This thesis is titled: Sister in care of a child with congenital dysplasia of the hip joint. The aim of this work is to map the care of a child with congenital dysplasia of the hip joint, including the historical view, and the role of the nurse in this subject. The thesis presents the disease from the very beginning in the mother's body, after its development, diagnosis to the development of the treatment to the present time. The aim of the thesis is to introduce the reader with the history of this defect of the locomotory system and provide a summary of available information. Emphasis is placed on advancing conservative treatment and on nursing care in a hospital for a child with congenital dysplasia. The work is enriched with information from a doctor - ortopedic, nursing nurse and orthopedic nurses. In terms of methodology, methods of explanation, synthesis and induction are used. These methods consist of a summary and a combination of collected primary information and are focused on the logical reconstruction of the explanation and understanding of the topic. The sources are drawn from the Medvik, PuBMed, and Ebsco web sites, which provide me with an overview of sources written in czech, english and german language. It is also drawn from the findings of the Medical Museum in Prague, where I got to the primary source from 1895. This thesis will find use for those interested in this issue, for healthcare professionals in the context of expanding knowledge and for parents born to a child with hip dysplasia.

This dissertation deals with the issue of continuous elimination methods in intensive care, and of subsequently creating teaching materials for incoming nurses. The goal was to create teaching materials for incoming nurses. These teaching materials should help incoming nurses work with a device intended for continuous elimination methods. The dissertation is divided into a theoretical and practical part. The empirical part was implemented in the form of a qualitative research, using semi-structured interviews with respondents at the Accident and Emergency Ward of Nemocnice České Budějovice a.s. at the RES 2 station. The first stage of research was implemented by conducting interviews with the respondents. These interviews were recorded in the form of detailed notes which were later transcribed in order to prevent losses of data and inaccuracies. Subsequently, categories were established and, proceeding from these categories, schemes created using the ATLAS programme. The second stage consisted of creating an instruction video and teaching materials for incoming nurses. As a part of the third stage of research, the created video and teaching materials were presented at the Accident and Emergency Ward for evaluation. Then, interviews with the original respondents were re-conducted. During these interviews, the respondents were tasked with evaluating whether the teaching materials fulfil their needs and whether they will be usable in practice. The learned information was then arranged in corresponding schemes. Two goals were set with regards to the practical part. The first goal was to determine which form of teaching materials is suitable for incoming nurses. The second goal was to establish the benefits and usability of the created materials in practice. Based on the goals, two research questions were formulated. The first research question was: Is the form of the teaching materials suitable for incoming nurses? The second research question was: What is the benefit of the created materials in practice? Based on the research, it was discovered that most of the respondents would welcome teaching materials in the form of printed leaflets; however, opinions on the option of creating a video were also heard. Therefore, an instruction video, suitably complementing the printed leaflet, was created. The third part of research implied that most of the eight interviewed respondents were satisfied with the teaching materials. Three respondents suggested supplementing the printed leaflet with additional images. All eight respondents agreed that in their opinion, the provided teaching materials would make it easier for incoming nurses to familiarize themselves with the issues discussed. The head nurse at the Accident and Emergency Ward views the created teaching materials as beneficial. She intends to continue using these materials at her ward.

Abstract Objective: The research study is to characterize the nurses´ role in the prevention of chronic respiratory disease, focusing on smoking prevention. The next objective is to raise awareness among parents about the negative impacts of smoking on the health of their children. It was then established, how many informations have got parents smokers about adverse effect on the health of their children. In relation to these objectives was established six research questions. The way of achieving the objective: To achieve the objectives a method of qualitative research was chosen, which was implemented through in-depth interviews. On the basis of specified research questions were created individual categories for getting answers to the research questions. It was elected a methode of intentional choice. Survey research took place in outpatient offices in the districts Znojmo and Brno Venkov. 10 parents smokers and 10 nourses agreed to be interwieved through using a method of anonymous questioning. Scientific benefits: A research study presents an overview of the impact of smoking on the health of children, the possibilities for intervention in the prevention of chronic diseases of children and and helping their parents smokers in the treatment of tobacco dependence. It will find application in primarily preventive and inpatient care as well. The knowledges gained and their conclusions: Baby nurse has important and irreplaceable role in the healthy development of children and in the prevention of risks to their health. Risk behaviour of children and youth is currently a serious social problem. The educational efforts has to be directed to change lifestyle and its components and is connected with the support of health. The results of our investigation shows that parents smokers often underestimate the influence smoking on the health of their children and are not very willing to do something for children. Parents also underestimate the effect of passive smoking, even though most of them have sufficient information about the risks. Whereas, children usually can't decide on environment, where they live, health professionals would aim interventions to protect children including the unborn ones. Question of health education is included in the nurse´s competences and is ordered to the doctors and nurses by law. It is therefore desirable that paramedics, having used their authority, increase their efforts and interventions to promote non-smoking. Nurse can help the patient with motivation and treatment their addiction and intervene according to recommendations based on scientific evidences. To a short 10 minute intervention has nurse opportunity apply in every contact with the patient, during his visit at doctor´s office or at the hospital in the pacients admitted to hospital. At least ask about smoking and give the smokers clear recommandation how to stop smoking and offer clear advice to the treatment referred in the brochure, with information of the harmful effects of smoking on the health of children. Use for practice: The conclusions were accepted in the scientific magazine Pediatry for practice and magazine Florence.

