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Experience of health care managers with motivation, team leadership and build-up of the professional competence of their employees
MAREČKOVÁ, Tereza
Current state: The motivation of nursing staff is an integral part of the activities of nurse managers. Most of the time, work in the healthcare sector is very mentally and physically demanding for all medical staff, and especially for nursing staff, who are in closest contact with patients. Nurse managers should therefore be aware of the importance of staff motivation. All health workers have the obligation of lifelong learning, and therefore the head nurses should pay attention to the educational activities of the staff. The objective of the qualitative research was to describe the work motivation of nurses, in particular, the experience nurse managers have with team building activities and to map their role in the field of increasing the professional competence of their employees. The aim of the quantitative part of the study was to evaluate nurse satisfaction with the motivational program of the organization in which they work. Another goal was to find out if nurses are interested in team building activities. The final goal of the quantitative research was to evaluate nurse satisfaction with the employer's offer of lifelong learning. Methodology: A mixed qualitative and quantitative design was chosen for the research. The data collection for the qualitative research was carried out through semi-structured interviews with first and middle line nurse managers. The data intended for the quantitative research study were obtained using the technique of a non-standardized self-constructed questionnaire intended for shift nurses. The research group of the qualitative part of the research survey was made up of 11 head nurses, and the research group of the quantitative part of the research survey was made up of 179 shift nurses. The research took place in two hospitals of the faculty and regional type in the period July-September 2022. Results: Nurse managers considered employee motivation to be an important and integral part of their work. Adequate financial remuneration of nurses was stated by the majority of nurse managers as the strongest motivating factor. Four fifths of the interviewed nurses were satisfied with their salary (81%). More than four-fifths of nurses were satisfied with the hospital incentive program (82.7%), and nurse satisfaction with the incentive program did not vary statistically significantly with their age (p=0.724). The head nurses had no experience with team building activities. More than a third of nurses (40.8%) were interested in participating in team building activities. Nurse willingness to participate in team building activities decreased with age (p <0.030). The head nurses stated that they try to motivate and support the nurses for further education. Among the obstacles preventing further education of nurses, they included fatigue associated with a lack of staff, as well as lack of time and lack of interest of nurses in further education. More than three quarters of nurses (76%) were satisfied with the offer of lifelong learning offered by the employer. Nurse satisfaction with the employer's offer of lifelong learning increased significantly with the applicability of newly acquired knowledge in clinical practice (p <0.001). Conclusion: The level of relationships at the workplace is related to the satisfaction and motivation of the staff, and the associated effective communication in the team. Nurse managers should therefore pay attention to the development of positive relationships at the workplace and the cooperation of individual team members. One of the possibilities of working with teams can be, for example, team building. If we want educated nursing staff in hospitals who are continuously educated, it is necessary for them to be supported in further education by senior staff and the organization.
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Feeding the patients in hospital
NITA, Tatiana
The main goal of the bachelor thesis was to find out what interventions the nurses used in feeding, what communication techniques the nurses used and how they cooperated with other members of the nursing team in feeding patients in hospital facilities. Three research questions were identified, which focused on the nurse's interventions in the feeding, on communication techniques during the administration of food and on the cooperation of nurses with other members of the nursing team. The empirical part of the bachelor thesis was processed through a qualitative research survey. The data collection itself was carried out through participatory unstructured observation of nurses working in a hospital facility. Each observation was converted into written form and further processed by the method of open coding, the "pencil - paper" technique. The results of the empirical part were divided into nine categories for clarity. Among positive findings we include that the rooms had been cleaned and ventilated before the food was served. Before lunch, the nurses allowed non-self-sufficient patients to take a suitable position. The nurses also prepared bedside tables for patients at a sufficient distance and provided non-self-sufficient patients with a paper bib to prevent contamination of their clothing and bedding. No dietary changes were observed. The diet was served at a sufficient temperature and amount. During the diet, the nurses actively offered patients liquids with the help of various compensatory aids for drinking. Among the positive findings was that the nurses fed the patients in clean work uniforms, had no accessories on their hands, were properly combed, and all but one had the prescribed manicure. Furthermore, the nurses actively cooperated and communicated with both patients and nursing staff. Only minor problems were detected, but this did not have a major impact on the provision of quality nursing care to patients. Among the negative findings we can include non-compliance with the principles of barrier care for nurses. The nurses did not exchange incontinence devices for non-self-sufficient patients, they did not allow them to perform hand and oral hygiene. It was also revealed that the nurses did not wash or disinfect their hands before or after eating. This bachelor's thesis is intended for nurses and students of non-medical health disciplines and will serve as a basis for revealing problems and improving skills in the field of feeding patients. The thesis can serve as a basis for further research.
