laparotomies. The objective of our work was to ascertain and compare the surgical wound healing after laparotomy surgeries in women with different BMI{\crq}s [Body Mass Index] and to find out during the hospitalisation whether women with an elevated BMI (25.0-29.9) are treated with antibiotics after laparotomy surgery. Three hypotheses were proposed. The first hypothesis reads as follows: ``In women with BMI within the norm (BMI = 18.4-24.9), the operation wound heals per primam{\crqq}. The results have not confirmed this hypothesis completely. Even though the wounds healed per primam in an unequivocal majority of women, there were also women with wound healing per secundam. The second hypothesis says: ``In women with elevated BMI (25.0-29.9) and high BMI (equal or above 30.0) the surgical wound heals per secundam. The results represented in the graphs show that the second hypothesis was also disproved, there was not exclusive secondary healing in the groups with elevated and high BMI; nevertheless, the result was positive. The hypothesis 3 says: ``The women with elevated (25.0-29.9) and high (30.0 and more) BMI are treated with antibiotics during the hospitalisation. This hypothesis was confirmed. The quantitative investigation was carried out using the method of data collection from the medical documentation in randomly selected patients in the period August 2006 - November 2006. The data were collected in the archive of the České Budějovice Hospital, a. s. In this investigation, the healing of surgical wounds in women with different MBI{\crq}s was ascertained and compared. This work has brought us to the conclusion that the postoperative course is generally less complicated in women with BMI within the norm that in women with elevated or high BMI index. Therefore, attention must be paid to the increasing obesity and the connected complications, no only for health reasons. The results of this investigation can expand the health personnel{\crq}s information in the sphere of wound care after laparotomy surgery, and they could also serve as a basis for further investigations into this problem. This work can also be used in the teaching at the South-Bohemian University, published in professional journals and on the Internet.
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The History of Sokol in Písek
OBERMAYER, Jan
This bachelor thesis is concerned with history of Sokol organization in Písek from its foundation up to today. During its evolution in time, activities of Sokol faced many adversities and the organization was also disbanded several times. Members of Sokol were very proud and honest patriots. They defended the republic during World War I., fought in Czechoslovak legions and acted as military police preventing plundering and total chaos. The expansion after World War II., referenced as the Golden Age, lasted only for 20 years, until its interruption by World War II. Despite difficult conditions the organization attained a particular level of development. Every fifteenth citizen of the country was its member and the number of participating members got close to 1 million. Sokol supported a sense for Czech patriotism, which culminated by the means of a demonstration on the 20th Sokol festival in 1938. In the following difficult war period, Sokol members were persecuted for their patriotism by Nazi occupants, about 12 000 members were imprisoned and 3 300 of them died in concentration camps. Also, Písek members lost their best officials and participants. In the 1941 the organization was dissolved again and its property was confiscated. After long 40 years of communist totalitarian rule and its eventual collapse, Sokol organization came back to life in 1990. The system of physical training has been greatly transformed since then, as the whole training sector went through major innovations. Earlier Sokol`s exercising is now conceived as an universal preparation for children and conditional training for adults, but now based on a modern attitude. Many changes in form and content helped to attract new supporters.
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