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The Development of Local Government in the Municipality of Nižbor
Votrubová, Veronika ; Čopík, Jan (advisor) ; Lenka, Lenka (referee)
The MA thesis aims to describe the development of local government in the municipality of Nižbor, which is located in the Central Bohemia Region near Prague, the capital of the Czech Republic, and the town of Beroun. The thesis includes a brief summary of the village´s history, its socioeconomic indicators and management, and also assessment of local elections focusing on the years 2006, 2010 and 2014.
The thesis also contains interviews with local councillors, at least one councillor from each list of candidates was selected. Some parts of the interviews were directly quoted, others were paraphrased.
The thesis also mentions political parties of the local political system, such as the Civic Democratic Party (ODS), political movement ANO 2011 (ANO 2011) and various associations of independent candidates.
The aim of the thesis is to describe the main socioeconomic indicators, to identify actors of the political process in the municipality of Nižbor and to define the character of the decision-making proces of its local government.
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Specifics of nursing care for members of the Seventh Day Adventist Church
VOTRUBOVÁ, Veronika
Seventh Day Adventist Church was established in the United States in the 19th century and belongs among the Protestant churches. Adventists are characterized by the fact that they expect the second coming of Jesus Christ and hold Saturday holy for celebration of God. The theoretical part deals with the definition of multicultural nursing, nursing and describes the nursing process. It is focused on nursing models Leininger and Giger with Davidhizar. Another part of the theoretical work deals with religion, spirituality spiritual needs of patients and clients. The last part focuses on the Seventh Day Adventist Church. There is information about their history, doctrine and communities, basic doctrinal pronouncements, their particularities such as baptism, which is done in adulthood, the Lord's Supper and principles of Christian life. Adventists worship on Saturday; they are not allowed to work and must devote the whole day to God. The work also describes the activities of the Church and the related humanitarian organization ADRA. Adventists keep to a healthy lifestyle and have a medical program called the NewStart. The goal of the diploma thesis was to find out the specifics of nursing care for members of the Seventh Day Adventist Church, to map out specific attitudes towards health among members of the Seventh-day Adventist Church and to map opinion of nurses on the importance of multicultural nursing for their work. Towards these goals, five research questions had been established: 1. Do members of the Seventh-day Adventist have specific needs in nursing care? 2. How do members of the Seventh-day Adventist perceive medical personnel attitudes? 3. Do members of the Seventh-day Adventist have specific spiritual needs? 4. Do members of the Seventh-day Adventist lead a specific lifestyle? 5. Do nurses know the importance of multicultural nursing in practice? To fulfill the research objectives and to answer research questions, qualitative research was used. The survey was carried out through semi-structured interview with members of the Seventh-day Adventist Church and general nurses. Interviews with members of the SDA were held in the Gathering of Seventh Day Adventist Church in Benešov and the snowball technique was used to find further respondents. Interviews with general nurses were conducted in two hospitals in internal and surgical wards. The Interviews were attended by 10 members of the SDA and 10 nurses. The qualitative survey found that members of the SDA church have no specifics in nursing care. Only some members, who are vegetarians, require a vegetarian diet in hospitals. In a hospital setting, they have no problem with praying and easily adapt to the surroundings, because they do not want to draw attention to themselves. They have no problem with vaccination, transplantation, receiving transfusions or other diagnostic and medical procedures. Most members perceive health professionals positively, but there were two who have experience with disdain and misunderstanding of their faith by them. Further research shows that Adventists have specifics in death care and diet. SDA has a health reform, which includes the NewStart. The Adventist Church does not recommend eating meat and bans alcohol, tobacco and narcotics. Nurses see major importance of multicultural nursing in avoiding conflict with a client that could arise from ignorance of their religion. Another point is the possibility to better understand the client's behavior and the ability to empathize with their feelings. Because of the knowledge of multicultural care, nurses are able to meet the needs of clients and provide them with quality nursing care. On the basis of the research, standard nursing procedures for members of the SDA and informational material for nurses to facilitate the provision of particular care to members of the SDA have been developed.
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Cooperation of a stoma nurse with multidisciplinary team
VOTRUBOVÁ, Veronika
A stoma is an opening of a hollow organ on the surface of the body. The care for a stoma aims at returning a patient to ordinary life and it is exactly in this process that a stoma nurse should help the patient. The stoma nurse guides the patient through the pre-operative preparation, the post-operative preparation and also through the outpatient preparation in which the patient visits the stoma nurse in a stoma clinic. Cooperation of the stoma nurse with other members of the multidisciplinary team is important because it makes it possible for the stoma nurse to meet all the needs of the patient. The theoretical part deals with the anatomy and physiology, definitions stoma stoma and also the history of its development in nursing. The next chapter deals with the indications, types of stoma and possible complications. The chapters on preoperative and postoperative care, nutritional advice and clubs for stoma patients. Other chapters are devoted to stoma nurses. The primary intention of the thesis is to meet one objective which is to find out how a stoma nurse cooperates within the framework of a multidisciplinary team in various departments of a healthcare facility. The following hypothesis was set for this objective: "The integration of a stoma nurse in a multidisciplinary team is different in every department." The research question was: "How is a stoma nurse integrated in a multidisciplinary team?" The research was carried out by means of a quantitatively qualitative investigation. A method of questioning using the technique of questionnaires was used for collecting data in the quantitative research of the bachelor's thesis. The questionnaires were addressed to nurses in the internal medicine and surgical wards. The collected data were evaluated by means of processed graphs. The qualitative research was carried out with stoma nurses in the surgical ward by means of interviews. The quantitative survey implies that the shift nurses in a surgical ward cooperate much better with the stoma nurse than nurses in an internal medicine ward. In the surgical ward the cooperation is better in terms of communication with shift nurses because they exchange information about patients with stomas, the occurrence of complications and the nursing procedure. On the other hand, in the internal medicine ward this communication in many cases does not work. In most cases the nurses at the internal medicine ward do not feel a need to communicate and discuss the care for a patient with the stoma nurse. The stated objective was achieved using the research question and the confirmation of the hypothesis. From a qualitative investigation implies that stoma nurses are integrated in the education of patients before and after operations. The pre-operative preparation includes also the drawing of a suitable place for a stoma on the body of a future stoma patient. In most cases they discuss a suitable procedure of caring for a stoma patient with shift nurses and inform each other about the occurrence of complications. If they are interested, the stoma nurse informs the nurses of new appliances and findings from seminars. She has got also her own specific documentation where she writes down details about patients. Two stoma nurses also point to the option of cooperating with a nutritional therapist as a part of the nutritional consultation of a patient with a stoma. When cooperating with a physical therapist the stoma nurse informs him of the patient's overall condition and the physical therapist provides total rehabilitation. The results of the findings established by this bachelor's thesis will be provided to the management of hospitals where this research took place.
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