The subject of this dissertation is culturally diversified nursing care provided to adherents of the selected religious minorities. The theoretical part of the dissertation is concerned with transcultural nursing care and also with the characteristics of the selected religions. The practical part of this dissertation includes processing and evaluation of the data acquired during the conducted research. There were three objectives set at the beginning. The first objective was to explore the particularities of nursing care provided to adherents of the selected religious minorities. In order to achieve the set objective, a method of half-structured interview with representatives of different minorities (Centre of Muslim Communities, Diamond Way Buddhism and Czech Orthodox Church) living in the Czech Republic was utilized. Seven representatives of each minority took part in the interview. The results of the research related to the first objective showed that there is a range of defects when it comes to providing nursing care to adherents of different religion. Hospitalization in particular was one of the main subjects of the whole interview. Most of the respondents had negative experience when it comes to staying in hospital environment. All the negative experience resulted from and was connected to their religion. The interview also disclosed new information needed for providing considerate nursing care. The new information were disclosed as a result of the interview conducted with each minority and relate to catering, hygiene, dying or refusing medical treatment. The second objective was to monitor nurses? experience with multi-cultural nursing care and the last objective was to determine the nurses? awareness of nursing care fields, in which the adherents of the selected religious minorities in the Czech Republic are particular. In order to achieve the objective related to the quantitative part of the research, a method of survey (questionnaire) was utilized. The questionnaire was given to the nurses from all the hospitals in South-Bohemian Region. The results in this part showed experience of nurses with multi-cultural nursing and their knowledge of nursing care fields, in which the adherents of the selected religious minorities are particular. Although the most of the nurses have come across multi-cultural nursing, they still do not know the particularities of the selected religions completely. The analysis of the results shows that providers of nursing care are getting more and more aware of multi-cultural nursing, which will certainly have a positive impact, in the future, on satisfying the needs connected to religion of individual patients. Based on the results of the research, an informational material intended for nurses was prepared, which contains brief descriptions of the selected religious minorities living in the Czech Republic and their particularities in the field of providing culturally considerate nursing care. Furthermore, standards for nursing care were created for each one of the selected religious minorities. Preparation of material for accreditation of educational courses for nurses also took place. The material is focused on multi-cultural nursing and the selected religious minorities. In order to further improve the care provided to the adherents of different religions, a nursing anamnesis draft was created, which also focuses on needs connected to religion.

The diploma thesis deals with the issue of dying and death within the job of a nurse. Nurses very often see dying and death. Death rate also depends on type of the ward. A healthy person usually does not think about death, but being ill one is uncertain and starts to ask many questions, which may also include questions about dying and death. Meeting a dying person is psychically demanding for the medical staff as well as for the family, friends and the dearest. The medical workers are expected to be professional and empathic. It is a question if the nurses are prepared to face the death and if they can cope with the physical and psychical stress. Long-term excessive psychical stress may result in numerous diseases. A nurse must know how to avoid such negative impacts. The theoretic part of the thesis describes the present status, explains specificities of palliative treatment within intensive care, within care for chronically ill patients and in paediatrics, it specifies attitudes and their functions in connection with difficult life situations. Furthermore, the theoretical part deals with psychical stress imposed on nurses in connection with dying and rules of communication in a multi-disciplinary team within palliative care. There are four objectives of the thesis. The first objective is to find out whether nurses feel ready to meet death after finishing qualification studies. Another objective is to find out whether death rate in the workplace affects psychical stress imposed on the nurses and their attitude to death. The third objective is to find out whether the nurses think that the information and experience gained during studies affected their attitude to death and professional skills of care for dying patients. The research part made use of quantitative research. Data collection was made through anonymous questionnaires. Respondents answered 35 questions. Out of that, 17 questions were closed and 18 questions were semi-closed. The research survey was completed with statistical survey. Nurses, who work in wards with higher risk of death, were contacted. We have made up four hypotheses. H1: Nurses? attitude to death depends on the level of education was not confirmed. The results of research and statistic survey showed that there is no difference in attitude in connection with the level of education reached. H2: Nurses? attitude to death depends on experience with death in personal life was not confirmed either. The respondents? answer showed that their attitude to death is mostly influences by experienced acquired in practice. H3: Death rate reduces psychical stress of nurses, was confimed. The respondents said they had still the same feelings and at most they answered that they did not feel anything, or they did not think about their feelings and they consider the death to be a part of their occupation. H4: Subjective readiness of nurses to meet death does not depend on finishing of qualification studies, but it depends on exeprience acquired in practice. The last hypothesis was confirmed by research and statistic survey, as well. The research and tests of hypothesis have revealed that sufficient attention has not been paid to the issue of care for dying patients within studies. Nurses acquire their experience mostly in practice. Furthermore, the survey showed that it is an important thing to teach the nurses to communicate effectively and to feel empathy. The conclusion, that nurses are more stressed with conflicts at the workplace, bad inter-personnel relationships, low wages than with care for dying patients, is alarming . Thus the labour force is wasted unnecessarily and it is obvious that the occupation of a nurse has not been appreciated properly, yet. Such factors influence quality of the work done and may cause the burn-out syndrome.

