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Compliance with legislation by healthcare professionals in the ICU
Šašková, Marcela ; Tollarová, Blanka (advisor) ; Slanina, Petr (referee)
The topic of this diploma thesis is the compliance with legislation in an area of competencies of general nurses and special nurses working in intensive care units (ICU). The aim of the investigation was to map out, how nurses in the ICU comply with legislation in the area of their competencies and whether their work is influenced by anything. The results showed two trends - situation within a specific unit, that means whether nurses contravene their competencies; whether nurses are aware about their competencies and about competencies of doctors and in addition why nurses are contravening their competencies and what is the opinion of doctors on compliance of competencies for medical professionals, what is the position of management towards contravention of competencies by nurses . Furthermore, the situation overall, that means existence of further regulatory measures, which impact on the conduct of nurses within units. On the basis of those findings the following recommendations are made for leaders of department. The first part explains the legislation that relates to the topic of the work, description of the performance, overview of the management of quality system in health care. The analytic investigation part describes the process, result of investigation, and recommendations based on the...
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Knowledge management of nurses inside learning organization
Bendová, Šárka ; Lejsal, Matěj (advisor) ; Čajko Eibicht, Monika (referee)
This diploma thesis deals with the process of learning, knowledge management and the concept of learning organization as strategic directions in the field of education, learning and development of employees. The theoretical part describes knowledge management as an essential part of the management of a successfully functioning and continuously developing organization, which is exposed to increasing pressure of competition, demanding clients and economic burden. In this case the setting of corporate culture towards the learning organization is equally important. Since the organization set up in this direction has created a suitable environment for the effective development of knowledge, skills and experience, not only in the classical form of lifelong learning, which is given in case of the general nurses by legislation, but above all the creation, development and transfer of knowledge between individuals and the team is emphasized. In the practical part, first the selected organization is analyzed including analysis of fulfilling the criteria of the learning organization followed by the qualitative research devoted in the first stage to mapping the system of education and development of the employees in the organization and in the second phase to finding the attitudes of the nurses within a...
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Nursing Care of Seniors in Intensive Care Unit-ICU and Anaesthesiology and Resuscitation Unit-ARU
Svitáková, Jana ; Hošťálková, Monika (advisor) ; Mrákava, Vlastimil (referee)
General nurses in their proffesion provide nursing care to patients of different age groups. Quite frequently represented group are seniors. This fact is due to the increase in life expectancy, medical advances and polymorbidity of seniors, which is often the cause of their hospitalization. Nursing care for seniors is particularly challenging due to the occurence of many geriatric symptoms, restriction of cognitive functions and inabillity to self care. Much more difficult situation occurs, if the state of geriatric patient requires care in ARO (Department of Anesthesiology and Resuscitation) or ICU (Intensive Care Unit). Identification of problem areas in intensive nursing care for seniors leads to infer the possible measures for practice. In terms of this thesis quantitative research was carried out using a questionnaire survey. Research group consisted of general nurses from departments of intensive care, thus professional intesive care units (ICU) and department of anesthesiology and resuscitation. Out of the total number of 120 distributed questionnaires (100 %) returned 94 usable questionnaires (78,33 %). Realization of research survey was conducted in February 2012. The thesis consists of two parts, the practical and theoretical. The main objective was to map the problem of providing nursing...
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Duration of nursing care for patients in the ICU after surgery Lung Cancer
Karasová, Veronika ; Klokočková, Šárka (advisor) ; Pucholtová, Romana (referee)
Introduction: This thesis deals with the time management of nursing care for patients in the ICU after bronchogenic carcinoma surgery. The treatment of patients with this diagnosis requires a multidisciplinary approach by all members of the medical team. Aims and methodology: The aim of this thesis was to map the time demands of nursing care for a patient who is the first day after lung cancer surgery, about current recommended procedures of nursing care. Furthermore, the aim was to find out whether a methodical guideline or a standard defining postoperative care of a patient after lung cancer surgery is available for the nurses. The way nurses perceive their working conditions and relationships in the workplace was also investigated. Finally, the aim of the diploma thesis was to map time management in nursing care for patients with lung cancer, all in the intensive care unit from nine medical facilities that participated in the research survey. Results: The research group consisted of nurses working in surgical intensive care units of the 1st, 2nd and 3rd degree and cardiac surgical intensive care unit from four university hospitals, 3 regional hospitals and 2 other hospitals. A total of 330 questionnaires were distributed. The return rate was 209 questionnaires (63.3%). The research results were...
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Motivational and demotivational factors in the profession of a general nurse
Hanousková, Jindřiška ; Heczková, Jana (advisor) ; Di Cara, Veronika (referee)
This thesis discusses the motivational and demotivational factors that influence the work of nurses and their sense of satisfaction. The aim of the research is to map the motivational and demotivational factors that affect work performance of the Kolin Regional Hospital. The research's chose quantitative method was done by survey. The questionaire and it's contents were prepared by the author. The creation of the questionaire was based upon several similar surveys. Based on the author's research, it was found that interpersonal relationships among nurses were among the most powerful motivational factors; conversely, dysfunctional interpersonal relationships were the strongest motivational factors for changing employers. Another one of the strongest motivational factors was positive feedback from the patients. Since the research was quantitative in nature and covered the entire hospital, it is the author's opinion that the study should be repeated periodically and further focus on individual departments to better determine motivational and demotivational factors that affect work performance and overall job satisfaction. It is also suggested by the author that further research be conducted to compare outcomes of both employees and employers. keywords: nurse, research, motivation, demotivation,...
