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Work management of nurse in the ordinary of praktitioners
VAŇHOVÁ, Romana
Primary health care is an intrinsic part of health care system in all developed countries. The purpose of primary care is to provide preventive, diagnostic and therapeutic care. Primary care requires a very high level of cooperation, especially between the doctor and the nurse. The activities of a nurse in a general practitioner's office can be divided into several basic areas. The first corresponds to tasks for which the nurse has work competence, however, other areas include managerial, social and societal responsibilities. A nurse in primary care is the most professional person responsible for implementation of health education. and contributes thus to reducing the incidence of the disease and mortality from chronic diseases. The aim of this diploma thesis was to map the management of nurse working in the general practitioner's office, to map the visiting care for patients in the home environment and to find out the needs of patients in the home environment. The empirical part of the research was conducted using qualitative research survey, using the technique of in-depth semi-structured interview. The research group consisted of nurses working in general practitioners' surgeries, patients who are visited by general practitioner nurses and carers who take care of their loved ones in their natural environment. The research survey showed that nurses in general practitioners' surgeries do not have enough information about the current legislation needed to ensure the operation of the surgery. They lack suitable professional courses, such as resuscitation course, computer course, communication or management course. They would also welcome education on social issues. Research on a group of patients confirmed the benefits of staying in the home environment with the emphasis on meeting their needs. A research survey of a group of carers revealed high burden for carers who care for their loved ones in their home environment. A nurse practitioner plays a key role for both groups. He/she is often the first person the patient or his family talks to. Often, patients and families communicate their feelings and pleas to nurses rather than doctors. Given that patients and their families currently prefer home, it is important that the responsible nurse has highly versatile capabilities. The results of the research survey showed that nurses in general practitioners' surgeries would welcome the possibility of further comprehensive education. Therefore, a proposal for courses in lifelong learning for nurses was created within the diploma thesis.
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Introduction of Managerial Supervision at the Department of Anesthesiology : a case study
Bendová, Eva ; Marková, Monika (advisor) ; Merhautová, Jana (referee)
Eva Bendová: Introducing managerial supervision at the Department of Anesthesiology ABSTRACT In the form of a case study, this diploma thesis describes the process of introducing managerial supervision at the Department of Anesthesiology of Masaryk Hospital in the town of Ústí nad Labem. The theoretical part of the thesis describes theoretical prerequisites of change. It deals with managerial supervision, its basic aspects and principles. Furthermore, it focuses on issues closely related to successful introduction of managerial supervision - management, staff evaluation and development, organizational context and the process of change management. The practical part of the thesis draws a comparison between the situation as it was before introducing the managerial supervision process in the anesthetics ward and the situation a year after I took up my post there. It describes the process of introducing managerial supervision as a tool of change management, the individual stages of change and its evaluation. The thesis is concluded with a reflexion on personal change occurred within a managerial position as a result of analyzing the individual managerial supervision records. Keywords: Managerial supervision, organizational diagnosing, management in nursing, change management, case study
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Working strategies of nurses on manager posts
MARKOVÁ, Eva
The thesis "Working strategies of nurses on manager posts" deals with issues of the professional role and manager position of a head nurse. With regard to changes in the area of health policy and health care providing, as well as is the relationship with the issue of professional fulfilment of women on the labour market generally, it is important to know views, ambitions, and motivations of nurses, and their working strategies on managing positions. It includes aspects of harmonizing their family and work roles, as these are the moments determining the position of most women in our working conditions to a significant extent. It is to say, managing of the nursing personnel and health care is a typical feminine position in the Czech Republic, adapting to given rules of the work organization and hierarchical structure of health institutions. The purpose of the thesis is to outline such a frame of reference, which would enable to better understand values and attitudes of head nurses. An indispensable part of this outlook is to understand, how their carriers developed, to identify their managing styles and guiding of the nursing team, as well as to map how their personal and professional roles pervade and affect each other. In this process, revealing long-term working strategies of head nurses is an important source of knowledge and at the same time, an attitudinal reflexion of these contexts by nurses themselves. Therefore, the development of the role of a nurse - manager (specifically, the head nurse and the ward sister) was described as the first item in the framework of the professional live of managing nurses; and conclusions of a series of research studies, focused on these issues, were presented. Additionally, the specificity of management in the nursing conditions was analyzed, including changes after 1989, and possibilities of education of nurses - managers. Finally, an empiric probe into the explored points at issue was carried out. Data acquired by means of semi-structured interviews with selected head nurses in faculty hospitals were integrated with the help of one of classical approaches, through so-called Grounded theory method. On basis of the data analysis, a model of professional paradigm was created, demonstrating several phases of the professional career, through which a head nurse passes, which were called for illustration: Seeking of domain, Circle (changing of nursing lines and sites), Virtue of necessity (situation, where a nurse caring of a child chooses a workplace, which enables such care), and Anchoring in the nursing branch. Then, the manager's career of the nurse unwinds form the "Anchoring in the nursing branch" phase. Life stories of head nurses, built on information from qualitative interviews, include predisposing factors for a managing position. Last but not least, it is also about some imprinting aspects from the childhood and adolescence (e.g., number of siblings, reasons for the selected study). After certain time, a nurse becomes a shift leader and a deputy ward sister, and subsequently, a ward sister and a head nurse. According to circumstances, she uses a combination of several managing styles in this position, like authoritative, democratic, and consultative. The theoretical model of professional paradigm of head nurses, construed on basis of empiric data analyses, opens a trail for further investigations, where it may be possible to examine some consequences in more detail, like the course of the professional career of nurses, their managing styles, etc. The acquired and classified evidences contribute to enriching current state of knowledge of certain segments of nursing issues. For instance, the top management of health institutions may use them in planning and implementation of some policies in the area of human resources, or educational institutions may use it for better and more accurate setting of educational concepts of future head nurses.
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