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Operation was successful, patient died. Ethnography of a resuscitation unit
Jurigová, Martina ; Stöckelová, Tereza (advisor) ; Hrešanová, Ema (referee)
This thesis is a result of more than a three year long ethnographic research of a resuscitation unit of a Czech hospital where I have been employed as a general nurse. I describe the character of provided care and show that medical care is not simply an answer to patient's needs and interests but it is shaped by wide range of different motives and factors which are often in mutual conflict. Not infrequently it is the case that interests of health care providers are preferred to patient's interests. I discuss situations when doctors are forced to act more as good accountant managers than physicians, which might often be in conflict with the idea of good care, and I show how care is negotiated in these situations. I also focus on relationship of medical technologies and its users, some ritualized elements of care and in conclusion explain an apparent paradox that care can be evaluated as successful even if it didn't lead to improvement of the patient's condition or her survival. Keywords: health care, medical technologies, objectification, medicine, rituals in health care
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Personal requirements which determine effective communication of Health Rescuer in critical situations.
JURIGOVÁ, Martina
Communication is crucial in the relationship between a health worker and a client since the health worker can gain a comprehensive impression of the client and appreciate him/her as a bio-psycho-socio-spiritual creature. However, health workers face increasing requirements today for communicative competency, which are even greater with the increasing interest of the media in their profession. In terms of prehospital care, the requirements for Health Emergency Service workers are even greater, since they often work in improvised conditions and under time constraints. Consequently, my essay deals with personality qualities which are a precondition for effective communication in the Emergency Service. The survey was conducted using a quantitative method in a questionnaire sent to Emergency Service workers in Teplice and Ústí nad Labem, the non-professional public and non-professionals who in the past had been treated by the Emergency Service. The objective of my essay was to contribute to the development of communicative competency of Emergency Service workers using a survey monitoring their dominant communication competency and comparing their opinion and that of the public. The first hypothesis I stipulated in the essay was that emergency health workers find that stamina, the ability to improvise and consistency are necessary personality qualities which encourage effective communication of a health worker in emergencies. This hypothesis proved true, since more than 75% of respondents marked all these qualities with the highest rating. The second hypothesis stipulated by me anticipated that the non-professional public finds the readiness to take risks, courage and empathy are necessary personality qualities which are the main precondition for effective communication of health workers in emergencies. More than 85% of respondents marked all these qualities with the highest rating, so the hypothesis was proved, too. The third hypothesis stipulated the premise that emergency health workers show interest in further education in professional communication with a patient. It was proved too, as 64% of respondents answered yes. My suggestion for improving the communication competency of emergency health workers is to put more emphasis on their attending training courses in professional communication and more frequent events focused on professional communication with patients.
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