The number of patients with kidney disease is increasing worldwide. Such diseases include chronic kidney failure that needs dialysis treatment. Problems associated with providing nursing care to patients in a dialysis program are extensive and specific. Starting the treatment with a peritoneal dialysis or a haemodialysis causes a great psychological burden to patients. It noticeably affects not only patients' lives but also lives of their family and friends. Patients in the regular dialysis program are facing many health and social problems. Mutual trust between a nurse and a patient on dialysis to a certain extent influences the course of the treatment. Balanced and satisfied patient can live a better and more valuable life. The goals of the thesis: 1) To determine whether a comparably high quality nursing care is provided to patients with haemodialysis and peritoneal dialysis 2) To determine whether the approach to the provision of nursing care to the patients with haemodialysis and peritoneal dialysis is comparable. 3) To determine whether comparable forms of education and communication are used in providing nursing care for the patients with haemodialysis and peritoneal dialysis. Research questions: 1) Is the nursing care provided to the patients with haemodialysis and peritoneal dialysis of comparable quality? 2) A the approach to the provision of nursing care for patients with haemodialysis and peritoneal dialysis comparable? 3) Are comparable forms of education and communication used in providing nursing care for the patients with haemodialysis and peritoneal dialysis? Methods used: In the empirical part of the thesis a qualitative research was used to process data. The research was conducted through a non-standardized interview. Three sets of questions were created for the three groups of respondents, i.e. the respondents with peritoneal dialysis, respondents with haemodialysis and nurses who take care of patients with haemodialysis and peritoneal dialysis. The criterion for the selection of respondents was their willingness to cooperate. The nature and purpose of the research was explained to the addressed respondents. From the interviews with patients it was determined how they perceive the provided nursing care, the nurses' approach, and the way of interaction during haemodialysis and peritoneal dialysis. Interviews with nurses were focused on comparability and demands of nursing care for patients with haemodialysis and peritoneal dialysis, as well as on the used forms of communication and the way how to approach these patients. Results: The results of the research show that the care provided to patients with peritoneal dialysis as well as with haemodialysis is perceived by the responding patients with peritoneal dialysis, with haemodialysis and nurses as of the same quality. Peritoneal dialysis and haemodialysis each have their specificities and a different way of execution. Both are provided in differing environments. Peritoneal dialysis is done by the patient himself in their own social environment. During haemodialysis, nursing care is provided to the patient by nurses in a haemodialysis centre. As comparable is perceived by all respondents the nurses' approach to the patients, i.e. to each patient individually. In conclusion, the results imply that nurses during the contact with the patients with peritoneal dialysis and with haemodialysis use comparable forms of communication and education. Conclusion: At the present time there is an attempt to perform dialysis treatment to benefit the patient as much as possible. Peritoneal dialysis and haemodialysis are considered as equivalent substitute for renal function. They differ only in the principle and the method of executing. Nursing care provided to patients with peritoneal dialysis and with haemodialysis is perceived by the respondents as of comparable quality. The results of this thesis can be the basis for further research.

