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Requirements for changes in nursing care on the part of top management
PŘIBYLOVÁ, Kateřina
Requirements for changes in nursing care on the part of top management Abstract At present, nursing care has been experiencing a great progress. Implementation of the nursing process as a working method has been striven for. The educational system for non-medical workers has been changing. Nurses holding top managerial posts should have competence to lead and manage people effectively in the ever changing nursing environment. To acquire information necessary for achievement of the set goals, a quantitative research was employed. Within the framework of the quantitative research, the questioning method using a questionnaire was selected. The questionnaires concerned were sent to top managers among nurses and doctors working in medical centres all over the Czech Republic. The thesis had three objectives defined. First, to discover what prerequisites top managers miss to be able to implement the changes concerned in the area of nursing care. Second, to discover top managers´ opinions on the system of nursing care provision. Third, to identify differences between requirements for the nursing process method on the part of top managers {--} nurses and top managers {--} doctors. Based on these objectives, four hypotheses were formulated. The hypothesis no. I: The current situation does not allow top managers operating in health service to implement changes in nursing care in practice. This hypothesis has been confirmed. The hypothesis no. 2: Top managers do not require group nursing care as a prerequisite for the implementation of nursing care changes. This hypothesis has not been confirmed. The hypothesis no. III: Representatives of nurses in managerial posts promote the nursing process application as a prerequisite for changes concerning nursing care. This hypothesis has been confirmed. The hypothesis no. IV: Representatives of medicine doctors in managerial posts do not promote the nursing process application as a method of nurses´ work. This hypothesis has not been confirmed. As far as the results of this diploma thesis are concerned, we were trying to outline possible solutions of the issues concerning changes in nursing care. Top managers are recommended to stimulate critical thinking in their employees in the course of work in the nursing process. It is beneficial to improve communication on the managerial level in hospitals, and in addition, to obtain feedback from subordinates with respect to continuing education, to identify effectiveness and needs relating to education on the part of employees and to enable them to participate in the process of the respective changes implementation. To train function nurses in such changes management. To implement a programme aiming at continual quality improvement.
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Position of the head sister viewed by a medical sttaf member
LUKÁŠOVÁ, Věra
The position of the head sister viewed by a medical staff member My thesis examines the position of the head sister from the viewpoint of staff nurses both in state-run and private health care facilities. It gives insight into contacts between the head sister and staff nurses, especially if staff nurses are informed enough about the head sister´s duties. The results obtained in state-run and private health care facilites are compared. The following hypotheses were set: H I - staff nurses get into a personal contact with the head sister at least twice a year; H II {--} staff nurses are informed about the duties of the head sister ; H III {--} staff nurses working in hospitals, Inc., get into personal contacts with the head sister more often than staff nurses working in teaching hospitals. I set up thirty questions to address the issues of the position of the head sister in the hospital management and her duties. To obtain as much as possible information and to involve as many as possible respondents, the quantitative method of a questionnaire was used. The questionnaire consisted mainly of closed and semi-closed questions .One open question was also included to enable the respondents to express their own opinions. Respondents from the teaching hospital in Plzen and several other hospitals in the Plzen region ( the hospital Primaved, the Mulac hospital, the hospital in Stod, the hospital in Domazlice) took part in the investigation. The results of the investigation were processed in two phases: first the overall summary of all the replies was made and in the second phase the replies of the particular groups of respondents were evaluated separately. The investigation shows that staff nurses come into contact with the head sister and are familiar with her duties. The same conclusion was reached by comparing the replies obtained from staff nurses working in both kinds of hospitals, state-run and private. The results suggest that stuff nurses in both kinds of hospitals are thus well informed about the position of thehead sister. The objective of the investigation was achieved. The hypotheses I and II were confirmed, the hypohtesis III was not confirmed. The conclusions of the investigation will be presented at a workshop in the teaching hospital in Plzen with the approval of the head sister.. If the medical periodical is interested the conclusions will also be published there.
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