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Public Opinion on the Quality of Education System in the Czech Republic
Tabery, Paulína
In September 2010, CVVM carried out an opinion poll on how Czech citizens evaluate the quality of education on all school levels. Part of the press release is also a comparison of current results with findings from previous surveys. Then citizens should have expressed their opinion, whether all the people in the Czech Republic have a chance to achieve the appropriate level of education according to their abilities.
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Řízení IS/ICT se zaměřením na sourcing služeb informačního systému
Šebesta, Michal ; Voříšek, Jiří (advisor) ; Havlíček, Zdeněk (referee) ; Příklenk, Oldřich (referee) ; Král, Jaroslav (referee)
Research on outsourcing has been around for several decades, while recent evolution in the information systems discipline towards ICT service commoditization significantly changes the context of decision-making. Services that are available on-demand via the Internet allow organizations implementing functions they demand in a fraction of time. This trend represents a chance for organizations seeking to use advanced ICT services without a need of major investments. Problem is the current lack of guidelines and tools for managing ICT services and their outsourcing. Given the trends on the ICT service market, it is expected that much of the IT management in the future will encompass the ICT services and utilize service-level structures. Methods currently available are either too broad or encompass only small part of the whole problem. Ad-hoc or unsound decisions in this area might cause major complications in terms of quality, usability, integration, and consequently influence total cost of organizational IT. Organizations need to either revise existing models or propose and implement completely new models to manage their IS/ICT. This thesis deals with the management of IS/ICT with focus on the ICT services outsourcing. It discusses available sourcing models in the literature and links them to the various interconnected areas. Based on these areas, it presents an integrated view on IT outsourcing strategies. Most importantly the thesis proposes an original concept for decision-making about outsourcing of ICT services named the SOURCER framework. This approach utilizes the presented outsourcing strategies, and introduces a complex methodology and decision-making criteria that will assist organizations with selection of ICT services in order to maintain and manage a most suitable ICT service portfolio. The decision-making is based on four essential viewpoints: function, costs, time, and quality. These viewpoints are discussed, individually analyzed, and serve as a basis for further research. The whole framework is developed and validated according to Design Science Research Methodology (DSRM). Individual components are evaluated using a survey among a group of selected IT managers. Proof of concept is then established by a case study on framework use in a real organization. This case study covers strategy specification, business--IT alignment, specifying service architecture and its interconnections, outsourcing, and management of the ICT service portfolio.
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Satisfaction of women in labour with nursing care during childbirth.
KLÍMOVÁ, Magdaléna
This dissertation investigates the level of satisfaction among expectant mothers with the care services provided during childbirth. Satisfaction reflects a subjective perception of an expectant mother in meeting her needs during childbirth. The feeling of satisfaction is very personal, however, evaluation of the care provided needs to be determined and not ignored. It is important for expectant mothers that the health care professionals present as empathic, friendly, co-operative, and tactful.Theoretical part was developed from evidence-based literature and available findings related to this problematic. There is a description of a childbirth process including a midwife's role during the individual stages of childbirth and options for pain management. Other chapters focus on midwife's approach toward an expectant mother and factors which influence the level of satisfaction during childbirth. Dissertation's aim was to determine whether the expectant mothers were more satisfied in smaller maternity departments, and to evaluate the way a midwife may influence the mother's satisfaction. There were two hypotheses stated and verified by a statistical testing. Hypothesis No. 1: Expectant mothers are more satisfied in smaller maternity departments than larger ones. Hypothesis No. 2: The level of satisfaction is influenced by midwife's empathic approach. Practical part focused mainly on a midwife's approach toward expectant mother. A quantitative research was implemented in form of questionnaires. The research sample constituted of expectant mothers from four postpartum departments in the Czech Republic. In total the sample included 215 expectant mothers, 109 from smaller facilities and 106 from larger maternity departments. In terms of the overall level of satisfaction with their midwife during the childbirth process, 89% of expectant mothers from smaller maternity departments and 83% of expectant mothers from larger departments stated they were satisfied. Conversely, 11% of respondents from smaller facilities and 17% of respondents from larger facilities were dissatisfied. Based on research analysis comparing the level of satisfaction of expectant mothers from smaller and larger maternity departments the hypothesis no. 1 "Expectant mothers are more satisfied in smaller maternity departments than the larger ones" did not show as statistically significant and was rejected. Nonetheless, the questionnaire responses clearly showed that empathic approach of a midwife influenced expectant mother's satisfaction. Statistical testing demonstrated a significant correlation between an expectant mother's satisfaction and empathic approach of a midwife. The second hypothesis "The level of satisfaction is influenced by midwife's empathic approach" was accepted.The research findings may serve as a guiding material for the midwives in order to provide a high quality care to expectant mothers during the childbirth process. They may also be utilised by future midwives who are in undergraduate preparation for the profession, or those professionals who contribute in any way during the childbirth process. Additionally, the research findings may be presented at conferences designated for midwives.
