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Mentally challenging moments of intensive care's nurse
Myslivcová, Klára ; Heczková, Jana (advisor) ; Kratinová, Zuzana (referee)
The profession of general intensive care nurse is specific in its high demands on physical, technical, ethical and mental abilities of each individual. The thesis focusses on the mental stress of the nurse, analyses potentially high-risk professional situations the nurse encounters and proposes methods for their management. The topic of mental stress and its handling has, and will, have important impact on the field. The goal of the thesis is to map the psychologically challenging situations that all of the 129 nurses approached in a smaller local medical facility considered as difficult to handle and thus have impact on their ability to cope with a demanding job. The situations are defined and evaluated using predefined hypotheses. The results of an anonymous quantitative questionnaire clearly show that the largest levels of stress and discomfort are caused by situations which are "directly connected to medical care provided by the general intensive care and accident and emergency nurse". The least discomfort is perceived in situations described as "indirectly connected to intensive care / A&E nurse duties", such as irregular working patterns and work during public holidays. The results are presented in a graphical form. We conclude by observing that unlike large-scales studies that commonly...
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Physical and psychological stress for nurses in intensive care
Hroudová, Šárka ; Eislerová, Iva (advisor) ; Marunová, Alice (referee)
A profession as a nurse is one of the most responsible and the most hazardous jobs. According to the statistic data a discipline of health care has the great number of "occupational diseases" cases and they are caused by overdone physical load and mental stress. The thesis targets are the assessments of the load related to the type of work, the awareness of nurses about the prevention against the undue physical load and the mental stress, the motivation and the satisfaction for the nurses at their work. The important parts are the options for a prevention and a reduction of the load and the methods of relaxation and rest. I used two types of questionnaires for my research, the first one was non standard which was focused on the individual targets and the other one was the standard Maslach Burnout Inventory questionnaire focused on finding a degree of burnout in individual cases. The research was carried out in General University Hospital and in Thomayer University Hospital in Prague. There were compared two departments- a department of internal medicine and a department of surgery in intensive care. The conclusions of my research are: H1: the increased level of load was found in both cases, in the department of internal medicine is dominant the mental stress and in the department of surgery it is...
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Mental stress in college students
BLECHOVÁ, Romana
The thesis deals with an incidence of mental stress of college students. The thesis is not only focused on the present, but also on the degree of mental stress and the factors that affect the degree of stress. The first objective is to analyse the incidence and impact of mental stress at students of the faculty. A partial objective is to describe the relation of physical activity and mental load, as many authors state that physically active individuals are mentally more resistant. Furthermore, to determine how many students suffer from a particular degree of depression and whether students sought professional help. The practical part deals with the analysis of individual questions from the questionnaire, which are graphically presented in the form of graphs. In this section it is also stated the evaluation of standardized part of the questionnaire, the division of students into groups according to the SDS index and evaluation of hypotheses using statistical processing by method of multiple regression analysis by using the freely available Gretl program. For the purposes of the research two hypotheses were formulated: H1: Mental stress is present at the first-year students of bachelor's degree. H2: The degree of mental load varies among physically active and inactive students. These hypotheses were statistically evaluated using multiple regression analysis in freely available Gretl program and according to the results they were confirmed or disproved. The results of this thesis can be used for the needs of the faculty, which can obtain a comprehensive view on the impact of the faculty environment on the students' mental status. Studying at university is not only an instrument to gain professional knowledge and qualification in the field of study, but also the social environment where you can get a lot of contacts.
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Range load in the casualty department
SEMECKÁ, Barbora
This bachelor´s thesis looks at the range load in the casualty department. The nursing care is focused on working with people, especially with the sick and is highly demanding, both physically and mentally. When working as a nurse, it is required to be professional and also have the ability of dealing with the unexpected and difficult situations. The knowledge of nursing care and the specific care in the injury area are also very important aspects. Nurses hold a position of responsibility and other people rely on them, they have to be responsible and accountable for their own decisions and actions as well as the results of their work have to be flawless. Another very important point is the mutual collaboration between nurses and local doctors, because just with the mutual help effective and quality care can be achieved.Two aims have been established in this thesis. The first aim: To map out the range of the nursing load in the casualty department. The second aim: To find out if nurses feel more physical or mental stress. Two research questions have been posed. The first research question: What is the nursing load in the casualty department? The second research question: Do nurses in the casualty department perceive more the physical or mental load? The practical part of this bachelor thesis involves the result of the qualitative research investigation. The results have been obtained through a semi-structured interview, which had been realized with the help of nurses who work in the casualty department in the South Bohemian region. In total twelve nurses have been spoken to. All the informations was completely anonymous and all of the respondents had the chance to reject being part of this interview. This interview, which has been made in advance, contained 21 questions in general. The basic identification date have been abducted at the beginning.
