Burn trauma is very stressing for patients physically due to the high level of pain, damage to the skin and risk of infection, and also from a psycho-social perspective. There are currently several facilities dedicated to burn therapy. These are staffed by quality personnel with a high level of experience, who increase the hopes of patients to achieve better living conditions. Therapy depends on the extent of the handicap as well as other factors affecting the individual. Extensive burns require treatment in specialized facilities, where the patient is subject to a demanding and long-term therapy. Such patients are subject to multiple surgical procedures in total anaesthesia. The burn trauma has many complications during the healing process. The physician together with the nurse care for the patient and play a crucial role in this process. The patient will is subject to a long-term rehabilitation and complicated reintegration into society. We carried out a quantitative examination by means of 65 questionnaires handed out to general nurses, of which 58 could be used. The objectives of the thesis were met. We defined five hypotheses: H1: Nurses observe the principles of care for patients with burn trauma. H2: Nurses are aware of the effectiveness of rehabilitation treatment when caring for clients with burn trauma. H3: It is easier for nurses to provide care to patients with burn trauma if the patient is lying on an air bed as opposed to a standard bed. H4: Nurses cooperate with a clinical psychologist when caring for a patient with burn trauma. H5: Nurses cooperate with a nutrition therapist when caring for a patient with burn trauma. All the hypotheses were confirmed except hypothesis H3, which was disconfirmed. The research examination showed that nurses adhere to the principles of hygienic care for patients with burn trauma, and that they are aware of the effectiveness of rehabilitation treatment in burn care. Care for patients on an air bed is not easier for nurses than on a standard bed. On the contrary, it is physically more demanding. It was further confirmed that nurses cooperate with a clinical psychologist as well as a nutrition therapist when caring for patients with burn trauma. The diploma thesis is elaborated in such a way so that it can be used to create and present a standard, which will help to improve care for patients with burn trauma.

The diploma thesis has been focused on the issue of nurses working within intensive care and on the impact of performing a job in this branch on their lifestyles. The jobs of nurses working within the intensive branches clearly belong among the demanding ones. A nurse often becomes a witness of dying patients while there is hardly any chance of curability and stabilization of their conditions. All of that and many other factors affect her personal and professional life, as well as her current lifestyle. To perform her job at as high level as possible, a nurse must be motivated and directed by management of the health centre, she must be educated enough in her branch and the job should be a hobby for her, where she must feel certain and safe and the job should satisfy her. This diploma thesis has defined three following intentions. The first one highlighted mapping of a lifestyle of nurses working within intensive care. The second one was determination of psychical load of nurses working within intensive care. The third one included comparison of lifestyle of nurses working within intensive care and lifestyle of nurses working at standard wards. There were 4 hypotheses defined for the investigation survey. The first one analyzed if a job within intensive care affects diet of the nurses. This hypothesis proved true. The second one, if nurses working within intensive care consume more alcoholic drinks than the sisters working at standard wards do. This hypothesis did not prove true. The third one examined whether nurses working within intensive care smoke tobacco products more than the sisters working at standard wards do. This hypothesis proved true. And the fourth and the last hypothesis analyzed if a job within intensive care is psychically demanding for the nurses. This hypothesis proved true.

