|
|
Feeding the patients in hospital
NITA, Tatiana
The main goal of the bachelor thesis was to find out what interventions the nurses used in feeding, what communication techniques the nurses used and how they cooperated with other members of the nursing team in feeding patients in hospital facilities. Three research questions were identified, which focused on the nurse's interventions in the feeding, on communication techniques during the administration of food and on the cooperation of nurses with other members of the nursing team. The empirical part of the bachelor thesis was processed through a qualitative research survey. The data collection itself was carried out through participatory unstructured observation of nurses working in a hospital facility. Each observation was converted into written form and further processed by the method of open coding, the "pencil - paper" technique. The results of the empirical part were divided into nine categories for clarity. Among positive findings we include that the rooms had been cleaned and ventilated before the food was served. Before lunch, the nurses allowed non-self-sufficient patients to take a suitable position. The nurses also prepared bedside tables for patients at a sufficient distance and provided non-self-sufficient patients with a paper bib to prevent contamination of their clothing and bedding. No dietary changes were observed. The diet was served at a sufficient temperature and amount. During the diet, the nurses actively offered patients liquids with the help of various compensatory aids for drinking. Among the positive findings was that the nurses fed the patients in clean work uniforms, had no accessories on their hands, were properly combed, and all but one had the prescribed manicure. Furthermore, the nurses actively cooperated and communicated with both patients and nursing staff. Only minor problems were detected, but this did not have a major impact on the provision of quality nursing care to patients. Among the negative findings we can include non-compliance with the principles of barrier care for nurses. The nurses did not exchange incontinence devices for non-self-sufficient patients, they did not allow them to perform hand and oral hygiene. It was also revealed that the nurses did not wash or disinfect their hands before or after eating. This bachelor's thesis is intended for nurses and students of non-medical health disciplines and will serve as a basis for revealing problems and improving skills in the field of feeding patients. The thesis can serve as a basis for further research.
|
|
|
The Dietary System in Hospitals in the Czech Republic: Reality and Objective Needs
Pokorná, Daniela ; Kohout, Pavel (advisor) ; Humlová, Renata (referee)
Author: Pokorná Daniela Institution: Univerzita Karlova v Praze, 1. lékařská fakulta Title: The Dietary System in Hostitals in the Czech Republic: Reality and Objective Needs Tutor: Doc.MUDr.PavelKohout,PhD. Numberofpages: 88 Numberofsupplements: 6 Year: 2011 Keywords: diet, dietary system, dietology, dietotherapy, nutritional therapist, reality, objective needs This paper deals with the dietary system in the facilities in the Czech Republic, particularly in hospitals, with the focus on reality and objective needs. It is divided into two parts - theoretical and research part. The theoretical part explains the terms such as dietology, diet, nutritional therapist, and subsequently the history, present state and possible future of the dietary system in the Czech Republic. In the research part, the reality and objective needs in the given field are explored. The focus is on objective conclusions of the research exploration as well as on initiatives and comments from professionals in the particular facilities. Three hypotheses were set and subsequently examined. The above data was obtained from facilities such as hospital, spas and health resorts, and senior homes. The research was basic and quantitative in nature; data- collecting was done using a questionnaire. Basing on ideas and comments from the...
|
|
|
Diet system from the perspective of macronutrients and micronutrients
Kočí, Kateřina ; Šišková, Ivana (advisor) ; Starnovská, Tamara (referee)
The aim of the thesis: The aim of this observational study of non-interventional nature, was to map the representation of macronutrients and selected micronutrients in the menus served to patients suffering of gastritis as well as other nutrition diets. Additionally, to research and review the dietary systems in healthcare facilities of the Czech Republic, in order to compare the obtained data with recommended nutritional intakes, as recommended/stated in the issue "Reference Values for Nutrition Intake". The purpose is to evaluate, whether both types of the diets follow the recommended values. Methodology: The source of the data for this thesis were the menus distributed to patients following the recommendations of norms related to gastritis and rational nutrition diets for the period of one week. By applying the "Nutriservis PROFESIONAL software" the content of studied macronutrients and selected micronutrients in the daily menus was determined in the collected data. Results: Ten selected healthcare facilities from six regions in the Czech Republic participated in the research. It was determined from the obtained data, that insufficient presence of fiber, wrong balance, as well as the amount of unsaturated and saturated fatty acids along with high amount of sodium were the key malpractices,...
