|
|
Changing role of GP in the Czech healthcare system
Jiras, Jan ; Kotherová, Zuzana (advisor) ; Veselý, Arnošt (referee)
This thesis focuses on a comprehensive analysis of the position of general practitioners within the Czech healthcare system. Emphasis is placed on comparing the perspectives of three generations of general practitioners, encompassing medical students in the process of specialization selection, mid-career general practitioners, and those approaching retirement age. The objective of this study is to explore the historical development of the position of general practitioners and gain a detailed insight into its strengths and weaknesses. Furthermore, the research delves into the identification of key factors that may influence this position over time. Lastly, the study evaluates whether the current healthcare reform addresses the present challenges and issues faced by both current and future general practitioners.
|
|
|
Actors of primary care in Slovakia
Gregorík Baldovská, Alžbeta ; Kotherová, Zuzana (advisor) ; Kopsa Těšinová, Jolana (referee)
The thesis is mainly devoted to primary care in Slovakia. Through the analysis of semi- structured interviews with important actors of health policy, but also ordinary doctors, analyzes the attitudes of these actors, identifies the patterns that emerged from their statements, subjects them to mutual confrontation, finds agreements and alliances, and draws conclusions. The thesis is working with advocacy coalition framework and is using stakeholder analysis.
|
|
|
Competences of nurses caring for pediatric patients in the surgery of practitioner for children and adolescents
TATEROVÁ, Kateřina
The work of a nurse in a general practitioner's office for children and adolescents is very diverse. The nurse is primarily involved in primary care, which is a set of activities related to health promotion, prevention, investigation, treatment, rehabilitation and, last but not least, nursing. Her other responsibilities include monitoring and evaluating the child's psychomotor development, thus creating a stimulating environment for healthy development. In the course of her work, the nurse takes on the role of administrator, care coordinator, educator, nurse, team player, organizer and above all communicator. The first objective of this study was to determine the competencies of nurses working in a general practitioner's office for children and adolescents. The second aim was to find out the attitude of nurses towards increasing their competencies in caring for paediatric patients in a general practitioner's office for children and adolescents. The third aim was to find out what barriers nurses perceive in the application of their competencies in the paediatric and adolescent practice. The practical part of the bachelor's thesis was prepared using a qualitative research method. We used the questionnaire method and the semi-structured interview technique to collect data. The research population consisted of ten nurses working in general practitioner's offices for children and adolescents from the South Bohemia region with different lengths of experience. After transcribing the interviews with the respondents verbatim, we analyzed the results using the open coding method of pencil and paper, where we established seven categories: Workload of nurses, Professional competencies, Increasing nurses' competencies, Adding competencies, Barriers to the application of new competencies, Performing tasks not falling within competencies, Education. The results are summarized in the individual tables and diagrams in the empirical part of this thesis. The survey shows that the most frequently used professional competences of nurses in the general practitioner's office for children and adolescents are vaccinations, checking physiological functions and taking biological material. Nurses' attitudes towards increasing their competencies were predominantly positive. Only two respondents indicated that they would not add any new competencies. The new competencies that the respondents would welcome are sampling and swabs without a doctor's office, administration, basic physical examination, prescribing chronic medications, diabetes education, and wound healing education. The barriers perceived by nurses to exercising their competencies with the pediatric and adolescent general practitioner included limited office hours, overflow patients, and the physician. The remaining seven respondents answered that they did not perceive any barriers. We believe that this bachelor thesis could serve as an overview of the interest of nurses to increase their competencies and as a study material for health professionals and the general public for orientation in the given issue, as well as an overview of the workload of nurses working in the general practitioner's office for children and adolescents.
|
|
|
Primary care from the point of view of a pediatric nurse working at a general practitioner for children and adolescents
TLAČILOVÁ, Tereza
This bachelor's thesis deals with primary care from the perspective of a pediatric nurse working in a general practitioner for children and adolescents. Our aim was to find out the specifics of the work of primary care nurses and their collaboration with parents of children during preventive checkups.The theoretical part focuses on the definition of the term primary care in pediatrics, regular preventive checkups, the job description of the primary care nurse, and educational and communication skills. Our aim was to find out the specifics of the work of primary care nurses and their collaboration with parents of children during preventive checkups. The practical part was developed in the form of a qualitative investigation using a semi-structured interview technique with non-medical staff in a general practitioner's office for children and adolescents
|
|
|
Education By A Nurse In The Primary Care Of Patients Suffering From Chronic Diseases
JUNGOVÁ, Viktorie
This bachelor thesis deals with nurse education in the primary care of patients suffering from chronic diseases, specifically diabetes mellitus, hypertension and obesity in paediatric patients. The thesis consists of two parts, a theoretical and an empirical. The theoretical part first focuses on education, basic concepts, the process of education, design and preparation for education, implementation and evaluation. It also deals with primary care, its goals and scope, and finally education for diabetes mellitus, hypertension and obesity in paediatric patients. The empirical part has been carried out in the form of qualitative research through interviews with nurses from GPs for adults and GPs for children and adolescents. The aim was to find out how nurses in primary care actually educate patients with selected chronic diseases. The interviews have been conducted according to pre-prepared questions in which the nurses participated. The research group consisted of five nurses from a general practitioner's office for adults and five nurses from a general practitioner for children and adolescents. The results of the research survey have been categorized into seven categories. The result of the research survey points out that education is most often carried outintheform of a short interview, recommendations and subsequent publication of information leaflets. The nurses cannot rely on whether these leaflets are effective and patients really take them home and study them. The results of the thesis can serve as an aid for orientation in the education of patients with chronic diseases. They can be beneficial to nurses in primary care and can also serve as information material for the public.
