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Importance of Identity in Nursing Profession and its Impact on Quality of Care
DRÁBKOVÁ, Kateřina
The nursing profession belongs to helping professions which are heavily demanding in terms of mental and physical aspects. The nurses who are university graduates enter into practice more mentally and physically mature, and their approach to patients and the care provided may be better than in nurses with secondary education. In care provision nurses have to cooperate with physicians, but also with other healthcare professionals. Due to the lack of medical personnel nurses assume responsibilities of other team members, which they may perceive as a restriction in fulfilling their professional identity. This restriction may be reflected in the quality of the care provided. It often happens that a nurse cannot fulfill her professional identity because of the pressure of her family which requires the fulfillment of their own requirements prior to fulfilling the professional identity of a nurse.The aim of the thesis was to determine how nurses, but also their family members, perceive the professional identity of nurses. The aim was achieved. The research was carried out in two phases. The first phase was conducted using interviews with six nurses of different ages both with and without university education. The second phase was carried out through a quantitative survey using a questionnaire method in health care facilities in Písek, České Budějovice and Plzeň. Results of the research can be used in qualification and lifelong education of nurses to strengthen their identification with the profession.
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Nursing and medicin - partners proffesion
PAVLÍKOVÁ, Lenka
Abstract The relation between nursing and medicine has been undergoing a number of changes in recent years. Optimization of synergy and competences between healthcare professions is one of the priorities of the healthcare system development. This research addresses the issue whether nursing and medical professions are partner professions in healthcare of clients. The objective of the thesis was to ascertain whether nursing and medical professions can be declared as partner professions in healthcare. This objective was fulfilled through a quantitative research using the method of a questionnaire survey. The questionnaire contained 17 questions for doctors and 18 questions for nurses. The respondents of this questionnaire survey were 132 nurses and 97 doctors. The data were processed by means of descriptive statistics using charts. It follows from the data analysis that nursing and medicine cannot be regarded as partner professions yet. According to nurses and doctors, the partner relation between these two professions is of crucial importance for client care. Higher education and professionalism of nurses contributes to improvement of mutual relations. The research has revealed that it is necessary to continue addressing this issue. Within the research we explored several areas that, as we believe, are closely connected with this issue, and we based the research on its theoretical part. This thesis is beneficial by exploring the opinions of nurses and doctors on the relations between nursing and medicine, and by ascertaining their opinions on the effect of the partnership between these two professions on quality improvement of client care. We also investigated whether nurses and doctors believe that higher education and professionalism of nurses contributed to improvement of the relation between nursing and medicine. It is apparent from the research that nurses and doctors realize that partnership between nursing and medicine is of fundamental significance for care of clients. If they endeavour to trust each other, communicate effectively and show mutual respect, nursing and medicine will become partner professions. The research may initiate drawing attention to problems in relations between nursing and medicine, and may provide guidance to finding the solution. It may also stimulate nurses, doctors, students of nursing and medical branches, and managements of healthcare facilities to think about the issue.