The 50+ generation has become an age group that is aging according to the statistical data and the number of individuals in this age category is rising. The aging process is accompanied by numerous physical, mental and social changes. As a consequence of these processes new and modified needs occur in these individuals, to which the provided care has to be adapted. We have linked this issue with conceptual models in nursing. This is because a conceptual model will help us integrate patient information into coherent and comprehensible blocks. An important goal of conceptual models is to simplify the work of nurses, who can see a patient as a whole thanks to them. We chose two models in relation to this issue, namely Calista Roy's model and Betty Neuman's model. We chose two research goals on the basis of the topic of the thesis. The first one was to map the knowledge of selected conceptual models among nurses. And the second goal was to find out the specifics of the nursing care in the 50+ group with the application of selected conceptual models from the point of view of nurses. We applied both, qualitative and quantitative methods to the research. Within the quantitative research we used a non-standardized questionnaire. In the qualitative part we applied the focus group method. Three hypotheses and one research question were set in relation to the research. We are able to confirm two of the three hypotheses. The statistical results have shown that the knowledge of the open-systems model and the adaptation model corresponds with the education of the respondents. Respondents with tertiary education show better knowledge of these models. On the other hand, no relation in taking the specifics in the satisfaction of the needs into account in the provision of nursing care in the 50+ generation was confirmed. A procedure for collection of the nursing anamnesis in the 50+ generation was created on the basis of the research. On the basis of this procedure we can enable healthcare staff to classify the patient information into logical systems and therefore to obtain a quality and comprehensive view of a patient. After the completion of the qualitative research we evaluated the proposals of our respondents for the theoretical as well as the practical part of the anamnesis collection. These respondents showed knowledge of the models. They most often criticized bad intelligibility or even redundancy of a question. Among benefits they named simplicity, reasonability and quality evaluation of the nursing care.

Thesis: The main contribution of D. Orem's self-care theory is that, using adequate methods, it leads the nurses to respect patients' own conception of self-care. Key words: Patient - nurse relationships, Self-Care Deficit Nursing Theory, D. E. Orem, human actions, respect for autonomy, NANDA taxonomy, non-compliance, responsibility. This dissertation thesis deals with the issues of a relationship between a patient and a healthcare worker, or more precisely a nurse, all from the point of view of patient self-care in the sense of deliberate action that is conducted by the patient for the purpose of sustaining their health and realizing their life plans. Ethical aspects of Orem's Self-Care Deficit Theory consist in the approach to a person that emphasizes the human nature of a human being that develops within the community - among other people, that becomes unique and that cares about their own being. Self-care deficit nursing theory is compared to NANDA taxonomy II with respect to a patient's autonomy. Both approaches to nursing care are studied from the point of view of their assumptions, theoretical basis, the diagnostic process, communication, personal competence of nurses and the aims of health care. Attention is also paid to the situations when a patient is not willing to take part in the...

