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Implementation of palliative care in hospital setting
Kovaříková, Julie ; Loučka, Martin (advisor) ; Uhlíř, Marek (referee)
This thesis deals with the implementation of palliative care in hospitals and perceives the topic in context of change management in health facilities. In the Czech Republic, this type of care is still at its beginning in hospitals and its implementation is a big challenge. The aim of the thesis is to find out what factors influence the implementation of palliative care in hospitals. In the first part of the text, the theoretical bases concerning palliative care and change management are outlined. The empirical part introduces a qualitative survey identifying barriers that had to be overcome during the implementation of palliative care in hospitals and factors that were instrumental in the implementation. Within the survey, 66 interviews with members of multidisciplinary teams from 17 hospitals were made. All the hospitals participated in the Together until the end programme of the Avast Foundation. The assessment of the survey results focuses on recommendations for hospitals that decide to extend or launch the palliative attitude in their premises and on challenges for the future of palliative care in the Czech Republic. The survey was carried out under the supervision of the Center for Palliative Care and it was used as the final assessment of the Together until the end programme that mapped the...
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Social Work in Palliative Care in a Hospital
Šerých, Anna ; Stretti, Sylvie (advisor) ; Cimrmannová, Tereza (referee)
The topic of this work - social work in palliative care - is very up-to-date because in the last three years, thanks to the "Together until the end" program of the Avast Foundation Fund, specialized palliative care has been introduced in eighteen Czech hospitals, which is a response to the fact that 78% of the citizens of the Czech Republic die in healthcare facilities. The goal of the thesis was to answer the research question: "How do social workers at the Central Military Hospital in Prague who have experience with clients in the terminal stage of illness describe the means to achieve the goals of social work in palliative care in the hospital?" To find out the answer to this question, we have used the Grounded theory research method and realized a research in the CMH in Prague. The main findings of the research consist in describing the objectives of social work in palliative care in the hospital as understood by the respondents, and in the description of the means used to achieve these goals and the links between them. These objectives are: the client's wishes and the quality of life with dignified dying and among the means is the relationship between the social worker, the client and the family; social counselling and family care. Other findings include a description of the needs of those...
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Implementation of palliative care in hospital setting
Kovaříková, Julie ; Loučka, Martin (advisor) ; Uhlíř, Marek (referee)
This thesis deals with the implementation of palliative care in hospitals and perceives the topic in context of change management in health facilities. In the Czech Republic, this type of care is still at its beginning in hospitals and its implementation is a big challenge. The aim of the thesis is to find out what factors influence the implementation of palliative care in hospitals. In the first part of the text, the theoretical bases concerning palliative care and change management are outlined. The empirical part introduces a qualitative survey identifying barriers that had to be overcome during the implementation of palliative care in hospitals and factors that were instrumental in the implementation. Within the survey, 66 interviews with members of multidisciplinary teams from 17 hospitals were made. All the hospitals participated in the Together until the end programme of the Avast Foundation. The assessment of the survey results focuses on recommendations for hospitals that decide to extend or launch the palliative attitude in their premises and on challenges for the future of palliative care in the Czech Republic. The survey was carried out under the supervision of the Center for Palliative Care and it was used as the final assessment of the Together until the end programme that mapped the...
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