Healthy Ageing Programme is a concept which should have a significant influence on every resident in the countries where population median age has been quickly increasing. This topic of healthy ageing is the key issue of the given Master´s Diploma Thesis. At the present, our country is involved not only in several smaller-scale regional programmes focused on lives of seniors but also in the events of European importance. If we want to provide our seniors with a quality life in all aspects, it is necessary to encourage promoting Healthy Ageing Programme. The wide scope of activity is thus open, especially for nurses. The first objective develops the approach of seniors in the selected health-care facilities to healthy ageing. The second objective introduces the approach of a client before retirement age to the healthy ageing principles. Finally, the third objective specifies the role of general practice nurses in their support of clients before retirement age in their healthy ageing. Research questions included the following issues: the approach of a client at the age before retirement to the healthy ageing principles and the role of a general practice nurse and her support of the abovementioned clients. The given research also develops one hypothesis regarding the fact that personal objectives will change depending on barriers.Both qualitative and quantitative research was used in the given Diploma Thesis. An in-depth interview was conducted during the survey. Additional information was obtained on the basis of an opinion poll. Two research groups were used for the interview: the first one consisted of 11 respondents from the general practitioner´s outpation departments, the second research group consisted of 6 nurses working for the aforementioned departments. The total number of 150 respondents from the designated health-care facilities was selected for the survey during which they were answering the research questions. As a result, a large number of useful information was obtained. The clients' approach can be divided into several groups: leisure activities, education, workload, prevention and medical examinations, regimen, community nursing care, healthy ageing. The key roles of a nurse should take into consideration the following aspects: healthy ageing from the nurse´s point of view, prevention and geriatric nurse at the outpatient department, community nursing care, health support of the patients provided by a nurse. Information obtained from the interviews were interconnected and often corresponded with each other. Research questions are also followed by the given results. A nurse has a significant role in the area of education, provision of necessary information to the clients, promotion of prevention programmes informing the clients about the solution to their problems. The motivation of clients before retirement age is also crucial because it is at this age when people can influence their life, its length and quality. The survey also observes the general perception of people of an old age and changes in their point of view with age. The information collected from this survey may be also used in different studies in order to improve both quality of nursing care and motivation of the clients before their retirement.

Prevention of cardiovascular disease including myocardial infarction is in recent years a widely discussed topic. Cardiovascular diseases are currently the most widespread disease among the worldwide. This thesis deals with the participation of patients after myocardial infarction in active care of their health in secondary prevention. For failure principles of secondary prevention is increased morbidity of these cardiovascular diseases and subsequently increase the costs for further treatment. Well-timed and targeted prevention is very important how to reduce the cost of treatment and the restoration of health and maintaining a good quality of life. The thesis is composed of two parts, theoretical and empirical. The theoretical part of the thesis describes cardiovascular diseases, especially acute myocardial infarction, prevention and education, including educational process of secondary prevention. The empirical part was realized by qualitative research. Information was collected by semi-standardized interview technique. The interview was composed of both closed and open-ended questions where had respondents the opportunity to express individually. The research group consisted of patients and nurses of three selected cardiocenters in Czech Republic - University Hospital Motol, České Budějovice Hospital, a.s. and Faculty Hospital Plzeň. In the first phase of the research we examined the awareness of patients of secondary prevention. In addition we inquire into the level of their activities in the care of their health and the impact of realized changes to their life satisfaction. The research sample is consisted of 12 respondents - patients who in former times have had a myocardial infarction and now were re- hospitalized due to symptoms of heart problems. For the research were patients selected by random sampling and divided into three groups, four from each cardiocenter. In the second phase of the research, we investigated the options and rate of education of nurses taking care of patients after myocardial infarction in pursuance of secondary prevention and types of nursing documentation kept by nurses of cardiology ward. This part of the study sample was consisted of nine nurses working in selected cardiocentre. For one interview were approached three nurses from each chosen department with longer experience in the field of cardiology. For the research was established six goals and eight research questions. The results of the research showed that the patients are relatively well educated in the principles of secondary prevention of cardiovascular disease, but not enough by nurses. The knowledge of patients of prevention of myocardial infarction and secondary prevention measures is at a relatively good level. The rate of changes in the approach to secondary prevention is unsatisfactory and doesn´t meet the rate of improvement of capabilities of modern medicine regardless of their age and length of treatment. The research also showed a positive effect of the principles of secondary prevention on the quality of life of patients.

The passing of the act on non-physician medical professions and the decree on activities of healthcare workers has brought numerous changes that are also linked to changes of nurse competences. Aim 1: To find out whether nurses with ARIC specialization perform male urethral catheterization. Aim 2: To find out whether nurses with ARIC specialization are interested in improvement of their knowledge of male urethral catheterization. Aim 3: To find out whether nurses with ARIC specialization have sufficient practical skills in male urethral catheterization. Aim 1: To find out what opinion physicians have on male urethral catheterization performed by a nurse specialized in ARIC. Aim 2: To find out whether physicians let nurses specialized in ARIC perform male urethral catheterization. The research part of the thesis was based on quantitative and qualitative research. The research results will be provided to head nurses in the hospital where the research was performed. The results might be useful for preparation of a specialization course focused on male urethral catheterization not only for nurses specialized in ARIC, but also for nurses that are interested in performing the procedure in the future, particularly as it is known that no such a course exists in the South Bohemia. The results might also be used as an input to further research.

