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Use of Nurses' Competencies in Preventive Care of a Patient with Ischemic Heart Disease
MATSCHEOVÁ, Linda
Ischemic heart disease belongs to the most frequent diseases in developed countries. I have chosen this topic not only because I am interested in this issue but also because I work at emergency ward of internal medicine and majority of patients there suffer from this disease. There are two parts in my thesis {--} the theoretical and the research part. The theoretical part deals with heart anatomy and physiology, with epidemiology and aetiology, with risk factors, with classification, clinical picture, diagnostics, with treatment and prevention of ischemic heart disease. Further, the thesis survey educational process, roles, mission, function and competences of a nurse. The first objective of the thesis was to find out the awareness of nurses´ competences in the area of secondary preventive care in patients with ischemic heart disease. The second objective was to find out, whether nurses are able to apply their competences in the area of secondary preventive care in patients with ischemic heart disease. The third objective was to find out involvement of management (head nurses, departmental nurses, shift nurses) in the secondary preventive care in patients with ischemic heart disease. The fourth objective of the thesis was to find out whether nurses use their knowledge of secondary prevention in patients with ischemic heart disease. Four hypotheses were set for the above mentioned objectives. H1: Nurses are aware of their competences in the area of secondary preventive care in patients with IHD. H2: Nurses are able to apply their competences in the area of secondary preventive care in patients with IHD. H3: Shift nurses, motivated by head nurses, are more involved in the secondary prevention in patients with IHD. H4: Nurses use their knowledge in the area of secondary prevention in patients with IHD. A questionnaire was made up to achieve the objectives and to prove or to disprove the hypotheses of this research. The questionnaire contained 24 questions {--} closed and semi-closed. The research sample was formed from nurses from South Bohemian and central-Bohemian regions. 377 questionnaires were handed out. 242 questionnaires returned and 230 of them were applicable to the research. The first, second and fourth hypotheses were proved. Shift nurses are more involved in secondary prevention in patients with IHD, however, not on the basis of motivation by head nurses, thus, the fourth hypothesis was not proved. I also revealed that nurses do not have sufficient knowledge in the area of secondary preventive care in patients with IHD. On the grounds of these results we created mental maps on ischemic heart disease and its prevention. These maps might enhance nurses´ knowledge and improve the life of patients with ischemic heart disease.
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The system and the financing system of psychiatric care in the Czech Republic in the period 2010-2016
Křížová, Natálie ; Lukášová, Tereza (advisor) ; Bartůsková, Lucia (referee)
The bachelor thesis focuses on mental health, which is becoming a socio-economic problem these days. Since there is a constant prevalence of patients with mental illnesses and thus an increase of a burden in the economic system, this work explains the system of psychiatric care, which is crucial for the future development of mental health of Czech population. Based on the analysis of the issue it is evident that the effort to manage the care system to community care will do not contribute to the reduction of treatment costs, but on the other hand, will facilitate the accessibility to psychiatric facilities for patients. The funding of psychiatric care is not based on the national health system, which influences the direction of a large part of the funds for treatment in psychiatric hospitals.
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Nursing care of the patients with chronic pancreatitis
SKOŘEPOVÁ, Jana
Chronic pancreatitis is a serious disease, which despite the rapid development of diagnostics and treatment is often diagnosed in late stages. The disease cannot actually be cured, but change of lifestyle and adherence to diet regimen can influence not only the disease course and progression, but also occurrence of complications. This thesis deals with the problems of nursing care of patients with chronic pancreatitis, with the level of awareness of the disease and the regimen measures among patients. It also monitors willingness and ability of respondents to accept the change of lifestyle and diet habits. The goal of the thesis is to find out the specifics of nursing care of clients with chronic pancreatitis. Qualitative research methods were applied in the empiric part of the thesis to achieve the goal.The research was performed in clients with chronic pancreatitis visiting the gastroenterology outpatient department of Tábor Hospital and a group of ten respondents at different stages of the disease were subject to the research. Their selection was conditioned by their willingness to participate in the research and to cooperate. A semi-structured interview was conducted with each respondent. Thorough study of these problems and the results of the research led to a brief and clear information brochure for people suffering from chronic pancreatitis as the output of the activities. This manual should serve as a summary and specification of information, which the patient can read at home without fuss after being educated orally. With regard to the achievements of our work we would like to make this work and its results available to the nursing care public as much as possible. We hope that the results of our work will increase interest in this issue among professionals and will address further workers willing to participate in its solution
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Tribologické metody testování materiálů umělých kloubních náhrad
Pražák, Josef ; Chlup, Hynek ; Franta, L.
