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Role and competences of the nurse in compared with Czech Republic and Namibia
KLYNCYPAROVÁ, Hana
Theoretical grounds The nursing profession among the professions and mission. Job nurse is one of very important professions. Nurse is an independent worker who has an irreplaceable role in the provision of care. In practice, certain roles, such as the role of a caregiver, the educationalist, communicator, the role of the lawyer, consultant, person, who brings the change, manager and researcher. These roles are constantly interacting and are interconnected. Health care has multidisciplinary and multiprofessional character. Although each of these professions contribute to care in a unique way, all share certain skills that are necessary to ensure the quality of care. Over the years there have been increasing professional skills and increase competencies. Expanded the range of services for which they previously did not have the competence or sisters had a written authorization of a doctor. This work is made up of theoretical and empirical part. The theoretical part provides an overview and information on the field of nursing and its history, dealing with the care system and education system in the Czech Republic and Namibia. The following list of findings roles and their importance in the nursing profession. The last part deals with the competencies of nurses in both countries. The aim of the thesis: The aim of the study was to determine the roles and responsibilities of nurses in the Czech Republic and Namibia. To to obtain this information were chosen research question what role nurses advocate in the Czech Republic and Namibia, and what are nurses in the Czech Republic and Namibia competence. Methods: To ensure the necessary data and information was chosen qualitative research through deep interviews. Nurses who were interviewed were from a hospital in the Czech Republic and nurses from hospitals in Namibia Keetmanshoop. All interviews were recorded on a Dictaphone andwritten down on the paper. Results: Recorded interviews were analyzed after writing down, we were using paper and pencil methods. Dialogs were openly coded. The analysis of these data arose following categories: the role of caregivers, the role of the teacher, communicator, the lawyer's role, the role of counselor, role of person who brings the change, the role of leader, manager's role, the role of researcher and categories of competence. Individual categories were assigned to subcategories. All informationwere are illustrated by clear diagrams of the individual categories. Conclusion: The Research shows that nurses have a general maintenance of the roles and competencies, actually both of sides, Namibia and Czech Republic also. both groups were mostly able to define roles in nursing care. Surprisingly czech nurses most failed in the role of the Advocate, while African colleague have proven to be very informed. Research also showed negative effect of paperwork and administration in czech system. Nurses having feeling they do not provide active care as they would be able to. Czech nurses seems also low initiative and ambitious, Czech nurses do not desire for increasing competence on the other hand African nurses, who have more competencies, want still more, than they already have.
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Role of the nurse in screening for depression in the elderly.
VRZALOVÁ, Monika
The diploma thesis deals with problems of depression in older people. Mainly the work is focused on identifying and analyzing the role of nurses in screening for depression in older people in primary care, acute care, long-term care and home care. This thesis was focused on theoretical direction and was used the method of design and demonstration. In this thesis was set one main goals with five research questions. The main goal was to identify and analyze the role of nurses in screening for depression in the elderly. RQ 1: What is the role of the nurse in screening for depression in the elderly? RQ 2: What is the role of the nurse in the primary care in screening for depression in the elderly? RQ 3: What is the role of the nurse in screening for depression in hospitalized patients in acute care? RQ 4: What is the role of the nurse in screening for depression in seniors in long-term and home care? RQ 5: What rating scales and methods are used in screening for depression in the elderly? The thesis introduce the concept of depression. The following are specified the causes of and the important factors that affect depression in the elderly. It also deals the differences in the clinical symptomatology of depression in old age. It explains possibilities and various barriers in the diagnosis of depression. Another chapter introduces complete geriatric examination, diagnostic classification systems, possible screening methods and scales for detection of depression in the elderly population. It also deals methods of pharmacological and non-pharmacological treatment and its possible complications associated with older age. By reason of increased suicide rate caused by depressive disorder the issue of suicidal behavior in the elderly is introduced. The next chapter deals with the nursing process, which is used by nurses in practice. It consists of the evaluation of the patient's health condition, making nursing diagnosis, creating nursing plan and subsequent implementation and evaluation. The nursing process is also needy for providing quality care. The nursing process in the stage of nursing diagnosis, introduces possible nursing diagnosis for a patient suffering from depression, which are based on the latest classification. Finally is described the role of nurses in screening for depression in the elderly in different health facilities and their contribution to the timely evaluation of depression in the elderly. This chapter introduces the role of nurses, nursing screening and collaboration with a physician. The role of nurses in screening for depression in different medical facilities is based on the first phase of the nursing process of assessment. On the basis of objective and subjective information, the nurse will assess the overall health and mental condition of the patient. Primarily, it was investigated what is the role of the nurse in screening for depression. On the basis of content analysis and synthesis it was necessary to used and processed domestic and foreign literature. A number of relevant sources are the results of various studies and Meta-analyzes, mostly from abroad, but also from the Czech Republic. The thesis can serve as a basis for nurses. The result of this thesis is to create e-learning material available for students in the Faculty of Health and Social Sciences of South Bohemia in Ceske Budejovice in the tutorial called Moodle.