The thesis deals with atopic eczema in children and its health and social impact. The work is divided into a theoretical and a practical part. The theoretical part is focused on explaining the basic concepts in dermatology, presenting the anatomy and physiology of skin and its specific qualities in childhood, defining the atopic eczema and outlining its etiopathogenesis, clinical presentation, treatment and nursing care as well as health and social impacts of eczema. The practical part of the thesis set up three goals. The first objective was to determine the impact of the disease on children and their families. The second objective of the research was to determine the role of a nurse in the treatment of children with atopic eczema. The third objective was to create an educational brochure for parents of children with atopic eczema. To achieve these objectives, a qualitative research based on two semistructured interviews was carried out. The first of the two interviews was conducted with mothers of sick children. The research group consisted of ten mothers, five from Prague and five from České Budějovice. The second interview was performed with nurses in GP surgeries for children and adolescents and in surgeries of dermatologists and allergists. The second research group consisted of eight nurses, four of which worked in GP surgeries for children and adolescents, two with dermatologists and two with allergists. Nurses, as well as mothers, came from Prague and České Budějovice. Attention was paid to problems that mothers and children find the most annoying. Small children under four years of age are most bothered by the itching and pain; part of these children also dislike daily skin care. Children from five years up are upset about insufficient contact with their peers and limitations in performing their activities of interest. They have to make sure they do not swear while enjoying their hobbies and their skin must not come into contact with irritants. Their mothers suffer from the unpredictability of the disease and from not knowing whether the eczema will ever disappear. They also fear that the eczema might get worse. The medical complications related to atopic eczema include Staphylococcus aureus, Candida albicans, warts, Molluscum contagiosum and herpes in eczema-affected areas. Other complications include itching, pain, sleep disorders in the mother and child, subsequent fatigue, impaired performance at school and/or work. Generally, children and mothers have positive relationships with others, yet sometimes the have to face curious looks. Mothers tend to spend less time with their partners than they would desire. As for nurses, it was found out that the primary role in patients? education is played by doctors, whereas nurses, in addition to performing their administrative duties, provide additional information and educational materials and respond to parents? practical questions. The research results may serve mainly to parents and their children with atopic eczema as a source of information about the problems they might encounter, helping them to address such problems. The output of the thesis will be an educational brochure for parents of children with atopic eczema.

The topic of the thesis is the Nursing Care Particularities in Children Admitted to Hospital with Autism. In the theoretical part is found the description of autism causes, clinical manifestation, diagnostics, basic therapeutic measures and nursing care in such children. The thesis has set three goals: Goal 1- finding out problems concerning the hospital admittance of an autistic child. Goal 2- determining the specific features of nursing care in children with autism. Goal 3- creating an informative brochure that would help nurses to gain basic information necessary to provide expert nursing care to autistic children. To gain these goals, a method of qualitative research and the technique of standardized interviews were used. In the frame of the research, two research samples were used. The first one consisted of nurses who work in children´s psychiatric wards and children´s neurologic wards. These nurses were chosen deliberately as they care about autistic children regularly and have a lot of experience in this branch. Altogether ten interviews were conducted and were recorded on the record keeping sheet and consequently processed. The other research sample were mothers of children in whom autism was diagnosed and who experienced hospital admittance either as a diagnostic stay or in connection with acute treatment. Also here ten interviews were conducted. After the completion of qualitative research answers to the set research questions were gained: Research question 1 finds out what are the specific features of nursing care in children with autism. On the basis of the research, it was concluded that nursing care in autistic children has some specific features such as communication, observing rituals, the necessity of a parent´s company, as well as the psychical burden both of children and staff. Research question 2 focused on finding what problems are connected with the hospital admittance of an autistic child. On the basis of the conducted interviews, it was concluded that the biggest problems concerning hospital admittance apply to children´s aggressivity, difficult adaptability to environment changes and problems that occur after the experienced admittance. Further on, it was concluded that also children´s individuality is a serious problem that has to be taken into consideration during nursing care. Research question 3 found out how nurses assess parent´s presence during the admittance of autistic children. All nurses perceive the parent´s presence highly positively. They see the most benefits in passing important information to nurses, accompanying the child during the whole period of admittance, helping with the adaptation to a new environment, providing the common daily care including spending free time and giving the child the feeling of safety and assurance. Research question 4 deals with nurses´ feelings when nursing autistic children. The provided information is individual. The research has found that nurses feel well, do not see problems and the work is routine for them. Negative feelings are influenced by circumstances concerning mood, tiredness or demanding communication with parents. Further, it was concluded that nurses feel insecurity in the period when they start working with autistic children or during the first contact with the child. With regard to high disorder prevalence in the population, it is essential for nurses to know basic information concerning autism and adopt the basis of nursing care in children with this disability type. In this connection, an information material was created that has to help nurses to acquire basic information necessary to provide expert care to autistic children.