In order to achieve a high functional quality of the total artificial joints (TAJ), a special attention must be paid to the selection of suitable materials for the construction (Dumbleton; 1981, O´Kelly; 1979). Nowadays, it seems that the metal parts of the assembly (femoral part for the knee joint) do not pose any problem, but problems of the “soft” parts (tibial part) persist. A careful tribologic testing of considered materials is necessary, consequently. On the other hand, a relevant tribologic testing in a conventional way is extremely time-consuming (a simulation of a 5 km/day for 10 years activity represents a 150 day test approx.). The application of an accelerated testing method is desirable, therefore. Such a method consisting of an application of a special experimental set-up and of an optical evaluation was developed. It was used for a study concerning the lubrication of artificial joints (Pražák; 2000).
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Economical aspects of health care services and risks connected with legalization of euthanasia
Stehlíková, Jana ; Kuba, Jaroslav (advisor) ; Matula, Miloš (referee)
The thesis deals with legalization of active euthanasia, its main impacts for the whole society, potential abuse and some basic concerns of specialist of various profession related to euthanasia. The thesis is focused on the medical, economic, legal and religious point of view of euthanasia and defines crucial approaches of the defenders and defendant of euthanasia. Special emphasis is on the attitude of doctors, whose opinions on legalization of active euthanasia vary. The thesis denies legalization of active euthanasia as a good solution for patients which are incurable ill or dying, calls attention to keeping the right to live in current form and disagrees with the economical argument that euthanasia is cheap and fast solution for complicated situation of the health service.
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Perioperative nursing care from the perspective of the patient
LHOTSKÁ, Jana
The bachelor's thesis deals with the nursing care which is provided to the patients before, during and after the surgery until discharge to home care. In the research nurses of surgery and their cooperation in the perioperative nursing care are also included. The theoretical part is focused on the issue of the perioperative nursing care, on the preoperative preparation and the postoperative care and how the patient perceives the time just before the surgery when he/she is passed to the operating room. In the theoretical part there is also the task of the nurses included providing the perioperative care and their mutual cooperation. The first aim of the thesis was to find what is the level of continuity of the care in the perioperative time from the perspective of the patient. The other aim of the thesis was to find the cooperation of healthcare workers in the perioperative care. The survey was conducted through the qualitative research, through the method of questioning. The data collection technique were the depth individual interviews with the patients and nurses. The choice of the patients was intentional, the patients had to be after a surgery and already in home care. The choice of the nurses was intentional, too, the surgical nurses had to care for patients after surgeries, the nurse anesthetists had to work in the surgical operating theatres. The results of the survey show that in the preoperative time the patients see the biggest problem in giving lack of information about the postoperative care. In ensuring the intraoperative care the nurse anesthetist introduced herself/himself only to one patient at the first contact. In the postoperative time none of the patients were in contact with the nurse after full awakening, they only had signalling device. Further the interviews with the patients show that no patients were instructed on the first postoperative getting out of bed and further postoperative rehabilitation. Out of the results of interviews with the surgical nurses and nurse anesthetists we find out that the nurse anesthetist participates in the preoperative preparation just on the day of surgery. The problem in the cooperation of the surgical nurses and nurse anesthetists is transmission of the information and documentation during the transfer of the patient from the operating room. In the postoperative rehabilitation the nurse can cooperate with the physiotherapist but only on weekdays. The results of my bachelor's thesis could be submitted to the head nurse of the hospital but especially to the head nurses of the surgical and anestheziology department to have opportunity to agree on better cooperation and communication. Because I work in the surgical postoperative department I suppose then it would be appropriate to consult together possible improvement of providing the nursing care with the colleagues in the department throughout the perioperative period, or to organize seminars focused on the issue of nursing perioperative care. The nurses can only point out that the establishment of a sleep-in room would be a benefit both for patients and for nurses however its establishment is not real. Then my bachelor's thesis could be used as an information resource for nurses working in surgical fields.
