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The rate of stress load on standard nursing wards and intensiv care units.
Brzicová, Věra ; Kulhavá, Miluše (advisor) ; Ptáček, Radek (referee)
This thesis deals with the stress, strain and stress level of stress. It examines what more burdens on JIPu sisters and what the standard department, what are the specifics of their work. Compares the work load and nursing department and the standard JIPu. It looks at how the situation affects of stress nurses. It outlines the causes and manifestations of stress effects on the human organism. He is also the burnout that often occurs among workers in the helping professions. The thesis is focused on the shift operation (especially on night shift), relationships at work (sister-sister, sister-doctor), the aggressive behavior of patients, or the lack of sufficient time for patient care. Research method is a questionnaire distributed to the nurses and the internal standard surgical wards and ICU. The evaluation questions of the questionnaire confirms or overthrows the hypothesis that I set at the beginning of research. The hypotheses were confirmed hypotheses 2 and 5 of the hypothesis was not confirmed. It was confirmed that the exchange operation and overload nurses, patient aggression, care of confused patients and bad interpersonal relations a high burden on medical personnel and contributes significantly to the stress load of nurses. In conclusion, I mention that a large role in preventing and...
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Psychological aspects of people management with a focus on leadership styles
Kuntová, Anna ; Vrzáček, Petr (advisor) ; Furmaníková, Lada (referee)
This diploma thesis deals with the psychological aspects of management focusing on the styles of leadership at the gynecological-obstetric department, specifically at the maternity hospital. The aim is to find out what kind of leadership is used by the senior and station nurses. This thesis explores how they interpret the management grid GRID and how they perceive themselves in terms of how midwives perform. For this research were choosen two hospitals, public and joint-stock company. That is why the objective was also to compare the interviews with midwives regarding their motivation, satisfaction and conflict occurance. Therefore the information was received that touched upon these topics and presented the perception of the workers in obstetrician. The theoretical part introduces the psychological aspects of leadership, so that the reader goes through chapters focusing on manager personality, management, leadership, work environment, work teams, motivation, workplace conflicts, stress, burnout syndrome, etc.. The empirical part is presented as part of the qualitative research, which presents the way of senior and station nurses with the help of the inspiration by design of the case study. Further a case study at the state hospital and a case study at joint-stock company are being developed with...
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Management activities of charge nurse in the intensive care unit
Nováková, Alena ; Marková, Eva (advisor) ; Lišková, Iveta (referee)
This thesis focuses on the work of charge nurses in intensive care units (ICUs) as first-line managers. The practical part of the thesis aims at assessing the experience with nursing management in day-to-day routine, especially with the management of change introduction, conflict resolution and motivation of employees. It further compares different charge nurses' career beginnings. The second part of the research deals with personal typology of charge nurses. Twenty six ICU charge nurses were included into the study. The results indicate that charge nurses are not being specifically prepared for their job and that they particularly lack any special education in management. They usually solve conflicts either by compromise or via a directive. Most charge nurses intend to introduce changes into daily practice and they perceive changes as positive. Conversely, they describe the attitude of their subordinates towards changes as negative. Charge nurses generally know the motivators of their employees; however, they excessively and inappropriately use praising as motivation tool. Although not standardized and not used generally, a formal evaluation of employees is considered by charge nurses as a possible way to improve motivation. Allover, the study shows the need for a more thorough management training...
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The rate of stress load on standard nursing wards and intensiv care units.
Brzicová, Věra ; Kulhavá, Miluše (advisor) ; Ptáček, Radek (referee)
This thesis deals with the stress, strain and stress level of stress. It examines what more burdens on JIPu sisters and what the standard department, what are the specifics of their work. Compares the work load and nursing department and the standard JIPu. It looks at how the situation affects of stress nurses. It outlines the causes and manifestations of stress effects on the human organism. He is also the burnout that often occurs among workers in the helping professions. The thesis is focused on the shift operation (especially on night shift), relationships at work (sister-sister, sister-doctor), the aggressive behavior of patients, or the lack of sufficient time for patient care. Research method is a questionnaire distributed to the nurses and the internal standard surgical wards and ICU. The evaluation questions of the questionnaire confirms or overthrows the hypothesis that I set at the beginning of research. The hypotheses were confirmed hypotheses 2 and 5 of the hypothesis was not confirmed. It was confirmed that the exchange operation and overload nurses, patient aggression, care of confused patients and bad interpersonal relations a high burden on medical personnel and contributes significantly to the stress load of nurses. In conclusion, I mention that a large role in preventing and...
