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Abuse of power against clients by professional staff in care facilities.
KUPSOVÁ, Jitka
The objective of my dissertation work titled ``Abuse of power against clients by professional staff in care facilities{\crqq} is to establish whether the ethical codes are observed in the social and health care institutions providing accommodation services to their clients. Another objective of the work is to find out whether the employers running these institutions take adequate measures to prevent the burnt-out syndrome in their employees. The theoretical part of the work deals with the philosophical and ethical aspects in the client-employee relationship, defines various forms of aggression, its root causes and symptoms as experienced among the staff caring for the clients. It also summarises legal aspects of human rights violations in caring homes. The research part of the work summarises the findings acquired in the field survey using the questionnaires filled in by the staff working in the social and health care institutions accommodating clients in the district of Tábor. It is focused on their opinions, expertise and willingness to adhere to the quality standards and code of ethics, on the quality and type of the relationship with their clients and the ability to cope with the everyday challenges posed by their jobs. It also tries to identify the quality of communication between the management and the employees, the level of satisfaction at work and the possible prevention of the burnt-out syndrome. The staff employed in the social and health care institutions should refrain from any type of aggression and should always prefer standard means of communication as an inherent part of their professional conduct. To improve the ability to deal with potential conflicts and also as a preventive measure the psychological and therapeutic training is recommended. The recommendation aimed at the employers includes the development of human resources, their professional and personal development based on life-long learning in order to improve the communication between the management and employees, prevent the exhaustion by work overload and support the relaxation and leisure time activities of the staff. The outcome of the dissertation could help to improve the quality of care provided by professionals in the institutions accommodating clients and it could also provide some useful ideas how to improve the performance of the assisting staff in these institutions.
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Prerequisites for the work of nurses in a hospice
KNĚŽKOVÁ, Klára
The philosophy of our hospices is the human and professional attitude, also team work of all caring. It focuses on ensuring the quality of life in incurably ill until its end. Hospices are slowly getting into people ´s minds; they are becoming the part of care. Yet, general opinion of healthcare workers, also nurses, is still distorted. It is often said that mostly believers or those who do not have sufficient feeling of satisfaction in their personal life go to work in hospices. The view of these nurses on dying could have been changed by education, the more profound study of the problems concerning the care for dying. The thesis is focused on nurses in hospice care. The aim was to find out the real motivation of nurses who decided to work in a hospice. The next aim was to find out if the education of nurses influences their attitudes to the care of ill and dying. Three hypotheses were stated: Religious persuasion is a crucial factor for the nurse ´s choice to work in hospice. The work in hospice is sought out by nurses in connection to the failures in their personal lives. The attitude of nurses to the care of terminally ill depends on their education.Research group was created by 107 nurses from all Czech from sick-bed hospices (including manager nurses). The form of quantitative research by questionnaire method was used.The results of the research might be used for the understanding of nurse role development in palliative and hospice care and for the creating of nurse profile in hospice care. Further, it can contribute to the creation of standard requirements on nurses who are recruited to a hospice.
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Burden and its management in the profession of nurse
ŠPENGEROVÁ, Zdeňka
Work deals with the psychological burden of nurses working in shifts. Summarizes the general concepts of burden and stress. Defines the basic problems of workload and stress, their symptoms, coping and consequences, their impact on individuals. It deals with the possibilities of prevention. Form of a questionnaire will explore the subjective perception of stress for nurses and the department's internal use of the possibilities for coping sisters.
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Psychohygiene of social workers
VORÁČKOVÁ, Pavla
Social work is supposed to be a highly demanding job. Psychohygiene is a set of rules which helps keep, improve and recovery the psychic balance and health. This thesis has been aimed at mental health tools used by social workers of the Strakonice region. The research was conducted by the qualitative method of a questionnaire and an interpretation. The following hypotheses were suggested: Social work is so demanding as the workers deal with people. Stress mostly results from time pressure. Psychohygiene depends on the individuals. The social workers exploit mental health tools. Supervision is provided in some organisations. The social workers are mostly satisfied with their lives.