|
|
|
Specifics of Nurse's Work in General Practitioner for Adults
HAMBERGEROVÁ, Veronika
The topic of this bachelor thesis is "The specifics of a nurse's work in general practitioner for adults". It consists of the theoretical part and the research part. The theoretical part firstly focuses on a primary care. It then covers the work of the general practitioner's office, occupational medicine services, medical reports and dispensary care. It aims at the characteristics of the work of the nurse in the general practitioner's office. Also it brings information about the nurse's work in the field of prevention, education, particularly health education, communication and the home health care. Finally, it shares the information about administrative activities of the nurse in the general practitioner's office for adults. The research part was concluded in the form of a qualitative survey. The aim of the survey was to find out the specifics of the nurse's work in the general practitioner's office for adults. Following questions had been asked: 1. What are the specifics of the nurse's work in the general practitioner for adults? 2. Which methods are most frequently used by nurses when educating patients? 3. Which activities nurses do in the field of prevention care? The collection of the data was acquired from the deep interviews, that were realized by nurses, working at the general practitioner's office for adults. Interviews were converted to the text form word-for-word and coded. There were 6 categories and 11 subcategories in total. This research was conducted in February and March 2020 and afterwards finished when it reached theoretical saturation. The result of this thesis can be used as a guide, available to the medical personnel as well as to wide society.
|
|
|
Nursing process in primary care
HOUŠKOVÁ, Simona
The main aim of this bachelor thesis was to research the way how non-medical healthcare professionals carry out the nursing process at the practitioner's office. To fulfill this aim, the following research question was set: 1) "How is the nursing process at the practitioner's office realized by non-medical healthcare professionals?" Three key goals were set. The key goal G2 was to find out, how are the individual phases of the nursing process carried out at the practitioner's office, with a related research question RQ2: "How do the individual phases of the nursing process at the practitioner's office work?". Other key goal, G3, aims to map out the documentation of the nursing process at the practitioner's office. The research question for this goal, RQ3, was: "How are the individual phases of the nursing process documented?". The last key goal, G4, focuses on the evaluation of further possibilities of the nursing process in the primary care. For this assessment serves the research question RQ4: "How can the nurses realize the nursing process in the primary care to a further extent?" The research part of the thesis was conducted in the form of a qualitative research with the method of half-structured interview. The interviews with the nurses were realized according to questions which were prepared in advance. The research set consists of six nurses, who work in a practitioner's office. The interviews were recorded as an audio file and then rewritten to a text form. The results of the research were processed by the coding method and the technique "pencil-paper". The results were mapped out into four categories and then into sub-categories. The nurses in a practitioner's office carry out the nursing process. All the individual phases of the nursing process are in fact executed, apart from its second phase (setting the nursing diagnosis), which serves as an orientation for the nurse, the decision about the extent of interest in a patient was in the competence of each nurse. The documentation of the individual phases of the nursing process is conducted based on the cooperation of the practitioner and the nurse. For the realization of an extended nursing process in the primary care are important factors such as having more time for a patient, having more experience with the method of the nursing process, also the ability to provide enough healthcare staff and last but not least also more focus on the nursing problems of the patient. This bachelor thesis enables a current view on the realization of the nursing process in the practitioner's office. The found results could be published and raise an interest of the professional public in a new point of view on the implementation of nursing process in the primary care.
