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Changing the image of maternity hospital in the system of maternity care in the Czech republic
Jeřábková, Julie ; Vrzáček, Petr (advisor) ; Kodyšová, Eliška (referee)
This theses deals with leading change in the specific organization, gynecologycal obstetrician department. The main aim of this theses is to evaluate leading of this change from the manager point of view and also to evaluate its sustainibility in the organization. I was focused on the research of the proces and execution of this specific change. It was the change from the clasiccal model of obsetrics to the respectfull model of obstetrics with using alternative methods and support of the natural birth. I used the qualitative research methods, patricipating observation. I created the summary of the proces of the change and underlined the found problematic parts from the field notes, interview and analysis of social networks. I managed to answer all asked questions and evaluate the process of change and its sustainability. At the end I offered a practical guide of the specific change as a tool for other organizactions. Key words: Obestetrics, maternity center, perinatal care, concepts of leading birth, opinion differences, healthcare management, management of change, image change.
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Magnet hospitals
Klokočková, Šárka ; Havrdová, Zuzana (advisor) ; Zvoníčková, Marie (referee)
Summary: The aim of thi disertation was to enlighten the term magnet hospital. Introduction of this thesis describes personnel situation in health care systém in the Czech republic and globaly. It also shows predictions of the future critical nurse staff shortage on labour market all around the world and it's possible impact on quality of care. Magnet hospitals as the kind of organization that creates work enviroment which increases nurses work satisfaction, quality of care and patients outcomes, sees the author as one of the possible solution of nursing shortage in the Czech republic. Second part of this theses, rpresents the results of the qualitative and quantitative research, participant were 16 nurses at the management positions (structured intewies) and 250 nurses (questionare NWI-R autor's own translation). Results: It was obvious that still prevails the traditional hierarchy and medical model of care delivery. Also there is streotypical view of the role and position of the nurses in health care teams, nurses do not feel like they are involved in management of the hospital. According to the findings we cannot describe those organizations as magnet hospital. It's also clear that the nursing care managers play the key role in creating the good work environment. We should pay more attention to their...
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IT SOLUTIONS FOR EFFECTIVE HEALTHCARE MANAGEMENT
Šebej, Matej ; Štěrbová, Ludmila (advisor) ; Antonovič, Vladan (referee)
Why do the healthcare facilities incur debt? What troubles the managers most? In what conditions do the healthcare professionals work? Is there space for improvement? Is it possible to deliver higher quality care? Nowadays, the healthcare providers are looking for solutions, which could help them satisfy more patients, reach lower costs and therefore increase own financial results and answer the abovementioned questions. Key element of such a solution is a business intelligence system, which supports decision-making and aligns enterprise objects with its progress and improves the overall performance. The thesis elaborates on the topic of business intelligence software QlikView in selected hospitals, which already implemented or are about to implement the business intelligence software. The intention was to find out ways in which the software is used in the hospitals, what key performance indicators the software usually measures and what could be the possible opportunities for its further use in the selected facilities. Research results indicate that the software significantly increased the work efficiency and that it contributes to more effective hospital management. However, such improvement in efficiency has also its drawbacks, namely it is the higher price per personal licence in comparison to the other business intelligence software on the market. Research also confirmed the fact that only usage of such software alone will not help to improve the overall bad state of Slovak healthcare system -- systematic measures such as DRG system have to be implemented in the first place in order to also effectively use the business intelligence software.
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