This diploma work focuses on demanding and important task of nurses care of patients suffering from Alzheimer's disease. The problems of Alzheimer's disease represent socially serious and very important subject at present due to the fact that our generation is growing old, which will obviously result in increasing frequency of Alzheimer?s disease occurrence. This diploma work is divided in two parts: theoretical part and practical part. In the theoretical part there are causes, signs and symptoms, diagnosis and therapy of Alzheimer?s disease. Furthermore there is a conceptual framework of nursing care applied to the patients suffering from Alzheimer?s disease according to nursing model by Virginia Henderson. In addition to it burn out syndrome is mentioned here because due to the syndrome the nursing personnel is exposed to extreme psychic and physical load. The Alzheimer Programme Plan in the Czech Republic is presented in order to get better idea about activities in our country. In the practical part of this diploma work we laid down the following three objectives. The first objective was to ascertain exacting character of nursing work of the nurses taking care of the patients suffering from Alzheimer?s disease. The second objective was to ascertain what is considered by nurses to be the most problematic area within the range of nursing care of the aforementioned patients suffering from Alzheimer?s disease and the third objective of our research was to ascertain the contribution of specialised Alzheimer centres. The above-specified objectives have been fulfilled. In addition to it another research questions have been defined as follows: what is the level of exacting character of nursing work of the nurses taking care of the patients suffering from Alzheimer?s disease, what do the nurses see as the most problematic area within the range of nursing care of the aforementioned patients suffering from Alzheimer?s disease within the range of nursing care, what is the contribution of specialised Alzheimer centres and what nursing care should be provided in the specialised Alzheimer centres. The research questions have been answered. For the purpose of the development of this diploma work a qualitative examination has been used. Data acquisition and collection have been performed by applying the method of non-standard structured interview. The research work took place in Psychiatric Ward of the Hospital of České Budějovice a.s. (Joint stock company), in Alzheimer Centre named Loucký Mlýn near the town of Vodňany and in Alzheimer Centre in the town of Písek, and in Home of Old People in the village of Dobrá Voda. The answers of the interviewed nurses have been worked out in the form of sixteen case reports and subsequently category matrices (tables) containing the most important data were created from the aforementioned reports. The examination took place in the time period from March 2011 to June 2011. The results of our work could serve as a feedback for hospitals and sanatoria first of all for those where the examinations took place. Furthermore the results may be used for keeping public informed about the possibilities of helping patients suffering from Alzheimer?s disease e.g. in the form of information booklet.

Syftet med föreliggande kvantitativa studie var att undersöka om det förelåg några skillnader i upplevd psykosocial arbetsmiljö beroende på om de anställda arbetar i en automatiserad produktion eller en manuell produktion. Den psykosociala arbetsmiljön mättes utifrån aspekterna: inre arbetsmotivationen med underkategorierna: autonomi, kompetens och samhörighet samt krav i arbetet och stress. Enkätstudien genomfördes på en stålindustri där 60 anställda deltog i undersökningen. Mätinstrumenten som användes var BNS (Basic Need Satisfaction at Work Scale) som mätte den inre arbetsmotivationen med behoven; autonomi, kompetens och samhörighet. COPSOQ (Copenhagen Psychosocial Questionnarie) mätte krav i arbetet och stress. Resultatet visade en signifikant skillnad i inre arbetsmotivation, där de anställda som arbetade på den automatiserade avdelningen skattade högre grad av autonomi än de anställda på den manuella avdelningen. Vidare visade resultatet på en tendens till skillnad i krav i arbetet. De anställda på den manuella avdelningen upplevde högre krav i arbetet än de som arbetade på den automatiserade avdelningen. Inga skillnader påvisades mellan avdelningarna avseende motivationsbehoven kompetens, samhörighet eller stress. / The purpose of this quantitative study was to examine whether there were any differences in self- perceived psychosocial work environment depending on whether employees work in an automated production or a manual production. The psychosocial work environment was measured on the basis of the aspects: intrinsic work motivation with the subcategories: autonomy, competence and belongingness as well as demands in work and stress. The survey was conducted on a steel industry where 60 employees participated in the survey. The measuring instruments used were the BNS (Basic Need Satisfaction at Work Scale) that measured the intrinsic work motivation with the needs; autonomy, competence and belongingness. COPSOQ (Copenhagen Psychosocial Questionnaire) measured requirements in work and stress. The result showed a significant difference in intrinsic work motivation, where employees working at the automated department estimated higher autonomy than employees in the manual department. Furthermore, the result showed a tendency to differentiate from the requirements of the work. The staff at the manual department experienced higher demands at work than those working at the automated department. No differences were identified between departments regarding the motivational needs of competence, belongingness or stress.