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Cultural competences of nurses in general practitioners' surgeries.
ŠVANCÁROVÁ, Anna
The Diploma Thesis on the topic: "Cultural competences of nurses in general practitioners' surgeries" aimed to map the level of cultural competence of nurses in the surgeries of general practitioner for adults (further referred to as GP). Following the stated aim, these two research questions were identified: What is the level of cultural competence of nurses in the GP's surgeries? What cultural challenges are present for nurses in the GP's surgeries? Firstly, the theoretical part of the work focuses initially on globalization and migration. It deals with migration, describes the situation in the Czech Republic and provides information on the development of the number of foreigners living here. It explains basic concepts in the field of transcultural nursing. It describes the main models that deal with cultural competence, culturally sensitive and adapted care and the theory of transcultural nursing. One of the chapters focuses on the transcultural features of minorities and religions, which are most common in the Czech Republic. Secondly, it describes a nurse in a GP surgery, describing and explaining her cultural competence. And last but not least, it deals with her communication skills in the GP surgery. The basis for achieving the set goal was a qualitative research method in primary care facilities, which was part of the research grant project number GAJU 046/2021S, which is implemented with the financial support of the Grant Agency of the University of South Bohemia in České Budějovice. Data collection was carried out using a semi-structured interview. It contained twenty questions with appropriate sub-questions. The research population consisted of nurses who work in GP's surgeries and have experience with patients of diverse minorities. After informing the interviewees and with their consent, the interviews were audio recorded. Only for one respondent was the information obtained in written form on paper. The audio recordings were subsequently transcribed into written form and processed using the open coding method, the "pencil - paper" technique. All respondents were assured of complete anonymity. The results of the research are presented in the form of 4 categories, which are subsequently divided into further subcategories. These are clearly shown schematically in the work. Individual categories try to answer the research questions of this thesis. The work provides us with a comprehensive view of the cultural competence of nurses in the GP's surgeries. The results indicate what cultural competences the nurses hold, whether they are even aware of these competences, to what extent they have knowledge of the specifics of individual cultures, especially those they encounter, and last but not least, how they can communicate with patients of different cultures and what communication barriers they experience. The research results can be used in the teaching of non-medical health workers and students at ZSF JU in České Budějovice. The educational part can lead to the creation of principles and guidelines for culturally competent nursing care. The preparation of nurses to provide nursing care for patients from a different culture or similar culture in ambulatory care in the Czech Republic can be made more effective by new principles from this research.
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Muslim patient in Czech healthcare
FRAŇKOVÁ, Kristýna
This bachelor thesis is about a Muslim patient in the Czech healthcare system. The main aim of this thesis is to discover experiences of the Muslim patients in the Czech healthcare system. The author of this thesis determined four research questions based on the main aim of this work. Question 1: Which are the specifics of a nursing care of the Muslim patients? Question 2: Which are the most common problems of the Muslim patients in the Czech healthcare system? Question 3: In the perspective of nurses which are the problems in taking care of the Muslim patients? Question 4: What is the opinion of Muslim patients on the Czech healthcare system? Quality research was chosen for data collection. The author used semi-structured interviews. The research file consisted of Muslim patients with their own personal experiences with the Czech healthcare system and of nurses, who took care of a Muslim patient at least once in their career.The results showed that nurses are aware of the main specifics of a nursing care of the Muslim patients. Another research showed that Czech healthcare system enables the Muslim patients to keep practicing most of their customs, which are connected to their religion. This research also showed that the quality of the Czech healthcare system is on a very high level and that Czech nurses are well qualified. The results pointed out that the communication from the medical staff's side is affected by the language barrier. Nowadays it is common to meet patients from all around the world with different beliefs for example because of the migration. The Muslim patient has got a lot of specifics in ordinary life as well as in his/her healthcare needs. These specifics need to be respected. To be able to give a quality care with respect, it is good to know patients' opinions on the Czech healthcare system. Their experiences and opinions can help with the improvement of the Czech healthcare system. The results of the bachelor's thesis will show the biggest problems faced by Muslim patients in the Czech healthcare system, as well as the nurses themselves, who provide nursing care to Muslim patients.