Current society is much diversified as regards its culture of customs and trends encountered also in the eating habits of people. Our health-care facilities provide treatment to a good number of patients of different religions and, consequently, different eating habits. We certainly do not want the patients to be only passive recipients of medical care. That is why the nurses have to put some effort into learning about the individual eating habits of their patients. A nurse informed about food that a patient wishes or does not wish to be given is able to use her own initiative in providing what is needed to satisfy the requirements. In this way the nurse will involve the patients in the treatment and boost their confidence in the health-care staff. The theoretical section investigates primarily nutritional habits of believers of some selected religions, namely Judaism, Islam, Buddhism, Roman Catholic Church and Brethren Church. Other parts of the theoretical section analyzed some alternative nutritional trends. Also mentioned was food provision at health-care facilities and the competences of nutrition therapeutists and assistants. The empirical section formulated four objectives: (1) to specify the main features of nutritional trends met in the selected religions; (2) to measure the level of nurses' expertise in the eating habits associated with the selected religions; (3) to find out whether the nurses in providing the care respect the clients' nutritional trends as related to the selected religions; and (4) to investigate the importance and observance of specific nutritional trends in the selected religions as perceived by the clients and the nurses. The methodology relied on a quality-oriented survey performed through controlled interviews with the clients, and a quantity-oriented survey conducted through questionnaires distributed among clients and nurses. The qualitative survey was to answer these questions: What eating habits can be encountered in clients professing the selected religions? Does proper observation of the clients' eating habits make the clients satisfied with the nursing care? The quantitative survey was based on assumptions that (1) nurses ignorant of the nutritional trends will make the clients unhappy about the nursing care, and that (2) proper attention paid to varied eating habits in different cultures will make the job of nursing teams in health-care facilities a more burdensome task. The survey has been conducted in the regions of South Bohemia and Central Bohemia. Judging from the results, the objectives have been met, the hypotheses confirmed, and the research questions objectivized. The work resulted in an Education Sheet to be used by both nurses and the public.

My dissertation is aimed at the following questions: System of children care, organization of health-care policy in the Czech Republic, competencies and abilities to children care, document Health for Everybody in 21st Century, community nursing, nurse interventions in particular age categories, and my own research proceedings. The research section of the work contains both quantitative and qualitative research procedures. The data were collected of a questionnaire and semi-structured interview. The examined set of a qualitative research consisted of 9 respondents {--} 5 nurses and 4 medical practitioners for children and youth. The quantitative data were collected with an interview method. The questionnaires were designed for the unprofessional public {--} parents of children who are up to 18. The examined set of the questionnaire research consisted of 73 respondents (100%). The research proceeded from mid June 2008 to the end of July 2008 and its results have been processed into category tables and graphs in the program of Microsoft Office Excel 2007. I especially try to find the opinion of children nurses and children medical practitioners on introduction of a community children nurse in the Czech Republic and specify the functions that a community children nurse can perform in the Czech Republic when working with children community. I also try to find locations at which the community children nurse could work, and obstacles hampering to establish this new working position within the Czech Republic. Last but not least, I am interested in the public interest in the nurse{\crq}s affect to health protection and care for children. So far, there has not been a community nurse position established as an independent community professional in health protection and care for children within the Czech Republic. However, in other countries, community nurses work in the state interest and they form a part of the public health-care system. They are rewarded for their work, which is highly appreciated, from the public budget. Development of the community health-care is a WHO priority, and it has already established its firm position in the Czech health-care conception. As the main advantage of introduction of a community nurse I consider the fact, that both children and parents would have a better chance to use a wider variety of health-care services at school, in their household or at the doctor{\crq}s consulting room. Community nurse{\crq}s activities could help to inform families and to improve the health-care edification level. They could also assist the families that need highly intensive health and social care. Because of independent work of community nurses, nurse{\crq}s profession would become more attractive and nurse{\crq}s social position would improve.

In the thesis on the pro-social traits of workers in helping (assistance-providing) professions I dedicate myself to pro-social behavior, empathy and the basic characteristics of personality issuing from the five-factor personality model {--} The Big Five. Most professionals agree that pro-social behavior and empathy belong among the basic characteristics that assistance-providing professionals should have. An important role is also the personality of the care provider. The listed constructs and connections among them however remain the home environment of empirical research and thereby represent the phenomena regarding which there exist few verified findings. The goal of the paper rests in fining the level of empathy and personal dispositions in accordance with the Big Five model that could influence pro-social behavior in selected groups of assistance-giving professionals. The factors in question are neuroticism, extroversion, and openness to experience, graciousness and conscientiousness. Data collection took place with the help of two psychodiagnostic questionnaires. The IRI questionnaire measures level of empathy and the NEO-FFI questionnaire was used for diagnosing the five personality dimensions. The study was quantitative. The monitored set included respondents from three assistance-giving professions {--} nurses, members of the Czech Republic Fire Rescue Corps, and elementary-school teachers. The results confirmed the hypothesis that care providing workers show higher levels of empathy in comparison to the population average, and the hypothesis that these professionals show a higher level of personality traits that, in an interpersonal context, display positive orientation towards others, that is that they are more extroverted and gracious in comparison with the population average, was refuted. These results make it possible to consider that the relationship between the basic personality dimensions and pro-social tendencies may be mediated by the level of empathy with regard to other psychological constructs and the results of social learning. Conclusions cannot be generalized, due to a relatively small sample group. For this purpose it would be interesting to carry out a professional study, which would exceed, in its scope and possibilities, the usual requirements of a thesis paper.

