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Community Approaches to health care during and after crisis situation
KUČEROVÁ, Barbora
This thesis deals with issues of community care with regard to community health care during and after emergencies. The theoretical part aims to introduce the general topic of community care. The first chapters of this thesis are dedicated to community care and utilization of community nursing care, including the history and development of community care in the Czech Republic as well as outside its territory. The thesis further provides a summary of institutions, health and social services within community care, including the possibility of home care. It also deals with the role of community nurses and their involvement in the process of community planning. Another important part of this thesis is the issue of emergencies where the term "emergency" is defined, and divisions of emergencies and the cooperation of integrated response system are described. The thesis furthermore concentrates on the procedures of the ambulance service during emergencies including emergencies with polytrauma and the subsequent treatment in health-care facilities. One of the goals of this thesis is to describe the role of medics during emergencies and the role they play in caring for patients coming from different communities. Further chapters deal with specific community health care: elderly people, children, people with disabilities, groups of different cultures - ethnic and national minorities. It also deals with the specifics of providing health care from the point of view of religion. The practical part is dedicated to quantitative survey of knowledge of medics in issues of community health care across different levels of education and different ranks. A research question was determined: What is the understanding and professional level of medics in the community care setting during and after an emergency? The respondent data was obtained in the form of a questionnaire and results are shown in diagrams. The questionnaires aimed to find out whether the respondents had ever heard the term "community care" and to find out their theoretical knowledge on this issue. However, the main point was to evaluate how vast is their practical experience.
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Community midwife in the care of women in postpartum period and newborn
LANDOVÁ, Lucie
The bachelor thesis focuses on the topic of community care provided by community midwives to women and newborns in the six-week period. The thesis consists of theoretical and practical part. In the theoretical part of the bachelor thesis, the reader is first introduced to community care. The subchapters dedicated to community care describe the history of community care, then describe the activities of community midwives in the Czech Republic and the last subchapter is dedicated to community midwifery care abroad. The theoretical part of this bachelor thesis also characterizes the six-week period. The chapter about the six-week period is divided into subchapters that describe anatomical and physiological changes in the six-week period, midwife care of the six-week period woman, breast care, lactation and breastfeeding, and last but not least midwife care of the newborn. For the practical part of the bachelor thesis one goal was set. The goal of the thesis was to map the care of community midwives in the South Bohemian Region. Two research questions were formulated for this goal. The first research question focuses on women's attitudes towards community-based care in the six-week period. The second research question investigates which care is provided by community midwives in the South Bohemian Region. The practical part of the bachelor thesis was done by a qualitative research investigation in the form of individual semi-structured interviews. The data collection for the research survey took place from January to March 2022. Two research sets were defined. The first research set was composed of six community midwives from the South Bohemian region, designated as KPA1 to KPA6 to protect anonymity. The second research set was composed of six women between 7 and 42 days after childbirth, they were designated as Š1 to Š6. The obtained data were analyzed by text coloring. The main categories and subcategories were established for data analysis and are described in the research section of this bachelor thesis. From the statements of the informants of the first research set, three main categories were obtained, which contained a total of eight subcategories. In the second research set, we analysed three main categories, that were divided into five subcategories.
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Multidisciplinary team in the Implementation of Centres of Mental Health
Prokopová, Johana ; Dobiášová, Karolína (advisor) ; Kotrusová, Miriam (referee)
This bachelor thesis deals with multidisciplinary teams of Centres of Mental Health, which are built within the implementation of the Reform of the psychiatric care system in the Czech Republic. One of the aims of this work is to find out the role of Centres of Mental Health and their multidisciplinary teams in the system of care for people with mental illness. The thesis also aims to find out how this new element of psychiatric care system in the Czech republic works in practice. The implementation and functioning of multidisciplinary teams are viewed from the perspective of their members, with whom seven interviews were conducted. Based on the testimonies of the interviewees, the theses presents the benefits of working in a multidisciplinary team with a target group of people with mental illnesses. In addition to the benefits of working in such teams, also the complications, which the staff experiences are discussed.
