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Requirements for changes in nursing care on the part of top management
PŘIBYLOVÁ, Kateřina
Requirements for changes in nursing care on the part of top management Abstract At present, nursing care has been experiencing a great progress. Implementation of the nursing process as a working method has been striven for. The educational system for non-medical workers has been changing. Nurses holding top managerial posts should have competence to lead and manage people effectively in the ever changing nursing environment. To acquire information necessary for achievement of the set goals, a quantitative research was employed. Within the framework of the quantitative research, the questioning method using a questionnaire was selected. The questionnaires concerned were sent to top managers among nurses and doctors working in medical centres all over the Czech Republic. The thesis had three objectives defined. First, to discover what prerequisites top managers miss to be able to implement the changes concerned in the area of nursing care. Second, to discover top managers´ opinions on the system of nursing care provision. Third, to identify differences between requirements for the nursing process method on the part of top managers {--} nurses and top managers {--} doctors. Based on these objectives, four hypotheses were formulated. The hypothesis no. I: The current situation does not allow top managers operating in health service to implement changes in nursing care in practice. This hypothesis has been confirmed. The hypothesis no. 2: Top managers do not require group nursing care as a prerequisite for the implementation of nursing care changes. This hypothesis has not been confirmed. The hypothesis no. III: Representatives of nurses in managerial posts promote the nursing process application as a prerequisite for changes concerning nursing care. This hypothesis has been confirmed. The hypothesis no. IV: Representatives of medicine doctors in managerial posts do not promote the nursing process application as a method of nurses´ work. This hypothesis has not been confirmed. As far as the results of this diploma thesis are concerned, we were trying to outline possible solutions of the issues concerning changes in nursing care. Top managers are recommended to stimulate critical thinking in their employees in the course of work in the nursing process. It is beneficial to improve communication on the managerial level in hospitals, and in addition, to obtain feedback from subordinates with respect to continuing education, to identify effectiveness and needs relating to education on the part of employees and to enable them to participate in the process of the respective changes implementation. To train function nurses in such changes management. To implement a programme aiming at continual quality improvement.
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Influence of accreditation on patient
KRASNIČANOVÁ, Lucie
Nowadays the accreditation of hospitals is very current topic. During the last years there has been a change in the way of life of society. Within the provided services, the number of patients seeking higher quality medical facilities with specialist care rises. The basic lead for patient is the information about accreditation of the medical facility. The accreditation of the hospital is guarantee for patient that procedures used in the hospital comply with the prescribed standards. Standardization of care provides a unified approach to the patient and leads to safer and higher quality care. Thesis objectives Objective 1: To find out how the selected hospitals introduce "Program of improving the quality and safety of the services provided in a hospital accredited (JCI)" Objective 2: To explore the impact of accreditation (JCI) on patient satisfaction and quality of feedback. Objective 3: To define the benefits of accreditation at the hospital with JCI against the facility without JCI from the patient's perspective. Research questions 1) How does patient perceive the level of care, its accessibility and continuity in the accredited facility? 2) How does patient perceive the complex care of team of trained personnel (doctors, nurses, educational nurses, nutritional therapists)? 3) How does patient evaluate the awareness about all care related to his/her health during hospitalization? 4) What difference in care is there for patient at the hospital with accreditation from the other facility without it? Methodology To obtain the necessary information, a qualitative research was carried out and the methods of questioning with the technique of semi-structured interview on a pre-prepared set of questions were used. A total of 6 patients hospitalized in Hospital Na Homolce were interviewed. The hospital management was informed about the research in writing. Results and Conclusion The interviews revealed that the patients were provided by nursing care according to general or functional method during the hospitalisation in JCI accredited hospital. The care was available according to the patients? needs in terms of time and organisation. In one case a bed wasn?t arranged. The situation was resolved by agreement of staff with the patient. An important part of patient admission to the accredited hospital was staff presentation to patients, which was done, except for one patient. Furthermore, all patients agreed that a physician in the department had attended them every day. The cooperation of the multidisciplinary team worked well according to the patients, they particularly appreciated the work of a psychologist. Patients saw differences in the care in the security measures and in terms of availability, the interviews revealed that two respondents had experienced a long waiting time to scheduled surgery at a hospital without accreditation. The patients evaluated positively the level of provided nursing care. The results of the survey show that most of patients were aware of the differences in provided care. There is surely an influence of education of the nurses in the communication with patients, when was found out that it is needed to develop the communication more. The output of this thesis is a proposal of practical seminar for nurses, which should contain basic information about an effective communication with the patient, particularly aimed to feedback.
