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Determining the level of nursing workload and the optimal number of nursing staff in selected standard hospital bed care departments
STACHOVÁ, Klára
Current situation: Educated and qualified nurse can fully do her job, give a patient bio-psycho-social-spiritual needs and satisfy them. This can happen only if optimal conditions are given to her, which means the optimal number of nursing staff. The aim of the study was to set the optimal number of nursing staff at surgical department in the Hospital of the Vysočina region, which was chosen. A standardized methodology of Pochylá and Pochylý (1999 and 2008) was used. Methodology and the research complex: Quantitative-qualitative method was used in the research. Detailed interviews were used in the first part of the study while talking to nurses of the surgical department of the Hospital of the Vysočina region. In phase two, 26 special nursing procedures were selected and divided into four thematic parts. 520 measurements were made in total, average time of making each special nursing procedure was set. In phase three, average values of nursing one patient in 12 hours at surgical department were set. Daily shots of the procedures were being taken for 14 days (Monday-Sunday). Optimal numbers of nursing staff and their qualified substitution in the Hospital of the Vysočina region were set in the last stage of the research. Results: The research question and three hypotheses were answered by performing and processing the research. The result is that there are statistically major differences in average value of basic and special nursing. 21 patients in average were treated in the hospital in the first week of research. The average nursing time for this number of patients in 12 hours was 3585 minutes 1027 minutes of basic nursing care and 1718 minutes of special nursing procedures. In the second week of research, 24 patients were treated at the department in average. The average nursing time for this number of patients was 3647 minutes in 12 hours 1036 minutes of basic nursing care and 1675 minutes of special nursing procedures. Statistically major differences were confirmed even during special nursing procedures. The longest average time was measured while incoming of patients, transferring, discharging (14,31 minutes) and the shortest average time was measure while applicating medicine into body cavities (0,5 minutes). Based on the research we can say that the number of staff at selected department is for a 12-hour shift optimal. Recommended number of full-time employees is 5, the real number is 5,4. Conclusion and recommendation: The output of this thesis is recommendation for management of nursing care regarding the issue of getting and maintaining the optimal number of nursing staff.
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Measure attendant stress on Neurology Department of Hospital in České Budějovice, a.s.
KAVKOVÁ, Darja
The present is a time rife with change, and healthcare is no exception. The aim is to provide the best quality healthcare at the lowest possible cost and with as few staff as possible so as to allow clients to recover quickly and ensure that they are satisfied with the services they have been provided with. České Budějovice Hospital is currently the fourth largest hospital in the Czech Republic. It provides medical care to the whole of South Bohemia. The Neurological Ward is situated in the internal pavilion of the hospital{\crq}s Upper complex. It provides 36 beds for seriously ill patients. Where patients are ill, the hospital tries to nurse them back to health as quickly as possible, while ensuring that they are self-sufficient and alleviating the after-effects of their illness. The standard of medical staff{\crq}s qualifications is rising to match the increased demands on the quality of care provided. In order to maintain standards a nurse needs not only to be skilful, but also well-educated and able to work independently. In this research I set three goals, from which there arose three hypotheses. In order to determine the workload and performance of the nurses on the Neurological Ward of České Budějovice Hospital I used two methods from the authors Karla and Otakar Pochylý. The method of quantifying nursing care to determine the number of nursing staff is based on three basic areas: assessment of the self-sufficiency of patients, a point rating for special nursing care, and daily one-off ratings which encompass all other activities. The ``new method{\crqq} is used to determine the number of nursing staff and the amount of workload. The research was carried out from 23.2.2009 to 20.3.2009, i.e. for 20 working days. The research set comprised the nurses on the morning eight-hour shift. After having assessed the results I came to the conclusion that the first two methods proved true, but the third did not, although this is disputable. In practical terms this research can be used as a general source of information about nursing workload, nurses{\crq} performance, and the number of people missing from the Neurological Ward. However, it should be followed up by more detailed long-term research which would eventually lead to modification of the staffing situation on the Neurological Ward.
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