This diploma thesis is trying to figure out how is oncological disease and it´ s treatment affecting survivors life after curing the disease. Acute leukemia and its challenging and often aggressive treatment leaves many different late effects. Quality of life is a subjective assessment which to some extent depends on the nature of the individual. Even so, it is necessary to evaluate and examine the quality of life beacuse the results of researches can help other patients, but also nurses, doctors, psychologists and other helping professions. The theoretic part of the thesis describes the current state of the problem, introduces the basic and fundamental specifics of children's cancer, the treatment, the after-effects, deals with the description of the psychological problems of patients and their caregivers, which provides diagnosis itself, but also the treatment of the disease. It also introduces the psychological care about oncological ill patiens and the roles of the nurses in careing for the oncological patiens. Another part of the theoretical work is an introduction to the measurement and evaluation of quality of life. Work also introduces the leukemia disease, which is one of the most commonly diagnosed cancer diseases in children. The thesis has three goals. The first one is to determine how the treatment of the oncological disease affects life of survivors. The second one is to determine how children perceive various limitations of social contact that the treatment brings. The last third objective is to determine whether the cancer experience affects the attitude of the survivor children to live. In the practical part of the research was used quantitative research. The technique of data collection was standardized questionnaire Minneapolis Manchester Quality of Life Instrument which is divided into two versions for younger and older children. The research was also used for statistical evaluation of hypotheses. The questionnaire was distributed to children aged 8 - 18 years who were 2 - 5 years after treatment. The control group were the same aged healthy peers. Four hypotheses were determined. H1: Cured children have more difficulties in social functioning than healthy children. It was found that cured children have better outcomes in social functioning than their peers, hypothesis H1 is thus not confirmed. H2: Cured children have less energy for physical activities than healthy children. This hypothesis was confirmed neither in older or younger children. H3: Cured children are more satisfied with their appearance than healthy children. This hypothesis was based on the research and statistical verification verified. Last investigated hypothesis was H4: Cured children have more problems in cognitive functioning than healthy children. Based on the statistical verification hypothesis was not confirmed. The research and statistical studies show that cured children have the same or in some areas even better quality of life than their healthy peers 2 - 5 years after the end of active treatment. The nurse should be able to help and advise the patient and should emphatically and nicely cooperate with the family for which it is often even worse than for the patients themselves. This diploma thesis will be used for making of an internal seminars for nurses working at the Clinic of Pediatric Oncology. Nurses working at the bedsides of the patiens can use this theses as a feedback of thein work. Knowledge of late effects of anticancer therapy is essential to providing a high - quality care and application of evidence - based nursing in practice.