|
|
|
Awareness of hospital staff in respect of nutrition in connection with education
Boukalová, Michaela ; Nováková, Alena (advisor) ; Křížová, Jarmila (referee)
The diploma thesis focuses on hospital staff and their nutrition awareness in relation to their education. The aim of the thesis is to map the nutrition awareness of the employees in the hospital. Compare how the knowledge of the hospital dietary system differs among the staff with basic, secondary and tertiary education. Compare how the knowledge of healthy eating principles differs among the hospital staff with primary, secondary and tertiary education. Find out from employees what they think affects their eating habits and adherence to the principles of healthy eating. The theoretical part deals with the general meaning of carbohydrates, fats, proteins and other important substances for the organism. Furthermore, it deals with recommendations for healthy and balanced eating, nutrient supplementation, tips for a balanced diet, dietary measures for selected diseases and the consequences of poor nutrition on the human body. Last but not least, the dietary system and diets are mentioned in the work. A questionnaire survey method was used to draw up the practical part, where 168 employees were involved. The research group was made up of randomly selected hospital staff in different age categories with different education. The research group was divided into 3 groups by education. Then, these three...
|
|
|
Comparison of dietary system in the hospital with a recommendation for a healthy population
VEČEŘOVÁ, Vendula
The bachelor thesis named "Comparison of dietary system in the hospital with a recommendation for a healthy population" concerns about fulfilling the guideline daily amounts of nutrients in hospital. That implies accepting appropriate food in ideal ratio. This is important for correct operation of every living organism. A problem with such a food intake can occur when an organism is weakened by illness. This bachelor thesis studies the availability of all nutrients and appropriate food in hospital diet. Importance is put on the correct ratio of nutrients in the nurture and other nutritional recommendations. In the thesis there is also investigated if healthy population has some overview of the nutritional recommendations and if they follow them. The first theoretical section of the thesis describes dietetic system, particular hospital diets, nutritional recommendations and also healthy population is mentioned here. At the hospital diets I fastened on diets number 3 and 9, which are racional diet and diabetic diet. Those were selected for the practical part of this thesis. The analysis took place in two hospitals and other part among regular people. The goal of the thesis was to map a situation of the dietetic system in hospitals and to find out if the system follows nutritional recommendations. More concretely, it included diet number 3 and 9. Testing set contained weekly racional and diabetic diets which were calculated in a program called "Nutriservisprofesional" and the results of the investigation were processed in Microsoft Excel. Second part of the testing used questionnaires which have been given to 50 respondents and it contained 25 questions, 4 of them being open. It was supposed to find out eating habits and approach to the eating of regular people. The results were processed to graphs in Microsoft Excel. From the results eventuated difference between both of the hospitals, particularly by fiber, vitamin C and fat content. It is related to having fruit and vegetable in the diet, where hospitals did not match as well. One result found out high amounts of fats and lower amount of fiber than the recommended amount. Results of investigating regular people showed lower amount of vegetable and milk products than recommended. The most notable was very low amount of fish and pulses. On the other hand it was confirmed that most of the people drink enough and eat enough food.
