Nosocomial infections, which do not often relate to the diseases are increasing nowadays. Clostridium difficile belongs to the frequent nosocomial infections and it is known as post-antibiotic colitis. The main reason of colitis is the usage of antibiotics, especially broad-spectrum antibiotics. The thesis is divided into the theoretical part and practical, as well. Theoretical part describes the division of the nosocomial infections, infection of the intestinal tract, anatomy, physiology of the intestines and infectious diarrhoeal diseases. The thesis is subsequently aimed to the clostridial infections and precautions against the spread of the disease. Practical part is aimed to the knowledge of the nurses, skills and attitude towards this issue.The thesis uses quantitative investigation and technique of the questionnaires, hidden observation of the nurses working on the selected wards and additional interviews with head nurses. The research was conducted in hospital in Tábor, a.s. The questionnaires were distributed on the surgery, orthopaedics, surgical JIP, ARO, ONP, infective ward, rehabilitative ward, TRN, cardio JIP, internal ward-cardio, internal ward-gastro. The thesis was formed from 143 questionnaires and 171 questionnaires were distributed. Hidden observation was made by head nurses from individual wards and it was logged to the relevant observation sheets.From existing findings we can say that there exist specifics of nursing care at the patient with the clostridium difficile. Among to these specifics we can cite the barrier nursing care where we can include the isolation of the patient, disinfection and hygiene of hands,using protectors, appropriate usage of laundries and infectious waste, location of the patient according to the epidemiological perpective and individualization of the tools for the patients. From another investigation ensue that the nurses keep barrier nursing care, superficial disinfecion, decontamination of the tools. From the results is evident that the nurses do not know the methods of the transmission of the clostridial infection. On the base of another investigations we have found out that the nurses do not know principles of the barrier nursing care. In conclusion is it possible to say that the nurses do not have so extensive information, that are essential for care for the patiens with clotridium difficile. In order to care for these patients in right way is neccessary to know principles of the barrier nursing care and keep them all. Keeping the principles of the barrier nursing care is crucial step in preventing the transmission nosocomial infections. The results will be provided to the officials of the individual hospital´s wards as an option of improvement in caring for the patiens with clostridial infection. The results were partially presented at a conference in Tabor´s hospital in May 2014. We recommend to re-train the staff of the hospital, which would be specifically aimed towards the principles of the barrier nursing care and towards the disinfection and decontamination in related to the nosocomial infections. On the base of these findings was made a proposal of the nursing care standard, which would specify and unite the care for the patiens with clostride infection. Subsequently, it would be apropriate to repeat the research in 1 2 years and than both researches compare together.

Introduction Nursing is a independent scientific discipline with one main aim: maintain and support health of population. Nursing care is performed by skilled nurse using nursing techniques. Particular nursing techniques are always modified by current state of health and needs of patient. Together with other disciplines, also nursing must refect changes of the modern age. Nursing practice and theory lead to qualitative changes by implementing of evidence-based practice. Evidence-based practice in nursing is process connecting best nursing experience and expertise of nurses, which together determine the optimal care. Goals of the thesis To complete this thesis, three goals were determined. Firts goal was to find out, what was the source of particular nursing techniques performed by nurses. Second goal was to find out, if "good practise" was used when performing particular nursing techniques. Last goal was to fin out, what was the general knowedge of the "evidence based practise" phrase among nurses. Materials and methods Research investigation of the thesis was performed using the methods of qualitative and quantitative research. Quantitative research was perfefomed using the questionnaires distributed among general nurses working at inpatient wards. Results of research were evaluated using graphs and tables. Pearson´s chi square test was used for statistical processing. Qualitative research was executed using the direct observation method. Six different categories were set. Data were colected to record form, which was later on used for analysis of observed figures. Observation was focused on comprehensive hygienic care, divided into following categories: oral hygiene, care of hospital clothing, bathing of not self-sufficient patient, care of nails, skin and washing the hair. Results Results of the thesis allowed to clarify links between performing the hygiene care and evidence-based practise / good practise. These results can also be used as a contribution on coferences regarding this topic and as a material in teaching the nursing. Using the statistically preocessed data, hypotehsis were evaluated. H1: General nurses perform particular nuring techniques more based on habitual practise of their department than on local professional health care standards. H1 was confirmed. H2: General nurses perform particular nursing techniques more based on habitual practise of their department then on EBN. H2 was confirmed. H3: General nurses with the bachelors or masters degree have better awareness of EBN than nurses witout university degree. H3 was confirmed. Research question was asked - What is the role of EBN in particular nursing techniques? Observation study revealed that EBN is not of high importance in performing nursing hygiene care. Conclusion Thesis could highlight weaknesses in providing hygienic care and evidenced based nursing. It could also inspire all who perform their job with joy and respect and wish all the best for their patients. Last but not least, thesis could inspire all who want to provide fist-rate and safe care and leave the work with self-satisfaction.

