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Importance of Supervision for Health care professionals in Inpatient Hospitals.
CIKLEROVÁ, Monika
Abstract The theoretical part of this thesis focuses on health care issues related to the work of health care professionals in the context of a current legislation. In this part the work of health care professionals is linked to the ethical principles and pressures on the emotional, mental, physical and social levels. The work focuses on the possible symptoms of exhaustion and fatigue on these levels. The emphasis is put on a personal development and coping with emotions so the health care professional is able to provide his or her clients and patients with relevant support. Supervision also develops its potential as a system of control and improving the quality of the provided care. It also helps to achieve the necessary health care quality standards in all respects. This system of a complex support and care for an individual worker as well as team of professionals is rooted predominantly in the development of psychotherapy. In its empirical part this thesis deals with the reasons which prevent supervision to be fully accepted and generally adopted as a system of support for health care professionals. The research in the Regional Hospital in Příbram tries to find and identify possible barriers to the development of supervision and thus contribute to greater interest in its implementation. According to the research findings the main barriers involve inadequate experience and awareness of senior professionals about possibilities and purpose of supervision, their concerns about high financial expenses, the need to devote extra time to this method and last but not least the necessity to study and apply a large amount of professional methods and information to work. The last two mentioned criterions also reduce space which could health care professionals otherwise use for meeting their own needs and self -care. In terms of conditions supervision in health care institution would have to meet, the thesis comes to a conclusion that the possible supervisor should be well-informed about health care sector or experienced in own medical practice. In this respect he or she would be authentic and trustworthy for the supervised health care staff. This thesis also finds out that hospital management strongly supports supervision but so far has not recorded any interest in its implementation among the employees. However, findings of the survey aimed at health care professionals from the selected hospital departments show that more than 50% of respondents regard supervision in health care as needed. The specific need of support for health care professionals is found predominantly in inadequate recognition and appreciation of their work and in the feeling that their work does not bring them joy. In this respect the respondents to a large extent described somatic problems such as frequent headaches, difficulties in digestion and breathing and sleep disorders. According to the research there are good conditions for implementation supervision in a health care institution. However, first it is necessary to ensure that both hospital management and health care professionals are provided with good and sufficient information. The goal of this thesis is to support implementation of supervision among health care professionals in inpatient wards. It is intended for the health care professionals as well as for hospital management. Its aim is to promote the idea that only a person who is healthy, self confident and meets his/her own needs is able to cure well and help others.
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