Abstract The Giger and Davidhizar Transcultural Assessment Model. Because of the globalization we live in the world where {\clqq}the borders are getting closer`` which also means to live our lives in more multicultural society. That is why a nurse must react to modern nursing care and must be well prepared to cope with specific problems of various communities in their health and illnesses. In my diploma work we deal with transcultural evaluation of nursing care according to the J. N. Giger and R. Davidhizar Nursing Care Models. These models are about regardful and tailored care which we apply to members of Vietnamese community living in the Czech Republic. The theoretic part contains problems of the globalization, migration of foreign people, transcultural nursing, the Giger and Davidhizar nursing care models, information about Vietnam and the model application to members of Vietnamese community living in the Czech Republic. In the practical part we created standard of nursing care named Nursing of Vietnamese patient/client in health care institutions and we are interested in its using in the working practice. Then we found out opinions of people working in health care institutions who work with this standard and found out expectation of Vietnamese patients/clients hospitalized in health care institutions whose findings could help with prevention of hospitalization problems. The goals of the work: 1. Using of modification the Giger and Davidhizar nursing care models with giving care to Vietnamese people in health care institutions 2. To find out cultural changes in nursing process and their influence on behaviour of Vietnamese people in an illness 3. To identify problems and expecting of hospitalized Vietnamese people The research was conducted with the help of quasiexperiment and interview in the Regional Hospital Příbram. We addressed 10 nurses and 6 Vietnamese patients/clients. We must point out that in the year 2007 only 6 Vietnamese people were hospitalized there. The goals of the work were achieved. We hope that our work may help to increase quality and efectivity of the nursing care given to Vietnamese people.

Cultural anthropology as a scientific field studying diverse cultures has been incorporated into the field of nursery and it helps medical professionals to acquire specific cultural information enabling them to provide appropriate, efficient, individually-based care, support in health as well as in illness to the individuals and communities from a different cultural environment. The Czech Republic carried out investigation of diverse ethnic groups but did not implement investigation of the specific needs of the Polish minority group. The objective was focusing on mapping the approach of the Polish nationals to their health, on identification of their lifestyle, their approach to prevention, their attitude to home care and the specifics in the approach to dying. Hypotheses: H1 Statistically, the Polish minority group population with higher education shows better results in their approach to their health than the Polish minority group population with elementary education. H2 Younger women of the Polish minority group population with elementary education are more prone to agree with the statement on importance of attending preventive examinations by gynecologist than older women. H3 Based on the statistical assessment the Polish minority group population with higher education gives higher preferences for preparation of meals and catering based on both cuisines (Czech and Polish) than with elementary education. H4 Men of the Polish minority group population occasionally consuming alcohol are statistically significantly prevailing over women of the Polish minority group population occasionally consuming alcohol. H5 The older Polish minority group population has higher frequency of activities with the family than the younger Polish minority group population. H6 The confession of faith of the Polish minority group population significantly affects their approach to abortion compared to the nonbelieving population. H7 Older women of the Polish minority group population give more frequent preference to home care services than men of the Polish minority group population. H8 Women of the Polish minority group population more frequently require attendance of family members when dying than men. Methodology: The research part of the work was carried out by the method of quantitative research investigation. The selected set consisted of 277 persons. The results: 94,90 % of the respondents agree that they take care of their health. However, H1 regarding approach to health was not confirmed. By comparing the results of the investigation we found out that more than 75 % of the respondents take proper prevention in all cases. H2 focusing on prevention was confirmed. The level of consummation of vegetable and fruit in case of the Polish national minority group is higher than the level of the Czech population. H3 was confirmed by testing. H4 connected with consummation of alcohol was not confirmed. This was confirmed in the research investigation; however, H5 was not confirmed. The result of 88.40 % respondents who confessed their faith has not impacted the result of H6 which was not confirmed. The objective of the work included also identification of the attitude and experience with home care agency which was indicated by 46.60 % respondents. H7 was not confirmed. We were surprised by the identified attitude of the respondents to their faith in live after death, to attendance of family members or a priest in case of dying when in all cases more than 20% respondents responded that they did not know. H8 was not confirmed by testing. Conclusion: The thesis gives a summary of information on the Polish national minority group living in the Těšín region of Silesia. The final thesis outlines a proposal for a Standard of nursery care of the Polish national minority group. The results of the research investigation will be also presented at conferences. This thesis may be used by students of the nursery field as a teaching material.

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.

In my thesis I deal with the issue: What is allowed and what is forbidden in nursing an Islamic believer. I have chosen this topic because it is a very interesting and topical issue. In the Czech Republic area great changes in terms of the population composition have occurred recently. The number of foreigners of various cultural backgrounds, religions and custom practice has increased and thus the need of multicultural nursing has risen. Therefore it is necessary to find out if we are ready to care for patients who are Islamic believers. The number of Islamic believers in our country is growing constantly and they are not only tourists and foreigners but also Czech converts. Due to the extensive and comprehensive character of the issue the theoretical section of the thesis was divided into three parts. The introduction is focused on basic information on multicultural nursing. The transcultural model of nursing by Gigerova and Davidhizarova was used both for a special part of the theory and in the research part for developing the processual standard. The second part in focused on general information on Islam, i.e. on the history of the origination of the religion, its history in our country and on the principles of Islam. The special and most substantial part is dedicated to nursing specifics in the care for these patients, such as food, hygiene, family life, the issue of life saving interventions and the issue of death. On the basis of the model mentioned above nursing evaluation was carried out. In the practical section four objectives were stated: to learn nurses´ knowledge of the issue, to examine the conditions in hospitals in terms of nursing care for Islam believers, to find out if the attitude of the medical staff is influenced by prejudice against Islamic believers and to establish nursing standards in the care for Islam believers. The objectives were stated under assumption that nurses in the South Moravian region are better informed than nurses in the South Bohemian region and conditions in South Moravian hospitals are better adapted to the needs of nursing care for Islamic believers. The other assumption were that nurses´ attitude to care for Islamic believers is influenced by prejudice and also that the nursing standard development is considered to be benefiting for providing these patients with a complex nursing care. The research was conducted in the South Bohemian and South Moravian regions by using questionnaires handed out to nurses. I can say that the objectives were achieved, the first three hypotheses were not confirmed and the fourth, relating to the benefit of the nursing standard, was confirmed.

This thesis deals with the problems concerning cross-curricular subjects, in particular focusing on Multicultural Education and Moral, Character and Social Education, their defining in the Framework Education Programme for Elementary Education. Furthermore, it outlines the possibility of their interconnection in a concrete project with the topic of Romany. This thesis is based on the conviction of the importance of the transcultural approach to the Multicultural education in practise. It also deals with the character of a teacher mainly in the relation to the above mentioned cross-curricular subjects. The main objective of this thesis is the actual realisation of the project in two selected schools. The project has already been put forward in my bachelor thesis. I committed myself there to the realisation of the project in practise and for that purpose the project itself had to be adjusted, namely shortened due to its time demandingness. The actual evaluation of the project is also a part of the practical section of this thesis.