Abstract In the Czech Republic there is no doubt about the tendency of gradual increase in median life expectancy, which is significantly affected by the fact that mortality from cardiovascular diseases, especially from acute coronary syndromes, has been decreasing. Besides the provable effect of a healthy lifestyle, diet and, by all means, a quality and effective pharmacotherapy, a significant development in the field of interventional cardiology contributes to this accomplishment. The number of coronographies, coronary angioplasties and implanted stents have multiplied, and today the invasive coronarographic diagnostics and percutaneous myocardial revascularization belong to the the most common diagnostic and therapeutic methods in treatment of acute forms of ischemic heart diseases. An obvious prerequisite for such a rapid development in the field of intervention coronary angiography was the establishment of a sufficiently dense network of catheter laboratories and specialized facilities, which provide a highly professional and intensive care for patients. This thesis is focused on three basic objectives: ? To survey and characterize differences in nursing care concerning various complications in patients after SKG / PCI ? To survey bio / psycho / social impacts of complications after SKG / PCI on a patient ? To identify and summarize personal and material prerequisites and requirements to ensure quality nursing care for these complicated conditions The research was conducted by using a qualitative methodology. The methods used were observation, non-standardized interviews and medical and nursing records analyses. The research survey samples on which the investigation was focused were patients with the acute coronary syndrome hospitalized in the coronary care unit in the Cardio Center in České Budějovice, their family members and also the nursing staff providing the comprehensive nursing care. The outcomes of this survey were eleven descriptive case reports characterizing the occurrence of the most frequent complications in patients with ACS after SKG / PCI. To ensure clarity, each case study is complemented by a thought map with an account of the most important nursing interventions in the management of specific acute conditions. The paper also contains a framework analysis of bio / psycho / social impacts of complicated situations on patients. It is interesting to compare this matter from the perspective of nurses and patients, which is seen in correlation graphs. The section describing the organizational and personnel provision is introduced with the characteristics of the medical process and it also contains the list of medical personnel with their qualifications and the length of experience in the Coronary care unit in České Budějovice. Summarization of the instrumental medical equipment is also based on the analysis of previous cases and is accompanied by photographs of the equipment typical and indispensable for the care of patients in the Coronary care unit, which primarily has an informative and complementary character to get an integrated view of the Coronary care unit running and the nursing staff work.

5 Abstract This diploma thesis is focused on the development of lifelong education of general nurses in the Czech Republic. The duty of lifelong education and its control has been introduced with the admission of the Czech Republic into the European Union. However, the development timeline is possible to follow until the period after the Second World War. The theoretical part describes the term of non-medical occupations, nursing and the roles of general nurses. Within the concept of lifelong education and learning is pursued European development line, as well as its influence in the Czech Republic. There is also a track of professionalism within the nursing occupation, which enables general nurses to take over more responsibilities and this led to the requirement of higher education. The empirical part of the text is dedicated to the analysis of the questionnaire of my own construction, which examined rapport of lifelong learning principles by general nurses. These principles were chosen on the base of nursing strategies which were acquired by the Czech Republic. The interest of the research was to compare two groups of general nurses. The first was represented by nurses educated before adopting the law no. 96/2004, and the second group included nurses with tertiary education level. Key words: general...

In my dissertation, I discuss the problematic of feedback in a leadership of medical non- doctor personnel and in directing its working performance. My aim was to comprehend and elucidate the process of feedback between superior and subordinate personnel, specifically between bedside nurses/assistive personnel and a charge nurse. As a secondary objective, I decided to investigate potential areas for improvement in leading management and to suggest possible advancements, which could contribute to more effective directing of work performance through the use of feedback. The dissertation is divided into two parts, theoretical and empirical. In the first theoretical part, I begin with defining the meaning of feedback. Following, I introduce topics that include: feedback in social communication, feedback in the process of directing work performance and work motivation. In the second empirical part, I present research conducted with the use of qualitative methodology, where the reader can view the discussed problematic from the perspective of subordinate (bedside nurses/assistive personnel) and superior (charge nurses) personnel. Key words: feedback, social communication, work performance, medical non-doctor personnel, bedside nurse, assistive personnel, healthcare, nursing, work motivation