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Aspects of nursing care in child hematooncology and their impact on nurses
PAPEŽOVÁ, Lucie
Thesis is focused on aspects of nursing care in a child hematooncology and their impact on nurses. Cancer by children in the Czech Republic are the second leading cause of death in childhood. The incidence of childhood cancer has increased at the beginning of the second half of last century by about 1 % per year, but since the late 80 years is no longer apparent increase in incidence. Tumors in children most often arise in hematopoietic tissue and ranks at the top of the various types of tumors in children. The work is divided into two parts, theoretical and practical. The theoretical part describes the problems in each chapter hematooncology children, hospitalized child and his needs, the role of nurses, mental and physical workload, burnout and mental hygiene. The practical part was the task of verifying three goals. The first objective was to find out the specifics of children's nurses work hematooncology. The second objective was to find out what demands are made for nurses working in child hematooncology. The third objective was to find out how nurses working in this department handle mental stress. To achieve the objective method was used qualitative research project, in the form of two half standardized interview and standardized questionnaires. The research sample consisted of thirteen nurses working on the unit hematoonklogie children. Of which there were three sisters from České Budějovice Hospital, two nurses from University Hospital Motol in Prague, five sisters from the University Hospital Brno and three nurses from University Hospital Olomouc. It emerged from research that nurses consider the work of the department for children hematooncology very professional. The specifics of their department nurses find different ways. The greatest majority of respondents consider the specifics of the presence of parents in the nursing department, long-term hospitalization of children and work with cytostatics. Demands on the work of nurses according to their testimony are significant. Their work places increased demands on the skills and manual dexterity. They consider the greatest burden as the psychological burden, especially in the care of a child with end stage, and his subsequent death. The interviews revealed that most nurses in the department are satisfied. They consider their work is very diverse and specific. The output of the thesis will be creating a Power Point presentation (Annax n. 7) that will be used as presentation material at the Fifth International Conference on Present and Future of Nursing and Midwifery, which will be held on 6 - 7 September 2012 in the České Budějovice. It is planned to make these materials and technical paper subsequently published in peer-reviewed medical journal with the theme.
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The profession in intensive care and its impact on the lifestyle of nurses
ŠVECOVÁ, Radka
The diploma thesis has been focused on the issue of nurses working within intensive care and on the impact of performing a job in this branch on their lifestyles. The jobs of nurses working within the intensive branches clearly belong among the demanding ones. A nurse often becomes a witness of dying patients while there is hardly any chance of curability and stabilization of their conditions. All of that and many other factors affect her personal and professional life, as well as her current lifestyle. To perform her job at as high level as possible, a nurse must be motivated and directed by management of the health centre, she must be educated enough in her branch and the job should be a hobby for her, where she must feel certain and safe and the job should satisfy her. This diploma thesis has defined three following intentions. The first one highlighted mapping of a lifestyle of nurses working within intensive care. The second one was determination of psychical load of nurses working within intensive care. The third one included comparison of lifestyle of nurses working within intensive care and lifestyle of nurses working at standard wards. There were 4 hypotheses defined for the investigation survey. The first one analyzed if a job within intensive care affects diet of the nurses. This hypothesis proved true. The second one, if nurses working within intensive care consume more alcoholic drinks than the sisters working at standard wards do. This hypothesis did not prove true. The third one examined whether nurses working within intensive care smoke tobacco products more than the sisters working at standard wards do. This hypothesis proved true. And the fourth and the last hypothesis analyzed if a job within intensive care is psychically demanding for the nurses. This hypothesis proved true.
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The Attitude of Experts in Pain Management on the Issue of Burnout Syndroma
BOHDALOVÁ, Helena
The interest in the burnout syndrome issue has been increasing in recent years, particularly in the context of increasing psychosocial and work related stress in the sector of health and social services. The care of patients with chronic pain requires specific approach from the professional, psychological and ethical points of view from pain therapists. Unless a doctor is able to tolerate work related stress or to use mitigating strategies, the burnout syndrome threat occurs. The aim of the present thesis was to find out what the subjective approach to the burnout syndrome issue is among selected algiatry experts including its prevention. Qualitative research was conducted from January to February 2012 in the form of semi structured interview. The research sample consisted of respondents from 10 workplaces involved in chronic pain therapy (5 private, 5 in hospitals). The data were complemented with quantitative questionnaire research (Burnout Syndrome Symptom Inventory ? ?BSSI?) conducted from November 2011 to January 2012 to obtain a deeper insight into the content analyses of the semi structured interviews. The quantitative research sample consisted of 47 doctors from pain management workplaces from the whole Czech Republic. The demographic data were processed by means of basic descriptive statistics. Qualitative interviews were transcribed to text form and consequently analyzed. Score points of the monitored levels of the ?BSSI? questionnaire were then calculated and differences between pair variables (gender, age category, type of practice) tested. The mixed research showed statistically higher rate (p < 0.05) of tendency to burnout syndrome in pain therapists working at hospitals compared to their colleagues from private facilities. No significant differences were found in terms of age, sex, number of children in a family and number of treated patients. The most frequent symptoms of the syndrome in the respondents were irritation, lack of empathy, tiredness or loss of work enthusiasm. The most frequent protective factors are humour, breaks, discussion with colleagues, sport activities, hobbies or spending free time with families.