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Role of physical activity in the prevention of childhood obesity
VRTALOVÁ, Jana
The thesis deals with physical activity in the prevention of childhood obesity. It is focused on children, namely pupils of the eighth and ninith grades of elementary school. Obesity is responsible for more human lives than both of the world wars and if we want this epidemic of obesity and problems associated with inactivity minimized, we have to start where it is most efficient and that is with children. The main objective is to explore physical activity in a selected group of pupils. Partial aim is to determine the prevalence of overweight and obesity in the investigated group of students using somatometric measurements in the selected location. Another objective is to determine how many of childrens parents did sports in the past or actualy do sports. The final goal is to prepare educational material for students about the importance of physical activity. The work is divided into two parts theoretical and practical. The theoretical part was compiled as a secondary data analysis. Sources of data and information originated from the Czech Republic and abroad in the form of scholarly books, journals and electronic resources. The contents of the theoretical part is focused on explenation of terms such as obesity, its consequences, complications, ways to prevent obesity, physical activity, appropriate kinds of physical activity and its effects on the human body. Distinctive part is the chapter dealing with the myths of obesity some of them are really surprising. The second part is practical part and includes its own research. The investigation was conducted in a primary school Komenského alej in Žatec for pupils of the eighth and ninth grades. File featured 107 pupils. The research was conducted as a quantitative survey complemented by measurements of somatometric indicators. The data were collected using a custom non-standardized questionnaire. The questionnaire contained 14 questions and two columns separated by line for recording the exact weight and height. We checked these data at pre-agreed periods.
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Methodist School-Based Prevention and his Role in Practical Elementary School and Special Elementary School
HAVLÍČKOVÁ, Markéta
The diploma thesis focuses at a theme of Methodology of school prevention and its role at the specialised primary school. The theoretical part is split into four main chapters which refers to the education system of children with need of special educative care in the Czech Republic. It defines socially pathological aspects including risk behaviour with its prevention. The last chapter describes primary prevention at schools using a minimal preventive program and work of a methodologist of school prevention. The practical part contains a quality-type research based on semistructural interviews with methodologists of school prevention at chosen specialised primary schools. The first task of my diploma thesis is to find out what advise parents need and ask for the most. The other task is to find out what aspects a methodologist of school prevention has to take into consideration during issuing a minimal preventive program. The questions have been asked in the way to find out how cooperation at the level of prevention between parents and specialised primary school works, and who else among school staff except of a methodologist participates in the issuing a minimal prevention program. I have contacted sixteen specialised primary schools in the South Bohemia region for the interview. Ten have replied, but only six of them were willing to cooperate further. Two of the schools are located in the regional city, the other four are from smaller cities of similar sizes. Interviews were carried out with methodologists of school prevention and questions were focused at the cooperation at the level of prevention between parents and specialised primary school, and possible influence of location of the school which could be reflected in the minimal prevention program.
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Role of a Nurse during an Acute Hospital Admission of a Patient with Trauma
KOTRČOVÁ, Ivana
Incidence of injury is currently the third leading cause of death in the Czech Republic. A good link between pre-hospital emergency care and hospital care becomes a priority. Nurses play an important role during an acute admission of patients with trauma to in-hospital care, they are the connecting link of all members of the multidisciplinary team, whose common mission is the patient and saturation of his /her needs. With the changing role of nurses in the modern concept of nursing, nurses become equal partners of physicians and other health care professionals. To be accepted by other members of the team and to be able to work with the full extent of her sphere of action in the acute phase of a trauma patient admission, she has to know perfectly her competencies under the applicable legislation. In the theoretical part the roles and responsibilities of nurses under the applicable legislation are defined. There are also chapters dealing with individual injuries and the organization of care for patients with trauma. In the final section of the theoretical part there is a chapter dealing with the holistic care for patients, including ethical care issues, the role of a patient and the importance of cooperation with the family of the trauma patient who is acutely admitted into the hospital. In the empirical part of the thesis three objectives were stated. To determine the cooperation of nurses with other members of the multidisciplinary team, as well as to find out whether the nurses involved in the admission of a trauma patient into hospital know their own competencies under the Decree No. 424/2004 Coll. The third objective was to determine how trauma patients perceive the process of admission to the hospital. Based on these objectives two hypotheses and two research questions were established. The objectives were successfully met, both hypotheses were confirmed and the questions answered. The research was conducted on the basis of a quantitative qualitative survey at departments of selected hospitals where the patients with acute trauma emergency were directed by emergency medical services. For the quantitative research the interviewing method using questionnaires was selected. Interviews with patients were conducted by the qualitative research method. The respondents were 117 nurses and 5 patients.
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The role of volunteering in NGOs working in the social sector
Tlach, Vladimír ; Varvažovská, Pavla (advisor) ; Pavel, Pavel (referee)
The thesis is thematically focused on the area of volunteering as a modern phenomenon occurring not only in the Czech Republic but in the whole world. The thesis is divided into theoretical and practical part.
The first, theoretical part, explains the basic theoretical background of the non-governmental sector with an emphasis on volunteer activity in existing non-governmental organisations. The theoretical part also presents the results of the researches of foreign and domestic experts on volunteering on which the research part of the thesis is based.
