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The usage of supervision in medical facilities
ZETKOVÁ, Bohumila
There are basic concepts relating to the presented topic, such as supervision and health care institutions, explained in the theoretical part of this master thesis. In its practical part, there are results of the research undertaken by means of a questionnaire survey and amended by two half-standardized interviews in the end. The questionnaires were sent to health care institutions to the regions of Zlin and South Bohemia. Interviews were done with managers of health care institutions, on in the region of Zlin and the other in the region of South Bohemia. The target of research was to find out if supervisions are really provided in health care institutions in the regions of Zlin and South Bohemia. The partial target of research was to map occurrence of supervision used individual types of health care institutions (in the two mentioned region of Czech Republic). There are two hypotheses stated in the thesis. Hypothesis no. 1 is determined in the following way: ?Supervision is more often used in the region of Zlin than in the region of South Bohemia?. Hypothesis no. 2 is: ?Supervision is more often is ordered by a manager and regarded as a duty than prevention of a ?burnout? by nurses. Neither of the hypotheses is proved. I will be very pleased if the thesis provokes a few people at least to think about issues of supervision in health care institutions. Further, the thesis can serve as study material for students studying the field of health services. And last but not least, the thesis could serve as an initial impulse to perform other researches in the field of supervision in health care institutions in other regions.
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Nurse and her own health care
ROUBALOVÁ, Gabriela
The thesis deals with a nurse and the care of her own health. The theoretical part mainly deals with mental health, proper regimen and physical as well as mental load on nurses in relation to the health care job. The main aim of the thesis was to identify the factors affecting the regimen of nurses and their care about their own health, and to try to find how the work load and department character is related to possible occurrence of health problems. Partial goals and working hypotheses were set for this purpose. Variables like age, gender, education and type of department were included among the assumed factors affecting care about health and health problems.
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Burnout Syndrom in Primary School Teachers
LEXOVÁ, Marie
Abstract The diploma thesis is of the theoretic-empirical character. Its subject matter is concentrated on defining of the concept of the burnout syndrom at primary school teachers. The first part of my project is dealing with defining of the concept of the burn out and with what relation between the concept of stress and burn out is. Next part of my project is dealing with separate phases of the burn out process and its marks. Following part is dealing with the causes of the origin of the burnout syndrom. The other charter explains the definition of helping profession and it concentrates on the teacher´s profession and its specificity. In this project I´m paying attention to how burnout syndrome influences the teacher´s results in his work. Final chapter of the theoretical part is dealing with the possibilities in managing and preventoin of burnout syndrom in teacher´s work. Practical part was carried out by the means of questionnaire survey. Gained informatoin are used for the comparison of occurrence of burnout syndrom manifestation and different length of pedogogical practice. The aim of the practical part is to compare whether the length of the pedagogical practice influences the frequency of the manifestation of burnout syndrom.
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Risk of power in helping professions.
BÁRTEK, Lukáš
This thesis addresses aspects of helping professions that could represent a certain ?risk? of using power; it especially focuses on a social work sphere. In the first part, the thesis deals with basic terms that are essential for this issue. It pays attention to power itself and its specifications and connections to the helping professions. Further, it focuses on characteristics of terms that apply to the helping professions and social work or on a formulation of aspects which represent a risk of an improper use of power. In addition, it deals with the topics of burnout, helper?s syndrome or supervision as spheres that are closely related to the topic. The second part of the thesis refers to the necessity of ethics application in social work and in the helping professions in general. It is based on values from which the helping professions arise and which are crucial to them. It focuses on the Code of Ethics of social workers as a tool to solve ethical problems and on its justification in social work. It attempts to introduce ethical theories which are crucial and relevant to this sphere, and further - on the basis of these theories - to outline the basic ethical principles which play an important role in the ethical justification of proper decisions and in the use of power in the context of helping professions. The aim of this thesis is to describe an ethical framework of helping professions themselves and subsequently to analyze the problem of power in helping professions. This will be used as a basis on which to formulate basic ethical starting points that should be taken into account during the execution of helping professions.
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Evaluation of ditary habits of nurses of standard wards by NutriDan.