The concept of basal stimulation is currently one of the most popular concepts in nursing care. Basal stimulation is intended for people with changes in perception and communication. The aim of this thesis was to map the use of basal stimulation in the surgical department of the district hospital of South Bohemia. Furthermore, I investigated the possibilities of using this concept for restless patients hospitalized in a standard surgical ward. The last goal was to determine whether basal stimulation effects medical treatment. The topic of the thesis was researched using expert sources. The research part uses methods of qualitative research. The research was conducted in four phases. The research showed that respondents have little knowledge of the concept of basal stimulation, but showed interest in it during the implementation its elements. The surgical ward, where the research has been conducted, currently does not use any elements of basal stimulation, nor is it being used in the hospital itself. During the research in the surgical ward, only two elements of the basal stimulation were implemented, the application of which is summarized in the tables showing the results of stimulation in the individual case reports. Patients showed both verbally and nonverbally increased levels of well-being, peacefulness, relief and comfort during stimulation. Nurses who participated in the research and monitored the patients also held this view. The third focus of the research did not provide unambiguous data. I focused only on the treatment of pain, the area in which the data obtained proved to be insufficient. It would be appropriate to expand the scope of the study in this respect, using both qualitative and quantitative methods.

Current status: Currently, the safety of patients is a key element in the provision of safe and high quality care. The drug administration is the main danger fro the patiens which is neccessery to be mentined. (Buchini and Quattrin, 2012). Each provider of health care services should follow specific internal regulation of medication process. Morover, it is necessary to support employee to report possible misconduct in the adverse event to the reporting system, which is used to create functional corrective measures. However, we have to realize that it is impossible to forget the role of the patient in the prevention of medication errors. Goals: The main aim of the research was to find out whether the nurses know the recommended nursing procedure of medication to patients.Not only, mentioned the most common misconduct during the administration of drugs, but also identify the most common causes of these misconductions. After that to describe preventive mechanisms for reducing the risk of medication errors. In conclusion it was necessary to point out the cooperation of patients in the process of safe medication administration. Methodology: The research was conducted using a qualitative research method. The data were collected the polling method, along with in-depth interview technique. The qualitative data was coded using ,,paper and pencil" and semantically organized into groups along with the categorization schemes. Research file: In order to archieve the highest level of objectivity the research was carried out with a group of nurses and patients only from the Surgical Department of a particular nursing unit. First, the research consisted of six nurses working in the surgical Department at the hospital České Budějovice a.s. and the second research file consisted of six clients admitted to the same Department. Due to the fact that the respondents were genrally reluctant to cooperate the researched sample is limited.

Pulmonary sanatoriums are facilities where efficient and useful therapy for patients suffering from respiratory diseases is provided. They use treatments including the methods of climatotherapy, drinking cures or inhalation therapies. Diseases such as asthma bronchiale, chronic obstructive pulmonary disease, various forms of pneumonia, lung cancer and also tuberculosis are cured here. Just the tuberculosis treatment regimen is so specific that the research part of this thesis is devoted mainly to this phenomenon. Currently, tuberculosis represents a large medical problem in our country. Although the number of cases in the last decade has decreased, today it remains a serious medical and social problem with a huge economic effect on the entire society. The epidemiological situation is deteriorating on the global scale. The main causes of this deterioration are AIDS, the influx of refugees and immigrants from various risky countries, an increase in adherence to drug abuse and failure to keep to treatment measures. According to the WHO, two billion people are infected with tuberculosis globally. The urgency of this topic is seen in the fact that despite all measures, over 3 million people die of this disease globally and 90% of this number die in developing countries. This thesis is focused on the importance of pulmonary sanatoriums and also on the mapping of intensity of nursing care in particular pulmonary sanatoriums. To a great extent, the thesis deals with the issue of the specific needs of patients and the method of providing nursing care. The thesis describes individual facilities in the Czech Republic and their importance. It also deals with the specifics of nursing care for individual pulmonary diseases and goes into detail about provision of care at isolated units for patients with tuberculosis. It also deals with the holistic approach to the patient and multicultural nursing. A great part of the thesis is devoted to the needs of patients, and changes in their role in the sanatorium. The objective of this master´s thesis was to outline the difficulty of nursing care in specialized pulmonary sanatoriums and find the specific needs of patients in these facilities. Another objective was to discover the role of the nurse in provision of care and outline differences between individual facilities. All these objectives have been performed. Four research questions were set at the beginning of the research. The first research question dealt with how nursing care in pulmonary facilities is provided. The second research question was focused on finding the specific needs of patients in these facilities. The third research question dealt with the role of the nurse in providing care for patients in specialized pulmonary sanatoriums. And the last research question focused on differences between the individual sanatoriums. The practical part of the thesis contains the results of qualitative research gathered on the basis of a semi-structured interview. Final interviews were recorded, transcribed and subsequently processed by the technique of open coding. The research file consisted of 6 nurses working in pulmonary sanatoriums and 5 patients hospitalized with tuberculosis. Based on the information acquired, the patients perceive isolation units as a very simple and depressing place, where they miss contacts with their closest. The stay in the isolation unit is a shock for them. Foreigners complain of the language barrier. Nurses regard the nursing care as very demanding. They must care for patients with various diagnoses and provide multicultural care with respect to the national and cultural specifics of patients. Based on the results found, an information brochure was created, and this can help as a source of information for hospitalized patients in sanatoriums. Furthermore, the results of this thesis will be presented to individual sanatoriums for the purpose of making changes related to their equipment.