|
|
|
Primary care in the American health care from the perspective of nurses
Novotná, Jana ; Di Cara, Veronika (advisor) ; Lukášová Jeřábková, Lenka (referee) ; Kordulová, Pavla (referee)
Introduction: Primary care is a complex health - social care provided by healthcare professionals, especially at the level of citizen's first contact with the healtcare system and on the basis of long-term continuous access to the individual. It is a set of activities related to health promotion, prevention, assessment, treatment, rehabilation and nursing care. There activities are provided as close to the patient's social environment as possible, respecting the bio-psycho- social needs (NCDP ČR, 2017). Objective: The main goal of this thesis is to clarify and explain the most significant differences in primary care of the patient in the Czech and American health care, focusing on the biggest problems and the advantages that are present at primary care level. The issue is viewed in the context of the social and cultural environment, which makes patient care in some respects specific. Questions: What is the education of a primary care nurse in the US? What are the competencies of a primary care nurse in the US? What is the nursing position in the US multidisciplinary primary care team? What competencies could be effectively transferred to the Czech healthcare system and why? Methodology: The main method by which I obtained most of the material for my bachelor thesis is based on a narrative review of...
|
|
|
Awareness among patients with limited self-sufficiency about the possibilities of home care
Svobodová, Lucie ; Lukášová Jeřábková, Lenka (advisor) ; Jankovcová, Kateřina (referee)
This Bachelor thesis deals with problems of home care. At present, the whole population is aging in the Czech Republic, increasing the number of people with limited self-sufficiency. These individuals often seek help from home care services, so it is important that they know the opportunities that this service can provide. The main aim of the bachelor thesis is to find out the awareness among patients with limited self-sufficiency about the possibilities of home care. In line with the bachelor thesis topic and goal setting, I defined the following hypotheses: Hypothesis H1: I presume that more than 50 % of respondents evaluate their awareness about the possibilities of home care as insufficient. Hypothesis H2: I suppose that more than 50 % of respondents do not know who is competent to indicate home care. Hypothesis H3: I think that more than half of the respondents are not informed about the possibility of reimbursing some home care services by the health insurance company. For the bachelor thesis, the method of quantitative research was chosen. I obtained the required data using a non-standardized questionnaire of my own design. I filled out the questionnaire personally with each respondent. Respondents were patients from internal departments and hospices from unnamed Prague hospitals. All...
|
|
|
Home visiting service as the responsibilites of a nurse in the surgery of a pediatrician
KNEIFLOVÁ, Andrea
Abstract Paediatrics and neonatology have changed a lot. There has been big progress in perception of children's diseases, in their treatment and in the general attitude to children. Nowadays even premature babies at 24th week can be saved. The standard of surgical interventions has improved either- various defects, which used to be incompatible with life, can be eliminated. In my work I have focused on home care and community care, on the differences between them and what their aims are. Primary care has a big role there. Both healthy children and ill ones are provided with care by doctors who follow their psychomotoric development and the development of speech. Vaccination forms an integral part of this care as the prevention of infectious diseases. A doctor and a nurse form a good team,make balanced friendly atmosphere so that children and parents could feel safe and a good cooperation among medical staff, children and parents could undergo. It is important to know all the specifics of developmental periods children's lives and adapt attitude and actions to children. A nurse pays attention to changes and it is possible to prevent various developmentai defects. It is essential to know children's basic needs and their satisfaction in hospitals and pediatrician's surgery.These are not only physical needs but mental ones either. If children's needs are not satisfied their development can be influenced. A nurse's duties in a surgery are to make contact with children and their parents, to find all information about children, families, and environment, where children grow up. A nurse should manage both nursing and assistance in surgery, paperwork, keeping records, working of surgery in respects of its materials and operation. She should have aestetic sense of environment. Adequate communication with small and young patients and their parents is a must. A nurse should be professional. Nursing process is applied in paediatrician's surgery too. Getting information, setting aims, planning of nursing service and its evaluation. Basic children's needs are nutrition or diet, excretion and metabolism, aktivity and sleep, safety and protection, comfort and pain, growth and development. Nursing process is applied within visiting service in families. The origin of nursing service underwent its development when at first there were clubs, which took care of children and old ill people. At present home nursing fully covered by health insurance. Aims of the work The aim of this work was to find out if home nursing is performed and what its extent is, if mothers are aware of the service, what mothers' interest is and what care mothers want. Two questions have been chosen: What are the reasons of nurses' visits at homes? Why mothers make use of nurses' visiting service? Results Talks were rewritten and analysed with the method of open coding with help of a pen and paper. There were two research files- nurses and mothers. Considering nurses there were five categories: Reasons of home visiting service, Positive views on visiting service, Negative view on visiting service, Benefit of visiting service for a nurse and Performance of a nurse visiting service at home environment. Considering mothers there were three categories: Idea of visiting service from the point of view of mother, What are mothers interested in and Benefit of visiting service for a mother. Subcategories with codes were matched to all categories, which showed most frequent correspondence. All figures are recorded in transparent charts of named categories. From the research emerged that not all the nurses , who took part in the research, do visiting service due to large extent of the district, due to the use of devices and paperwork. Those who do it are from a small town or locality. All the nurses agree that they see the main benefit in their work in ambulatory care. Mothers, who took part in th
|
guest ::