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Informedness of stomia patients before the surgery
SOUKUPOVÁ, Alena
In this bachelor thesis, we discuss the awareness of ostomates prior to an operation. The awareness and education is considered an integral part of quality and professional care for the patient. If the patient receives sufficient and comprehensible information, they become part of treatment, diagnostics and overall health care process, thus assuming a proactive role in their health care. The objective of our thesis was to find out how ostomic patients are informed prior to an operation and map the education process and compare information for a planned and acute operation. A quantitative method was selected to achieve the objective, using an anonymous question form. We approached ostomic patients as respondents. The results show that even though awareness has quite improved since the past years, deficiencies are still seen in many cases. Some information is not understood or sufficient for the pacient. As we expected, patients coming for a planned operation are better informed than patients arriving in acute cases. But in spite of an acute operation, the patient should be briefed and educated. The education process prior to a resection operation is again Better quality for planned operations. Unfortunately, pacients coming for an acute operation are deprived of such education. The education process can make the patient less afraid and their vision of future life is clearer.
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Respecting human dignity in nursing care for patients in long stay hospitals
Řádová, Veronika ; Kutnohorská, Jana (advisor) ; Mareš, Jiří (referee) ; Pečenková, Jaroslava (referee)
88 Synopsis Author: Veronika Řádová Institutions: Charles University in Prague Faculty of Medicine in Hradec Králové Institute of Social Medicine Department of Nursing Title: Respecting human dignity in nursing care for patients in long stay hospitals Supervisor: doc. PhDr. Jana Kutnohorská, CSc. Number of pages: 102 Number of attachments: 3 Year of viva voice: 2010 Keywords: geriatrics, human dignity, respect for the patient, nursing care, nursing ethics The thesis deals with respect for human dignity in nursing care. The human dignity is a fact that becomes increasingly important with the length of human life. The care of geriatric patients has its own characteristics, due to changes, which pass through the body in old age. High demands are placed on the nursing staff not on only technical but also on human and ethical aspects of nursing care. The research tasks deal with specific types of human dignity, as the nursing staff encounters them during their work. The investigation is focused on the quantitative expression of respect for various types of human dignity in nursing practice from the perspective of the nursing staff. During the research, the staffs were also asked questions about the interpersonal response to the undignified behaviour, interviewees using their discretion were supposed to create a...
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The usage of supervision in medical facilities
ZETKOVÁ, Bohumila
There are basic concepts relating to the presented topic, such as supervision and health care institutions, explained in the theoretical part of this master thesis. In its practical part, there are results of the research undertaken by means of a questionnaire survey and amended by two half-standardized interviews in the end. The questionnaires were sent to health care institutions to the regions of Zlin and South Bohemia. Interviews were done with managers of health care institutions, on in the region of Zlin and the other in the region of South Bohemia. The target of research was to find out if supervisions are really provided in health care institutions in the regions of Zlin and South Bohemia. The partial target of research was to map occurrence of supervision used individual types of health care institutions (in the two mentioned region of Czech Republic). There are two hypotheses stated in the thesis. Hypothesis no. 1 is determined in the following way: ?Supervision is more often used in the region of Zlin than in the region of South Bohemia?. Hypothesis no. 2 is: ?Supervision is more often is ordered by a manager and regarded as a duty than prevention of a ?burnout? by nurses. Neither of the hypotheses is proved. I will be very pleased if the thesis provokes a few people at least to think about issues of supervision in health care institutions. Further, the thesis can serve as study material for students studying the field of health services. And last but not least, the thesis could serve as an initial impulse to perform other researches in the field of supervision in health care institutions in other regions.
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