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Decision to leave workplace in non-medical healthcare workers
Picmausová, Ivana ; Heczková, Jana (advisor) ; Jeřábková, Lenka (referee)
The fluctuation of nursing staff in the medical facilities is not just current problem in the Czech Republic. Aging population will present higher demand for number of nursing staff. It is assumed that the insufficient number of nursing staff will remain and even rise (also due to aging of the staff) if appropriate actions are not taken (Simoens et al., 2005). This thesis discusses the decision to migrate amongst the nursing staff - general nurses, practical nurses, midwives, and emergency paramedics within the medical facility. It analyses the reasons for changing their workplace. The investigation was executed using the questionnaire method. It was conducted in January and February of 2020 in the selected medical facility in the Czech Republic. Total of 701 questionnaires were distributed to all inpatient wards, outpatient departments and intensive care units. The investigation targeted nursing medical staff. A statistical analysis of the results was performed Mann-Whitney U test was used to monitor the differences for decision to migrate based on various characteristics and responses. Total of 415 completed questionnaires were analysed in this investigation. 61/415 (14.7 %) responders consider the change of workplace. The most common nursing staff members to consider the change were general...
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Duration of nursing care for patients in the ICU after surgery Lung Cancer
Karasová, Veronika ; Klokočková, Šárka (advisor) ; Pucholtová, Romana (referee)
Introduction: This thesis deals with the time management of nursing care for patients in the ICU after bronchogenic carcinoma surgery. The treatment of patients with this diagnosis requires a multidisciplinary approach by all members of the medical team. Aims and methodology: The aim of this thesis was to map the time demands of nursing care for a patient who is the first day after lung cancer surgery, about current recommended procedures of nursing care. Furthermore, the aim was to find out whether a methodical guideline or a standard defining postoperative care of a patient after lung cancer surgery is available for the nurses. The way nurses perceive their working conditions and relationships in the workplace was also investigated. Finally, the aim of the diploma thesis was to map time management in nursing care for patients with lung cancer, all in the intensive care unit from nine medical facilities that participated in the research survey. Results: The research group consisted of nurses working in surgical intensive care units of the 1st, 2nd and 3rd degree and cardiac surgical intensive care unit from four university hospitals, 3 regional hospitals and 2 other hospitals. A total of 330 questionnaires were distributed. The return rate was 209 questionnaires (63.3%). The research results were...
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Student's experience in training for proffessional practice
Jugasová, Ester ; Štefančíková, Mariana (advisor) ; Gigalová, Veronika (referee)
Author: Ester Jugasová Institution: Ústav sociálního lékařství Lékařské fakulty v Hradci Králové Oddělení ošetřovatelství Title: Student's experience in training for proffessional practise Supervisor: PhDr. Mariana Štefančíková, Ph.D., Ph.D. Number of pages: 131 Number of attachements: 3 Year of defense: 2019 Keywords: general nurse, education, nursing practise, personality of nurse, adversity, stress The bachelor thesis deals with the nursing practice of students of the bachelor program of nursing and their experience during its completion. The theoretical part deals with the current education of nurses at universities and the content of their studies. Furthermore, the thesis focuses on the nurse's personality, communication between the patient and the nurse. The bachelor thesis also focuses on the issue of stress, its causes, reactions, describes the basic types of psychosomatic diseases that are related to excessive stress. Another issue is iatropatogenia, or harm to the patient by medical staff, which may be the result of overloading nurses. The thesis also deals with the burnout syndrome that can be affected by helping professions. The empirical part was carried out by the qualitative method of the research. Initially, 7 research objectives were set. In addition, 3 research groups (students,...
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Problematics of an alcohol addicted patient at the psychiatric department of the general hospital
JŮZOVÁ, Michaela
This bachelor thesis deals with the problem of alcohol dependence and nursing care provided to patients with this dependence in the Psychiatric Ward of General Hospitals. The theoretical part of this thesis is devoted to the concept of addiction, alcoholism and the impact of alcoholism on health. Then there are desribed types of treatment of alcohol dependence and specifics of nursing care of patients with alcohol dependence in Psychiatric Ward. In the empirical part of this thesis the research goal was set: to map the issue of providing nursing care for alcohol-dependent patient in Psychiatric Ward. Based on this research goal, research questions were prepared: What role do nurses play in nursing care for alcohol-dependent patients during hospitalization in a Psychiatric Ward and what is the difficulty of providing nursing to alcohol-dependent patients. Qualitative research was used to achieve a set goal. Data were collected using semi-structured interviews. The research sample consisted of 16 nurses working in the psychiatric ward of General Hospitals. The obtained information was then processed by open coding, using the pencil-paper method. The results of the research show that the issue of providing nursing care for alcohol-dependent patients depends on the current state of the patient, previous attempts to treat addiction or many other factors. The role of nurses has its specifics and has an integral part in the treatment of alcohol dependence. The difficulty of providing nursing care can be influenced by the frequency of encountering alcohol addicts, the length of their hospitalization or the occurrence of agitation and aggression.
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