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Management styles and their relation to the satisfaction of employees
GRAMANOVÁ, Kamila
Abstract - Leader empowering behaviours and their relation with worker's satisfaction Current state: Nurse's work is physically and mentally demanding. Adequate knowledge and skills are also needed. Nurse managers whose leader empowering behaviours administer to good functioning of medical institutions have therefore a crucial role. In these days a monitoring of job satisfaction is an upcoming matter. According to that we can look for drawbacks and problems and take corrective actions. There is a 9th year of the nationwide research of safety and satisfaction of employees of Czech hospitals. Aim: The first aim of the research was to find out what leader empowering behaviours are used the most by nurse managers. The second aim was to find out how leader empowering behaviours influence satisfaction with work conditions of nurses. Two hypotheses were given. The first hypothesis postulated that nurse managers use democratic empowering behaviours the most. The second hypothesis postulated that satisfaction with work conditions of nurses is changeable, depending on leader empowering behaviours. Methodology: A quantitative method of data capture was chosen. Non-standardised questionaires with 30 closed questions were given out. There were four questions at the beginning to identify respondents. Other set of 15 questions was focused on recognition of leader empowering behaviours. Satisfaction with work conditions was monitored in the last set of questions. Results of the research were processed into graphs and tables. Research set: The research set included nurses working under nurse managers in inpatient wards in České Budějovice a.s. hospital. The questionaire was appropriately filled in by 112 nurses, corresponding 74,7% recoverability. This was used to complete the aim of this thesis. Results: Results of the thesis were divided into two sets. The first set of questions aimed on leader empowering behaviours of managers under whom the questioned nurses of particular departments work. Democratic empowering behaviours were evaluated the most used, according to the first hypothesis. The second set of questions aimed on satisfaction with work conditions. The highest job satisfaction was reached with democratic empowering behaviours. Autocratic, liberal and nonspecific empowering behaviours were used in minimal degree and nurses reported lower job satisfaction among these behaviours. Therefore the second hypothesis was also confirmed. Conclusion: The research pointed out that leader empowering behaviours are one of the factors that influence job satisfaction. It is positive thing that an interest and research in this area increased in the last decade. Periodic evaluation of job satisfaction enables monitoring the direction of its values. According to the survey, a newsletter with recommendations for nurse managers was formed. This newsletter pointed out pros and cons of leader empowering behaviours.
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The role of a medical nurse in the hospital department's run
KRÁLOVÁ, Mirlinda
This bachelor thesis is focused on a role of a ward nurse during the performance of a ward. The focus is on specifics of the ward nurse's work, the pre-qualifications before obtaining this job and way how ward nurse solves conflicts on the ward in particular. The current ward nurse's work includes mainly administrative work, medical team leadership and responsibility for the performance of the whole wards and the quality of treatment. Ward sister is the first manager line. The theoretical part of this thesis deals with history of nursing; the main task of nursing, which is the complexity and systematic work to satisfy biological, psychological, social and spiritual needs of a treated person. Next, it is focused on the profession of a general nurse and the nurse's role. The largest part is dedicated to a ward nurse, who is a leading worker of whole nursing unit and is a direct subordinate to the nurse in charge. This nurse performs a highly specialized nursing care, organizes and does directive activity. A ward nurse leads her own nursing team. Furthermore, it is necessary to mention the chapter of Presumptions of ward nurse and her manager skills, which contains sub-chapters dealing with organizing, controlling and leading, planning, checks and time management. The necessary part is also a chapter dealing with communication. Communication plays an important role in lives of many people. A ward sister applies this several times; because it is a key part of her occupation and it belongs to her most important attributes. For this bachelor thesis, there were three aims set: 1. Find out the specifics of ward nurse's work. 2. Find out how a ward nurse solve conflicts in her work environment. 3. Find out the presumptions for a ward nurse's performance. Three research questions were asked: 1. What are the specific features of a ward nurse? 2. What ways does a ward nurse use to solve work-place conflicts? 3. What skills does a nurse need to become a ward nurse? The empiric part of this thesis is worked out in a quantitative method, in a form of half-structured dialogue. The dialogue was carried out based on pre-prepared questions with 8 ward nurses. Of those eight, four ward nurses were 4 from surgical fields and four from intern fields. During the analyses a method "paper and pencil" was used. Processed results were divided into categories and subsequently into sub-categories. To summarize, it is possible to say, that to be nominated as a ward nurse, it is suitable to have not only a long experience and practical knowledge, but also in respect to the medical development and the health a university degree is suitable or a particular field specialization. During conflict solution at the ward, it would be suitable to involve or at least inform the nurse in charge, even if it is "only" a staff problem. This way some misunderstandings can be avoided. The results show some imperfections in communication. This bachelor thesis might serve as a resource to prepare seminars for wards, which would concern conflict solving.
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Struktura pracovních a manažerských činností zdravotních sester v řídících funkcích
Kotrba, Tomáš
Thesis deals with structure of working and managerial activities of department and head nurses in Czech hospitals. As the managers in the first line and middle level they have a huge influence on the total level and quality of nursing health care. Therefore their level of managerial activities is very important. The aim of the thesis is to create and apply a methodology of monitoring of the work structure independent on the founder, hospital size and department/clinic orientation. For these reasons, the author cooperated with the Faculty hospital of St. Anna in Brno, Faculty hospital Brno, Army hospital Brno, Faculty hospital Ostrava, Hospital Trebic and Hospital Znojmo. There is used auto screening method, in the thesis. Measurements were proceeded for all department nurses and head nurses in Hospital Znojmo and Army hospital Brno. In order to achieve the aim of the thesis there were used the above-mentioned auto screening method and analysis of internal hospital documents, questionnaire research and interviews. The questionnaires were filled-in before beginning the auto screening and they investigated own estimation of working time consumptions of department and head nurses. Results were compared with statistical results of auto screening. The statistical results, proposals and recommendations were given to the deputy-managers for health care. In praxis we can often hear the statement, that nurses in the Czech Republic are overloaded with administrative tasks. The analysis of structure of working and managerial activities should either confirm or falsify this statement. The hypotheses were postulated to confirm or falsify correlation of variable load of administrative/managerial activities with the variables number of subordinates, total length of health care praxis or praxis in a managerial function.
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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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