Injuries in children have been undoubtedly a threat for all parents, healthcare professionals and the children themselves for many years, but the children often do not have the possibility to even realize this threat. Just in moment too fast, they enter the turmoil of prehospital care and become patients, victims of their own play or due to the lack of attention of others, or even victims of adults. Burns or the so called thermal injuries are very common mechanisms of injuries in children. In our diploma thesis, we decided to focus on thermal injuries from the viewpoint of those who are the first to come in contact with the patients, and who must evaluate the given trauma and initiate treatment based on the evaluation. In particular, this applies to the personnel of emergency medical services, and also to the graduates of the Faculty of Health and Social Studies, University of South Bohemia in České Budějovice (USB FHSS). These persons should also be the ones to be aware of how burn injuries are evaluated in children - given among others that many of them are often found in the position of healthcare personnel at children´s camps or nurse at offices of general practitioners for children and adolescents. The following hypothesis was formulated based on consultations with the professional public (MUDr. Robert Zajíček, Burn Medicine Department, University Hospital Královské Vinohrady): ?Education of healthcare personnel of emergency medical services and USB FHSS graduates is inadequate, being a potential source of errors in the provision of prehospital care?. Based on this hypothesis, objectives of the diploma thesis were set as follows: Objective 1: Determine the knowledge status and practical skills in respect of evaluating 6 essential burn factors amnog emergency medical service personnel and USB FHSS graduates. Objective 2: Develop an educational material on prehospital care in children with burns.

This thesis deals with the success of manual and instrumental resuscitation. In the theoretical part of the thesis summarizes the history and organizational structure of emergency medical services Pardubice region, description of the Lucas chest compression and theoretical formulation of the problem. The practical part is focused on the evaluation of a set of data that are selected from the total number of trips EMS crews Pardubice. The selected file refers to cases NZO exits and their distribution in the subsequent resuscitation manual or instrument. Describes the percentage will compare their success with the use of the results of individual bases EMS ambulance crews Pak.