The aim of the work: The aim of this thesis is to provide detailed information about organization and operation of today's operating rooms from nurse´s point of view. Operational treatment requires high demands on technical and material equipment, special staff training, perfect adherence to asepse, antisepsis, sterility as well as work organization. The thesis should also introduce the most urgent problems of the current situation of the operating rooms management. The most recent discoveries and proven methods are summarized in a simple and comprehensible form that will serve as a guide for perioperative nurses. Method: Qualitative research methods in the form of a semi-structured interview have been used. This thesis will use the qualitative survey method in the form of a semistructured interview along with snowball sampling. The research consists of respondents with finished specialization in instrumentation for the operating room who are still active in the given field. Current status: The organization and operation room management consists of two functional models. These are so called "sideline sterilization" versus central operating rooms. Both ways have their advantages and disadvantages related to workload, general nursing education, and operating rooms management. However, the least preferred option is a combination of both perioperative operations. Results: The results of the research focused on the centralization and operating rooms management show that "sideline sterilization" is considered an obsolete model of tool sterilization for operating rooms. The results also show that the model of central operating rooms with the combination of central sterilization is more modern and efficient both in terms of expenses and effort, not just for nurses but for all healthcare professionals. Conclusion: In accordance with the aim of this work the issue of centralization of operating rooms is pointed out, considering both the construction with the necessity to follow all known procedures in compliance with aseptic conditions, as well as the need of good management or nurse education. The results can be used for further research and as a further source of information for non-medical fields, mainly perioperative care.

Due to the higher migration rates, there is more cultural diffusion. The healthe care personnel will be dealing with patients from different cultures more often. This is why it is important to use an appropriate approach and give competent heathcare considering cultural backround of the patients. The goal of this thesis was to map the cultural differences in care for an underage patient and to trend the minority groups that are being cared for by nurses in the children's ward. To achieve the goal of this thesis, there were four specified questions and to achieve the result, there was a threephase trial, specifically qualitative trial supplemented with quantitative method using a questionnaire. The first phase was the pilot poll and a techniquire "snowball slamping" was used. The second phase of the trial consisted of pre-structured interviews with the nurses. The third phase consisted of pre-structured interviews with the parents. On the basis of this trial, it was concluded that the nurses are caring for Romany and Vietnamese minority groups most often. The other most patiens from Ukraine, Russia, Germany, Poland, Muslims and Jehova witnesses. The most common problems that occur during the care are: language barrier, cultural customs, communication and co-operation. Based on the data collected from interviews with nurses and parents, there are specific variations in expectency of care, such as food, daily regime, differences in behavour, communication, reliability to adhere to given rules and consequent care after the hospital stay. There are other different specifics such as rituals and traditions during child labour or at the time of death, celebration of different festivals, fasting and other spiritual needs. Traditions relating to refusal or demand of specific care were also mentioned. Results of this thesis were presented at the 13th Student conference in Pardubice and will be published in a technical journal.

The main purpose of the research was to explore the role of the community nurse in the care of newborns, infants and their mother and how this kind of care could be included in the current system of preventive care for newborns and infants in the Czech Republic. The research was developed by qualitative and quantitative design. In the first stage of the research, interviews with nurses from the PLDD outpatient department and mothers of infants in the South Bohemian and Pilsen Regions were conducted. Non-standardized questionnaires for nurses and mothers were created from the obtained data. The statistical processing was carried out with MS Excel, where absolute and relative frequencies were calculated and the relationships among the variables at the significance level ? = 0.05 were tested by the use of the chi-squared test and the Pearson correlation coefficient was used. For the needs of the qualitative survey, a research group of six mothers of infants and seven nurses from the PLDD outpatient departments in the South Bohemian and Pilsen Regions was chosen by deliberate selection. For the quantitative survey, a research group of 254 mothers of babies aged 12-24 months was chosen by deliberate selection. The research group of nurses was chosen by deliberate selection and consisted of 196 nurses working in PLDD outpatient departments for more than one year. Multiparas have provably more information at leaving the maternity hospital about breastfeeding techniques, breast milk pumping, nappy changing, hygienic care and bathing, dressing, sleeping, umbilical cord care, and safe handling of the baby. Information about the prevention of sudden infant deaths or the storage of breast milk is at the same level for primiparas as for multiparas. It was found out that there is a statistically significant relationship between the level of awareness and the occurrence of problems in the first year of the child's life. The personal experience of nurses with the visiting service has an influence on whether they attach importance to this service. The current model of preventive care of newborns and babies needs to be critically analysed and appropriately complemented by interventions of the visiting service.