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Influence of stress upon the quality of the provided nursing care at the emergency ambulances.
JAMBOROVÁ, Lenka
I have selected the topic of my bachelor thesis ``The effect of stress on quality of nursing care provided by nurses in acute care facilities`` as I have been always interested in work of nurses in acute care facilities and in mental demands imposed on nurses as a result of such work. Stress is a set of responses by the organism to internal and external impulses, which disturb regular functioning of the organism; stress is an individual response to excessive physical, emotional or intellectual requirements . Communication is viewed as a significant aspect in healthcare. It is a fundamental and integral part of healthcare provided by nurses. Effective communication favorably contributes to recovery of patients as it alleviates fear and confusion and helps to mitigate anxiety and stress. Although we sometime fail to realize that, we assess patients immediately after they arrival to the surgery. We notice whether the patient communicates, whether he/she is nervous, whether his/her appearance is neat and we can see that the patient is in a wheelchair or on crotches. The current nursing standards require a nurse to be a recognized expert in her independent sphere of action. The burnout syndrome is described as a condition of mental and physical exhaustion, most frequently observed in the so-called helping professions. In Czech literature the burnout syndrome has been most frequently mentioned in connection with persons in nursing professions, where the work consists of serving to other people. In the research for my bachelor thesis I have used a qualitative survey using inquiry with a questionnaire. The questionnaire was developed for nurses working in acute care facilities. The survey was conducted in hospitals in České Budějovice, Jindřichův Hradec, Prague Motol, in a psychiatric institution in Jihlava and outpatient clinic in Telč, always subject to approvals granted by the respective head nurses. This thesis sought to find out whether the stress influences the quality of nursing care provided by nurses in acute care facilities. All the three hypotheses - number 1: Stress affects quality of the provided nursing care; number 2: Stress affects health condition of nurses in acute care facilities; and number 3: Good team at the workplace favorably influences work in acute care facilities - have been confirmed . This means that the objective of the work has been achieved. My thesis may be used as a supporting source material for education of medical personnel in hospital practice.
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Demans put on nurses work when providing nursing care on hemodialysis department.
KADLEČKOVÁ, Aneta
Abstrakt In our Bachelor Diploma Work we dealt with the problems of the difficult of the work of nurses in the department of haemodialysis. We have chosen this topic because of the growing higher demands made on the nurses. It can be said that the profession of a nurse is very demanding, they are even jeopardized both by the psychological and physical influences. Because of that there are several advices the nurses should know and observe them. The professional literature encourages the nurses in the department of haemodialysis to find at lest a short moment to learn how to rest and to relax. Unfortunately it is not like that in reality. In the theoretical part we focused on the haemodialysis characteristics, on its indications, contra-indications, on the nursing care in this department and naturally on the psychological and physical impacts on the nurses in the department of haemodialysis. For the research investigation I used a semi-structured discussion. It contained 21 questions, the nurses had to answer. The data collection took place during March 2009. The total numer of enquired nurses was 16. The topic was based on the three targets. To find out what demands have been made on the treatment care for the patiens in the department of haemodialysis, to find out, what impact the care has on nurses in the department of haemodialysis and to find out whether the nurses in the department of haemodialysis suffer from the burn-out syndrome. Based on my Bachelor Diploma Work we would like to organize a seminary for the nurses, working in the department of haemodialysis, focused on the burn-out syndrome and correct relaxation.
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Ethical dilemma of social work with client suffering from social pathology.