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Practicing Nurses' View Of Nursing Students In The Context Of Clinical Practicum
Kovaříčková, Jolana ; Vaňková, Milena (advisor) ; Di Cara, Veronika (referee)
Irreplaceable role in preparing students for the future careers have nurses, who are accompanies their future colleagues during the teaching of nursing procedures and in adopting a role of nurse. The bachelor work deals with evaluations of qualified nurses of nursing students in the context of clinical practice. The basic research target is the expectation of the qualified nurses to the nursing students. There are sectional research targets and questions, which maps the strategies, which qualified nurses use for easier collaborate with nursing students in the context of nursing practice; identified nurse's ways and areas, which they used for evaluation of nursing students; analysed the nurse's opinion for independence of nursing students; evaluated the reaction of nurses for innovation, which are the part of the lessons of nursing students; analysed competence and characteristics, which nurses assume for their ideal of "good nurse". The research was based on a qualitative approach. The data were collected by using focus group. The research sample was based on combination of purpose and simple random selection method by using snowball. By the method of content analysis of open coding was formed some basic categories and subcategories. The final condition are categories, that deals with teaching...
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Practicing Nurses' View Of Nursing Students In The Context Of Clinical Practicum
Kovaříčková, Jolana ; Vaňková, Milena (advisor) ; Di Cara, Veronika (referee)
Irreplaceable role in preparing students for the future careers have nurses, who are accompanies their future colleagues during the teaching of nursing procedures and in adopting a role of nurse. The bachelor work deals with evaluations of qualified nurses of nursing students in the context of clinical practice. The basic research target is the expectation of the qualified nurses to the nursing students. There are sectional research targets and questions, which maps the strategies, which qualified nurses use for easier collaborate with nursing students in the context of nursing practice; identified nurse's ways and areas, which they used for evaluation of nursing students; analysed the nurse's opinion for independence of nursing students; evaluated the reaction of nurses for innovation, which are the part of the lessons of nursing students; analysed competence and characteristics, which nurses assume for their ideal of "good nurse". The research was based on a qualitative approach. The data were collected by using focus group. The research sample was based on combination of purpose and simple random selection method by using snowball. By the method of content analysis of open coding was formed some basic categories and subcategories. The final condition are categories, that deals with teaching...
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Nursing education (in practice)
KAŠKOVÁ, Markéta
Increasing the education of nursing staff is a society-wide issue, influenced by continuous development of medicine and medical technologies. The provision of nursing care is rightly demanding. The only way to keep up with new trends is lifelong nursing education. Nursing education in a particular workplace primarily aims at addressing current problems of the department and nurses? needs. The theoretical part deals with the influence of education on the quality of nursing care. We present a structure of education of paramedical professions. We define and clarify terms such as pedagogy, didactics, education and learning. We deal with the specifics of education, didactic principles and principles of adult education. In addition, we specify instructional strategies for nursing staff. For the purposes of this thesis, four objectives were set. In the first one we wanted to find out what the system and process of nursing education in the department looks like. The research showed that educational events are held in all departments. The organizing departments mostly report irregular or monthly frequency. The aim of the second objective was to obtain an opinion on the effectiveness of education in the department. We found disparity between the views of ordinary nurses and head nurses. The third objective was to answer the question of whether the organized educational events are initiated by the nurses? requests. Based on the answers of head nurses and ordinary nurses, we found out that this is not always the case. The last objective was to determine whether nurses implement the knowledge and skills gained to routine nursing care. The questionnaires showed that ordinary nurses try to incorporate the knowledge and skills to routine nursing care. For the purposes of this thesis, the combination of qualitative and quantitative research was selected. In order to carry out the qualitative part of the research, the method of questioning, using the technique of semi-structured interview with open questions was chosen. For the issue of quantitative research, the method of questioning, using the questionnaire technique with closed and semi-closed questions was used. For qualitative research, we set two research questions. In the first research question we wanted to find out what impetus the management uses when planning education in the hospital and the department. We found out that most often it is initiated by head nurses and ward nurses. In the second research question, we examined what obstacles the management sees to the effectiveness of education and implementation of the knowledge and skills gained into practice. Head nurses identify a problem in the actual participation in education in the department. For quantitative research, we set five hypotheses. Hypothesis 1 was: Nursing education in the workplace is an activity organized by the management regardless of the ordinary nurses? requests. The hypothesis was not confirmed. Hypothesis 2 was: Management, unlike ordinary nurses, sees the effectiveness of education in the workplace positively. The hypothesis was not confirmed either. The third hypothesis was: Education is seen as a necessary, routine activity, not as motivating factor for improving the quality of nursing care. The hypothesis was not confirmed. The last hypothesis was: Implementation of the knowledge gained from the educational events into nursing care is monitored by the management. The hypothesis was not confirmed, the implementation of knowledge is monitored, but not to the extent we expected. When evaluating the results we came across other very interesting facts, which we believe deserve more attention. Finally, it is surprising that the organization of educational events does not reflect nurses? shifts. One of the reasons for this might be the fact that some head nurses do not prepare the plan and time schedule for nursing education. We tried to propose the time schedule of nurses education in deparments.