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Liquidation of a company
Brandejsová, Michaela ; Miková, Tereza (advisor) ; Roubíčková, Jaroslava (referee)
The process of liquidation of corporations in the Czech Republic is the subject of the bachelor thesis. The whole course of the liquidation leading to a termination of the company is considered from the legal, financial and tax perspective. There are mentioned reasons for the liquidation of a company and description of the duties and rights of the liquidator as the central figure of the whole process at the very beginning of the theoretical part. Furthermore, the thesis deals primarily with the detailed description of the entire process of liquidation - from voluntary decision of the partners to finish the business to deletion of legal entities from the Commercial Register. In the practical part, alternatives to termination of the liquidation in a fictitious enterprise are given, primarily from accounting point of view.
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Analysis of real and nominal convergence of the Visegrad Group in the years 2000-2015
Wikturna, Jan ; Strejček, Ivo (advisor) ; Zamrazilová, Eva (referee)
This Bachelor thesis is focused on a macroeconomic analysis of the process of the real and nominal convergence of the Visegrad Group countries to the old member states of the European Union, called EU-15 during the period of 2000-2015. The objective of the analysis is to confirm or disprove the hypothesis that in the selected period there is a convergence of the economically backward V4 countries with the advanced EU-15 countries and to highlight the factors that are behind the narrowing of the gap in economics and price levels. The theoretical part deals with the ways in which we measure and compare the economic performance and economic level, and explains the different approaches of the problem of economic growth and the subsequent catching up effect. The practical part is focused on a comparison of elected macroeconomic indicators and reference is made to the selected factors to determine whether, and for what reasons, the economic convergence of these selected countries made towards the developed countries of the EU-15. The analytical part confirms the ongoing process of the real and nominal convergence throughout the period, but its course is varied during different times of the period. In conclusion, it is found that the rate varied by the convergence processes and in fact positively affected the V4 countries, that joined the European Union. The incoming dynamics of the convergence, especially the prices, were significantly disrupted by the economic crisis.
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Woman education after surgery for malignant of female geniatale
ELLINGEROVÁ, Zdeňka
The theme of my bachelor´s thesis is Education of women after surgery for malignant disease of the genitals. In the thesis I write about care and selfcare of women after gynecological surgery. I find out in whitch part of selfcare are women educated. The thesis is divided into chapters to clarify all technical terms. The first chapter is about anatomy of female genitals and examinig methods in gynecology. In the next chapter I write about classification of malignant disease of female genitals, I describe their specifics, manifestations, examinig methods and possible treatment. Some of gynecological malignant disease are operable, so I describe surgical approaches too. Further are described oncology centers, thein equipment and how many are there in the Czech republic. The next chapter is about a role of midwife in care of women after surgery for malignant disease of the genitals, and of course a psychological approach with oncology patients, becouse oncology disease is a very dificult life situation. And it is midwife´s mission to help these women. All of midwifes should know this psychological approach. The last chapter is about nursing, nursing process in care of oncological patients and about education. I describe an education about care of surgical wound and protect of infection, diet and emptying, pain and its relief, movement and sexual life after a surgery. The objectiv of my thesis was to find out chat women knouw about selfcare, if they understand the informations. I used qualitative method structured interview, in the research part of thesis. The interview I did with 8 patients of gynekology department in a Hospital České Budějovice a.s. the structured interview have 13 questions. The patients are different ages, have different level of education and different surgery approaches. I set 3 research questions: Want the women to know more information about their health condition? Are the informations of midwifes undestandable or very professional? Observe the women recommendations of midwifes? Eight interviews show that the rate of the submitted informations is sufficient, women know how to take care of yourself. And they know, if they need anything can ask a midwife. On the second did not answer all women equally. Two of the women said, they did not understand all of the midwifes said. They wanted less technical terms. Six of the women understood all. The third question answered all women equally. They observed the recommendations of midwifes. The research shows women are satisfied with nursing care after surgery. The level of informations is enough to care of yourself. They are satisfied with midwifes´care on the gynaecological department. All af women are educated about specifics of their type of surgery, care of surgery wound, hygiene, protect of infection, diet, emptying, sexual life after release from hospital. I think this tehsis can be used as an educational material for midwifes or students of midwife.