The thesis examines the nursing care of children diagnosed with bronchial asthma. The thesis has three objectives. Firstly, it aims to identify differences in the care of asthmatic children in hospitals and outside hospital-type medical facilities; it also seeks to point out the most common problems of asthmatic children in each age category. Lastly, it examines the awareness of asthma amongst children and parents. Both quantitative and qualitative research was carried out to achieve the above objectives, using questionnaire and semi-structured interview techniques, respectively. The research part of the thesis was divided into two parts (two research samples). The first research sample consisted of children diagnosed with asthma and their parents, the other experimental group included nurses from selected hospitals and children's sanatoria/spas.

Increasing the education of nursing staff is a society-wide issue, influenced by continuous development of medicine and medical technologies. The provision of nursing care is rightly demanding. The only way to keep up with new trends is lifelong nursing education. Nursing education in a particular workplace primarily aims at addressing current problems of the department and nurses? needs. The theoretical part deals with the influence of education on the quality of nursing care. We present a structure of education of paramedical professions. We define and clarify terms such as pedagogy, didactics, education and learning. We deal with the specifics of education, didactic principles and principles of adult education. In addition, we specify instructional strategies for nursing staff. For the purposes of this thesis, four objectives were set. In the first one we wanted to find out what the system and process of nursing education in the department looks like. The research showed that educational events are held in all departments. The organizing departments mostly report irregular or monthly frequency. The aim of the second objective was to obtain an opinion on the effectiveness of education in the department. We found disparity between the views of ordinary nurses and head nurses. The third objective was to answer the question of whether the organized educational events are initiated by the nurses? requests. Based on the answers of head nurses and ordinary nurses, we found out that this is not always the case. The last objective was to determine whether nurses implement the knowledge and skills gained to routine nursing care. The questionnaires showed that ordinary nurses try to incorporate the knowledge and skills to routine nursing care. For the purposes of this thesis, the combination of qualitative and quantitative research was selected. In order to carry out the qualitative part of the research, the method of questioning, using the technique of semi-structured interview with open questions was chosen. For the issue of quantitative research, the method of questioning, using the questionnaire technique with closed and semi-closed questions was used. For qualitative research, we set two research questions. In the first research question we wanted to find out what impetus the management uses when planning education in the hospital and the department. We found out that most often it is initiated by head nurses and ward nurses. In the second research question, we examined what obstacles the management sees to the effectiveness of education and implementation of the knowledge and skills gained into practice. Head nurses identify a problem in the actual participation in education in the department. For quantitative research, we set five hypotheses. Hypothesis 1 was: Nursing education in the workplace is an activity organized by the management regardless of the ordinary nurses? requests. The hypothesis was not confirmed. Hypothesis 2 was: Management, unlike ordinary nurses, sees the effectiveness of education in the workplace positively. The hypothesis was not confirmed either. The third hypothesis was: Education is seen as a necessary, routine activity, not as motivating factor for improving the quality of nursing care. The hypothesis was not confirmed. The last hypothesis was: Implementation of the knowledge gained from the educational events into nursing care is monitored by the management. The hypothesis was not confirmed, the implementation of knowledge is monitored, but not to the extent we expected. When evaluating the results we came across other very interesting facts, which we believe deserve more attention. Finally, it is surprising that the organization of educational events does not reflect nurses? shifts. One of the reasons for this might be the fact that some head nurses do not prepare the plan and time schedule for nursing education. We tried to propose the time schedule of nurses education in deparments.