The availability of the health care in the 19thcentury was not very good from the geographical and economical point of view because in the countryside the care was provided by less qualified people. The care of a child was mainly only at home. Mothers took care of the children on their own. They got information and experience from elder more experienced women in their surroundings. There are many myths and superstition related to the health care at this time. The culture of the society and the religious views influenced the treatment of children at that time. The paediatrics as an independent branch of science began to develop at the turn of the 19thand 20thcentury. In connection to this progress the attention was also focused on development of children´s health care. There were established first children´s departments and the care moved slowly to hospitals. The ways of the care of children changed during the historical development. A big progress in treatment of children was in the 20th century. The nursing schools and other hospitals were established. We can also register an increase in number of professional literature dealing with treatment and education of children of different age period. The consultancy for the mother and the child started to extend. The myths and superstitions were slowly forced out of information with scientific basis. The care of community was developed in the middle of the 20th century. It was a response to the bad availability of the health care in the country. In 80s of the 20th century has been introduced a new way of care of the mother and the child in maternity units, so called roaming-in that has functioned successfullytoday. The main priority of the children´s health care is to ensure good health care for children at all age, not only in hospital but also in the health. The goal of this thesis was to map the development of the health care at children´s age in the area of the Czech Republic. The research was based on the qualitative method. Acquired results through a content analysis data were divided according to particular periods of time. Mapping of the development of the health care at children´s age in the area of the Czech Republic may provide a complete view not only for nurses but for all medical staff and non-professional people.

Author: Bc. Adéla HOLUBOVÁ Head diploma thesis: doc. PhDr. Valérie Tóthová, Ph.D.,R.N. Name diploma thesis: How minoritas perceive life periods of old age and death Style thesis: Diploma thesis Place and year publication: České Budějovice, 2007 Rate pages: 132 Key data words: Culture, multiculture, nurse, nurse, death, old age, Vietnam, vietnam patient

The thesis deals with specific nursing care for children with facial cleft anomalies. Facial clefts belong to frequent congenital anomalies with incidence of 1 : 500 in lively born children, which is why adequate care has to be provided to these children to honour the founder of Czech plastic surgery Prof. František Burian. Two goals were set in this thesis. The first goal was to elaborate a proposal of a nursing procedure for children with facial cleft. The other goal was to elaborate an educational programme for nurses and parents of children with facial cleft anomalies. Both the goals have been achieved. Two hypotheses were set in this thesis: Hypothesis No. 1 ?Nurses working at a specialized department are sufficiently informed on the care about children with facial cleft anomalies?. Hypothesis No. 2 ?Nurses working at maternity wards are sufficiently informed on the care about children with facial cleft anomalies?. Two research questions were also set before the research itself: Research question No. 1: How do nurses provide specific nursing care to children with facial cleft anomalies? Research question No. 2: What principles do nurses consider important for the care about children with facial cleft anomalies? The questionnaire, interview and observation methods were used for data collection. The questionnaire was based on information obtained from literature and was designed for ward nurses. The interview was prepared upon own experience from observation of nurses in the Královské Vinohrady University Hospital in the Centre for Cleft Anomalies Treatment and upon information from literature. 60 questionnaires were distributed in the České Budějovice Hospital in March 2011. There were 47 completed questionnaires suitable for processing. 11 questionnaires were distributed in the Královské Vinohrady University Hospital in March 2011. 9 completed questionnaires were used for processing. The research sample for the interview consisted of 11 nurses working in the Královské Vinohrady University Hospital, the Centre for Cleft Anomalies Treatment, the Paediatric ICU and the Paediatric ward. The results show that the nurses working at maternity wards are sufficiently informed. The results also show how nurses provide specific nursing care and what principles they consider important. We have elaborated educational programmes for parents and nurses within the set goals and upon the interviews with nurses, which may help improve the nursing care and particularly teach parents to care about their children with facial cleft properly.