Submitted by Luciana Ferreira (lucgeral@gmail.com) on 2017-05-18T11:35:00Z No. of bitstreams: 2 Dissertação - Nara Lília Oliveira Arruda - 2017.pdf: 1415739 bytes, checksum: 48cd639b4a03f2c5f99a2ff058045ea3 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2017-05-18T11:35:52Z (GMT) No. of bitstreams: 2 Dissertação - Nara Lília Oliveira Arruda - 2017.pdf: 1415739 bytes, checksum: 48cd639b4a03f2c5f99a2ff058045ea3 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Made available in DSpace on 2017-05-18T11:35:52Z (GMT). No. of bitstreams: 2 Dissertação - Nara Lília Oliveira Arruda - 2017.pdf: 1415739 bytes, checksum: 48cd639b4a03f2c5f99a2ff058045ea3 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2016-12-19 / This study aimed at analyzing users' perception due to safeness of health care offered by professionals in an emergency and urgency unit of a university hospital in Midwest of Brazil. The population was composed of 100 patients who met pre – established criteria for research. This is a cross-sectional, descriptive, quanti-qualitative study. The data were collected from May 31 to August 30, 2015 through interviews, guided by a semi-structured adapted and tested tool. The quantitative data were entered in the Statistical Package for The Social Science (SPSS) version 20.0 and analyzed, descriptively, by means of simple and absolute frequencies. For qualitative analysis, Bardin content analysis was used. The results showed that 53.0% of the patients were females from 19 to 84 years, an average of 50.6 years. Regarding the care, 100% were of urgency for clinical treatment. 99% of the patients were satisfied with the care received, and 99% felt safe with professionals care; 96% had no problems during the period they remained in the emergency and urgency unit. As a safe conduit, they pointed out that 99% of the professionals confirmed the name before any procedure and 89% clearly explained the procedures; 86% were advised on possible complications; 93% reported that professionals showed skill in performing procedures; 69% that professionals always consulted the prescription before the procedure. Regarding the occurrence of errors, 97% would like to be informed about the occurrence of errors during the treatment, even if, it did not cause damage; 80% relied on the team and judged they were unable to anticipate the possible error in care. Patients' satisfaction with the care and rehabilitation of the emergency and urgency services was considered an important indicator of assistance quality in emergency and urgency units in the hospital. It is expected that this study contributes to the formulation and enhancement of educational actions as a strategic way to reach and / or strengthen patient satisfaction with care security, as well as, for the policies elaboration that subsidize the formation of a culture decreasing the risks of hospitalization and ensuring improvements in care quality in emergency and urgency units in local and national context. / Este estudo objetivou analisar a percepção dos usuários quanto a segurança no atendimento em saúde, oferecida pelos profissionais, em uma unidade de urgência e emergência de um hospital de ensino do centro-oeste brasileiro. A população foi composta por 100 pacientes que atenderam aos critérios pré-estabelecidos para a pesquisa. Trata-se de um estudo transversal descritivo, de natureza qualiquantitativa. Os dados foram coletados de 31 de maio a 30 de agosto de 2015 por meio de entrevistas, norteadas por um instrumento semi estruturado, adaptado e testado. Os dados quantitativos foram inseridos no Statistical Package For The Social Science (SPSS) versão 20.0 e analisados, descritivamente, por meio de frequências simples e absolutas. Para análise qualitativa, foi utilizada a análise de conteúdo de Bardin. Os resultados mostraram que 53,0% dos pacientes eram do sexo feminino com idade variável entre 19 e 84 anos, com média de 50,6 anos. Quanto ao atendimento, 100% foram de urgência para tratamento clinico. 99% dos pacientes demonstram-se satisfeitos com o atendimento recebido e, 99% sentiram-se seguros com o atendimento dos profissionais; 96% não tiveram problemas durante o período que permaneceram na unidade de urgência e emergência. Como condutas seguras, destacaram que 99% dos profissionais confirmam o nome antes de qualquer procedimento e 89% explicaram claramente os procedimentos; 86% foram orientados sobre possíveis complicações; 93% referiram que os profissionais mostraram habilidade na realização de procedimentos; 69% que os profissionais consultavam sempre a prescrição antes do procedimento. Quanto à ocorrência de erros, 97% gostariam de ser informados sobre a ocorrência de erros durante o tratamento, mesmo que, não causasse dano; 80% confiavam nos profissionais que prestavam cuidado e julgaram não ter condições para se antecipar ao possível erro durante o cuidado. A satisfação dos pacientes sobre o atendimento e cuidados recebidos no serviço de urgência e emergência foi considerada um importante indicador de resultado da qualidade da assistência nas unidades de urgência e emergência do hospital. Espera-se que este estudo contribua para a formulação e potencialização de ações educativas como um caminho estratégico para o alcance e/ou fortalecimento da satisfação do paciente com a segurança assistencial, bem como, para elaboração de políticas que, subsidiem a formação de uma cultura de segurança, minimizando os riscos da internação e garantindo melhorias na qualidade do cuidar nas unidades de urgência e emergência no contexto local e nacional.