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The reasons for Turnover of Nurses Working in Hospital
BÁRTOVÁ, Marie
In my diploma thesis I deal with the reasons for turnover of nurses working in hospitals. Health care workers turnover is a topical issue. It is therefore desirable to pay attention to this issue, to focus on identification of its causes and explore the motivations that lead nurses to leave their jobs. Only when we know the causes, it is possible to start fighting against turnover and to introduce measures for its reduction. The aim of the thesis was to identify causes of turnover of nurses in selected hospitals of the South Bohemian region, to survey the current state of turnover of nurses in selected hospitals of the South Bohemian region, and to identify measures imposed by the management in selected hospitals of the South Bohemian region to affect the excessive turnover of nurses. The goals of the thesis were met. Based on interviews conducted with nurses who had left their workplaces, hypotheses of this thesis were stated. These are the following hypotheses: H: 1 One of the main causes of nurse turnover is the psychically demanding job, H: 2 One of the main causes of nurse turnover is the physically demanding work of nurses, H: 3 Nurses change jobs due to problematic interpersonal relationships, H: 4 Nurses change jobs because of increasing demands for nursing competencies, H: 5 Younger nurses change jobs more frequently than older nurses, H: 6 Younger nurses change jobs because they cannot ensure care for their children when pursuing their profession, H: 7 Nurse turnover rates are uniform over all departments in selected hospitals in the South Bohemian region, and H: 8 Management of selected hospitals in the South Bohemian region implements measures to affect the excessive turnover of nurses. To verify the established hypotheses, quantitative research through a questionnaire survey was conducted in selected hospitals in the South Bohemian region. Furthermore, the interviews with the Deputy Director of Nursing in individual hospitals of the South Bohemian region were carried out. The research outcomes show that hypothesis H: 1 One of the main causes of nurse turnover is the psychically demanding job, H: 2 One of the main causes of turnover of nurse is the physically demanding work of nurses, H: 3 Nurses change jobs due to problematic interpersonal relationships, H: 5 Younger nurses change jobs more frequently than older nurses, and H: 7 Nurse turnover rates are uniform over all departments in selected hospitals in South Bohemian region, were confirmed. However, the research survey proved that H 4: Nurses change jobs because of increasing demands for nursing competencies, and H: 6 Younger nurses change jobs because they cannot ensure care for their children when pursuing their profession, cannot be uniquely confirmed. Hypothesis H: 8 Management of selected hospitals in the South Bohemian region implements measures to affect the excessive turnover of nurses was disproved by my research.
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Human Resources and Employment
JAKUBCOVÁ, Jaroslava
The goal of bachelor´s work is to describe the situation regarding the human resources in the county Prachatice and evaluate this problem from the employment office´s point of view. The basic problem is to utilize effectively the labour force related to free human resources, mainly registered in the employment office. In the bachelor´s work it is particularly pursued the comparison and the utilization of these free human resources. The bachelor´s work is divided into two main parts. The first part is theoretical and its intent is to explain the important notions regarding the employment. The attention is particulary pursued to the risk groups on labor market. The second part is practical and it is directed to the analysis of situations connected with employment and human resources in the county Prachatice. This part is strongly statistical in order to achieve a good transparency.In this part there is the connection with the theoretical part through the risk groups of the unemployed. At the end of practical part there are some suggestions regarding the utilization of human resources and the support of the employment rate. The result of this work is the maping of human resources development in the county Prachatice. There is also mention the further possible solutions of these problems on regional and state level. The state should behave as the guarantor of the state policy and by way of employment office conducts this policy.
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THE ASPECTS OF THE WORK OF NURSES- DEMOTIVATING ELEMENTS WITHIN THE WORK OF NURSES
HEPLOVÁ, Monika
The present paper deals with aspects of the profession of a nurse and the demotivating elements in the profession which makes up the most numerous group in the health care system. The mission of a nurse in the society is to help individuals, families and groups to satisfy their actual needs and to reach their maximum physical, mental and social possibility in agreement with the environment that she lives in. The system of providing health care is changing as well as the relationship of the society to health care workers. General nurses undertake responsibility for direct provision of nursing care, they work independently and they are responsible for the provided care. Their role changes to a full-value team member, to a physician's partner in performing the profession. We were interested in how nurses perceive the change. What are the biggest demotivating factors in the profession and on the contrary what is the motivation not to leave this demanding occupation.
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Anticipating versus reality of work of nurses in cardiosurgery department
BÁRTOVÁ, Marie
In my bachelor paper I dealt with expectation of nurses before their entry in practice and confrontation with the reality of work at hospital units. Expectation plays an important part in coping with the nursing occupation. There are many factors that can influence it both in a positive and negative way. The fast pace in current medical establishments requires that a nurse should assess, predict and evaluate the state of patients and that she should react to it within several minutes so that the care for the ill is most efficient and coordinated. Such a task is difficult for every-one but for a nurse disappointed by the health system it is an impossible task. Therefore it is important that there is a correspondence between expectations and the final reality of work.
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