Práce v jednotné formě soustřeďuje zákonná a smluvní práva občana v postavení pacienta, pojištěnce a pozůstalého. Důležitou součástí je i zhodnocení platné legislativní úpravy práv ve zdravotnictví s vymezením možností úpravy práv de lege ferenda, která by směřovala k posílení ochrany občana ? pacienta ? pojištěnce ? pozůstalého při realizaci a výkonu jednotlivých práv a při vymahatelnosti práv v soudním a mimosoudním řízení.

Teoreticko-metodologická část: teoretické modely a faktory, které ovlivňují vzájemné vztahy mezi klientem (pacientem) a organizací (lékařem) Aplikační část: kvalitativní výzkum v organizaci, zjištění teoretického modelu aplikovaného organizací, návrhy na zlepšení Závěr: překážky a naplnění cílů práce

The theme of this thesis is "The Perception of Safety in Nursing Practice". While most of literaure of focused on the psyhisal aspects of safety, this thesis is focused on the psychological ones. This thesis has two goals altogether. Its firt goal is to find out the possibilities of securing patient´s and nurse´s feeling of safety from nurse´s outlook. The second goal is to find out nurses´s perception of their own feeling of safety while at work. The research questions are 1) How do patients perceive their safety during nursing care? 2) What does patient´s safety mean to nurses? 3) How does the personnel perceive their own safety during nursing care? The theoretical part describes safety, needs, communicaton, trust and the possibilities of securing psyhical and psychological safety of patients and nurses alike. The practical part consists of nurses and patient interviews about safety and factors, that may influence it. The data were collected by semi-structured interviews with nurses and patients located in hospitals of south and west Bohemia. The research involved 20 respondents, 10 nurses and 10 patients, of deliberate choosing and by the form of snowball sampling. The data were collected since May through to July 2019 and the collection was concluded at the moment of theoretical saturation. The interviews covered themes like safety, communication, trust, quality of care, EBN, teamwork and what do nurses find lacking while ensuring safety of their patients and their own. The results show that each person perceives their safety differently and it is necessary to fit the care to patient´s specific needs. The respondents agree on the importance of proper communication, of trust between patient and nurse and between personnel alike, and of informedness. Most of the nurses also responded that they miss more time to spend with their patients to build mutual trust and to develop their feeling of safety. Usually the blame lies on their ward being understaffed. This thesis mapped out the perception of safety of nurses and patients including some of the shortcomings involved in the current nursing practice. It can serve as a reference material for studying.

SUMMARY The master’s degree study , called “The assessment of patient flow and posture towards the quality of services in a civic health center” has an objective to analyze the alterations of patient flow in the health center from 1999 to 2003 as well to rate their posture towards the quality of services they get. The study consists of three parts. The theoretical guesswork of patient flow and posture towards the quality of services in the civic health center is analyzed in the first part of the study. The enhanced information statement analysis of Šeškinė civic health center during the period between 1999 and 2003, including the computation of dynamical parameters and designating the trends by the specialties, was made in the second part of this study. The empirical results of the trial are presented in the third part. It comes to a conclusion that the unified quality of service rating system, which lets timely identify the problems of the service and effectively eliminate the demerit, is missing in the health care institutions; the national health care institutions do not orient towards the client demands, the sociological researches, about the satisfaction of patients with the level of services offered, aren’t performed. There is no prevention of potential contraction and contagion of diseases, the healthy lifestyle is not popularized, the information about the diseases, their course and possible complications are not proffered to the patients, the derivative specialists... [to full text]