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Cooperation of high schools with external contractors in preparing school educational programs
Tulach, David ; Lačev, Alek (advisor) ; Hochel, Matej (referee)
This thesis, Cooperation of high schools with external contractors in preparing school educational programs, deals with the question whether it would be possible and beneficial for high schools to cooperate with companies on the preparation or modification of their educational programs, with the goal of improving the quality of education. After initial contributions from experts who provided negative replies to this question, the view was focused on the root of the issue - what are the historical pillars of public schools and pedagogy, what does science say about learning and teaching, how pedagogy reacts to the crisis of science. After comparing literal sources and results from interview with the experts, in combination with a trace and activity analysis, a theory was established that public education is reaching a point of crisis, has not changed in its essence since its beginning and that the best solution might be the establishment of alternative educational institutions.
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Adolescent overweight and obesity
JINDROVÁ, Kateřina
My bachelor´s thesis deal with obesity of adolescents and problems with overweight. These problems are described in details, and after that divided into specific parts. The main goal of my bachelor´s thesis is to chart problems with obesity and overweight in age group from 15 to 18 (adolescents) and primary describe their eating habits and physical activity. Theoretical part is focused on occurrence of overweight and obesity in the Czech Republic and in the world, causes of its origin, risk factors, classification and diagnosis, types, therapy and prevention. This bachelor´s work dealing with rational diet, describing basic principles of healthy catering and explaining right or wrong foodstuffs. I point mainly on prevention of overweight and obesity by healthy eating and physical activity. Methodical part is processed thanks to quantitative research. Data were gained by questionnaires, which were given to high school students (1st - 3rd grade). The research group contains 150 respondents from different schools in České Budějovice and close neighborhood. Final results are written down primary in graphs with commentary and data charts. In case of right use of qualitative research, there were determined two hypotheses. First hypothesis: Overweight and obesity is more occurred at adolescents with wrong eating habits. Second hypothesis: Overweight and obesity is more occurred at adolescents with low physical activity. For developing exploratory part, there was used quantitative research, which was provided by questionnaires given to students of age from 15 to 18. Entire data were processed by the use of program Microsoft Excel, and its calculations and functions. The answers of respondents were registered into database, and, by using specific excel functions, I was able to report data in determined categories. The research was mainly concentrated on physical activity and eating habits. Final results are put into well-arranged graphs, which are always enriched by comments, eventually completed by data tables, and, subsequently, statistically evaluated. In results, there might be seen two main differences between adolescents with standard weight and adolescents with overweight or obesity problems. One of those is irregularity in eating and wrong eating habits; big difference is also proved in physical activity. Adolescents with obesity or overweight have often irregular food intake, they drink a lot of high caloric beverages such as Coca-Cola, Sprite, Fanta etc., deficient income of fruit, vegetables, legumes, fish, or low physical activity. Only few of obese adolescents is different, because their problem is caused genetically. Adolescents with standard weight eat more regularly, but there are also some special cases, who have similarly wrong eating habits as obese people; however, all of these adolescents have one typical quality regular physical activity. Both hypotheses are confirmed. The results show that obesity is mainly caused by genetic predispositions, but these factors can be positively affected by periodic physical activity or appropriate eating habits. At the end of the thesis, it should be mentioned that it is necessary to be focused on right eating habits and regular physical from the very young age, when the basic customs and habits are assumed. That should include parents' action around their children, as they are usually the first example and they have the biggest influence.It is important to develop knowledge about all kinds of prevention, which are in most cases major in defending against formation of overweight and obesity.