|
|
|
The Dietary System in Hospitals in the Czech Republic: Reality and Objective Needs
Pokorná, Daniela ; Kohout, Pavel (advisor) ; Humlová, Renata (referee)
Author: Pokorná Daniela Institution: Univerzita Karlova v Praze, 1. lékařská fakulta Title: The Dietary System in Hostitals in the Czech Republic: Reality and Objective Needs Tutor: Doc.MUDr.PavelKohout,PhD. Numberofpages: 88 Numberofsupplements: 6 Year: 2011 Keywords: diet, dietary system, dietology, dietotherapy, nutritional therapist, reality, objective needs This paper deals with the dietary system in the facilities in the Czech Republic, particularly in hospitals, with the focus on reality and objective needs. It is divided into two parts - theoretical and research part. The theoretical part explains the terms such as dietology, diet, nutritional therapist, and subsequently the history, present state and possible future of the dietary system in the Czech Republic. In the research part, the reality and objective needs in the given field are explored. The focus is on objective conclusions of the research exploration as well as on initiatives and comments from professionals in the particular facilities. Three hypotheses were set and subsequently examined. The above data was obtained from facilities such as hospital, spas and health resorts, and senior homes. The research was basic and quantitative in nature; data- collecting was done using a questionnaire. Basing on ideas and comments from the...
|
|
|
Unsaturated fatty acids in the diet of inpatients
KONHEFROVÁ, Veronika
The thesis with the name "Unsaturated fatty acids in the diet of inpatients" is divided into a theoretical and a research parts. The theoretical part is focused on sorting out lipids and the recommended daily dosing. Next there are described the chemical structure of fatty acids and basic differences between saturated (SFA) and unsaturated (trans and cis) fatty acids. The biggest part of the theory is formed by the unsaturated fatty acids, their characteristics, food source and their effect on people´s health. Dietetic system and its future development is described in the final part. The research part analysis took place in the Centre for prevention of lifestyle diseases in České Budějovice. It was analysed nine fourteen-day diet plans, which are most frequently served in the Jindřichův Hradec hospital, PLC. The research diets are 0 (liquid diet), 1 (mushy diet), 2 (soft diet), 3 (well-balanced diet), 4 (low-fat diet), 9 (diabetic diet), 9/2 (diabetic soft diet), 11 (nutritious diet) and 13 (diet for teenagers). The aim of this thesis is to calculate the amount of monounsaturated fatty acids (MUFA) and polyunsaturated fatty acids (PUFA) in the most frequently served diets of hospitalized patients in the Jindřichův Hradec hospital, PLC, with the help of the nutrition software Nutriservis Profesional/NutriDan and to compare the amounts of both MUFA and PUFA in the particular diets. The results of my analysis show that none of the diets meets the recommended SFA:MUFA:PUFA ratio (<1:1,4:>0,6). In the majority of ratios is the amount of SFA:MUFA about 2:1,4. That means that the diets contain quite high surfeit of SFA. However MUFA:PUFA ratios except diet 0 (both two weeks) and 2 (second week) are above the minimum recommended references, it can be said that these diet's compositions aren't so bad. Only it would be appropriate to reduce SFA in diets, which would improve ratios according to the recommendations. This finding corresponds to the Research question number 1 about the real distribution of unsaturated fatty acids in individual researched diets. The Research question 2 about the total fat intake in each diet is answered as follows. Diets differ in the representation of total fat grams for each day according to standard of Jindřichův Hradec hospital, PLC. Diets 1, 2, 4 have fluctuating levels of total fat and are largely below the references. The diet 0 does not even meet any hospital recommendations for any day, the other diets, 3, 9, 9/2, 11 and 13 have the fat excess. The fat excess is given with the excess of saturated fat acids in diets and a significant part will be probably formed by a NutriDan undefined component of fats (the difference between total fat and SFA + MUFA + PUFA). I assume that those are the trans-unsaturated fatty acids. The results of this thesis will help the nutrition therapists from the Jindřichův Hradec hospital, PLC as a feedback, so that they could improve the percentage of unsaturated fatty acids in their diets according to the recommendations of nutrition companies.
|
|
|
The specifics of the catering in hospitals
Kalná, Zuzana ; Mlejnková, Lena (advisor) ; Svěráková, Dagmar (referee)
The thesis focuses on the issue of the catering for patients in Czech hospitals. It gives an insight into the present situation of the organization and funding of the hospital catering and also the specifics of dietary nutrition and its status in the treatment of diseases. In the second part of the work is described an organization of patients'catering by the case study of a particular hospital. At the end, you can find a survey on the patients'satisfaction with the nutrition that is being served to them during their stay in hospital and the evaluation of the survey.