Approaches to nourishment and eating habits are formed from early childhood under the influence of family lifestyle, gradually together with the influence of school and society where a child grows. Healthy lifestyle should systematically address all children during the whole school attendance, adequately to their age and needs. Comprehensive link between theoretical and practical influencing of pupils in subjects Human and Health and Education to Health with the possibility of link to school canteen. Then we will be on the good way to cooperation of all the involved parents, healthcare staff, teachers and school canteens leading to the common goal, which is GOOD HEALTH. The aim of the thesis was to assess the role of a children nurse in school environment, namely in school catering. The research tried to analyse catering standards for pupils of primary schools and to find the experience and satisfaction with school catering among parents and to map approaches of children of lower and higher level of primary school to school canteen meals. Quantitative and qualitative research was applied to the thesis. Data collection was performed by means of questionnaires for parents and children from the 3rd to 9th grades and focus group among children of the 1st and 2nd grades of primary school in Jindřichův Hradec. The questionnaires were processed and statistically evaluated by SPSS programme. We applied Parkinson's chi-squared test, a paired sample t-test for graph and table outputs. The focus group was performed in classrooms and in the canteen during break and during lunch at presence of a teacher and the vice headmistress. The research sample consisted of parents of children attending primary school in Jindřichův Hradec and pupils of the 1st to 9th classes of the same school. School catering, which is a frequent topic among professionals as well as the wide public in the whole Czech Republic and the results of our research are obviously an exception. Analysis of catering standards has shown that parents can only partially participate in preparation of menus, as they partially participate in financing of school lunches. From observation of 1st and 2nd class children we have found that children of this age are affected by the social environment they are in during the day. We have found that nearly all the children are satisfied with their meals. Pupils of 3rd to 9th classes formed another group. They commented and assessed canteen meals, where our sample differed from the other researches within the whole Republic. Satisfaction with canteen meals did not substantially differ with age as we expected. The research into satisfaction with school meals among parents has shown that parents of elementary school children are more satisfied that those of the higher level children, so the satisfaction among parents differs between the lower and higher primary levels. The research points out the connection of educational and healthcare systems, that there would be a place for a children nurse in this community, who operated in the school healthcare service before privatization of primary healthcare and still successfully operates there in many countries. It is necessary for community nurses to implement, lead and coordinate the care and for their care to be perceived as legitimate and essential in all spheres. The research results were requested by the vice headmistress of the school in Jindřichův Hradec in advance for possible correction of school catering and they might be also presented at seminars or conferences focused on nutrition and healthy lifestyle of children.

One of the most common complaints of mothers at the paediatrician's is complaint about the night sleep disorder, especially in older infants and toddlers. Long-term insomnia of a child negatively affects well-being of parents and disrupts peaceful atmosphere of home. We often encounter sleep disorders in babies; mostly they are frequent nocturnal awakenings and difficulty falling asleep. Parents should be therefore informed about sleep issues already at neonatal units, as they are informed about breastfeeding. The target group of this research was mothers of infants and nurses working at neonatal units and in primary paediatric care. The aim of the study was to determine the level of awareness of paediatric nurses and parents about infant sleep and create educational material for nurses. The survey was carried out using a snow ball technique, in-depth interviews with mothers and a questionnaire with open questions for nurses. Collected data were then transcribed, coded, and processed using frame analysis by. Then, using the snow ball method, we gradually extended the sample to 7 mothers of unsleepy infants and 7 mothers of sleepy infants, i.e. to cases that were supposed to strongly manifest the problem. Also, paediatric nurses were selected intentionally according to their place of work at neonatal departments and in primary paediatric care. Parents receive information about infant sleep most often on the Internet, from specialized books and from their own mothers and friends; and they usually do not ask nurses for information on infant sleep. Parent only find out at home that there is a problem with their child's sleep. They tend to try various interventions to lull their baby to sleep. Research has shown that the most common source of knowledge for nurses is their personal experience with their own children. Nurses also use their rich experience gained during long years of practice. Furthermore, they educate themselves in this issue using specialized books, visiting seminars, and they also use the internet. Nurses' advice to mothers regarding infant insomnia is shown in two perspectives in our research. The first is the perspective of mothers and the second one is the perspective of nurses. Surprisingly, there are discrepancies, especially regarding the nurses in primary care. Interventions that were reported by nurses coincide with working techniques of lulling a baby to sleep. In contrast, some interventions which were described by mothers as advice from a nurse rather indicate ignorance or indifference of some nurses. The research showed that the quality of infant sleep may be to some extent influenced by the information given to parents already at neonatal unit by medical staff, because they are in the best position to provide such information. However, mothers often choose different sources. The research has shown that mothers usually instinctively select proper techniques to lull restless infants to sleep without consulting a paediatric nurse. These results have prompted the development of an educational leaflet for nurses which informs about proper practices and appropriate techniques to lull restless unsleepy infants to sleep.