Made available in DSpace on 2016-03-15T19:34:31Z (GMT). No. of bitstreams: 1 Emanuel Zinsly Sampaio Camargo.pdf: 411165 bytes, checksum: 4a0228dbc48aed64446315f7afe90b86 (MD5) Previous issue date: 2007-09-27 / There are many discussions concerning the problem that involves the subject access to the justice . Effectiveness of the process represents one of elementary of the access to justice or the said jurisprudence joust . The effective process is that one that provides to the parts the material result desired, with the transposition of innumerable obstacles that if can glimpse, in special the pernicious effect of the time. We can reached effectiveness of the process by means of the concretion of the norm abstract foreseen in a reasonable time not to generate the discredit in the Judiciary Power, nor the uselessness of its provisions or extinction of the good that if it yearns for, as well as of form if guaranteeing the essential rights of the individual legal defense, contradictory and legal security. In this form we glimpse that the said urgent guardianship , forms of access to the jurisdiction surpassing the pernicious effect of the time on the State guardianship, together with other ways, such as the instrumentalidade, the judiciary assistance, etc., are of extreme importance for the guarantee of concretion of the principle of the effectiveness and the effective access to justice, so acclaimed and searched for the society. / Muito se discute acerca da problemática que envolve o tema do acesso à justiça . Temos que a efetividade do processo representa uma das elementares do acesso à justiça ou a dita ordem jurídica justa . O processo efetivo é aquele que proporciona às partes o resultado material desejado, com a transposição de inúmeros obstáculos que se podem vislumbrar, em especial os efeitos perniciosos do tempo. Alcança-se a efetividade do processo por meio da concretização da norma abstratamente prevista, em um tempo razoável, para não gerar o descrédito no Poder Judiciário, nem a inutilidade de seu provimento ou perecimento do bem que se anseia, bem como de forma a se garantir os direitos essenciais do indivíduo a ampla defesa, contraditório e segurança jurídica. Assim é que vislumbramos que as ditas tutelas de urgência , formas de acesso à jurisdição, superando os efeitos perniciosos do tempo sobre a tutela estatal, juntamente com outros meios, tais como a instrumentalidade, a assistência judiciária, etc., são de extrema importância para a garantia de concretização do princípio da efetividade e do efetivo acesso à justiça, tão aclamado e buscado pela sociedade.

Patient perceptions of health care quality are critical to a health care service provider's long-term success because of the significant influence perceptions have on customer satisfaction and consequently organization financial performance. Patient satisfaction affects not only the outcome of the health care process such as patient compliance with physician advice and treatment, but also patient retention and favorable word-of-mouth. Accordingly, it is a critical strategy for health care organizations to provide quality service and address patient satisfaction. The urgent care (UC) industry is an integral part of the health care system in the United States that has been experiencing a rapid growth. UC provides a wide range of medical services for a large group of patients and now serves an increasing population. UC is becoming popular because of the convenient locations, extended hours, walk-in policy, short waiting times, and accessibility. A closer examination of the current health care research, however, indicates that there is a paucity of research on urgent care providers. Confronted with the emergence of the urgent care industry and the increasing demand for urgent care, it is necessary to understand how patients perceive urgent care providers and what influences patient satisfaction and retention. This dissertation addresses four areas relevant to the above mentioned issues: (1) development of an instrument to measure perceived service quality in the urgent care industry; (2) identification of the determinants of patient satisfaction and behavioral intentions; (3) empirical examination of the relationships among perceived service quality, patient satisfaction and behavioral intentions; and (4) comparison of the perceived service quality across several primary urgent care providers, such as urgent care centers, hospital emergency departments, and primary care physicians' offices. To validate this new instrument and examine the hypothesized relationships proposed in this study, an electronic web based survey was designed and administered to college students. Both exploratory and confirmatory factor analysis were employed to assess the reliability and validity of the developed instrument. The contextualized relationships were evaluated using structural equation modeling. The results of this research could potentially contribute to urgent care management and quality improvement.

(v AJ) Introduction to Issue: The examined issue of the thesis is the influence of burnout and its development on the sexuality of women in health care in emergency care. Since there are a few nurses working in hospital facilities, I think they are in great danger of burnout. Therefore, it is necessary to investigate this issue and discover possible solutions to avoid burnout. The objective of the thesis is to find out whether burnout syndrome and its development influence the sexuality of non-medical health workers. Methodology: The research was conducted by means of a quantitative method using the online questionnaire on the website Ošetřovatelství.info. The data were collected using two questionnaires, the first focused on burnout (the Czech version of the Shirom and Melamed scale) and the second, which investigated the sexual function of the respondents (KRATOCHVÍL, Stanislav. Treatment of Sexual Dysfunctions). All nurses and female paramedics working in intensive care were included in the research sample. Results: The results were processed in Microsoft Excel and the resulting averages in each region were compared with one another. The total research sample is 110 nurses and female medical rescuers. The actual data confirm the effect of burnout on the sexuality of women working in intensive...

