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Human resources management in selected hospitals in the CR.
LHOTSKÁ, Martina
Human resources management, that is the management of the most valuable thing hospitals possess, is currently a much debated issue. Human resources are the key factor for success in all activities a medical facility deals with. The theoretical part provides the readers with information concerning the issue of human resources management in general; the paper focuses on individual SAK CR standards relating to human resources management. The second part is devoted to research, which took place in two stages. It was a qualitative and quantitative research. In the qualitative part, we addressed the deputy managers of nursing care from selected hospitals, with whom we had semi-structured interviews. The questions for the interviews were based on the SAK CR standard on human resources management. Ritchie and Spencer framework analysis was used for processing the qualitative data. After processing the talks, the quantitative part of the research was prepared. We defined hypotheses; we developed a questionnaire for nurses working in the above-mentioned hospitals for the verification of the hypotheses. The entire survey was carried out in January - March 2010. The main objective of the survey was to map the compliance with the SAK CR standards in human resources management of nursing care in the selected hospitals. Based on the master objective, we identified seven sub-goals: 1. To determine whether the hospitals define the number of qualified staff needed to ensure adequate nursing care for their patients and a plan to develop the qualifications of the nursing staff. 2. To determine whether the hospital keep individual files for each member of their nursing. 3. To map whether the hospitals have a job description for each nursing care worker corresponding to their qualifications. 4. To determine whether nursing care workers are trained with respect to their positions at the beginning. 5. To map whether the hospitals define clearly general competences for nurses. 6. To determine whether the hospitals carry out training of their nursing staff on OSH. 7. To map whether the hospitals monitor in an appropriate form the satisfaction of their nursing staff. All the objectives of the paper have been met. Hypotheses H1: The hospitals plan a sufficient number of qualified nursing staff, H2: the nursing staff is enabled continuous training for skills upgrading, H4: Each nursing care worker knows their job description their corresponds to their qualification, H5: The nurses are familiar with the aspects of the adaptation process of new employees, H6: The nursing staff knows the determined scope of their competence, H7: The hospitals carry out the training of their nursing staff in OSH, and H8: The employees are free to express their views on satisfaction with their jobs at least once a year, have been confirmed. The nurses believe that the number of nursing staff in their departments is sufficient; they have the opportunity to participate in lifelong learning but they must bear the expenses themselves. Nurses know their job description and they observe it and they know the scope of their competences as well. The nurses have information about the existence, duration and method of completing the adaptation process of new employees. The nurses confirmed that regularly participate in OSH training, and they have an opportunity to express their satisfaction with the job at least once a year. Only one hypothesis, H3: Each member of the nursing team has some knowledge about their personal file, has not been confirmed. The nurses are unaware of the documents contained in their personal files, and they do not know where their personal files are stored. This paper may be useful to members of nursing teams who would like to learn more about the issue of human resources management with regard to the SAK CR standard.
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Interaction between nurses and volunteers at hospital
LHOTSKÁ, Martina
Volunteering has not started to develop in the Czech Republic until 1989. It has reached also hospitals where volunteers come to see hospitalized patients to cheer them up and to assist at the daily routine. The main role of medical staff is to meet all patients´ needs {--} biological, emotional, social and spiritual ones. It is volunteers who help a lot in fulfilling this duty. The thesis is focused on the cooperation between staff nurses and volunteers in hospital.The theoretical part of the thesis deals with the history of volunteering, all the steps of the procedures leading to competence of treating patients. In the practical part the quantitative research is used. The first objective was to examine attitudes of staff nurses towards volunteers, i. e.if staff nurses consider volunteers´assistance to be of great benefit to patients. The second objective was to learn how volunteers assess staff nurses´ attitudes to their activities in hospital. To gather data questionnaires for staff nurses as well as volunteers were made up. The research was conducted in January and February 2008 in six nursing units in four hospitals in the regions of South Bohemia and Vysocina. According to the results of the research staff nurses largely appreciate volunteers´ assistance. Despite of that fact there were several averse responses on the part of staff nurses that may be the result of lack of information available. According to the feeling of volunteers themselves their concern in nursing is highly appreciated by most staff nurses. Of course, there is a lot to improve to achieve general satisfaction in this area. The research also includes an interview with a contact person between the two groups involved in the care for patients. The contact person´s view of the cooperation between staff nurses and volunteers is favourable. But there are still some difficulties in introducing the volunteer program into hospitals. The contact person is competent to give advice how to prevent possible misunderstandings between the medical staff and volunteers and mainly how not to discourage devoted volunteers from their service. The results of my research were requested by hospitals in Pelhrimov and Jihlava. They may be also provided to any health care facility interested in introducing the program called Volunteers in hospital into practice. This may help them to get valuable information from health care facilities experienced in volunteering.
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