Theoretical approaches: Neurosurgery is a wide and sophisticated field and given the variety of neurological issues, this thesis focuses on the brain (vascular issues and tumors). Goals: This thesis has two goals. 1. To single out the specifics of caring for patients after brain surgery (of selected conditions). 2. To find out, whether the nurses know the specifics of caring for a patient after brain surgery. Hypotheses and research questions: H1: Nurses with tertiary education have greater theoretical knowledge of caring for patients after brain surgery than the nurses without tertiary education. H2: Nurses after getting the job of caring for patients after brain surgery didn't have an instructor.H3: Nurses after getting the job of caring for patients after brain surgery, most commonly struggle with an external ventricular drainage system. H4: Nurses most commonly gain the required knowledge to care for patients after brain surgery from literature. Research question 1: What is the level of knowledge of novice nurses about the specifics of caring for a patient with a brain condition? Methodology: The research was split in two parts. For the quantitative part of the research, the questionnaire method was selected. The questionnaire had 22 questions, 17 of them closed, 4 of them semi-open, 1 was an open question. The researchers handed out 300 questionnaires and received 246 (82%) of them back. 49 questionnaires had to be discarded as invalid. The final research sample consisted of 197 (100%) filled-out questionnaires. For the qualitative part of the research, the method of semi-structured interviews with open questions was selected. There were a total of 8 interviews conducted. Results: The goal of quantitative part of the research was to confirm or disprove the 4 hypotheses. H1: Nurses with tertiary education have greater theoretical knowledge of caring for patients after brain surgery than the nurses without tertiary education. Based on the data, we can see that the knowledge of nurses with tertiary education is not different from the knowledge of nurses without tertiary education. H1 was disproved. H2: Nurses after getting the job of caring for patients after brain surgery didn't have an instructor. Based on the questionnaire data, nurses did have an instructor. H2 was disproved. H3: Nurses after getting the job of caring for patients after brain surgery, most commonly struggle with an external ventricular drainage system. Based on the research data, an external ventricular drainage system is indeed the most commonly quoted problematic procedure when caring for a patient after brain surgery. H3 was confirmed. H4: Nurses most commonly gain the required knowledge to care for patients after brain surgery from literature. The research shows that this is not the case. Nurses most commonly learn the specifics of caring for patients after brain surgery from their instructors. H4 was disproved. For the qualitative part of the research, the method of semi-structured interviews with open questions was selected. The research question was: What is the level of knowledge of novice nurses about the specifics of caring for a patient with a brain condition? The interviews have shown that the knowledge of novice nurses about the specifics of caring for patients with a brain condition is on an appropriate level they know the specifics of caring for patients after brain surgery. Conclusion:The conducted original research as well as secondary literature has led us to several questions and recommendations: Is the nurse who has just started at the neurosurgery division properly being instructed about the specifics of her new job and is the adaptation process being conducted in the proper fashion? The results of this thesis suggest that a "Caring for patients in neurosurgery" manuscript could be written for general care nurses just starting at neurosurgery. This option was mentioned by some of the respondents in the questionnaire research

This diploma thesis deals with setting up and practical implementation of quality management system in hospital. Theoretical part of the thesis in-cludes basic terms regarding the health care, quality control and healthcare legislation. Practical part deals with implementation of quality management system according the technical norm ČSN EN ISO 9001. This diploma thesis brings the compact view of the issues regarding quality management in health care and the universal plan for setting up and managing the quality management system in a midsize hospital.

The health care in the Czech Republic has recently undergone significant changes that have led to higher quality of care and greater patient satisfaction. But the truth is that despite the widespread availability and relatively high level of health care there still are some shortcomings, especially from the point of the use and implementation of the patients´ rights and duties. If a person finds himself in the role of the patient, it is obvious that he feels vulnerable and is worried about one of the most important values of his life, which health undoubtedly represents. Thus, if a patient puts his health into the doctor's hands, he should be sure that with him will be act on the basis of a relationship and not a paternalistic. Knowledge of rights and duties of patients is therefore particularly important in terms of strengthening the equivalent relationship between doctor and patient. As a result of consistent compliance with the various rights and duties are reduced risks that threaten during hospitalization and increased patient satisfaction with the care provided. At present, legislative regulation of patients´ rights and duties in the Czech Republic is based on the Constitution of the Czech Republic and the Charter of Fundamental Rights and Basic Freedoms, however one of the most important legal documents relating to the issue is the Convention on Human Rights and Biomedicine, which aims to safeguard human dignity and human rights and freedoms of the individual with regard to the application of biology and medicine. An important milestone in this issue also became Act no. 372/2011 Coll., on the provision of health services, which entered into force on 1st April 2012 and replaced the Act no. 20/1966 Coll., on Health Care. This diploma thesis, as the name implies, deals with patients´rights and duties, while the analysis of the issue focuses on new legislation. The thesis is divided into a theoretical and a practical part. In the introduction to the theoretical part, some basic concepts related to the topic are firstly defined. Following chapters deal with the legislative anchoring of medical law as a whole and selected principles of medical law. The last two chapters, in direct relation to medical legislation, deal with patients´actual rights and duties. The practical part is focused on the research knowledge of rights and duties of both the patients themselves as well as healthcare workers. It is based on qualitative research methods conducted through the semi-structured interview. The research simple group consisted of six respondents from the general public, and six surveyed healthcare workers. The task of this section is to bring current knowledge concerning the overall awareness of patients´ rights and duties. The aim is to analyze the current legislation of the issue and map knowledge of patients´ rights and duties in both the lay and also professional public. The research shows that public awareness of patients´ rights and duties, despite their new anchor in Act no. 372/2011 Sb., about health services, has not increased far enough. Although at first glance the general knowledge of the issue, the public, on their own initiative does not seek to increase their knowledge of their rights and duties in relation to the providers of medical services. In contrast, awareness of health professionals regarding patients´ rights and duties is at the good level, but this can be attributed mainly to the fact of their daily movements in the field of the issue. This diploma thesis presents actual information about patients´ rights and duties from the point of current legislation view. At the same time it maps the knowledge of patients´rights and duties and healthcare professionals and points to the broader psychosocial context in the issue. The results can therefore be used both to improve public awareness of their rights and duties, as well as the education of all staff in the assisting professions.