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Education of parents of a child with epilepsy
MIKEŠOVÁ, Barbora
Epilepsy is a chronic neurological disorder characterised by serious brain illness that causes unprovoked, repeating seizures. The seizure is characterised as excessive and abnormal electric activity in an individual s brain. Epilepsy is caused by various factors, among them for example genetic factors, birth defects, traumatic brain injuries, surgery, undertaken stress, infection or other illnesses and it can appear at any age. Seizures manifestation can vary in type, development, cause and treatment. A suitably indicated treatment and appropriately educated parents about epilepsy issues and lifestyle measures are the basis for an optimal child s participation in a common group without major restrictions. The aim of this thesis was to find out how the medical personnel is devoted to education of parents and a child with epilepsy diagnosis and in the same time to find out the extent of parents knowledge of suitable treatment and lifestyle measures related to this diagnosis. For the research construct, qualitative research was selected, using a half-structured interview, particularly an interviewing method. In the frame of better quality of result processing, the interviews were recorded on a dictaphone and then re-written exactly and analysed. The results were analysed through a pencil and paper method that uses coding. There were 5 fields categorised: Content of education from the side of medical personnel, Implementation of education from the side of medical personnel, Parents knowledge about lifestyle measures, Sources of information concerning lifestyle measures from the side of parents with a child with epilepsy and educational activities from the point of view of children nurses concerning lifestyle measures. The individual categories are formed by further sub-categories, in which the resulting data are represented systematically. The results are provided in a clear way in individual tables and charts of the practical part of this thesis. From the research emerged that the medical personnel is devoted significantly to parents education and their children with epilepsy in the field of diagnosis, treatment, lifestyle and first aid. However, it was interesting to discover that this education is provided mostly by a doctor, lifestyle measures including, while a nurse provides only additional education in this field. From the results also emerged that the medical personnel try to select suitable educational environment and time intervals according to needs of children as patients and their parents. The parents also have general information about the epilepsy issue and lifestyle measures. It turned out that the parents have enough information concerning medicamentous first aid and the way of given medicaments delivery, but we encounter unfamiliarity of a time border of this medicament's delivery. Parent's ignorance was also discovered in general first aid principles. From the research also emerged that the information about common issues in the field of lifestyle measures was looked for by the parents most frequently outside the hospital environment, that is in the surroundings and on the internet. We decided to form an educational plan based on the results, that can be used as a model base for practical usage by nursing personnel. The educational plan concerns the education about lifestyle measures and first aid during a seizure.
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Formation's twins identity
Mudrová, Alena ; Nováková, Ivana (advisor) ; Cintlová, Jitka (referee)
This thesis deals with the issue of identity of identical and fraternal twins from the age of eighteen to twenty-five. The theoretical part defines the terms identity and it's gradual development, describes clasification of twins, biological conception of twins, approaches in upbringning of twins and the social status of twins in history. The practical part presents poznatky of research which has been conducted by half-structured interviews with identical and fraternal twins. Questions of research are focused on areas influencing identity of twins like a family, upbringing, relationship of twins. There are also questions describing twin's daily life. My aim was to find common feature of identical and fraternal twins.
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Retrospective view on a newborn screaning.
ŠTEFLOVÁ, Karolína
This submitted master's thesis is called "A retrospective view on the neonatal screening". The main aim of this thesis is to map a retrospective view on the neonatal screening in the basis of teoretical fundaments. Thesis deals with theoretical level of problematic. Thesis summarizes the historical development of clinical and laboratory neonatal screening. Next to that there are mentioned procedures executed by a nurse in relation with neonatal screening. Thesis also includes a characteristics of specific illnesses witch can be discovered and then correctly treated. Purpose of this thesis is to broaden a necessary knowledge not only among students and medical staff, but mainly among child nurses witch are performing a blood collections for the neonatal screening and they are in most cases the very first persons to be asked by parents for more informations. Great knowledge of the neonathal screening is elementar for every child nurse. Thesis can also be used as a certain guide for parents which will gain more informations about neonatal screening performed (with parents approval) on their newborn child. This master's thesis have been written after a proper study of available materials and have been summarized to complex text. Scientific analysis, synthesis and explantation were used during work on this thesis. We have used many external sources to create this thesis. Most valuable informations and publications have been found in the internet database PubMed, mostly in english. Very important was research and full text articles provided by the National medical library in Prague. Last but not least were used printed publications in czech and english.
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Formation's twins identity
Mudrová, Alena ; Nováková, Ivana (advisor) ; Cintlová, Jitka (referee)
This thesis deals with the issue of identity of identical and fraternal twins from the age of eighteen to twenty-five. The theoretical part defines the terms identity and it's gradual development, describes clasification of twins, biological conception of twins, approaches in upbringning of twins and the social status of twins in history. The practical part presents poznatky of research which has been conducted by half-structured interviews with identical and fraternal twins. Questions of research are focused on areas influencing identity of twins like a family, upbringing, relationship of twins. There are also questions describing twin's daily life. My aim was to find common feature of identical and fraternal twins.