POKORNÁ, Eva
My diploma work deals with the ethical approach of workers who come into contact with the clients committed criminal offences. The work focus on ethical issues of the social workers who are in contact with the clients with social pathology, perpetrators, involuntary clients and with persons suffering from asocial behaviour. The ethical approaches are connected with various ethical paradoxes, problems and they are a part of ethical dilemma. These facts arise in ethical attitudes in connection with client and simultaneously in situation of burn-out syndrome. The target of this work is to focus on ethical issues and on the problems which are connected with the duties of the social workers. The main target of my diploma work was to find out ethical errors of workers in social services in access to the client and find out the range of burn-out syndrome by social workers. The aim of my research has been achieved. The method of quantitative analytic research was applied. The questionnaire survey and its assessment was used. It is the quantitative research. As respondents were chosen members of the Prison Service of the Czech Republic and workers of the Educational institution for Children and Youth and the Educational Centre for Children and Youth in Šindlovy Dvory. The second file of respondents was comprised by members of the Probation and Mediation Service of the Czech Republic.
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Strain on professional social workes in a hospital falicity for seniors suffering from Alzheimers disease
FEIKOVÁ, Alena
Bachelor thesis deals with the burden of professional social workers looking after seniors suffered from Alzheimer disease. The degree of burden of professional social workers in particular inpatient institution for seniors suffered from Alzheimer disease is the aim of the bachelor thesis. The thesis is divided into two parts, theoretical and empirical ones. In the theoretical part there is a description of the contemporary state applying to the age, Alzheimer disease, stress and burnout syndrom in the broad sense of meaning. The empiric part contains particular case description of professional social workers, the summary of the largest stress situation within taking care of the seniors suffered from Alzheimer disease, the analysis of questionnaire`` Survey of Burnout Syndroms.`` The resume of all previous chapters is presented at the end of the bachelor thesis as well as the aim achieving and the possibilities of the usage of the bachelor thesis results in practice. The research results illustrate significant influence of negative human relationships on the possibility of burnout syndrom origin. Further stress impulsion is dementia and its progression at the clients. From questionnairs results there has been proved that the majority of employees reach the highest degree of burnout syndrom in emotional level.
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Work motivation of employees in helping professions in the ARPIDA Centre, and the Libnič Home and Empatie Centre
DRDOVÁ, Ivana
Work motivation of employees in helping professions in the ARPIDA Centre, Libnič Home and Empatie Centre The thesis solves the motivation problems in choice of helping professions. In theoretical part I dealt with a question what is the mason for a person to perform helping professions.This job is of considerable attraction that can be the reason why an employee can perform this exhausting work even at lower financial evaluation than what is offered at some other professions. Important is that helping is undoubtedly meaningful activity for lots of people. Helping person concerns important life questions and problems of real people. The aim of practical part is monitoring of satisfaction in people working at state( Libnič Home and Empatie Centre) and non-state (Arpida Centre) institution including system of burn-out prevention. Supposed hypotheses: 1. Workers of monitored centers are despite of their lower financial evaluation satisfied with their jobs. 2. Motivation for choice of helping professions are the same both in state and non-state institutions. 3. Workers of monitored centres are informed on rules of psychohygiene in performing the helping professions. The research confirmed first and third hypotheses. The second hypothesis was not confirmed. In order to prove the hypotheses I used a form of quantitative questioning. The data collection proceeded with questioning method, technique of questionnaire. This thesis could be used at organizations where monitoring was carried out. It also can serve as a manual for people working in helping professions and centres of social service.
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The Interaction between Psychological Stress and the Immune System
DAŇKOVÁ, Barbora
This work deals with the effect of undesirable stress on human organism and follows the responses of immunity system to long-term psychical burden. The goal is to provide a survey on this interaction and to alert to the burnout syndrome as manifestation of weakening of the organism at all its levels. The knowledge on the causes, symptoms and prevention of burnout syndrome is focused on the personality of the teacher whose profession is included among the most endangered ones. The results of the work confirmed the presence of the symptoms of burnout syndrome among teachers and alerted to the fact that stress is mostly present at the physical level or their perception. This work points out that the information on the manifestations of burnout syndrome is unquestionably included among the knowledge directed at efficient prevention.
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