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Historical development of nursing care in children in the CR.
LAZOROVÁ, Hana
The availability of the health care in the 19thcentury was not very good from the geographical and economical point of view because in the countryside the care was provided by less qualified people. The care of a child was mainly only at home. Mothers took care of the children on their own. They got information and experience from elder more experienced women in their surroundings. There are many myths and superstition related to the health care at this time. The culture of the society and the religious views influenced the treatment of children at that time. The paediatrics as an independent branch of science began to develop at the turn of the 19thand 20thcentury. In connection to this progress the attention was also focused on development of children´s health care. There were established first children´s departments and the care moved slowly to hospitals. The ways of the care of children changed during the historical development. A big progress in treatment of children was in the 20th century. The nursing schools and other hospitals were established. We can also register an increase in number of professional literature dealing with treatment and education of children of different age period. The consultancy for the mother and the child started to extend. The myths and superstitions were slowly forced out of information with scientific basis. The care of community was developed in the middle of the 20th century. It was a response to the bad availability of the health care in the country. In 80s of the 20th century has been introduced a new way of care of the mother and the child in maternity units, so called roaming-in that has functioned successfullytoday. The main priority of the children´s health care is to ensure good health care for children at all age, not only in hospital but also in the health. The goal of this thesis was to map the development of the health care at children´s age in the area of the Czech Republic. The research was based on the qualitative method. Acquired results through a content analysis data were divided according to particular periods of time. Mapping of the development of the health care at children´s age in the area of the Czech Republic may provide a complete view not only for nurses but for all medical staff and non-professional people.
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Nursing care by children with arthroscopy of the knee joint.
ŠESTÁKOVÁ, Růžena
With the increasing sports and physical activity pursued by young people, the spectrum of the knee joint injuries is extending. At the present time, arthroscopy represents one of the basic diagnostic and therapeutic methods in the case of the knee joint injuries. Owing to this method, the attending physician can examine the joint directly using the endoscopic instrument and they can possibly execute surgical treatment thereof as well. Thanks to development, this method can be applied in children's patients with ever increasing frequency. The joint subject to most frequent arthroscopy treatment is definitely the knee joint. The treatment is executed in the operating theatre, most often under anaesthesia and it is careful, quick and accurate. Nevertheless, the children's patient must be hospitalized, which means, in addition to the planned treatment, considerable mental stress not only for the child but for the whole family as well. The way how the child and the parents will cope with the situation depends to a great extent on the nursing personnel. Therefore it is necessary to pay increased attention to the nursing care. The theoretical part of the bachelor's thesis describes the anatomy of the knee joint, possible damage thereto and this theory is followed by the nursing care prior to and after arthroscopy, rehabilitation nursing care, satisfaction of needs, information provided to the children prior to leaving hospital. The application part of the thesis focuses on the children's patients who were hospitalized in the Dětská klinika Nemocnice České Budějovice a.s. (Children's Clinic of the Hospital of České Budějovice) and underwent arthroscopy of knee joint. The following part deals with the nurses working with these children. The thesis is based on a qualitative research and the acquired information was summarized in case reports and interviews. Three research questions were determined for the research part. The purpose of the bachelor's thesis is to discover the specifics concerning nursing care for children undergoing the knee joint arthroscopy. The discovered specifics, such as care for Redon drain, use of French crutches or motor splint, education of the children and their parents can help the nurse become aware of these specifics, not perform them automatically and achieve a higher quality of the nursing care provision. Identification thereof may help perform the right determination of nursing diagnoses, goals and interventions in the nursing process in the patient prior to and after arthroscopy of knee joint. Another goal of the thesis was to determine what negative factors are perceived by the children most frequently. The fact that we have discovered the specifics of the care and that we accentuate them may mitigate the negative factors perceived by the children as well. Among them there are fear, redressing relating to the Redon drain removal, pain. The acquired results of the bachelor's thesis were processed to have the form of a standard nursing plan, which should contribute to achieving a higher quality of the nursing care for children undergoing arthroscopy of knee joint.
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Problems of the education for parents of children with ilnesses of the moving apparatus.
KVASNIČKOVÁ, Simona
This thesis adverts to an educational problems of parents, how do they perceive manner and content of information presented, how do they adapt to their child?s disease, what do they lack and what restricts them from satisfying their needs. Complex care for small patients suffering from musculoskeletal disorder should also encompass a degree of care towards parents. A nurse must, likewise, refer to their needs, knowledge, attitude, care about their mental condition, and provide them during the whole time with professional help and mental encouragement throughout coping with their difficult and demanding life situation, which the disease, the musculoskeletal disorder of their child, undoubtedly is. An outlook of nurses of this problem is also a part of this thesis.
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Barrier recovery system at the occurrence of nosocomial infections in the department
JAREŠOVÁ, Marie
Infections acquired during a treatment in a hospital or healthcare service unit are called nosocomial infections. Their history goes back to the first institutions where patients were gathered. To prevent nosocomial infections, so called barrier nursing is used. It is a set of procedures aimed at preventive measures to avoid the appearance or transmission of the infection. The awareness of observing all rules connected belong to the essentials. The aim of the Bachelor work was to find out if general nurses who work in in-patient hospital wards are aware of nosocomial infections. They were interviewed about barrier nursing rules and their observing. The survey was carried out in the hospitals in Písek and Strakonice. There were 110 anonymous questionnaires distributed and 90 of them were given back. All data were compiled and the findings were depicted in a graphic form. Two hypotheses were set at the beginning: Hypothesis 1: Nurses are familiar with barrier nursing regime rules and their use while nosocomial infection appears at the wards. Hypothesis 2: Nurses respect the rules when nosocomial infection appears at the wards. Both hypotheses were confirmed. The analysis of the data acquired from the questionnaires resulted into the finding that the nurses were keeping abreast of nosocomial infection prevention. The nurses are likely to attend seminars as a part of preventive measures of nosocomial infections. All findings will be offered to the management of the hospitals where the survey was carried out.
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