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Mental and physical stress for nurses in anesthesiology and resuscitation department
MALÍSKÁ, Veronika
The subject matter of this bachelor´s thesis is a mental and a physical strain on nurses working at anaesthesiology-resuscitation ward (ARO). Nurses' work is generally regarded as extremely demanding both physically and mentally. Nurses at intensive care are exposed to very high demands that are for them mentally and physically strenuous. Daily encounter with human pain, suffering, dying and death. At the same time, the nurse is exposed to a high physical workload, especially in nursing care, which is associated with the constant handling of immobile patients or patients with very limited movement and unconscious people. A substantial part is also caused by an underpowered staffing, from which it follows overwork-overtime. The aim of this paper is to refresh awareness about these loads that are placed on nurses and also to point out the possibilities which are and options that can help nurses to prevent the consequences of mental and physical overload and reduce the burden to the lowest possible level. To meet the intent of the thesis, there were three goals set up. Goal n. 1: To determine, whether nurses working at ARO are using procedures to reduce physical stress. Goal n. 2: To determine, whether nurses working at ARO use the opportunity to protect health from mental stress. Goal n. 3: To determine, whether the level of psychological stress of nurses working at ARO is greater than the rate of physical activity. There were three research questions defined. Research question n. 1: Are nurses working at ARO using aids to reduce physical exertion? Research question n. 2: Are nurses working at ARO using available options to protect health against increased mental strain? Research question n. 3: Is the level of psychological stress for nurses working at ARO greater than the rate of physical activity? The research sample consisted of nurses working in Anesthesiology and Resuscitation (ARO) in hospitals in Písek, Český Krumlov, Tábor, Jindřichův Hradec and České Budějovice. A quantitative research has been used in order to achieve a practical result of the work . The method of quantitative data collection, using non-standardized anonymous questionnaire, has been used in order to obtain the information. The research showed that although the sisters´ work at ARO is very challenging so mentally so physically, which was proved by a high percentage of both types of drains, the rate of mental stress reached higher level in the research study, and so the research question of the degree of mental and physical stress of nurses at ARO has been answered. Another part of the research was about the possibilities of health protection against mental stress, both in terms of personal options of sisters and possibilities that nurses´ organization offers. This part showed that nurses use their personal possibilities of the mental hygiene methods and also options available for mental health offered by the organization. So the research question, whether nurses working at ARO are using available options to protect their health from increased psychological burden, has been answered. The last part of the survey dealt with tools and techniques which helps to reduce physical exertion for nurses working at ARO. The investigation revealed that nurses consider the material-technical equipment for workplaces as sufficient and that they use it. So the result is that the research question of whether nurses working at ARO use aids to reduce physical stress, has been answered. The outcome of the thesis, will be providing hospitals, where the research was conducted, the research results, mainly in order to increase the quality of work of the nursing team, to improve prevention of the health protection against excessive mental and physical stress in the workplace.
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Impact of the night work on the quality of life
BLAHOVÁ, Monika
The contents of bachelor thesis are named ?How Night Shifts Influence Quality of Life?. Shift work provides people with new jobs and wages. Work, during night shifts in particular, is usually evaluated with higher financial extras. Shift work, and particularly, work performed during night can have a negative impact on health of employees and their social and family life. Health problems are connected with irregular cycle of living. Humans naturally work during a day and relax at night. Biorhythm of a person working at night is different and some individuals hardly get used to this fact. Bad adaptable abilities of human body are the reasons for many health troubles, e.g. difficult concentrating, stomach illnesses, problems with blood circulation, and researches of some experts also recorded a higher risk of cancer occurrence. Shift work also influences social life of people, family routine and partnership. Young people often suffer from difficulty of finding a lasting partnership and parents working in shifts cannot spend much time with their families. Some employees of a company with the three-shift operation are chosen for the research. The company is involved in production of moulded pieces on injection mouldings. Approximately 126 employees work in three-shift operation, mostly women (app. 74%). 98 employees takes part in the research, from whom 77% are under 45 years old. The bachelor thesis contains theoretical and empirical parts. The theoretical part deals with the objectification of conceptions. There are ideas by many authors included, debating issues of night shift and three-shift operation and quality of living with regard to health of people, further to social relationship and partnership, and other similar issues. There are number of various impacts of night shift on the physical and mental side of human health and the influence of a night shift routine on the selected social aspects, particularly, on family and partnership. The empirical part contains my own findings of the analysis of research which is done to find the influence of night shift on the quality of living. The target of thesis: Ad 1: to find out how the subjective night shift workers? feelings of their health are influenced in three-shift routine of work. Ad 2: to find the influence of night shift of the three-shift routine of work on the social life. Hypothesis 1: The tested people feel deterioration of their health due to night shifts. Hypothesis 2: The night shift routine affects the selected aspects of social life. confirm or rebut the hypotheses mentioned above, a method of quantity research of quantitative research is chosen, and a questionnaire is used to collect the data. The questionnaires, containing 16 questions each, are distributed among 126 of respondents. The 78% of them are returned completed. The collected data are included in the survey graphs and the hypotheses of statistics are tested. The first hypothesis is confirmed on the basis of the evaluation of respondents? answers by the statistical testing. The hypothesis supposes that the surveyed workers feel their health deterioration due to their night shifts. According to the certain indicators, health deterioration is notable depending on the number of years spend in the three-shift routine during their employment. Age also plays an important role in the evaluation of results. Employees of an advanced age often have headaches than those of a younger one. The total frequency of health problems grows by ageing therefore workers of an advanced age experiencing night shifts have evidently more often health problems. Moreover, the statistics show that night shift more negatively influences health of women. On the basis of the obtained data demanding targets are achieved. The bachelor thesis can become a resource both for experts and general public who are involved in monitoring the influence of night shifts on quality of living.