KADLECOVÁ, Lenka
Abstract The bachelor thesis Evaluation of dietary habits of nurses of standard wards by NutriDan program is dividend into theoretical and practical parts. The theoretical part focuses on personality of a nurse, her education and conditions for performance of her work. Eating habits are assessed among nurses at standard wards. Furthermore, it is focused on nutrition which is important not only for nurses but for all of us. There are all the meal components such as sugars, fats and proteins delat with. They are followed by vitamins, minerals and trace elements and of course drinking regime, which is also important. The first aim of this thesis was to investigace how nurses of standard wards eat. The socond objective was to determine whether there is any diference in the diet, hen nurses are at home or while at work. The following hypotheses were stated to meet these aims: H1 Nurses at standard wards eat irregulary at work. H2 More than a half of the nurses of standard wards adhere to heatlthy diet principles in their free time. H3 Nurses know how to eat properly. There was a method of quantitative research ? an anonymus questionnaire used in the research. The questionnaire contained 18 questions, 10 questions were closed, 4 were half-open and the remaining were supplementary. The questinnaire also included two record sheets, where nurses recorded thein 24-hour diet including the liquids they drank. One answer sheet was for the days hen the nurses were at work and the second one when they were off and were at home. It was possible to use 102 questionnaires and records for the research. The records were then evaluated in the NutriDan programe. The research results show that the energy supply of a nurse at work is lower than its expenditure. They also show that Nurses generally know how to eat properly and thein BMI values are mostly balanced. Most nurses know that their diets vary during their free time and hen they are at work but they try to eat regulary and according to the principles of good nutrition at home. Therefore, there are noticeable differences in their diet and results of NutriDan on the diet inegredients show the same except for proteins and fiber. These nutritional components are neglected at home and at work too. They regularly have breakfast and more than a half of them eat regulary. The regulary eat fruits and dairy products. The diet of nurses is less balanced and less nutritious when they are at work. Nurses are eating irregulary and inadequately at work. Meal at working time is mostly represented by dairy products, fruits, vegetables and food rich in cholesterol and lipids. In practice, the results of the research could be provided to nurses at wards, so as they learn about the mistakes they make in their diets, about their eating habits in general so as they could change or modify their diets. The results could also be publishied in professional journals or articles dealing with this problem.
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Psychosocial load at work of nurses and social workers
KUŘÁTKOVÁ, Lucie
The Thesis deals with the questions of psychosocial load at work for nurses and social workers. The Thesis is divided into two sections. The theoretical part deals with definitions of terms like caring professions, load and stress, then load at work and psychosocial load. There is also a brief characteristic of the professions of a nurse and a social worker. The aim of the empiric part was to find out on a selected sample of respondents (i.e. nurses and social workers) how the respondents perceive the character of their psychosocial load at work and whether they are at risk of burnout syndrome, to find out whether nurses or social workers perceive the psychosocial load more intensely and whether there is a difference in the risk of burnout syndrome between them. A quantitative questioning method and questionnaire technique were applied on data collection and processing in the research part of the Thesis. An anonymous questionnaire was used for the investigation. The questionnaire preparation was based on a questionnaire provided by my thesis guide. The original questionnaire was more extensive and was only designed for nurses, which was why I had to select suitable items and add some special items applicable on nurses as well as social workers. The questionnaire consisted mainly of closed questions where the respondents chose from five answers the one best corresponding with their own opinion. I set 3 hypotheses before starting the research itself. The questionnaire answers were processed both, manually by means of the stroke method and by a statistic programme SPSS. Segment and bar graphs in Microsoft Office Excel were used for graphical interpretation of the results. After evaluation of the questionnaire research results I found out that the previously set hypothesis H1 suggesting that nurses and social workers perceive various elements of their psychosocial load differently, was confirmed, hypothesis H2 suggesting that nurses are more loaded by the work with patients/clients than social workers was not confirmed, and hypothesis H3 suggesting that nurses are at higher risk of burnout syndrome than social workers was confirmed. The results of my thesis may serve to inform general public as well as professionals on the problems in question. They may also serve as a possible incentive for managerial staff to pay higher attention to the problems of psychosocial load at work among caring professions at individual medical care facilities. The results may also serve as a base for further studies and research in the field.
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Coping with nurses´stress
PAPEŽOVÁ, Marta
The present bachalor{\crq}s thesis focuses on mental stress management among nurses working in departments of surgery and internal medicine. Today, when the health care has become more and more demanding in terms of professional expertise and social skills, this issue cannot be omitted. The thesis tries to observe the methods used by nurses in order to cope with mental stress while performing their job, it analyzes how such stress may influence the health care given, and lastly it tries to find out what the nurses are missing so that they can manage the mental stress. The survey was carried out by way of quantitative method. The data were collected from questionnaires. The survey focused on the target groups of nurses in the surgery departments in hospitals in Havlíčkův Brod, Jihlava, and Pelhřimov, and in the department of internal medicine in the same hospitals. First, there were defined three hypotheses. The survey outcome showed that the nurses in question give preference to using effective strategies in order to manage stressful situations than using inefficient and ineffective ones. They often make an effort to analyze the situation rationally and if needed, they ask for help, which proves correct the first hypothesis: Nurses try to analyze the situation objectively and solve the problem effectively. Most nurses are sure that the mental stress often influences the quality of the health care provided, that it has a negative impact on the relations with patients and communication between them and health care staff. The survey also found out that nurses who are mentally stressed out make mistakes. This proves the second hypothesis: Mental stress has a negative impact on the health care provided by nurses. The third hypothesis presumed that a lack of health care staff is the main cause for mental stress among nurses. This hypothesis has not been confirmed.The conclusion found out that all nurses lack auxiliary staff, qualified nurses, and quality personal background; some nurses also lack technical equipment, interest shown by management in their mental health, and enough relaxation because of time stress. Alarming number of nurses stated they increasingly do not find their work meaningful which leads to long-term feelings of exhaustion. A few nurses added that such situation makes them feel negative towards co-workers and clients which might be related to burnout syndrome. The outcome of the survey shall be handed to nurses in the departments of surgery and internal medicine in all hospitals to provoke more thoughts and also to the managements for further feedback and possible improvements in working conditions so that the nurses are healthier and the quality of health care better.
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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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