In the practical part of the thesis are analyzed two non-profit organisations - the Charity Ostrava and Slezská diakonie, which provide social services in the Moravian -Silesian region, and the company Arcelor Mittal, which is actively involved in the field of corporate volunteering. In the research part there are presented outcomes of the field research, which took place in the aforementioned non-profit organisations and the company, but also among public, where it was investigated what people know about non-governmental organisations in their close area, their opinion on volunteering and how they perceive volunteers. The outcomes from a field survey are then compared with foreign and domestic surveys.
The aim of the thesis is to propose possible options for changes in working with volunteers in the non-governmental organisations based on the findings, which could lead to streamlining of their work, an increase of the prestige of the volunteer work and a number of volunteers working in the social sector. Based on the investigation it was found that volunteering is beneficial to everyone involved. It allows an individual to actively participate in society, help others and spend free time in a meaningful way. The obtained findings help to improve volunteer work, identify potential reserves in the individual´s work and prevent possible conflicts.
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The role of volunteering in non-governmental organizations working in the social sector
Papoušková, Daniela ; Varvažovská, Pavla (advisor) ; Pavel, Pavel (referee)
This diploma thesis was elaborated on the theme The role of volunteering in non-governmental organizations active in the social sphere.
As it is obvious from the title, the main theme was volunteering, volunteers and their active involvement in the non-governmental organizations in Hradec Kralove region. The aim of this work was to clarify and also realistically approach the real activity we generally call volunteering. The detailed view was focused on the target area of seniors.
The aim was to evaluate whether is this effort of volunteers in their final outcome for the social sector really benefit or whether it would be for nonprofit organizations expandable.
To fulfill the goal of this work have been chosen the method of quantitative and qualitative survey. For the quantitative research was chosen the form of the questionnaire, which was distributed through the web portal. For qualitative research was used the method of the semi structured interview. The qualitative survey was conducted by the research interview with the local nonprofit organizations.
The dissertation is divided into three parts. The first part deals with the concepts related to the specific topic. In the following part are processed the conducted surveys. The work is completed with the conclusion, which in conjunction with the obtained results of the investigation is commenting whole processed topic. These observed results help generally specify the situation of volunteering and nonprofit organizations in the Czech Republic.
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The role of communication in the knowledge management
Hudcová, Šárka ; Macák, Tomáš (advisor) ; Tichá, Ivana (referee)
The theoretical part of the dissertation thesis called "The Role of Communication in the Knowledge Management" strives to identify the relationship between communication and knowledge management and results in finding that communication plays a critical role both in implementation of knowledge management and in the phase when knowledge management is implemented. The communication can shape environment for knowledge management as well as can be a tool for knowledge sharing. The research was focused on the situation of implemented knowledge management where the role of communication interferes to both the environment and the knowledge sharing. The research is based on three case studies that describe knowledge communication and its context in three similar successful and recognized organizations. Facts identified in the case studies are analyzed and discussed with experts in the area of personnel management and internal communication. Findings from the empirical research create basis for the design part which is aimed at identifying the way how to leverage the role of communication in knowledge management and how to use it to positively contribute to knowledge management goals. It results in a proposed system of tools of internal communication that supports knowledge communication. The system prefers face-to-face communication but includes also other tools of internal communication. The system is put into a broader context which is built out of knowledge management strategy, organizational culture and internal communication. There are recommendations defined for each of the elements that should support the right function of the knowledge communication. Rules and guidance for the knowledge communication are part of the thesis as well. Everything is based on practice of the researched organizations, was discussed with selected experts and validated with representatives from one of the organizations. The validation ensures feedback indicating practical applicability of the proposed system and defined guidance.
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The role of immune cells in tumor growth and spontaneous regression in a rat sarcoma model
Kovalská, Jana ; Chmelíková, Eva (advisor) ; Anna, Anna (referee)
The aim of the thesis is to study differences between sexes of rats in tumour growth, the difference in immune response between rats with progressing and spontaneously regressing tumours compared to control rats and verification of immunological memory. We used Lewis rat model with subcutaneously inoculated sarcoma. Peripheral blood of males showed a higher number of red blood cells, a higher concentration of haemoglobin and higher haematocrit compared to females. Experimental females with inoculated sarcoma had higher levels of CD161 (NK) cells at the beginning of experiment in comparison with the experimental and control males and control females. A strong infiltration of NK cells was observed in tissue sections of spontaneously regressing sarcoma compared to progressing tumours tissue. Important factors that can influence if the animal will show tumour progression or spontaneous regression are neutrophil granulocytes (they can induce both tumour-supporting and anti-tumour response), vascularization and extent of necrosis in tumour tissue. We have verified immunological memory in a small group of females by the secondary inoculations of the same tumour cells after complete disappearance of primary, spontaneously regressing tumour. No sarcoma repeatedly evolved in any of the females. Results obtained in the present work brought new insights into the problems of tumour in the Lewis rat sarcoma model with inoculated sarcoma. These results may have significance also for area of clinical oncology due to similarities with the behaviour of some human cancers.
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