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Business plan for founding a shop
Velová, Petra ; Filipová, Vladimíra (advisor) ; Drozen, František (referee)
The contect of the bachelor thesis is to build a business plan for founding a shop with climbing equipment in Turnov and to offer a climbing courses mainly for children. The main aim is according to the results of business plan to decide whether our intention to implement or not to. The theoretical part contains basic information about the term business,businessman, company and business plan in terms of its content and types. The practical part is focused at processing particular, a complete business plan.
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Behavior analysis of unskilled negotiators during negotiation
Szabó, Tomáš ; Jarošová, Eva (advisor) ; Jusko, Roman (referee)
This thesis attempts to map out the negotiation strategies used by unskilled negotiators and among these, to identify those strategies which prevent such negotiators from achieving the most effective outcome. In highlighting such incorrect negotiating strategies, the thesis aims to steer academics away from using such strategies as part of their future teaching material on negotiation strategies. The theoretical aspect of this work describes the theory behind negotiating strategies and maps the features, styles and negotiation procedures which are used during negotiation. The practical part of the thesis interprets results gained from the research which was carried out. This research, which was conducted in the winter semester of the 2013/2014 academic year, involved the staging of bargaining games that were held over five separate sessions as part of the subject "Introductory training of social and management skills".
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Comparison of hedging instruments in international trade
Štrossová, Šárka ; Němečková, Iveta (advisor) ; Hinčica, Vít (referee)
The thesis is divided into two parts -- theoretical and practical. In first part hedging instruments, namely the Letter of Credit, Documentary Collection, Bill of Exchange, Factoring, Forfaiting and Bank Guarantee are analyzed. The aim of analysis is to describe the basic characteristics of instruments and course of these instruments. Subsequently, the instruments are compared to each other on the basis of the advantages and disadvatages they bring to participants. The next part is devoted to an analysis of charges associated with the use of particular hedging instruments in selected banks and the comparison of instruments based on selected criteria. The specific use of the hedging instrument is shown in the case study.
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Production and verification of teaching project of elementary arts of karate
Faktorová, Dominika ; Venzara, Jan (advisor) ; Štěpánek, Jan (referee)
Title: Production and verification of teaching project of elementary arts of karate. Objective: Production and verification of efficient and methodical training programme of karate for children and youth, which increases technical ability and fitness. Methods: Experiment was made by the simple direct method and it took part in the observing five test's groups (one group was made nearly from 25 observed subjects). And than was used the testing and measuring method Eurofit test and test order ČSKe with criterions. The test results were rated by Microsoft ACCESS®, Microsoft EXCEL®, Statistica 6.0 ® a Graph Pad PRISM®. Results: The results validated utility of training programme, but this programme is not more efficient than common training methods. Key words: Karate, elementary arts of karate, teaching and training project.
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Cryotherapy as the oppurtunity for the regeneration of sportsmen
Počtová, Bohumila ; Nováková, Pavlína (advisor) ; Majorová, Simona (referee)
Title ofthesis : Cryotherapy is oppurtunity for the regeneration ofsportsmen Goal of the project : To map and compare information of c:ryotherapy center and places that provide c:ryotherapy application in the Czech Republic. Ifthere is a regulary and properly train information of cold effect for body and prove to provide. On the basis ofthis is determination the quality of information giving to clients and experience ofsportsmen clients at information about influence of cold and this procedure. To find out how the method is used and whether are conditions an fulfiled. Metb.ods :For research I use an exploratory method.The collection of dates was executed by public inguiry and guestionnaires PO:tv1S. The getting dates of particular items was evaluated by qualitative method. Results : This reseach charted cryotherapy centres in the Czech Republic. There was established professional skill specialists served in each of all questionnairy cryotherapy centres. However safety ofthe clients is provided in part only. The clients should have to udergo medical examinations. But these ones are not realised in some of them. The results of this rescach ís cryotherapy centres and sportsmen are deficienty ínformation. The results ofquestionnaires POMS cenfirmed players feelings are posítive after cold application....
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