Epidural analgesia causes a temporary cessation of nerve conduction via administration of low concentration of local anaesthesia, or opioid, into epidural space. The resulting temporary discontinuation of nerve conduction is called central neuroaxial anaesthesia and it facilitates the process of surgical intervention. An epidural catheter is usually inserted during epidural desensitisation. It helps to control the amount of administered anaesthesia and hence to respond to surgery progress, but it also enables to keep the catheter within the epidural space for the following postoperative analgesia, which will promote timely postoperative rehabilitation and pain management.The research project was conducted on basis of quantitative and qualitative investigation. The quantitative research was performed via questionnaires directed at the nursing staff, and the qualitative research took form of semi-structured interviews with patients. The quantitative investigation was conducted in fourteen health care facilities in the Czech Republic. Respondents of the quantitative research were nurses working in orthopaedic departments, multidisciplinary ICU or ARO (Anaesthesiology Resuscitation Dept.), who provided care to patients after TKR or THR with an epidural catheter insitu. Qualitative research respondents were patients hospitalised in orthopaedic departments for TKR or THR, with epidural catheter insitu and who agreed to participate at the interview. Quantitative research data were processed in Excel 2010 and presented in graphs, frequency and contingency tables, whereas the qualitative research data were processed using charts of the Smart Art program. After the agreement with the management of health care facilities, this dissertation will promote education and aid situation improvement. The Standard of Nursing Care Assisting a Patient with Epidural Catheter during Insertion and Care will be an outcome of this project. Moreover, we will design a patient information booklet and a quality of care indicator that will focus on monitoring of complications occurrence such as infections in patients with epidural catheter. The findings may help to design a training course specialised in nursing care provision to those patients and also to provide basis for further research.

The present study is divided into theoretical and practical part. The theoretical part deals with anatomy of thehip andknee joint, in the next part there is definition of endoprosthesis as well as historical development of endoprosthesis. Subsequently, different types of endoprosthesis, surgery equipment and possible complications after surgery are described. It is followed by nursing care and rehabilitation including spa treatment. The theoretic part is concluded with revision of the joint. The practical part of the master thesis has been elaborated from the qualitative survey. The survey was conducted with the respondents who underwent endoprosthesisof the knee or hip joint and with the nurses working at regular orthopaedic department or orthopaedic intensive care unit (ICU). The interviews were afterwards transcribed and elaborated by means of the technique of open coding with the method "pencil and paper". 16 categories and 48 subcategories emerged from the data processed in this manner.

The purpose of the dissertation Continuous Elimination Methods in Intensive Care in Prospective of Hospital Nurse is to inform about acute kidney injury and chronic kidney disease. These are major reason to use elimination methods at intensive care units and anesthesiological resuscitation departments. We further determine elimination issues. Continuous elimination methods in intensive care medicine are important medical treatment at acute kidney injury and chronic kidney disease. Particularly, acute kidney injury belongs to frequent complications at critically diseased patients, therefore will be properly discussed. It is afraid, because decreased renal function leads to incapability to excrete waste products of metabolism and sustain homeostasis. Mortality at acute kidney injury is higher than at chronic kidney disease so support or renal replacement therapy, in order to save life, is the only accepted method of choice at present time. The techniques of renal support or replacement therapy are integral part of instensive care medicine. The aim of this thesis is to elaborate latest accessible findings and specialized nursing care at continuous elimination methods. Ve have tried to create integrated, comprehensible summary of knowledge of this topic. We expect these findings are fundamental to high-quality nursing at patients with this disorder. The dissertation was conducted as a method of review and synthesis. As long as this part is purely theoretical-based, it gathers informations from czech and also foreign sources. The data was acquired from scientific publications, technical papers, monographs and web. The outcome of this work can be used for further research of this topic or contribute to resource information for paramedical staff. In the thesis we analyze acute kidney injury, briefly chronic kidney disease, then we proceed through the history of dialysis and its specifications. These are closely explained. We focus on technical aspect of various elimination methods, the division, indication to initation, advantage and disadvantage, vascular access will also be described. The possibilities of anticoagulation have been defined, the types of membrane hemofiltrates and dialysators, substitutional and dialysing solutions have been characterized, the need of dietary measures has been emphasized. The complications that can happen during the use of elimination method have not been left out of consideration. We describe the intensive care units, nurse competencies, their work, monitoration, patients' and elimination unit preparation and vascular access care.