The objective of the submitted study was to find out and assess the specifics of transcultural features, rules and cultural patterns at dying and death in selected minorities in the Czech Republic in relation to nursing care, and to describe the experience of nurses with transcultural nursing and to evaluate the possibilities of using the Transcultural Assessment Model Joyce Newman Giger and Ruth Elaine Davidhizar and the Conceptual Model of Cultural Competencies Larry D. Purnell in transcultural aspects, rules and cultural patterns of dying and death in selected minorities in the Czech Republic. The stated objectives were achieved by a combination of qualitative and quantitative research methods, which were part of the research conducted with the financial support of the Grant Agency of the University of South Bohemia (GAJU) in České Budějovice within the team grant project called "Using Conceptual Models in Clinical and Community Practice ", No 048/2015/S. In the first part of the research, a pre-research with 50 informants was carried out by a semi-structured interview technique, each time with 10 representatives of Judaism, Christianity, Buddhism, Islam and atheism. The main objective of the pre-research was to specify the key data for answering research questions and for creating a self-constructed questionnaire that served together with the standardized DAP-R (The Death Attitudes Profile - Revised) questionnaire to complete quantitative data that analyzed the results of 1 700 respondents. The results of the pre-research study became the basis for the nursing documentation proposal, which was verified in the next phase of the qualitative research in a focus group interview, in which 35 nurses from clinical and community practice were involved. Based on the results of the pre-research study, it was found that the care of the dying and the dead is based on traditional values of human life. Informants demand that nurses have 7 virtues in the form of humility, generosity, compassion, peacefulness, chastity, temperance and activity, enriched with respect for human dignity, love, empathy and understanding. Quantitative research has shown that there is a statistically significant difference in transcultural features, rules and cultural patterns in the period of dying and death, depending on religion or personal belief, in which the degree of subjective identification with a religious belief or a personal belief plays an important role. According to the results of the investigation, it is obvious that de-taboooization of dying and death, as well as contact with the dying person and the deceased, greatly contributes to reconciliation with our own mortality. The results have also shown the presence of lower fears of death in women than men, which can also be seen from the results of the DAP-R questionnaire, which show that there is a statistically significant difference in the welcome acceptance of death by gender. The welcome acceptance to death is more expressed in believers than non-believers people. The focus group with nurses appears to have revealed the absence of cultural competencies that can greatly influence the quality of life of dying people and their families. The research study provides a comprehensive view of transcultural features, rules and cultural patterns in selected minorities in the Czech Republic. Based on data analysis, a nursing anamnesis, which can be an appropriate tool for the continual quality improvement of provided care, has been created. In view of the above mentioned, the research study is beneficial both for increasing theoretical knowledge of nursing and for clinical and community practice.
| Identifer | oai:union.ndltd.org:nusl.cz/oai:invenio.nusl.cz:364811 |
| Date | January 2017 |
| Creators | MAŇHALOVÁ, Jana |
| Source Sets | Czech ETDs |
| Language | Czech |
| Detected Language | English |
| Type | info:eu-repo/semantics/doctoralThesis |
| Rights | info:eu-repo/semantics/restrictedAccess |
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