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Participation of patients after myocardial infarction in the active care of their health in the secondary prevention
ŽAHOURKOVÁ, Marie
Prevention of cardiovascular disease including myocardial infarction is in recent years a widely discussed topic. Cardiovascular diseases are currently the most widespread disease among the worldwide. This thesis deals with the participation of patients after myocardial infarction in active care of their health in secondary prevention. For failure principles of secondary prevention is increased morbidity of these cardiovascular diseases and subsequently increase the costs for further treatment. Well-timed and targeted prevention is very important how to reduce the cost of treatment and the restoration of health and maintaining a good quality of life. The thesis is composed of two parts, theoretical and empirical. The theoretical part of the thesis describes cardiovascular diseases, especially acute myocardial infarction, prevention and education, including educational process of secondary prevention. The empirical part was realized by qualitative research. Information was collected by semi-standardized interview technique. The interview was composed of both closed and open-ended questions where had respondents the opportunity to express individually. The research group consisted of patients and nurses of three selected cardiocenters in Czech Republic - University Hospital Motol, České Budějovice Hospital, a.s. and Faculty Hospital Plzeň. In the first phase of the research we examined the awareness of patients of secondary prevention. In addition we inquire into the level of their activities in the care of their health and the impact of realized changes to their life satisfaction. The research sample is consisted of 12 respondents - patients who in former times have had a myocardial infarction and now were re- hospitalized due to symptoms of heart problems. For the research were patients selected by random sampling and divided into three groups, four from each cardiocenter. In the second phase of the research, we investigated the options and rate of education of nurses taking care of patients after myocardial infarction in pursuance of secondary prevention and types of nursing documentation kept by nurses of cardiology ward. This part of the study sample was consisted of nine nurses working in selected cardiocentre. For one interview were approached three nurses from each chosen department with longer experience in the field of cardiology. For the research was established six goals and eight research questions. The results of the research showed that the patients are relatively well educated in the principles of secondary prevention of cardiovascular disease, but not enough by nurses. The knowledge of patients of prevention of myocardial infarction and secondary prevention measures is at a relatively good level. The rate of changes in the approach to secondary prevention is unsatisfactory and doesn´t meet the rate of improvement of capabilities of modern medicine regardless of their age and length of treatment. The research also showed a positive effect of the principles of secondary prevention on the quality of life of patients.
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The Role of Nurse in the Prevention of Disease of Civilisation
PAVLOVÁ, Martina
The current state Prevention is a complex care of a patient when we are trying to prevent from the occurrence or development of a disease, or when we want to prevent from its consequences and mitigate them. Recommendations for prevention set by a doctor must be on a scientific basis, and they must be a part of all branches of medicine. Their effectiveness depends on the cooperation between patients and medical staff. The basic and most efficient method of prevention is the health promotion and health education, which is closely associated with it. The term health promotion involves a set of activities and precautions for the purpose of making health better and sustaining it. Diseases of civilisation (hereinafter "DoC") are groups of diseases which are distinguished by their association to our lifestyles. Human body is more and more threatened from unfavourable influences of external environment, such as the quality of atmosphere, work environment and environment itself, the lack of physical movement, unhealthy diet, smoking, and alcohol consumption. The list of diseases of civilisation varies and changes together with our society and the development of our lifestyles. Among the most common or frequent diseases of current time are cardiovascular diseases, which involve atherosclerosis, hypertension, myocardial infarction, stroke, coronary artery disease and obesity. Furthermore, between civilization diseases include diabetes mellitus type 2 or cancer, etc. The goal of the thesis There are two goals set for this paper. The first goal was to find out what the role of a nurse in the prevention of diseases of civilisation was. The second goal was to find out what the above mentioned role of a nurse was from the point of view of patients. Methodology For the purpose of the research part of this thesis, qualitative research using semistructured interviews was carried out. Respondents were divided into two groups; the first one consisted of eight nurses working at internal medicine and neurological department of the hospital in České Budějovice and a nurse working in a private office of a general practitioner for adult patients. The second group consisted of eight patients of the above mentioned health facilities. Results According to our findings, nurses and patients have different oppinions on the role of a nurse. Nurses in disease prevention see themselves as an equivalent to a doctor when undertaking this practice and giving guidance. The patient speaks only to the nurse who emphasized what they were told by the doctor and reiterated the main points. They make available to them leaflets and brochures or Internet resources. In contrast, most patients see a nurse as a more important source of information than the doctor. Patients have the feeling that the doctor does not have enough time or does not want to be botherd with questions. Rather the patient turns to his nurse, which they sees as more appropriate and someone to whom they can confide in without bothering. Summary The goal of the thesis was to focus on prevention, DoC, and the role of a nurse in the prevention of such diseases, as well as to study this issue, look at it from the point of view of patients and nurses via the interviews carried out in this paper, and to analyse such information. Based on this analysis are published recommendations for nurses and patients.
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The role of nurses and their impact on the care of patients with total hip arthroplasty.
SLABÁKOVÁ, Květoslava
Total hip replacement is one of the most extensively and highly effective operating methods in orthopaedics. The patients are brought back the self-sufficiency, life without the pain and noticeably motion restriction. Irreplaceable function here is a role of the nurse, who helps the patient to return back to his common life...The aim of this work was to find out, how the patients feel the role of the nurse and its influence to given nursing care before and after the total hip replacement as the less fulfilled. There were following research questions set: How the patients feel the role of the nurse before and after the total hip replacement? How the patients before and after the total hip replacement feel the interpretation of the nurse roles? How the patients before and after the total hip replacement feel the role of the nurse and its influence to given nursing care. Which of the nurse roles are felt by the patient as the unsatisfactory in postoperative care? The patients before and after the total hip replacement feel through the everyday nurse activities the nurse in her role of the caregiver and education giving person, following the nurse vindicator and the nurse bearer of changes. The patients feel the care thanks these roles as a quality, holistic and continual. Nevertheless was the role of the education giving named as the least fulfilled. In connection with these research results was created a manual, a Guide book for the patients before and after the total hip replacement. This Guide book was given to testing purposes. This Guide book was appreciated by the patients very positive despite a large amount of information, which were surprising for many of them. We gained some data, which gave the impulse to complete the information in the Guide.The created Guide book can´t replace the effective communication of the patient with the medical staff, which could be always the most suitable "source" of information.