Mucocutaneous lymph node syndrome or Kawasaki syndrome is very severe disease.The most common symptom includes a high fever which is probably due to inflammation of blood vessels so-called vasculitis. . Several months old babies to preschool children are the most often affected group of patients. Specific and typical symptoms of Kawasaki disease include long term fever, conjunctivitis, erythema, lymphadenopathy, mucosal changes as red swollen lips and strawberry tongue and multiple rashes.Qualitative and quantitative research was applied in the diploma thesis "Kawasaki disease in the contemporary society through nurse´s eyes". Three basic objectives and three research questions were established in this diploma thesis.

Mucocutaneous lymph node syndrome or Kawasaki syndrome is very severe disease. The most common symptom includes a high fever which is probably due to inflammation of blood vessels so-called vasculitis. The characteristic statement is that the etiology of disease remains unknown and the origin is not clarified. Several months old babies to preschool children are the most often affected group of patients. It is relatively rare, modern and mystery disease in contemporary and industrial developed society. The first appearance of this disorder is in 20th century. The disorder was first described by well-known Tokyo origin pediatrician Tomisaku Kawasaki in Japan, who studied this disease very thoroughly. This rare disease is considered autoimmune in origin triggering by an infectious agent especially in those who are genetically predisposed. Specific and typical symptoms of Kawasaki disease include long term fever, conjunctivitis, erythema,lymphadenopathy, mucosal changes as red swollen lips and strawberry tongue and multiple rashes. Related cardiovascular complications should be pointed out especially coronary or other major arteries aneurysms and their ruptures, pericardial effusion, heart inflammations, coronary thrombosis, pericardial exudates, arrhythmias, or mitral valve disease. There is no specific test for identification of Kawasaki disease despite the contemporary technological and diagnostic options. So, the easiest way to establish diagnosis is to recognize typical symptoms, blood/urine/spinal fluid testing and then performing X-ray, electrocardiogram and echocardiogram. This disease has very low mortality, the short-term prognosis is excellent and relapse of symptoms is rare. In total, 337 children were diagnosed with Kawasaki disease and admitted to hospital during the evaluation period (2007-2015) in the Czech Republic. This is significantly lower incidence comparing to the other countries in the world. Diploma thesis "Kawasaki syndrome in contemporary society from a nurse´s point of view" was designed as theoretical with a supplement of short case study. The goal of presence of this case study is to better comprehend presented topic. The scope of problem is described from theoretical point of view in partial chapters of this diploma thesis. All the information mentioned in this thesis quotes verified sources, publications written by the Czech and foreign specialists in this particular field. The goal of the thesis was to describe, based on available literature, the issue of Kawasaki disease in children focused on specifics of nursing. All the information was searched in bibliographical issued writings, in databases, or on the Internet. Based on the goal determined in advance, scientific methods such as explanation, analysis, synthesis and demonstration of data were chosen for composing this diploma thesis. The output of theoretical work is to present complex view on the issue of Kawasaki syndrome particularly for non-medical professionals. It came out that the profession of nurse has its own irreplaceable place in the context of Kawasaki disease. As well as competences of nurse are essential. These competences are provided for improving quality of life of children with this unfamiliar and life-threatening disease.

The area of the care of a Clubfoot (pes equinovarus congenitus PEC Clubfoot) Diagnosed Child is the topic of this Paper. Currently, the PEC is the second most frequent congenital deformity within orthopaedics. The theoretical part of this Paper deals with a description of the PEC, its diagnostics, cure and a possible risk of relapse. A sub-chapter of the Paper introduces the Achilleus association, which is the only body in the Czech Republic bringing together parents of PEC diagnosed children. The Paper also focuses on nurses and their role(s) in the nursing care of PEC diagnosed children. The empirical part of this Paper covers a research with the following directions: - parental knowledge of PEC diagnosed children care at home; - specifications of the nursing care of PEC diagnosed children; - nurses and their educational role (if fulfilled) in the nursing care of PEC diagnosed children. The research presented in the empirical part of the Paper was based on a semi-structuralized interview and open coding technique. The interviews were conducted with parents of PEC diagnosed children and care providing nurses who also play an important educational role in this matter. The benefit of the Paper, based on collected research data, is to provide a complete overview on the problems relating to the care of PEC diagnosed children. The outcome is supposed to be also presented to appropriate expert public for further consideration. The research outcome presents that the level of parental knowledge of the PEC diagnosed children care at home is very high and that parents provide their children with a quality care. The Paper describes that specifications of the nursing care of PEC diagnosed children are mainly evident in appropriate and consistent education of parents as the homecare is usually a long-term process. Finally, the Paper also shows that nurses in their educational role in the nursing care of PEC diagnosed children do not fulfil their tasks to such an extent that is expected.

The main purpose of the thesis was to identify potential for improvement of communication with a pre-medicated patient.This research was motivated by the fact that this subject has not yet been explored and it has not been fully discovered whether the communication needs of patients are sufficiently satisfied before the execution of a medical surgery.This paper was based on a quantitative research, including an anonymous questionnaire concerning areas relevant to the mental state of the patient. One part of the research file was made up of clients hospitalized after a medical surgery. The second part of the file was created from Anestesiology and Operating Room nurses. The best solution seems to be creation of communication standards with pre-medicated patients and elaboration of educational plans for patients before medical surgery.