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A healthcare assistant as a member of the nursing team
DUŠKOVÁ, Jitka
The Bachelor thesis deals with the profession of a healthcare assistant and acceptance of a relatively new healthcare staff category to a nursing team. The field of study of healthcare assistant has substituted the previous field of General Nurse at secondary medical schools within the changes of the nurse education conception. This change has shifted the field of general nurse to the tertiary level. The profession of a healthcare assistant should not be a marginalized part of a nursing team. The multilevel system of nursing care provision belongs to new trends in nursing and requires a nursing team consisting of staff of various qualification levels. Competences of a healthcare assistant are subordinated to nurses; assistants provide nursing care under supervision of a physician or a general nurse. They are entitled to performing a narrower range of activities mostly aimed at the basic nursing care. This new healthcare profession is becoming an important element and it is necessary to accept a healthcare assistant as a full-valued nursing team member. The theoretical part of the Bachelor Thesis deals with development of nursing and nursing education. It also contains information related to the healthcare assistant profession. The aim of the practical part was to find out whether general nurses are interested in including a healthcare assistant into their nursing teams and whether they know the competences of healthcare assistants. A quantitative research method in the form of a questionnaire was used to obtain results of the research. The questionnaires were designed for general nurses and distributed in the Central Military Hospital in Prague at the departments where healthcare assistants worked. The research results were presented in graphic form and evaluated in final discussion. The Thesis may be used for wider information on and closer insight into the issue, both for students and general nurses as well as nurse managers.
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Manager's role in nursing staff in the intensive car unit.
ŠKULINOVÁ, Iveta
The theoretical part of the thesis introduces the current state of the issue. The fundamentals of management, the three basic lines of health managers and their functions and roles are described first. Another section is devoted to the specifics of nursing care in the intensive care unit. The second part is focused on qualified nurses, their qualification, duties and the role, factors of satisfaction and difficulties of the care for patients in the intensive care unit. The last part deals with problems occurring in exercise of the nursing profession and with the assistance of a manager in dealing with these problems. Five objectives were established. Objective 1: To identify what nurses working in intensive care units need to be satisfied in their work. Objective 2: To map the form of support to the nursing team in the ICU from the perspective of managers. Objective 3: To point out possibilities of increase in job satisfaction of nurses working in intensive care units. Objective 4: To identify motivational factors for nurses working in intensive care units. Objective 5: To determine if there are obstacles preventing managers from supporting the nursing team. Qualitative research was selected to collect the data and 6 research questions were established. Research question No.1: What do nurses working in ICU need to be satisfied in their profession? Research question No.2: Do nurses working in ICU perceive any difference in position of a nurse working in an ICU and a nurse working in a standard unit? Another question No.3: What are the means used by the management to support the nursing team in ICU? Question No. 4: What are the possibilities of increasing work satisfaction of nurses working in ICU? Question No. 5: Which specific motivational factors are involved in satisfaction of nurses working in ICU? Research question No. 6: Which obstacles prevent managers from supporting the nursing team? Non-standardized interviews were conducted with 8 ward nurses and 12 nurses working in shifts who were employed in intensive care units of surgical or internal departments. Answers to the established research questions were formed based on analysis of the results. Results can be provided to managers in health care facilities and to nurses working in intensive care units.
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Psychological distress of the nursing staff at the Residential Care Home {--} Nursing Home Dobrá Voda at České Budějovice.