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Management of the nursing care quality
Hrdá, Šárka ; Marsová, Jana (advisor) ; Svobodová, Dita (referee)
The aim of the study was to determine what proportion of nurses on the continuous improvement of quality of nursing care in a medical facility IKEM. The thesis is divided into theoretical and practical part. The theoretical part deals with the quality of health care and how you can control. A separate section is devoted to system models, the quality and the quality of nursing care. The empirical part discusses nurses' opinions of continuous quality improvement. The method used to implement the survey questionnaires were our own design. Research sample consisted of 84 nurses' hospital IKEM. The exploratory survey showed that nurses participating in the process of continuous quality improvement, well aware of the importance and benefits of standardization of nursing care. Have feedback on the quality of care provided, which can enable them further improvement. Nurses in the hospital IKEM are interested in the issue of continuous quality improvement. For the future it is important to involve the largest possible number of nurses in the process of continuous quality improvement. Only then can we achieve improvement of nursing care. Keywords: management, quality, nursing care, standard, quality indicator, audit, nurse.
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Sister in the care of a child with congenital hip dysplasia.
JENÍKOVÁ, Aneta
This thesis is titled: Sister in care of a child with congenital dysplasia of the hip joint. The aim of this work is to map the care of a child with congenital dysplasia of the hip joint, including the historical view, and the role of the nurse in this subject. The thesis presents the disease from the very beginning in the mother's body, after its development, diagnosis to the development of the treatment to the present time. The aim of the thesis is to introduce the reader with the history of this defect of the locomotory system and provide a summary of available information. Emphasis is placed on advancing conservative treatment and on nursing care in a hospital for a child with congenital dysplasia. The work is enriched with information from a doctor - ortopedic, nursing nurse and orthopedic nurses. In terms of methodology, methods of explanation, synthesis and induction are used. These methods consist of a summary and a combination of collected primary information and are focused on the logical reconstruction of the explanation and understanding of the topic. The sources are drawn from the Medvik, PuBMed, and Ebsco web sites, which provide me with an overview of sources written in czech, english and german language. It is also drawn from the findings of the Medical Museum in Prague, where I got to the primary source from 1895. This thesis will find use for those interested in this issue, for healthcare professionals in the context of expanding knowledge and for parents born to a child with hip dysplasia.
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Nursing care of patients with lues in the isolation mode of Dermatology and Venerology Department.
DVOŘÁKOVÁ, Pavla
The bachelor thesis "Nursing care for patients with lues in the isolation mode of dermatovenerological department" is divided into the theoretical and research part. The theoretical part deals with lues diseases , it´s examination methods which are used to prove this desease. It is also focused on the treatment of patients with lues - divided into complex and medical treatment. Part of the treatment is also dispensary care and duty to report of sexual illness after hospitalization of patients which are performed in the outpatient department of dermatovenerology department. Another part of the theoretical part is focused on nursing care in lues patients in isolation and satisfying their needs. The communication with the patients is also important. We have to choose the right method of communication to be successful. The research part of this thesis includes a qualitative research performed by non-standardized interview. The first variation of interviews was addressed to general registered nurses who are working on the bed part of the dermatovenerology department. This group consisted of six women. Interviews with general nurses was focused on the nursing care in isolation, satisfying patients needs, communication with them and dealing with the problem situations which may occur during taking care of patients in isolation. The second group consisted of patients who were hospitalized in the isolation (three men and three women). Interviews with this group of people were focused on their knowledgeableness of their illness, treatment, the isolation, how they perceive the provided care, the level of satisfying their needs and the perception of communication with the nursing staff. The aim of the work was to find out the specifics of nursing care for patients with lues in isolation from the perspective of nurses. The secondary aim was to find out how patients with lues perceive providing nursing care. The research has shown that the care for the patients in isolation is less physically demanding because the patients are more likely young adn self-sufficient. Much more difficult - according to the nurses - is observe the strict rules of barrier care which is necessary in isolation. Specific activities which are provided during nursing are not perceived as burden. On the other hand the nurses perceive the communication with the patients as difficult because some of them are maladjusted and sometimes they are verbally aggressive. The nurse has to find different communication method for each patient. The second part of the research dealt with the patient´s perception of nursing care. Research results from my survey shown that patients are satisfied with the nursing care (including the safisfying their needs). Only minor deficiencies were uncovered by two patients. They imagined that the provided nursing care would be more extensive. Patients reported that they perceived their illness negatively and with fear. Finally, I can state that the provided care is part of healing, islolation regime which is necessary for hospitalized patients. In spite of minor problems patients are dealing well with the isolation. Compared with the standard room the specifics of nursing care in isolation is not find to be burden.
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Diaries of Jakub Deml: 1912-1914
Paskudová, Monika ; Binar, Vladimír (advisor) ; Wiendl, Jan (referee)
The work deals with the performance and characteristics of Deml diaries from the years 1912-1914: Rosnička, Domů and Pro budoucí poutníky a poutnice. Further I will attempt to determine the place of Deml diaries as a part of his central works, which at that time were (Hrad smrti, Tanec smrti, Moji přátelé a Miriam), and iluminate the genesis with the help of the first diary K Březinovi and file correspodence Do lepších dob.
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