The Diploma Thesis deals thematically with the specifics of nursing care specialized in accommodating the needs of children in nurseries from the perspective of nurses. Nurseries are medical facilities for children from birth to three years of age. In some cases, children may stay in a nursery beyond the age of three years, e.g., if they wait until arrangements have been made for their sibling, so that they could be allocated to the same foster family of children?s home together. The specifics of nursing care for children in nurseries vary according to their age and needs. Regular regimen has to consist of time intervals for feeding, playtime, outdoor activities, sleep, and daily hygiene. It is thereof necessary to observe a certain routine schedule and build up a sense of order in the children from very early age. Dunovský divides children?s needs into biological, psychological, social, and developmental needs. The children?s needs are described as variable at the different stages of their development. Their biological needs, however, are constant and require full satisfaction for undisturbed development of every child. The objective of the Thesis is to find out whether the children?s needs are properly satisfied from the perspective of the nurses who work in such nurseries. With this aim in mind, we have set out four research questions, all of which we have been able to answer successfully. For the purposes of our study, we applied qualitative research methods, specifically, the method of structured interviews. During the interviews, the respondents answered 32 prepared questions. The research team was comprised of general and pediatric nurses from seven locations of the Children?s Centers in Jihlava, Znojmo, Strakonice, Prague, and Dvůr Králové, and from the Children?s Homes in Kamenice nad Lipou and Stránčice. The interviews were transcribed into casuistry and processed further as categorization tables. The survey revealed that the nurses at the nurseries under study were satisfying the children?s biological, psychological, as well as social needs to the extent of their best conscience, human resources availability, and the technical provisions of their respective workstations. The children in their care could be attended to even better, if there were more personnel, a new gym, swimming pool, and another pavilion, where the children could be transferred after reaching the age of six years. Based on the results of the survey, an information flyer has been drawn up containing compiled information for the public as to the role and function of nurseries and available options in the area of foster family care. The Thesis might also be used as educational material by medical/nursing staff members in the Czech Republic, and raise awareness about any existing shortcomings in the care for these children.

Nursing Procedures of Oxygen Administration to Newborns The diploma thesis is to outline the current perspective of oxygen therapy of newborns who need highly specialized care as early as in the delivery room and subsequently in intensive and resuscitation care units of perinatologic centres. The research in the diploma thesis is focused on the assessment of the level of implementation of recommendations of the Czech Neonatology Society concerning oxygen administration on all levels of neonatal care. The theoretical part addresses the first treatment and evaluation of a newborn. Then the reasons leading to oxygen administration are discussed as well as the methods of oxygen application in the delivery room and intensive and resuscitation care units. Being at the forefront, oxygen is one of the most often administered medicines. Inadequate use of oxygen as a medicine increases the risk of complications for the newborn. The delivery and the first weeks after the birth rank among the crucial periods of every child. Adherence to the recommended procedures improves the outlooks of premature newborns for leading quality life. The objective of the thesis is to ascertain the level of implementation of recommendations of the Czech Neonatology Society concerning oxygen administration on all levels of neonatal care. The research was quantitative and used the questionnaire technique. The author created one kind of the questionnaire for the selected research set. The set consisted of nurses working in neonatal wards of selected hospitals. A total of 65 questions were created to ascertain the level of implementation of recommendations of the Czech Neonatology Society concerning oxygen administration on all levels of neonatal care. The research set consisted of 184 respondents. In order to attain the objective, the following hypotheses were raised: H1: Nurses know the current recommendations for oxygen administration to newborns. H2: Delivery rooms have sufficient technical equipment for oxygen administration to newborns. H3: Nurses are theoretically and practically trained for situations requiring oxygen administration to newborns. H4: Clearly formulated rules of oxygen therapy are available for nurses in a written form in a well visible place in the delivery room. Based on the statistically processed results, the first three hypotheses have been confirmed. The fourth hypothesis was disconfirmed. The objective of the thesis has been attained. The research results may be used for better understanding of the issue of oxygen administration to newborns in a hypoxic condition with regard to the findings of its toxicity. In order to secure adherence to the recommendations for oxygen administration to newborns, it is appropriate to create a nursing procedure and standard and secure its availability in every delivery room and station.