Nursing has undergone major changes under the influence of recent social events. Due to the influence of new circumstances, it was also necessary to radically approach to the new concept of nursing fields. Then we can register attempts to make the nursing profession independent. That is why the main representatives of this profession have adopted more efficient approach to the care for the patient. The development of the research in nursing helps them significantly, as well as high level of education of nurses, new management techniques and monitoring of the quality of provided nursing care. All mentioned elements lead to support and strengthening of autonomy of the nursing field. We dealt with this issue, because we perceive the position of nursing and the social status of nurses as unsatisfactory. With creating our diploma thesis we would like to contribute to a few literary sources, that are directly engaged in the issue of autonomy of the nursing field. The theoretical part of our thesis was divided into two parts. In the first part we focus on the explanation of the concept of autonomy of nursing and the impact of activity of the nurse with regards to the autonomy of the profession. The second part of the thesis makes clear elements, which significantly strengthen the autonomy of the nursing field. The aim of this thesis is the following: 1. To explore whether nurses and doctors consider nursing as an autonomous scientific field. 2. To map barriers preventing the perception of nursing as an autonomous scientific field. 3. To determine current possibilities for strengthening the autonomy of the nursing field. The empirical part of the thesis is formed by the combination of quantitative and qualitative research. In the quantitative part of the investigation, we were interested in three research hypotheses. 1. Nurses perceive education as a potential acquisition of skills in order to ensure the autonomy of the profession for the benefit of the patient. 2. Nurses present nursing in public as a separate profession. 3. Status of the autonomy of nursing allows to promote results of the research in providing the nursing care. The method of querying with the assistance of questionnaire was used for the data processing of the quantitative part of the research. It contained 41 questions. There were used closed, half-open and open questions in the questionnaire. There were used pie charts and tables for processing of responses. The 2nd degree classification was used for the statistical evaluation of the results. The researched group for the quantitative part of the investigation were nurses from ambulant and bedded sectors of two health care facilities. There were distributed 220 questionnaires in total, 134 (100 %) correctly completed pieces were kept for processing. The querying method using the technique of semi-structured questionnaire containing seven open questions was used for the qualitative part of the research. Four chairwomen of sections of ČAS, who received the questionnaire via e-mail, actively participated on the investigation of the research. Individual responses were analyzed and subsequently processed into diagrams. In this empirical investigation we identified the answers to three research questions. 1. What is the position of chairwomen of sections of ČAS for promoting and defending nursing as an autonomous profession? 2. What obstacles perceived by chairwomen of sections of ČAS slow down the enforcement of autonomy of the nursing field? 3. What can be done to strengthen the autonomy of nursing in the group of other science or professional disciplines? The research questions sent in the form of half-structured questionnaire were answered by four chairwomen of sections of ČAS. We found out on the basis of obtained results, that nurses do not consider nursing as an autonomous scientific field.

The diploma thesis deals with the issues of nursing care and the nurse?s position in the complex process of transplantation. Transplantation treatment becomes more important in the course of time. There are such situations that there is no other choice of restoring and saving the health of the sick person but to transplant. The complex process of transplantation is a chain of successive operations in which not only many doctors but also other medical and paramedical staff are involved and they constantly interact not only with the patient. Classically, the largest group in providing patient care is general nurses who assume the responsibility for the direct provision of nursing care, work independently and are responsible for the care provided. Their work requires a deep knowledge of the branch and many professional activities without suppressing their original mission. Today?s nurse is a full member of the team and the doctor?s partner in practicing his or her profession. The theoretical part deals comprehensively with the issues of the removal of organs especially from deceased donors, their transplantation and legislation in the Czech Republic and especially with the role of a nurse which she has in this process. An objective of the research survey was to map whether a nurse really felt to be the doctor?s partner in this challenging branch of providing nursing care and what their attitudes towards practicing their own profession in this branch were and to map the extensiveness of their knowledge and educational opportunities in these issues. Another objective was to map the attitudes of patients themselves towards care in the transplantation treatment process. In the research survey a quantitative method was used and applied by distributing questionnaires to general nurses working at a department of transplantation medicine. The results of the questionnaire survey were processed to create well-arranged tables. The qualitative part of the research survey was carried out through interviews with patients who are in the transplantation treatment process. The interviews were processed in writing and the results were summarized in mind maps.