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Nursing students' experience with ethical conduct of members of the nursing team within nursing practice.
HULÍNSKÁ, Eva
Abstract The Bachelor Thesis on Nursing Students Experience of Ethical Behaviour of the Nursing Team Members within Practical Nursing Training deals with students? experience of the nursing team behaviour towards patients and students. The Bachelor Thesis is divided into two parts ? Theory and Research. Theoretical part aims at nursing history, nursing instruction, personal qualities of a nurse, burn-out syndrome, communication and ethic. The research part applied quantitative investigation via dialogues with students of secondary nursing schools. The quantitative investigation used anonymous questionnaires for the students of the bachelor studies of Registered Nurse. The first objective was to ascertain the students? experience of the ethical behaviour of the staff towards the students. The second objective was to ascertain the students? experience of the ethical behaviour of the staff towards the patients. And the third established objective was to ascertain the influence of the nursing team education standard on behaviour of the staff to the students. Hypothesis established to the first objective: Students are satisfied with behaviour of the staff to the students. The reply for this hypothesis is: Yes, students are satisfied with behaviour of the staff to the students. This hypothesis was confirmed. Hypothesis established to the second objective: Behaviour of the staff confirms to the ethical codex of a nurse. The reply for this hypothesis is: Yes, behaviour of the staff confirms to the ethical codex of a nurse. This hypothesis was confirmed. The third objective dealt with two research questions: The first question is: What is the behaviour of individuals within the nursing team towards the patients like? The reply is: It is obvious that most students have met both the burn-out syndrome and infringement of patient?s rights. All the students met some mistakes in communication. The second question is: What is the influence of the staff education standard on their behaviour to the patients like? The reply is: The staff education standard has no influence on behaviour of the nurses towards the patients. In the future, this Thesis can be used as the information material for students and nurses who wish to improve behaviour of the medical staff members towards patients and students. Key words: nurse, student, nursing, burn-out syndrome, communication, ethics.
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The Burnout Syndrom among Employees of the House for Seniors in Vojkov
PETRÁŠOVÁ, Alena
The bachelor thesis focuses on burnout syndrome among the Senior House Vojkov staff. The burnout syndrome is a biopsychosocial phenomenon influencing both the individuals and their relationships. The theoretical part is based on an extensive research of specialized bibliography. First it describes the origin and development of burnout syndrome; the second chapter focuses on the prevention of the syndrome on the individual and organizational level. The last, third chapter specifies the demands of the nursing profession in senior houses. The basic aim of the practical part is a screening of burnout syndrome in the staff of Senior House Vojkov. The second aim is to establish the possible prevention methods of burnout syndrome in the staff and suggesting possibilities of their further development. The practical part applies the combination of both the quantitative and qualitative research methods. The key methods are the Inventory of burnout syndrome and structured interviews based on open questions. The basic mathematical values are the arithmetic mean, mode and median. The interviews focus on the burnout syndrome in Senior House Vojkov from the point of view of the staff as well as the management. The process of the questionnaires? evaluation found out interesting results: The highest risk of the development of burnout syndrome imperils the staff of the technical and economic assistance section ? i. e. the individuals who are not in the immediate and direct contact with the clients. The results of the bachelor thesis will hopefully serve the management of the Senior House Vojkov as a feedback and help the management to develop effective methods of burnout syndrome prevention among the staff.