|
|
|
Nutrition in hospitals as part of comprehensive nursing care
ZELENKOVÁ, Klára
A nutrition of high quality should be an integral part of the complex therapy in all hospital facilities, disregarding these premises results in the decrease of the whole quality of the nursing care. A complex nursing care detects actual and potential health problems, determines priorities and defines the role of the nurse providing those. Nothing but a highly qualified and plan-based nursing care enables the nurse to satisfy the patients´ / clients´ needs. The purpose of this Bachelor thesis is to discover and determine the demands of the clients hospitalized in hospital facilities for alterations of the nutrition system, to map clients´ satisfaction with the food served and to find out , if the meals served in the hospital facilities complies with the clients´ needs. The research was realized in the Hospital Strakonice, inc.c. in the internal, surgery and gynaecological ward, in the form of a questionnaire inquiry. Six hypotheses have been determined, of which 5 were confirmed and one was refuted. The first hypothesis tested, whether the clients hospitalized in hospital facilities would appreciate an alteration in the nutrition composition. On the basis of a questionary investigation, the hypothesis was comfirmed. The second hypothesis estimated, if the clients hospitalized in hospital facilities would appreciate the possibility of the choice of the meals, according to the results, it is obvious that this possibility is welcomed by the clients and thus this hypothesis was confirmed. The aim of the third hypothesis was to find out, whether the clients are satisfied with the food served. The results point out to the fact, that for the most of the respondents, the taste, satiety and quantity of individual meals was inconvenient, the results concerning the satisfaction with the temperature of the served meals proved the patients´/clients´ satisfactuion. The third hypothesis was confirmed, because the larger part of the answers proved the dissatisfaction with the food served. The four hypothesis, whether the clients have different demands on the served meals according to their age categories was, after detailed comparison of the results, confirmed and the results point out to a definite difference with the older and with the younger respondents. The fifth hypothesis estimated, whether the clients evaluate the served food as inadequate to their needs. From the results it is obvious, that the sufficiency is superior to the insufficiency and therefore, the fifth hypothesis was not confirmed. The sixth hypothesis evaluated, if the clients have the need to provide themselves with the food outside the hospital facility, from the results it is evident that the clients really have this need and the sixth hypothesis was proved and confirmed. I will hand deliver the results achieved to the head nurse of the Hospital Strakonice, inc.c. and together we will try to realize these alterations that would increase the satisfaction of the patients/clients with the nutrition and meals in this hospital.
|
|
|
Organoleptic qualities of catering provided to students in students´cafeteria of the South Bohemian University ,Ceske Budejovice as compared with the catering delivered to clients of the South Bohemian Hospital ,Ceske Budejovice, a.s.
RYTÍŘOVÁ, Zuzana
The thesis, as the title suggests, deals with the quality and organoleptic characteristics of meals prepared in the Students´ canteen of the University of South Bohemia. In the theoretical part the basic principles and composition of a quality and healthy diet are described with the use of literature, the history and basic information about clinical dietology is mentioned and the importance of organoleptic characteristics is explained. The issue of catering facilities and canteens is also addressed. There is an emphasis on the quality of the diet because this is an integral part of a patient´s treatment and ought to be chosen carefully. In the practical section the results of quantitative survey conducted with the České Budějovice hospital clients and the University of South Bohemia students are shown. This investigation aims to highlight the good quality and the drawbacks of their diet and determine the level of satisfaction both in patients of České Budějovice Hospital and students of the South Bohemian University. Before starting the investigation three hypotheses were stated. Based on data evaluation only the hypothesis number one and the second part of the hypothesis three proved true. The Hypothesis number two and the first part of the hypotheses number three were not confirmed.
|
guest ::