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Coping strategies in children´s fear and pain in relation to nursing care
PROCHÁZKOVÁ, Zuzana
For the nurse, taking care of hospitalized children is important not only pediatric nursing knowledge, personal and social preconditions, but also the theoretical and practical competency of methods and techniques, which are used for identification and effective influencing of pain and fear. The aim of this thesis was to identify the main sources of fear of the hospitalized preschool and young school age children and to find out the effective methods and principles of the cooperation with children, alternatively with their accompanying parents in order to moderate the fear of the small patient. Then the thesis tried to chart the nursing diagnostic and evaluation procedure of the pain and get the most used nursing methods of non-pharmacological pain relief. To obtain the necessary data, the qualitative research was used with a semi-structured interview as a research instrument. The first research group consisted of 12 nurses, the second group consisted of 12 children ´s patients of preschool and young school age. The majority of the asked nurses thinks, that children´s patients are afraid especially of non-familiar environment, then of the awaited pain and of the solitude without parents. However, the most patients said, that they were afraid especially of pain, then of non-familiar environment, restriction of their needs, hostile attitude of the medical staff and of the other neighbouring patients. They were also frightened of the death and of the darkness. Most reported nurses mean, that the most effective solution of the children ´s fear is the friendly attitude of the medics. They also mentioned the fact of taking the focus off the fear and the presence of the parents is also beneficial. The nurses ´ answers were in conformity with patients opinion in two fields - friendly attitude of the medics and taking the focus off the fear. Then the children mentioned abiding of their specifics in connection to falling asleep and the demand of beying treated by the same sister or by few same sisters. All respondents also talked about the benefit of parents presence. Regarding the principles of the cooperation, nurses answered the importance of united medical procedures, especially the proper way of information transfer. Then the respondents nurses mentioned the psychical and emotional support for children and their accompaniments, the atmosphere of confidence and the value of well done education. Also the need of calm, silence and privacy was stated. Unlike nurses, children and their parents regarding to principles of the cooperation prefer the psychical and emotional support, then the importance of enough information was mentioned. The fourth research question bears on the methods used for children pain monitoring. The nurses said, that the intentional interview with the patients or with the parents was used as a main technique, that was stated by patients as well. Research question number five said: What are the most used nursing methods of non-pharmacological pain relief at children? Most responded nurses mentioned the distraction of children attention from the painful incentive, then the importance of physical methods, relief position and purposeful preparation for the unpleasant intervention. Nurses also named the helpful contribution of the parents, relaxing exercises and the method of imagination. Regarding the pain treatment, it was noted, that all patients prefered the analgesic therapy. Then they quoted the distraction of their attention from the painful incentive, the friendly attitude of the medics, using the ice compress and the relief position. In the pain acute phase, children required mostly calm, comfort and privacy. All children also considered the presence of parents as very helpful. The theoretical and empirical part of the thesis are suitable for being studied by nurses taking care of children and it can be helpful for nursing quality improvement at children ´s wards in hospitals.
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Cystic fibrosis and Nutrition
PECHOVÁ, Jana
The name of bachelor's thesis is "Cystic fibrosis and nutrition". Cystic fibrosis is hereditary chronic disease. It is dysfunction ducts of chloride in a human organism. The manifestation of cystic fibrosis is large quantities of a mucus in the respiratory and digestive system of patient with this diagnostic. This disease we put in the group of very rare illnesses. The smaller percentage citizens in the Czech Republic have this disease. For the people with cystic fibrosis is priority follow recommended eating habits. Prognosis of this disease is getting better and patients can live full-value life. This thesis dealing with how observe the recommended eating habits and eating regimens. The thesis contains some objectives. First, there is finding out whether children who suffer from cystic fibrosis can all sorts of foodstuffs whether they have special requests for quality and preparation of foodstuffs. The second most important objective is appraisal of diets some sample of people with cystic fibrosis. For objectivity this thesis was chose four respondents in age bracket from three to eighteen years. On the basis of evaluation their week-long diet, questionnaires with their parents and with them and manoeuver a conversation will be to find out whether children observe all principle of recommended eating regimens. In the theoretic part of the thesis are use opinions of experts who are occupying with cystic fibrosis exhaustively. Their experience show how is important to choose right diet and observe correct eating principles and eating regimens. These opinions are use in the practical part. Conclusions from discussion can be used for practical work nutritive therapists who can meet with children with cystic fibrosis.
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