and keywords Urgent and unrepeatable acts Urgent and unrepeatable acts are procedural acts of criminal proceedings in which there is a conflict between the rights of the defense with the purpose of criminal proceedings consisting in the lawful determination of the circumstances of the commission of a crime and in the fair punishment of its perpetrator. This conflict is tolerated because urgent and unrepeatable acts are used to secure and take evidence that risks being thwarted, destroyed or lost, or evidence that cannot be taken in court proceedings. The aim of this work is to describe and analyze the conditions under which these, by their nature exceptional, acts of criminal proceedings can be performed and to analyze the consequences of non-compliance with these conditions. To this end, the first chapter described the structure of criminal proceedings with a focus on the structure of preparatory proceedings and analyzed the definition of urgent and unrepeatable acts, provided some typical examples and an analysis of the problematic definition of urgency. In the second chapter, in addition to the general conditions of evidence, the formal and material conditions for performing urgent and unrepeatable acts were analyzed, including the question of whether some additional conditions imposed on...

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Acknowledgement: "My sincere thanks to my supervisors Julie, Alison and Christina" - Identified Julie and Alison from the Department staff webpages - sm 26/02/2019 / There is little research investigating factors that facilitate or inhibit timely access to palliative care medicines from community pharmacies. Though palliative care is recognised within the UK government’s strategy and community pharmacists are considered to have a role it is uncertain to what extent this aim is incorporated into local practice. This thesis uses mixed methods to investigate the time taken to access palliative care medication from five community pharmacies in one area of England. The effect of prescription errors, stock availability and other factors is examined. Furthermore, semi-structured interviews with five community pharmacists and eleven other healthcare professionals explore medication access and the community pharmacist’s role in palliative care using the Framework method. Stock availability led to delays with one in five customers going to more than one pharmacy to get urgently required palliative care medications. Legal prescription errors were more common on computer generated prescriptions but did not lead to delays. Three subthemes were identified in accessing palliative care medicines: environment and resources; communication and collaboration; skills and knowledge. The community pharmacist’s role in palliative care was limited due to reluctance from other healthcare professionals to share information, poor access to patient records and lack of integration into the primary healthcare team. This study highlights implications for professionals, commissioners and providers to improve services for those trying to access palliative medication. Community pharmacies remain a largely untapped resource for supporting patients, relatives and carers towards the end of life in both cancer and other advanced life-limiting diseases.

There is little research investigating factors that facilitate or inhibit timely access to palliative care medicines from community pharmacies. Though palliative care is recognised within the UK government’s strategy and community pharmacists are considered to have a role it is uncertain to what extent this aim is incorporated into local practice. This thesis uses mixed methods to investigate the time taken to access palliative care medication from five community pharmacies in one area of England. The effect of prescription errors, stock availability and other factors is examined. Furthermore, semi-structured interviews with five community pharmacists and eleven other healthcare professionals explore medication access and the community pharmacist’s role in palliative care using the Framework method. Stock availability led to delays with one in five customers going to more than one pharmacy to get urgently required palliative care medications. Legal prescription errors were more common on computer generated prescriptions but did not lead to delays. Three subthemes were identified in accessing palliative care medicines: environment and resources; communication and collaboration; skills and knowledge. The community pharmacist’s role in palliative care was limited due to reluctance from other healthcare professionals to share information, poor access to patient records and lack of integration into the primary healthcare team. This study highlights implications for professionals, commissioners and providers to improve services for those trying to access palliative medication. Community pharmacies remain a largely untapped resource for supporting patients, relatives and carers towards the end of life in both cancer and other advanced life-limiting diseases.