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Integration health and social services
Slavíková, Martina ; Angelovská, Olga (advisor) ; Dobiášová, Karolína (referee)
In my thesis I deal with the integration of health and social services. I introduced the issue of two/double departmental service management and their financing, there. In addition, I described the various actors involved in the integration of services, mentioned strategic documents and legislation related to the provision of health and social care. In the case study, I mapped the health and social services provided in Louny, through street-level bureaucrats I gained information about the interconnection of services in Louny and about the factors that affect the implementation of integration of services in the town. For successful implementation of integration, it is necessary to specify the users of integrated health and social services, to create a home base for them, to provide a flexible range of services and at the same time to support the informally caring families. The lack of demand for integrated services is linked to other factors such as ignorance of citizens and low participation in caring for close relatives. Street.level bureaucrats in health and social services do not know the integration of services, they do not encounter it in practice, this factor has an impact on the motivation of street-level bureaucrats to make changes in the provision of care. An important factor is also the...
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Mental health policy analysis in the Czech Republic in the context of European Union
Pečtová, Kateřina ; Háva, Petr (advisor) ; Karlová, Irena (referee)
Diploma thesis "Mental health policy analysis in the Czech Republic in the context of European Union" deals with the present state of health care of psychiatric patients in the Czech Republic. Main theories for the thesis are quality of life, human rights, health determinants and support of mental health. Analysis of mental health policy shows that health care for psychiatric patients is mainly concetrated in psychiatric institutions. Advanced trends and recommendations described in the political documents issued by the European Union urge to transformation of service framework stressing the importance of health care diferentiation and its move towards community care. At the end, health care framework for the Czech Republic fulfilling such requests and correspondig with the model of balanced care is described. Such a model is based on progressive health care movement from psychiatric institutions towards community care with regard on financial, personal and capacity resources of the state and region. The Czech Republic belongs to the states with average resource capacity thus such steps would lead to balancing institutional and community care and follows the line established by developed countries leading to larger and more diferentiated health care framework.
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Multidisciplinary team in the Implementation of Centres of Mental Health
Prokopová, Johana ; Dobiášová, Karolína (advisor) ; Kotrusová, Miriam (referee)
This bachelor thesis deals with multidisciplinary teams of Centres of Mental Health, which are built within the implementation of the Reform of the psychiatric care system in the Czech Republic. One of the aims of this work is to find out the role of Centres of Mental Health and their multidisciplinary teams in the system of care for people with mental illness. The thesis also aims to find out how this new element of psychiatric care system in the Czech republic works in practice. The implementation and functioning of multidisciplinary teams are viewed from the perspective of their members, with whom seven interviews were conducted. Based on the testimonies of the interviewees, the theses presents the benefits of working in a multidisciplinary team with a target group of people with mental illnesses. In addition to the benefits of working in such teams, also the complications, which the staff experiences are discussed.
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Integration health and social services
Slavíková, Martina ; Angelovská, Olga (advisor) ; Dobiášová, Karolína (referee)
In my thesis I deal with the integration of health and social services. I introduced the issue of two/double departmental service management and their financing, there. In addition, I described the various actors involved in the integration of services, mentioned strategic documents and legislation related to the provision of health and social care. In the case study, I mapped the health and social services provided in Louny, through street-level bureaucrats I gained information about the interconnection of services in Louny and about the factors that affect the implementation of integration of services in the town. For successful implementation of integration, it is necessary to specify the users of integrated health and social services, to create a home base for them, to provide a flexible range of services and at the same time to support the informally caring families. The lack of demand for integrated services is linked to other factors such as ignorance of citizens and low participation in caring for close relatives. Street.level bureaucrats in health and social services do not know the integration of services, they do not encounter it in practice, this factor has an impact on the motivation of street-level bureaucrats to make changes in the provision of care. An important factor is also the...