PAŤHOVÁ, Eva
The bachelor thesis deals with the issue of psychological distress of the nursing staff at the Residential Care Home {--} Nursing Home Dobrá Voda at České Budějovice. A nursing home is a facility providing its clients who are partially self-sufficient due to organic brain damage or dementia with social and residential services. A nursing team (consisting of medical staff and staff providing direct care) provides its clients with 24-hour-a-day nursing care. There are a number of specifications associated with the nursing care due to the mental health of clients. Two goals were defined in the bachelor thesis {--} to depict factors causing distress of the nursing staff at the Nursing Home Dobrá Voda at České Budějovice when providing the clients suffering from dementia with nursing care and to find out how the nursing staff at the Nursing Home Dobrá Voda at České Budějovice perceives the psychological distress. A qualitative method of data collection {--} a semi-conducted interview {--} was used as the main technique in the research part. A quantitative method of data collection using a scale questionnaire {--} ``Inventář projevů syndromu vyhoření`` by T. and J. Tošnerovi {--} was used only as a supplementary technique. The research set consisted of 12 members of the nursing team at the Nursing Home Dobrá Voda at České Budějovice. The goals of the thesis were met.
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Implementation of the basal stimulation concept in old people homes in the South-Bohemiam Region.
VESELÁ, Jaroslava
The theme for the bachelor work is the implementation of the conception of the basal stimulation in the retirements homes in the South Bohemian region. At present, the age average of seniors in all types of social care establishments is increasing, especially in residential establishments. To reach the quality of the provided care, it is necessary for all members of the nursing stuff to be informed of the problems and to manage the process of taking control of these problems and to solve them One of the most demanding tasks of the nursing care is to meet the needs of the client and to understand the style of communication. The basal stimulation is a conception that helps to meet the needs of all clients. It derives benefit from previous firmly footed life habits, customs and experiences of the client. The aim of the work is to find out, if the nursing team is making use of the basal stimulation conception in the retirement homes of the South Bohemian region. In the work, two hypothesis have been pointed: Hypothesis 1: In the retirement homes of the South Bohemian Region, the basal stimulation conception in the nurse care with seniors is not being used. Hypothesis 2: According the subjective opinion of the nurses, the basal stimulation conception is not being used for reasons of absence of nursing stuff in the retirement homes. To gain the information, a quantity investigation was used with a method of questioning, with a questionnaire given to the nursing stuff of seven selected retirement homes in the South Bohemian region Through the analysis of collected data subsequently processed into graphic charts and schemes, the first pointed out hypothesis was disproved and the second hypothesis was affirmed. In two selected retirement homes, the basal stimulation conception is used. When treating seniors, the method most frequently used is the positioning with bead aids. I believe that the investigation is also a practical contribution for the reason of the exchange of information about the existence of the basal stimulation conception to the nursing stuff who have not yet been informed about it, I hope that the basal stimulation will gain a basic position among the established methods of nursing care and will become a great contribution for the patient as well as for the whole nursing team.
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The nurse with high school (university) education as a member of nursing team
VACKOVÁ, Jana
Recently, the university-educated nurses´ integration into the nursing staff has been a topical issue. My thesis deals with the issue {\clqq} A university-educated nurse as a member of the nursing staff.`` The thesis is divided into two sections {--} theoretical and practical. In the theoretical part information on education of nurses in the past and nowadays is presented. The current health care legislation is also given attention to. The thesis deals with the health care philosophy and is focused on the personality of a nurse. The chapters of the practical section refer to the following topics: the study objective, hypotheses, the collecting data methodology, the characteristics of the research set. In the following chapter charts showing results of the research are presented. The results are then analysed, compared and evaluated. The objective of my thesis was to learn what is the university-educated nurses´ position in the nursing staff hierarchy. I wanted to examine what the rank of universityeducated nurses in the nursing team is from the viewpoint of other nursing staff members, doctors, patients and also the university-educated nurses themselves. I handed out questionnaires to four different research sets of respondents: patients, the secondaryschool- educated nurses, university-educated nurses and doctors. Two hypotheses were set. The obtained data analysis shows that the first hypothesis: {\clqq}the university-educated nurses´s position within the medical staff is not specified yet`` was confirmed. The second hypothesis: {\clqq}From the viewpoint of a patient the rank of a university-educated nurse and that of the school of nursing are the same`` was also confirmed. Besides these findings there are other very interesting conclusions emerging from the research. The data I obtained are compared to those obtained in a similar research four years ago. The thesis thus contributes to recognition what has changed in terms of the attitude to nurses and their education. Despite being an integral part of the nursing staff, the university-educated nurses have an ill-defined position within the nursing team. The objective of my thesis was achieved. The main contribution of my thesis may be the presentation of these conclusions to the public {--} the potential health care facilities clients. It could enhance the reputation of the nursing profession in society.
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