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Determinants of nurses work on internal departments of the South-Bohemian region
SKOŘEPOVÁ, Jana
Basic theoretical background: The background of elaboration of this thesis was the fact that the perception of the occupation of a nurse has also changed remarkably with the requirements of the developing society. The present labour market mainly demands erudite, qualified general nurses that are able to work flexibly and independently under various conditions, to educate themselves independently, and to absorb new experience. The introduction of the theoretical part deals with more detailed identification of nurses' work and focuses on the individual attributes affecting nurses' work, like education, job contents and competences. One of the chapters also focuses on the personality traits necessary for the job of a nurse and on the organisation of work at internal medicine departments. The second part of the theoretical work then analyses the main determinants of the work. The aims of the thesis, questions and hypotheses: Three aims were set to meet the main purpose of the thesis. Aim 1: To identify the main determinants of the work of general nurses at internal wards. Aim 2: To map satisfaction among nurses from internal wards of the South Bohemia Region. Aim 3: To map the burnout syndrome among nurses from internal wards of the South Bohemia Region. Four research questions were asked in the qualitative research part to achieve the aims. RQ 1: What are the work determinants most often mentioned by the nurses? RQ 2: Are nurses satisfied with their work conditions? RQ 3: What motivating elements have the nurses experienced during their practice? RQ 4: How are nurses informed of the burnout syndrome phenomenon? Five hypotheses were consequently set for the quantitative research. H1: Nurses with tertiary education identify poor organization structure as the most important determinant of their work more than those without tertiary education. H2: Nurses with tertiary education perceive lifelong education as a motivating element for improvement of nursing care quality more than those without tertiary education. H3: Nurses with 10-year or shorter experience in internal medicine express the feeling of satisfaction with their work more than nurses with longer than 10-year experience in internal fields. H4: Nurses with 10-year or shorter experience in internal medicine express satisfaction with their working conditions more than nurses with longer than 10-year experience in internal fields. H5: Nurses with longer than 10-year experience have more experience with the burnout syndrome occurrence than nurses with 10-year or shorter experience. Methodology: Both the qualitative and quantitative data collection techniques were used in this thesis. The results for the first phase of the empiric research were obtained by means of semi-structured interviews led with twelve general nurses working at internal medicine specialized departments of four hospitals of the South Bohemia Region (České Budějovice, Tábor, Prachatice, Jindřichův Hradec). The results of the research were consequently analysed and categorized. The second part of the empiric research contains the results of the quantitative research based on data obtained by an anonymous questionnaire designed for general nurses working at internal medicine specialized departments of hospitals of the South Bohemia Region (České Budějovice, Tábor, Prachatice, Jindřichův Hradec, Písek, Strakonice, Český Krumlov). The obtained data were then classified, described and processed first by descriptive statistics into graphs by means of Microsoft Office Excel 2010 and statistical evaluation of the hypotheses was consequently performed. The hypotheses were tested by the chi-square test in a contingency table. The chosen significance level was 5 %.
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Nursing care of the patients with chronic pancreatitis
SKOŘEPOVÁ, Jana
Chronic pancreatitis is a serious disease, which despite the rapid development of diagnostics and treatment is often diagnosed in late stages. The disease cannot actually be cured, but change of lifestyle and adherence to diet regimen can influence not only the disease course and progression, but also occurrence of complications. This thesis deals with the problems of nursing care of patients with chronic pancreatitis, with the level of awareness of the disease and the regimen measures among patients. It also monitors willingness and ability of respondents to accept the change of lifestyle and diet habits. The goal of the thesis is to find out the specifics of nursing care of clients with chronic pancreatitis. Qualitative research methods were applied in the empiric part of the thesis to achieve the goal.The research was performed in clients with chronic pancreatitis visiting the gastroenterology outpatient department of Tábor Hospital and a group of ten respondents at different stages of the disease were subject to the research. Their selection was conditioned by their willingness to participate in the research and to cooperate. A semi-structured interview was conducted with each respondent. Thorough study of these problems and the results of the research led to a brief and clear information brochure for people suffering from chronic pancreatitis as the output of the activities. This manual should serve as a summary and specification of information, which the patient can read at home without fuss after being educated orally. With regard to the achievements of our work we would like to make this work and its results available to the nursing care public as much as possible. We hope that the results of our work will increase interest in this issue among professionals and will address further workers willing to participate in its solution
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