Although the health care in the Czech Republic is widely available and it is provided often on a high level, there is still a problem in medical facilities to keep a dignity of hospitalized people or their relatives. Particularly patients´ personal rights are often violated. Also, psychological dimensions of a treatment are often underestimated, which is most evident at the most vulnerable groups of hospitalized patients, such as minors, women in labour or dying people. If doctors violate their duties, only a small number of patients are seeking a justice in the court, either from a fear from financial costs of the litigation or a public stigmatization. At present, there might be a turning point in this situation. As of 1st April 2012 Act No. 372/2011 Coll., on the provision of health services, was adopted, that highly emphasises the patients´ right. The aim of the thesis was to summarize a current legislation to the given issue, to map knowledge of patients´ rights in the general public and to find out whether the rights are respected by the medical staff. The chosen method was a method of the quantitative research, a technique of a questionnaire survey. There was designed a questionnaire that ascertained a public awareness of patients´ rights, a process of instructions for patients and a provision of an agreement with the provided care. Respondents were inhabitants of the South Bohemian region older than 18 years. The research shows that respondents know their rights related to the provision of the health care especially in relation to the informed consent. However they consider the medical staff´s instructions to be insufficient. The research results proved that it is still necessary to put an emphasis on the education of the medical staff in the area of instructions for the patients on their health conditions and the care provided, on requirements of the informed consent, the way how to give instructions etc. It is necessary to encourage patients not to be afraid to say their doctor that they do not understand his/her way of the instructions on the intervention, to find a common consensus between patients´ and medical professionals´ demands.

Patient´s role hasn´t changed several decades. Patient is only taken as a thing, he often stands in a lower position as a powerless human been, whom other people decide for. He doesn´t have the possibility to decide by him and he has to remind to medical stuff, which act mainly authoritatively and it comes to inability of the relation: medic- patient. It´s generally known that each human been has the ability to decide about himself by the law and nobody has the right to deny it from the patient in 21st century. There is diverse situation in private medical institution. The patient is on a first place in planning care here. He is on higher position to medical stuff and he decides by himself in what ways he´s going to be treated and in what conditions. Patient is fully informed about his medical stage, what is often left out in state institution.

The goal of my final thesis is the analyses of current state of communications in the Health Service. The paper starts with the introduction which describes the reasons of writting the paper and the methods used. The paper consists of 9 capitols: 8 theoretical and 1 practical. In the first capitol is the analysis of the ethics in health care systems. The next capitol briefly describe the relationship between doctor and patient. The following 3 theoretically define communication. The next 3 capitols talk about specifics communication in the Health Service. The practical part of the paper has 1 capitol, which has 6 sub-capitols. These sub-capitols talk about questionnaire, fill in questionnaire, results of questionnairy and some recommendations. Based on these facts, there is also graphical demonstration and describe. In conclusion appreciate the reasulting of questionnairy and summarized the overall the finnal thesis.