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Potential Risk Faktors in the Implementation of Supervision in Juvenile Detention Centers
FIALOVÁ, Markéta
ABSTRACT The objective of this Diploma Thesis is to map the attitudes of the school system?s employees working in behavioral establishments providing institutional and protective care to the practice of implementing supervision as support for their professional activities. The research endeavors to map the issues and risks arising from implementing supervision in such institutions. The theoretical part of the Diploma Thesis aims to explain the basic concepts related to implementation of supervision at educational institutions, namely, such terms as educational institution, professional educators in educational institutions, supervision, supervisor, supervised, etc. A combination qualitative and quantitative survey was used for the realization of this research project. The preliminary phase of the research started with questioning and technical processing of questionnaires. The questioning phase was followed by semi-structured interviews. The survey sample consisted of directors of the individual relevant institutions in the Vysočina Region, specifically, twelve specially qualified educators working in educational institutions of the Vysočina Region. The purpose of the survey was to find out what benefits these employees see in the implementation of supervision into their organization?s operation. Another issue of interest was to see how the management of these organizations acquainted their employees with the supervision?s implementation. Finally, we tried to find out what motivated the employees mainly to take part in supervisors? meetings. Subsequent analysis of the results of the research indicated clearly that the employees consider assistance with problem-solving in the area of relationships as being the greatest benefit of supervision. Furthermore, the research showed that the organizations? managements presented supervision as support and benefit for their respective organization. Finally, it was proved that obligation was the main reason for the workers? attendance at supervisors? meetings.
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Mental Hygiene as a Fundamental Premise of Prevention of Burnout Syndrome in Selected High-Risk Professions
RYBÁČKOVÁ, Ilga
Helping professions are characterized by high demands on the personality of a helping person. A lot of researches show that members of these professions are at risk of the burnout syndrome. Mental hygiene serves to maintain mental health and is the basis for prevention of the burnout syndrome. The aim of the bachelor thesis is to reveal the relationship between the incidence of symptoms of burnout and compliance or violation of the mental hygiene principles. Another aim of the research is to find out, whether the members of the selected high?risk professions know about and keep the mental hygiene principles, and also to find out, whether the compliance with the mental hygiene principles has impact on the burnout prevention. The theoretical part, first of all, characterizes concepts of helping professions, psychological stress, its cause and symptoms. Burnout syndrome is then described in details ? definition, cause, symptoms and treatment. Then, the main part of the thesis follows. It is dedicated to mental hygiene as a prevention of burnout. Particular aspects of mental hygiene, such as healthy lifestyle, diet, sleep hygiene or relaxation techniques are described here. In the end other factors influencing the burnout are mentioned - supervision, self- assessment, and interpersonal relationships. To achieve the objectives, qualitative research was carried out, realized by the method of questioning, technique of the non-standardized interview. The respondents were chosen from 4 high-risks professions ? teachers, nurses, social workers and rescue workers. Quota selection was carried out, based on the results of Burnout Measure questionnaire, which examines symptoms of burnout. The research has shown that the representatives from the selected professions are aware of burnout syndrome and know mental hygiene principles. The research has also shown that integration of mental hygiene principles into lives of helping people has impact on the burnout prevention. The interviews also proved impact of other factors. Above all, good relationships at the workplace and supervision can have positive influence.
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What does make teachers stressed?
LOJDA, Josef
The thesis deals with the issue of stress in teachers. The concepts of teacher, stressor, stress and burn out syndrome are explained, as well as the connection between them. The theoretical part is focused on the stress prevention and the defense against stress. The aim of the practical part is to detect the main stressors in teachers, as well as the frequency and the intensity of their stress and negative emotions experience with regard to their professional age, sex and specialization. Further, teachers' knowledge about stress and their effort to prevent themselves from experiencing it are investigated.
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Intensity of nursing work on the oncological department.
TŮMOVÁ, Lucie
This Bachelor thesis deals with working demands of nurses employed in oncology departments. Because of being in continuous contact with people (patients, their families or colleagues) nurses working in these departments should be empathetic, kind, patient and helpful. The theoretical part of this thesis focuses on general characteristics of oncological departments, description of nursing specifics, available oncological treatment, the role of nurses in palliative treatment and issues of burnout syndrom. The theoretical part presents the results of semi-structured interviews conducted with nurses working in oncology departments at "Ceské Budějovice Hospital" and "Na Bulovce Hospital". Based on the dialaogues were the case reports which later became the basis for category tables. The results show that nurses perceive their work as difficult, mostly from the psychological aspect. The oncology nurses have to face terminally ill people, dying and death on a daily basis. They are exposed to risks of cytostatic agents. They may often suffer from tiredness which can lead to disruption of social, physical and psychical wellfare and even to the burnout. Influenced by these factors the nurses often feel stressed and are not often familiar with how this stress can be prevented or tackled. A brochure based on the obtained information has therefore been compiled for nurses with the aim to inform them about these issues.
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