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Czech Public Opinion on Health Care System
Tabery, Paulína
In December 2010, Public Opinion Research Centre enquired about health care and health care system. We were interested in satisfaction of citizens with health care system in the Czech Republic and public opinion on issues in specific areas of the health care system.
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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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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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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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The People with the Mental Impairment in the Role of Parents
Huclová, Miroslava ; Mašát, Vladimír (advisor) ; Klípová, Eva (referee)
My bachelor thesis is called "People with a mental impairment in the role of parents ". This work is divided into two parts. In the first part I describe the term mental retardation, its history and division. This problem has connection with human rights, particularly the right to marriage and the right to have children. I write about the social support for people with mental retardation before the childbirth and after the birth. I describe sexual competences according to the level of mental impairment and the problems in partner relations. I give suggestions how to prepare for the time of pregnancy, childbirth and care for the child. Some possibilities of living in the sheltered or supported housing are offered here. In the practical part of my bachelor thesis I try to find out the attitudes of people working with adults with a mental impairment. Should these people have babies? I used the method of questionnaire. Powered by TCPDF (www.tcpdf.org)
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Community Aproach to the People with Mental Health Problems As Alternative to the Institucional Care
Strnadová, Dagmar ; Klimešová, Anna (advisor) ; Sivek, Vojtěch (referee)
In the history the care of people with a mental health problems was going through a lot of changes. Most of the people were accepted as a part of a society. The family and a local community had been taken care of them. Only a small part of people with a mental health problems had been banished or kept in prison. With the beginning of a modern period the people with a mental illness have devoted and segregated in a large extent. The psychiatri and care for disordered people occured rapid developement in 20th century. In the 50's the psychiatric institution had been closing down in a many advanced countries. Institutional care was replaced with a out-patient and comunity care services. The main target of a community care is to help to the people with a mental illness so they can live in a naturally neighbourhood. The Great Britain has ranked among countries with a along tradition of community care. The broad range of services in the domain of living, employment and a leisure time arised here. The attitude to disordered people was also changed. In the Czech republic the community work set up to apply in 90's. Since the time the big progress was reached. Nevertheless the institutional care is still being preferred. The community care concur at traditional community values and it is established on esteem to...
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Care for Body, Health and Fitness by Seniors
Maxa, Vladimír ; Fialová, Ludmila (advisor) ; Potměšil, Jaroslav (referee)
Name: Care for Body, Health and Fitness by Seniors Objective: The objective of my graduation thesis is to detect the attitude of seniors towards their body and health and to discover the way they perceive the present-day ideas about body type that are presented by the media and accepted by the present-day population. Method: A questionnaire was used to collect data. The questionnaire involved questions relating to personal data, health state, activities connected with the body and exercise, body image, self-perception and life satisfaction. The form of the questions asked in the questionnaire was not uniform. Closed 'yes' or 'no' questions and ones using Lickert's 5- grade scales dominated the questionnaire. Results: The results summarize the attitude of seniors towards themselves and their values for evaluating their body, health and fitness. They clarify the motivation of seniors to exercise and explain their behaviour in relation to their diet. Furthermore, the results consider seniors' bodily proportions and conclude that the actual body type of seniors is not identical with their ideal body type. Key words: physical self-perception, seniors, senility, life style Powered by TCPDF (www.tcpdf.org)
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Nursing care for woman at minor gynecological surgeries
KÁPLOVÁ, Veronika
Minor gynecological surgeries are defined as surgeries after which the patients are dismissed from hospital to home care within 12 to 24 hours. The purpose of pre-surgery care provided by a midwife is to ensure thorough somatic and mental preparation of the patient for the surgery. The patient is required to sign all necessary consents with the surgery, she shall be informed about the course of pre-surgery care, the surgery itself, post-surgery recovery and naturally also about all risks involved. The result of a consistent instruction provided by a midwife shall be a patient who is calm and mentally prepared for the surgery (Henková, 2010; Repková, 2006). The bachelor thesis includes a theoretical part and a practical part with research. The theoretical part focuses on minor gynecological surgeries and nursing care before and after the surgery. The objective of the bachelor thesis was to survey the level of awareness among women about minor gynecological surgeries. Two research questions were formulated to meet the objective: what the level of awareness about minor gynecological surgeries is among women and which method of information provision would be appreciated by women. The research part of the bachelor thesis employed the method of qualitative survey. The data were collected by means of semi-structured interviews. The surveyed set of respondents consisted of 8 women. The interviews were conducted from the beginning of February to the end of March 2014. The survey was expected to provide information about whether the women had been sufficiently informed about minor gynecological surgeries. For the category of pre-surgery period we investigated the following: What is the experience of women with previous nursing care? To what extent were the women informed by their local gynecologists and were they sufficiently informed in the hospital before the surgery? The results have shown that most of the respondents did not have any previous experience with nursing care. Two respondents said that they had previously undergone a minor surgery and that they were content with the nursing care. Results of the survey have shown some gaps in the form and quantity of information provided in medical offices of the local gynecologists. One half of the respondents were not content with the information provided in the medical offices. The information provided in the hospital before the surgery was assessed positively by five respondents out of eight and they appreciated particularly the personal and accommodating approach, professional conduct and empathy. For the category of post-surgery period we investigated how the respondents saw the approach of the nursing staff in the operating room. The results have shown that the respondents evaluated positively particularly the fact that the physician introduced himself/herself to the patient and provided information about the subsequent care. For the category of post-surgery care we also investigated subjective feelings of the respondents after the surgery, their awareness of the post-surgery regime at home and the form of information provision. Results of the research suggest that patients are highly perceptive, particularly when it comes to friendly gestures and words. The information about the home post-surgery regime was rated positively by one half of the respondents and negatively by the other half. On the other hand, they appreciated the personal and accommodating approach and professional conduct. Most of the respondents were content with the form of information provision. Some of them would have appreciated to have a leaflet or information brochure containing all important information. The theoretical part of the bachelor thesis can be as used as a study material for future students of midwifery at the Faculty of Health and Social Studies of the University of South Bohemia.
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