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Nursing care in trauma centras in the Czech Republic
POLANOVÁ, Alena
Abstract The thesis deals with the issues of nursing care in trauma centres in the Czech Republic. Injuries requiring complex and multidisciplinary treatment apart from surgery therapy are still more frequent nowadays. This is why trauma centres have been established in the Czech Republic. Their establishment increases demands for caring staff of non-physician fields. These increasing demands are of mental and physical character and of course demands for further education. The aim of the thesis was to find what opportunities nurses of trauma centres have in the field of further education, what are their biggest problems and how they cope with mental and physical stress in their work. The following hypotheses were set upon qualitative research in the form of unstructured interviews with nurses of trauma centres. Hypothesis 1: Nurses working in trauma centres prefer specialization education to tertiary education. Hypothesis 2: Nurses working in trauma centres cooperate with nurses from other clinical branches on provision of nursing care. Hypothesis 3: Nurses working in trauma centres get education not only in traumatology, but also in further clinical fields. Hypothesis 4: Nurses working in trauma centres cope with mental stress. Hypothesis 5: Nurses working in trauma centres cope with physical stress. Quantitative research in the form of questionnaires was applied on confirmation or refutation of the hypotheses. The research sample consisted of nurses working in trauma centres in the Czech Republic. Upon evaluation of the results hypotheses 1, 2 and 5 were confirmed and hypotheses 3 and 4 were refuted. The research results confirm that the work of nurses in trauma centres is hard in terms of mental and physical stress. There are still some reserves in further education of nurses not only on the part of the top managements but also on the part of the health care staff themselves. The thesis result may help in recruiting new staff to departments where the expected psychical and physical intensity might be an incentive to the care about an employee in the field of mental hygiene and improvement of interdisciplinary cooperation in trauma centres in the Czech Republic.
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Emergency Operators´ Mental Load
HUDEČKOVÁ, Karolína
This bachelor thesis deals with mental strain in dispatchers of medical emergency services. I focused on covering these questions, the follow-up analysis and description, on the basis of research. The first objective was to survey opinions of operations centre dispatchers of the mental strain in their work. The next objective was their opinion of the question whether the number of dispatchers on duty in one shift influences their mental strain. My research is based on questionnaire surveying, and the research object covered 40 employees in operational centres all over the Region of South Bohemia. (Note: a nationwide research would be technically hardly realisable, as it is improbable that the questionnaires sent in would be returned). The introductory chapters contain a brief description of the operations centre and activities that the dispatchers perform every day, and I try to formulate the principles of the correct communication that should be led in the conversation with the callers on the distress line. I also describe general features of stress, the factors that lead to it, and the states breaking out as a result of its long-term effect on people. Specifically in this thesis, I describe post-traumatic stress disorder and the burn-out syndrome, and I also mention prevention to defend oneself against these risk factors. The second part of the thesis focuses on the results of the research conducted by quantitative technique, by handing out 45 questionnaires, 40 of which were processed after they were sent back. The research and results make up an essential part of the thesis and bring proofs of the fact that employees of operations centres undergo mental strain influenced by a number of factors. Some of these factors can be influenced, and becoming aware of these factors, this strain may be at least partially reduced. The thesis also uses the comparative method with the possibility of comparison of the mental strain between individual dispatchers. Last but not least, it contains inspiration for considering these questions, and personal proposals for a positive contribution to lowering this strain and a further development of this problem in general.
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