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Administrative burden of nurses
VÁLKOVÁ, Renata
Abstract Current status: The issue of a nursing documentation is nowadays a very much discussed topic, especially its bureaucratic burden. A nursing documentation is an everyday part of a working process of a nurse as it has a great effect on a quality of care. Therefore, it is very important, that the documentation is not only easy to work with, but also very effective, understandable and beneficial. All of that could be reached easier by transferring the nursing documentation into its electronic form, which is more and more common thanks to the modernization of all kinds of industries in general. The aim of this Thesis was mainly to find out and to document the opinion of a current nursing documentation held by nurses themselves, but also to learn how much time during their shift nurses have to spend filling up the paper documentation compare to the electronic form. Lastly, to evaluate advantages and disadvantages of the electronic form of nursing documentation. Methodology: For the research realization we used a combination of a quality and quantity research. A quality part had been done by semi-structured interviews whereas the quantity part had been done by surveys. Sample data consisted of nurses, who work with a nursing documentation on daily basis. Specifically, we involved 112 respondents who had been chosen by a specific selection and the size of a file had been set by the theory of data amount used in theory. Subsequently, we chose 8 nurses, who we hold a meeting with for the semi-structured interview. Result: In conclusion, we are confident to say, that majority of nurses is moreover satisfied with the nursing documentation as it is at the moment, therefore the paper form of documentation. However, the unhurried electronification of the nursing documentation is welcomed by many more nurses than we expected it to be. Majority of nurses find any kind of nursing documentation as a very important part of their job and also of a high quality of nursing care in general. Closure and a recommendation for practice usage: Our research opens up space for deeper analysis, which could be based on a comparison of the paper and the electronic form of a nursing documentation. As mentioned above, all kinds of industries are being transferred to an electronic form, especially data storage and its future archiving, therefore healthcare should be one of them too. It would be interesting to find out whether the electronic form of documentation, which is already used in some healthcare institutions, has anyhow been beneficial for the quality of care provided.
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Electronic documentation in the contemporary rehabilitation
Povolná, Šárka ; Vrzáček, Petr (advisor) ; Vachek, Stanislav (referee)
This diploma thesis focuses on the problem of implementation of information systems for electronic documentation in health care, especially in rehabilitation. The theoretical part describes the nature and meaning of managerial changes in general, reviews various types of changes, discusses what causes these changes and how they affect their surroundings, and describes the key steps and models for effective handling of these managerial changes. The second part deals with problems of introducing electronic documentation and information systems in a special case of the Czech Republic. The empirical part focuses on implementation of information system in the rehabilitation institute Kladruby. Using qualitative research methods a sequence of interviews was carried out with the staff of the rehabilitation department. The result of the research presented in this thesis is a summary of advantages and disadvantages of the information system, attitudes of respondents to the implementation of the information system, and recommendations how to further optimize the information system. The second part describes the feedback of four rehabilitation centers in the USA with a long-term experience with the implementation of information systems and a simple comparison of respondents' experience in the USA and the...
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Nursing documentation by the home nursing care
CHMELAŘOVÁ, Zdeňka
Nursing documentation is currently still very hot topic. Perhaps because they are still many health workers (physicians and non-physicians) sufficiently understand the importance and seriousness of this document. The documentation not only provides valid information about the client and his health, but also ensures continuous flow its nursing care and ultimately became a piece of evidence in case of litigation. Documentation can also be used for education and research purposes. Home care is a field that has recently rapidly growing and gaining in popularity. As part of primary and community care nursing provides clients in its natural, familiar and domestic environment, which is a big advantage for him, he does not spend his days in hospital, which is economically difficult anyway. Home Care provides health care services indicated by the treating physician or practitioner and are paid for by health insurance. This thesis deals with the nursing documentation in home care agencies, which aims to describe the demographic impacts on the use of nursing documentation, check the attitude of nurses from selected agencies of home care to nursing documentation and analyze the nursing documentation in selected home care agencies. The thesis is composed of two parts, theoretical and empirical. The theoretical part deals with the history of home care, statistical data shows the growth of agencies, their employees and clients, providing comprehensive home care and medical documentation. The empirical part was realized in the form of qualitative research. The information was gathered in-depth interview technique, which was compiled from 1 identification questions and 11 open-ended questions that formed the framework for the entire interview. In fact, respondents to individually comment on the issue to the extent that they saw fit. The research group consisted of seven sisters of different age, education and length of experience, currently working from home care. Due to fears nurses were promised total anonymity, so you can just tell that they were sisters from ADP capital city of Prague and Central Bohemia. Complementary research was conducted in seven home care agencies for the same regions, but any of nurses does not belong to the Agency from the second survey. In the first phase of the research we examined the influence of nurses' demographic factors such as age, education or length of experience in the management of nursing documentation and own attitudes of nurses from selected agencies in the management of nursing documentation. The research sample consisted of seven nurses working in home care agencies that were selected purposefully and were willing to cooperate in research. In the second phase of the research we tried to analyze individual nursing documentation of selected home care agencies. For this part, we chose seven agencies, which have been their leadership under the promise of anonymity willing to cooperate. The research investigation set up three goals and three research questions. The first objective was to describe the demographic impacts on the use of nursing documentation. The second objective was to determine the attitude of nurses from selected agencies of home care to nursing documentation. The third objective was to analyze the nursing documentation in selected home care agencies. At the outset of the investigation, we asked the following questions: they influence the management of the nursing documentation demographic factors such as age, education or length of practice nurses? What attitudes toward nursing documentation occupy the sisters from selected home care agencies? Correspond to different parts of the nursing documentation with the phases of the nursing process? Results of the research can be an inspiration not only for the nursing management ADP, but also for the nurses working in home care agencies throughout the Czech Republic, only selected agencies.
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Project of Electronic Nursing Documentation in the eHealth Context
Žornová, Dominika ; Přibil, Jiří (advisor) ; Zelená, Veronika (referee)
The dissertation on Project of Electronic Nursing Documentation in the eHealth (worldwide concept of electronic healthcare) Context analyses use of information technology in healthcare focusing on electronic healthcare documentation and also analyses means of information technology implementation using project management. The dissertation goal is to create a plan of the Project of Electronic Nursing Documentation at University Hospital Plzeň using standardized methods of the IPMA Project Management focusing on risk analysis and management and use of acquired knowledge in the eHealth context. Software development and implementation of the new clinical information system module utilizes agile methods of software development. The dissertation states the definition of project and project management within its standardized methods, presents means of healthcare documentation in compliance with current legislation and terms of healthcare documentation use in its electronic form, describes the hospital information systems, data security policy and mentions the National Healthcare Information System.
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