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Medical personnel's knowledge of restraints and legal aspects of their use
Dalíková, Zuzana ; Dvořáková, Vladimíra (advisor) ; Neugebauer, Jan (referee)
The bachelor thesis entitled " Medical personnel's knowledge of restraints and legal aspects of their use" deals with restraints, their types, the method of use, the legal requirements that accompany their use and the knowledge of medical staff about restraints. Objectives: The aim of this work was to find out what knowledge nurses have about restraints, whether they know what elements the medical documentation must contain and what their responsibilities are. Methods: A 17-question questionnaire was designed to obtain the results of the study. Nurses from the Central Military Hospital were approached. Internal ward, psychiatric ward and aftercare ward were selected as the target units. Out of a total of 80 questionnaires, 50 were returned completed. Results: The results of the survey show that nurses' responses did not differ according to gender and hardly differed according to the highest level of education attained. However, there is a difference in the dependency of the responses and the department in which the respondents work. Nurses on the psychiatric ward are more educated on what their duties are or who is allowed to indicate restraints, for example. Conclusion: The issue of restraints is a growing topic and there is a need for nursing staff to be aware of all the essentials related to...
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Stress management in the healthcare sector
MICHELOVÁ, Lucie
The aim of the bachelor thesis is to identify stressors and evaluate the impact of stress on healthcare workers, including suggestions for changes in current stress management. The thesis also looks at how employees in this sector manage stress and how they prevent stress. The research part of the thesis is based on a questionnaire survey and an unstructured interview with the head nurse of the Hospital Strakonice, a.s., who is responsible, among other things, for human resources activities. The aim of the questionnaire was to find out whether and how stress affects the employees of the Hospital. The questionnaire was approved by the head nurse and, upon her request, was produced in printed form. It was processed on the Survio.cz website and subsequently printed and distributed to 150 respondents, in departments selected by the HR manager. Of these 150, 117 questionnaires were returned. The return rate of this questionnaire is therefore 78%. The questionnaire contains 22 closed questions. The data collected from the paper questionnaires were entered into Microsoft Office Excel and Microsoft Office Word software, which were subsequently analysed and used to produce tables and corresponding graphs. The results show that doctors tend to have many years of experience and practice in the field. In addition, they also have experience in time-management. They perceive their profession as stressful, but they tend not to experience stress after working hours. The general nurse position has the highest number of respondents who perceive their profession as stressful. They have a lot of administrative work: they work more overtime than doctors or paramedics and they do not have free time for recovery or rest. The job position of an orderly, according to the respondents, is the least stressful. Employees in this job are more likely to not experience the effects of long-term stress, probably because they mainly take care of themselves through sporting activities.
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Automatic scheduling system
Janíčková, Natália ; Mézl, Martin (referee) ; Sekora, Jiří (advisor)
The Diploma thesis is devoted to the development of a web application for scheduling the services of medical staff. It discusses the different parts of the application such as algorithms or software tools. The system will allow the generation of services based on the requirements of the employee or administrator, respecting the legislation.
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Scheduling System in Healthcare
Janíčková, Natália ; Kolářová, Jana (referee) ; Sekora, Jiří (advisor)
The Bachelor thesis is dedicated to expert scheduling systems in healthcare. The thesis describes all parts of system design: algorithm, software tools used in a process, and the developed application itself. The system developed in this thesis generates a schedule of the services that respect requirements given by law, employer, and also employees in the healthcare organizations. Application outputs involve basic overviews for employees and employers.
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Actors of primary care in Slovakia
Gregorík Baldovská, Alžbeta ; Kotherová, Zuzana (advisor) ; Kopsa Těšinová, Jolana (referee)
The thesis is mainly devoted to primary care in Slovakia. Through the analysis of semi- structured interviews with important actors of health policy, but also ordinary doctors, analyzes the attitudes of these actors, identifies the patterns that emerged from their statements, subjects them to mutual confrontation, finds agreements and alliances, and draws conclusions. The thesis is working with advocacy coalition framework and is using stakeholder analysis.
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Riadenie ľudských zdrojov v zdravotníckom zariadení
Valeková, Ľuboslava
This bachelor thesis is devoted to the process of human resources manage-ment in a selected health care facility, the University Hospital in Martin, in the pe-riod of pandemia, i.e. in the years 2020-2022. The aim was to identify the changes in human resources management arising in connection with the crisis situation and to determine their economic impact. The changes were identified on the basis of a semi-structured interview conducted with the staff of the University Hospital in Martin. The economic impact of these changes was identified by analysing the changes in individual items in the financial statements over the period under review. As a result, the economic impacts of individual changes in the management of human resources at the University Hospital in Martin were determined and recommendations were made to improve the efficiency of the human resources management process with regard to their economic impact.
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Psychological and social aspects of healthcare personnel's work with a dying patient
Sláviková, Karolína ; Šivicová, Gabriela (advisor) ; Šturma, Jaroslav (referee)
The goal of this thesis, "Psychological and social aspects of healthcare personnel's work with a dying patient", is to examine the socially unattractive issue of dying. Despite the fact that dying is a natural process, we often treat it with contempt and concern. We inspect this topic through a prism of healthcare personnel view, who is in contact with dying and death on a daily basis. In the theoretical part, we have first described the concept of death from historical point of view and afterwards we have narrowed it down to psychological-medical view of dying. Next, we have introduced the area of lenitive care for a dying patient, which is closely related to the topic of euthanasia. Of course, in relation to euthanasia, we then talked about medical ethics. This way we have circled around the relationship between a medic and his patient, the specifics of their communication, and finally we have described the psychological stress of healthcare personnel, possible coping strategies and eventual defensive mechanisms. Bibliography also features current research, both domestic and foreign. In the empirical part, we have attempted to map and describe psychosocial aspects relevant to working with a dying patient, with emphasis on identifying stress factors and strategies for healthcare personnel to cope...