This dissertation deals with equipment handling problems of nurses on the Anaesthesiology and Resuscitation Department and training of new nurses for equipment handling. New nurses are therefore overloaded with lots of new information concerning nursing care, documentation, instruments, team etc. This dissertation consists of two parts ? theoretical and empirical one. The theoretical part deals with ARD description, monitoring, technical equipment, work of nurse on ARD and her adaptation process. The empirical part used a qualitative research method. Information was gathered from a semi-structured interview. The current state in context of nurse work with technical equipment on ARD was analysed in the first period of research. Tutorial material was created on the basis of gathered information which was applied in practice. Feedback on created tutorial material was found in the last period. The focus group was created by 10 respondents who work as general nurses on ARD in selected hospitals. Four goals and five research questions were stated during the investigation. The first goal was to map what technical equipment nurses on ARD are working with; the second goal was to find out how the training of new nurses on ARD is carried out; the third goal was to create training material concerning technology, not only for new nurses on ARD; and the fourth goal was to find out feedback on provided tutorial material from nurses on ARD. Research questions were: 1.What technical equipment do nurses operate on ARD? 2. How are new nurses on ARD trained? 3. What means are used during the training of new nurses? 4. According to nurses, what information regarding technology should a handbook for nurses on ARD contain? 5. What opinion do nurses on ARD have of created training material?The first goal was to map what technical equipment nurses on ARD are working with. From research results it is evident that nurses on ARD operate lots of equipment ? monitors, infusion pumps, linear pumps, ventilators, dialysis, suction bottles, defibrillators, laminar boxes, ICP monitors, patient lifters, medical heaters and coolers, nebulizers, plasmaferesis, PICCO, LIDCO, Vigileo, enternal pumps, anti-decubitus mattresses, anaesthetic equipment, EKG, haemoglobinmeters, glucometers, ABR analyser, bronchoscopes and Level. The second goal was to find out how the training of new nurses on ARD is carried out. Research results are different in this area. Every respondent undertook a different form of adaptation process in variously long intervals. The third goal was to create training material concerning technology not only for new nurses on ARD. Training material was created on the basis of discussion analysis with respondents and didactic principles had been kept during its creation (visualisation, connection theory with practise, scientism, adequacy, actuality, feedback, consciousness and activity, individualization and orderliness). The fourth goal was to find out feedback on provided tutorial material from nurses on ARD. Training material was given to all respondents for approximately 14 days and afterwards feedback was obtained. The result was that all respondents liked the training material very much. Research results will be provided to head nurses on ARD from chosen hospitals where the research was carried out. The created training material will be provided to ARD in hospital Pelhrimov, p. o. Specific training material for individual workplaces and equipment will be created for other hospitals on the basis of declared wishes of respondents. We anticipate that the training material will not only be beneficial for new nurses on ARD.

Medical staff and therefore also nurses may currently more and more often meet patients from foreign countries. It is beyond question that these clients have their own specific biological, psychological and social needs which the nurses should respect. Theoretical part of this assignment describes the issue of trans-cultural nursing, defines it and explains its importance and historical development. It also deals with some of the multi-cultural care models, i.e. the models by Leininger, Giger-Davidhizar, Campinhy-Bacote and Bloch's Ethnic Nursing Care. In general it also mentions conceptual nursing models, their definitions, origin and importance. The following goals were set for this dissertation: Goal 1: Map the issues related to the Leininger's and Giger-Davidhizar's models and their practical use in selected hospitals in the Czech Republic. Goal 2: Find out if nurses use aspects of multi-cultural nursing within their nursing care for foreign patients. Goal 3: Find out how the nurses benefit from using the trans-cultural nursing models for foreign patients within their nursing process. Goal 4: Formulate nursing documents suitable for application of nursing care for foreign patients. Based on the above goals, several research questions were defined: 1. What nursing models are used in selected hospitals in the Czech Republic? 2. How do nursing documents in selected hospitals in the Czech Republic respect nursing process specifics when foreign patients are concerned? 3. Are nurses aware (and in what scope) of the principles of the Leininger's and Giger-Davidhizar's models? 4. How do nurses use trans-cultural nursing models when caring for foreign patients? 5. How do nurses, in their opinion, satisfy foreign patients' biological, psychological and social needs with respect to their cultural differences? 6. How do nurses educate themselves in multi-cultural care? In practical part of the work, nursing documents or anamneses from selected hospitals in the Czech Republic were collected and their content was analysed with focus on multi-cultural aspects identification. Gathered results were then plot in charts. In the next phase of the investigation, semi-structured interviews were held with ten nurses working in standard wards of selected health-care facilities which provided nursing anamneses. Each of the nurses worked in different hospital. The outcome of my dissertation is a draft of nursing anamnesis based on the Leininger's model which is suitable for data collection from patients coming from different cultural backgrounds.