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Komunitní péče o ženu po porodu
HENDRYCH LORENZOVÁ, Eva
Introduction: Motherhood is a great life change for every woman, touching the physical, the psychical and spiritual planes of being. All these changes transform the perceived quality of life of a woman after childbirth. A qualified community midwife is a medical professional who is able to provide eruded and holistic health care to women after childbirth in their own community. Aim of work: the main objective of the empirical part of the work was to describe the importance of community care of women in postpartum period. Methodology: The empirical part of the dissertation thesis is built on Mixed-Method Design. We use the sequential combined research design of the QUAN + qual type. In the quantitative research survey, we set the main goal of describing the impact of community care of woman in postpartum period on their overall health and quality of life. The research file (N = 123) consisted of two groups of respondents. The group studied (with the community care of woman in postpartum period, N = 56) and the control group (without community care of woman in postpartum period, N = 67). We used 3 tools to gain research data: The MGI questionnaire, the MIFR Scale evaluation range and the own design questionnaire. The results of the research survey were statistically processed, the 0,05 significance level was used (5 %). The aim of the qualitative research survey was to describe in detail the experience of women with community care of woman in postpartum period. The qualitative research included 5 women having obtained community care of woman in postpartum period. These women were interviewed face to face by means of semi-structured interviews. Results and discussions: there was no statistically significant difference (p = 0,873) in the results of the state of health between women with community care of women in postpartum period and women without this care. There was no statistically significant difference (p = 0,539) in the results of breast-feeding at the end of the sixedage between women with community care of women in postpartum period and women without this care. The statistically significant link has been recognized between the recommendation of community care of woman in postpartum periodand the group of women who have benefited from repeatedly taken community care of woman in postpartum period (p <0.001). Most women who have benefited from community care of woman in postpartum period (58,9 %) were completely satisfied with this care, nothing else would need in care. Women in 45,7 % of replies reported that community care of woman in postpartum period helped them as psychological support. The results also brought alarming findings that 49.2 % of women who had not used this care did not know about this service! The resulting quality of life Index of women after childbirth reached an average value of 7,5 ? 1,38. Living area the relationship with its own mother has proved to be original compared to the other research studies and we propose to conduct further research investigations. A qualitative inquiry revealed that the community care provided by the midwife in the postpartum period was the most beneficial for women in terms of providing the so-called mother arms. Which means promoting, sharing, hearing and the respectful guiding through postpartum period. Conclusion: Dissertation provides a comprehensive view of the issue of community care of woman in postpartum period. The results of the work have shown that community care of woman in postpartum period is important to women. The used MGI and MIRF Scale questionnaires were considered to be helpful to midwives working in community.
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Theory and practice of community nursing care.
VLACHOVÁ, Hana
The bachelor thesis is focused on the theory and practice of community nursing care in the Czech Republic. At present, community care is a topical issue, as community care is not as developed as in other Western European countries. The bachelor thesis is divided into theoretical and empirical part. The theoretical part deals with several parts. The first part describes community nursing, community and community care. It also deals with the history of community care in the world and in the Czech Republic. It also describes the education and content of a community sister. Last but not least, it deals with community nursing care for selected inhabitants, which consists of seniors, family, child, mentally handicapped, mentally ill, culturally different groups of inhabitants and selected groups of inhabitants. The second part of the thesis consists of the empirical part. The aim of the work was to map the differences in the theory and practice of community nursing care in the Czech Republic. Three research questions have been set to achieve this goal. Which community nursing care works in the Czech Republic? What is the job of nurses working in community nursing? What is the content of teaching community nursing care in the Czech Republic? The qualitative survey method was chosen for the elaboration of the empirical part. Data collection was conducted through semi-structured interviews with nurses and community care teachers. Both interviews consisted of 14 questions, divided into three areas. Six nurses and four teachers attended the interviews. The research results show that the main difference between theory and practice is complexity. High school and higher education theory describes community care as a whole. Practice is mainly focused on home nursing care, and other communities are neglected.
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