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Medical and sanitary staff reaction on physical attack in a health-care institution
KÁCHA, Vojtěch
This bachelor thesis deals with the matter of physical attack on medical personnel in health-care institution, especially on the emergency unit. Medical staff can get into confrontation with pacient, who can be influenced by drugs, alcohol, serious mental illness, or by difficult life situation, which evoke conflict behavior. This confrontation then can be dangerous for safety of health workers, but also their patients. Theoretical part will be based on characteristics of violence, agression and theoretical methodology during encounter with agressive pacient. Study define violence and it´s categories. It also shows resolving methods already escalated confrontation. In practical part study searches and compares aggression resolution between two regional and two district hospitals. It mainly identifies, which techniques health-care institution workers use in order to prevent physical attack from patient, then how health-care workers react to it and also how often do they encounter verbal and physical aggression during their shift. For this research the qualitative technique, along side with inquiring method and in-depth conversation will be used, whereas the research sample is going to be medical staff on the emergency department i.e. nurses and paramedics. Result of the study shows, that health-care workers are in contact with verbal aggression almost every workshift, with physical then only occasionally, eventhough the number of cases have grown. Result of thesis tells, that there is bigger number of cases in district hospitals, than,logically, in regional hospitals, especially because of higher number of patients in district hospitals. But in percentage sign it could be told, that the number is same, no matter the location. The more the health-care personnel are in contact with aggressive behavior, the more they had to adapt to it. And so if they notice, that the situation cannot be deescalated, they will rather call for security service of the hospital, or for the police, so they would not have to risk their own, or the patients' health. But primarily they are trying to handle the situation with principles of correct communication. Unsettling discovery is, that patients' conflict behavior is for hospital personnel on daily basis and it is no longer suprising for them. Prevalence It seems, that for society agrressive behavior became standart way of how to achieve it's goals. There should be enough attention for society to realise, that aggressive Aggression prevalence in hospital instituon points to more komplex society problem, where aggressive behavior is more and more seen as legitimate way, of achieving goals. Study is warning before aggressive prevalence in healt-care institutions. Solution of this problem stands on cooperation of several pillars. Hospital headquarters should provide enough safety for their workers and patients from aggressors and also organise educational programs about correct approach towards aggressive people a eventually elementary courses of self-defence, if needed. These results should also alarm media companies, which should aim for primary prevention a should actively draw attention and convey people about that there is no place for aggression in health-care instition without legitimate reason, because resolution of conflicts is exactly what holds off personnel from providing quality and effective health-care.
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Education of parents of a child with epilepsy
MIKEŠOVÁ, Barbora
Epilepsy is a chronic neurological disorder characterised by serious brain illness that causes unprovoked, repeating seizures. The seizure is characterised as excessive and abnormal electric activity in an individual s brain. Epilepsy is caused by various factors, among them for example genetic factors, birth defects, traumatic brain injuries, surgery, undertaken stress, infection or other illnesses and it can appear at any age. Seizures manifestation can vary in type, development, cause and treatment. A suitably indicated treatment and appropriately educated parents about epilepsy issues and lifestyle measures are the basis for an optimal child s participation in a common group without major restrictions. The aim of this thesis was to find out how the medical personnel is devoted to education of parents and a child with epilepsy diagnosis and in the same time to find out the extent of parents knowledge of suitable treatment and lifestyle measures related to this diagnosis. For the research construct, qualitative research was selected, using a half-structured interview, particularly an interviewing method. In the frame of better quality of result processing, the interviews were recorded on a dictaphone and then re-written exactly and analysed. The results were analysed through a pencil and paper method that uses coding. There were 5 fields categorised: Content of education from the side of medical personnel, Implementation of education from the side of medical personnel, Parents knowledge about lifestyle measures, Sources of information concerning lifestyle measures from the side of parents with a child with epilepsy and educational activities from the point of view of children nurses concerning lifestyle measures. The individual categories are formed by further sub-categories, in which the resulting data are represented systematically. The results are provided in a clear way in individual tables and charts of the practical part of this thesis. From the research emerged that the medical personnel is devoted significantly to parents education and their children with epilepsy in the field of diagnosis, treatment, lifestyle and first aid. However, it was interesting to discover that this education is provided mostly by a doctor, lifestyle measures including, while a nurse provides only additional education in this field. From the results also emerged that the medical personnel try to select suitable educational environment and time intervals according to needs of children as patients and their parents. The parents also have general information about the epilepsy issue and lifestyle measures. It turned out that the parents have enough information concerning medicamentous first aid and the way of given medicaments delivery, but we encounter unfamiliarity of a time border of this medicament's delivery. Parent's ignorance was also discovered in general first aid principles. From the research also emerged that the information about common issues in the field of lifestyle measures was looked for by the parents most frequently outside the hospital environment, that is in the surroundings and on the internet. We decided to form an educational plan based on the results, that can be used as a model base for practical usage by nursing personnel. The educational plan concerns the education about lifestyle measures and first aid during a seizure.
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Self-defense for medical staff
JANŮ, Dominik
The bachelor's thesis Self-Defense for medical staff deals with an attack on medical staff and the readiness of medical staff for this attack. The theoretical part is focused on the basic definitions of self-defense, its classification and legal aspects. The research part of the bachelor's thesis detects the frequency of attacks on medical staff, their verbal and physical resolutions of conflict situations, experience with self-defense and means of self-defense. It also explore the ability of healthcare professionals to prevent conflict situations and examines the efforts to increas knowledge about self-defense and communication with aggressive patients.
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