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Social support of nurses
Němcová, Naďa ; Štefančíková, Mariana (advisor) ; Mareš, Jiří (referee)
Author: Naďa Němcová Institution: Charles Univerzity in Prague, Faculty of Medicine in Hradec Králové, Department of Social Medicine, Department of Nursing Title: Social support of nursing Supervisor: PhDr. Mariana Štefančíková, Ph.D. et Ph.D. Number of pages: 227 Number of encloures: 13 Year of defense: 2017 Keywords: social support, nurse, adaptation process, supervision, psychosocial intervention care, peer support, nursing management The bachelor thesis deals with the issue of social support nurses. The theoretical part describes the concept of social support and possible sources of social support. Further, it highlights the positive and negative aspects of social support human life. The second chapter deals with the professional social support that general nurses in the exercise of his profession. The concept of professional social support related to external conditions that have nurses available, ie., they are given in the work environment. In the empirical part, a combination of qualitative and quantitative surveys. Research on social support, and how to support nurses perceive, evaluate and use is made by semi- structured interviews, these are complemented by a questionnaire surfy. The obtained data is processed using the phenomenological description, open coding and triangulation.
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Selected risks in nursing practice
HLADÍKOVÁ, Šárka
Current state: High percentage of risk is associated with providing medical care and therefore it may harm both the patient and the nursing staff (Drahoš, 2007). Objectives: To assess the most frequent risks in nursing care that may harm patients during their hospitalization. Furthermore, the aim is to find out whether the occurrence of these risks changes depending on the type of care provided and also whether the nurses' understanding of the principles of administration of oral medication is affected by the length of their work experience. Methods: The empirical part of this thesis was based on the quantitative research study - data collection method via structured questionnaires. The study was then supplemented by observation of nurses using the audit technique. The research group-participants: The questionnaire was designed for general nurses working in selected wards of Ceske Budejovice Hospital, plc. During the Semester-in-Practice Externship, six nurses in 'The administration of oral medication'audit. Results: The result of the aritmetic mean, results in the nurses stating the risk of fall in patients as the highest risk (3,56), risk of medication error (3.01). According to the addressed nurses from the internal department, the following risks belong to the group of the most significant risks to the patients of the internal department- risk of injury to the patient during hospitalization, risk of nosocomial infection, risk of falls in patient and risk of immobilization syndrome. According to the questionnaire research results, some differences were shown in the knowledge of principles of safe administration of oral medication in connection with the length of work experience of the addressed nurses. Nurses with the longest practise (over 11years) most frequently chose the correct answer in the following parts: expired drug usage and checks, medical refrigeration temperature, preparation and disposal of left-over medication, how to care for tablet splitter, correct action taken when a patient refuses to take medication and filling in the daily medication report. On the other hand, nurses with practise of 5-10 years more often correctly answered questions regarding drug administration system, safe usage of medical trolley cart and optimum storage conditions in medicine fridge. Nurses with the shortest work experience (under 5 years) proved to have the weakest knowledge of administration of oral medication. A conclusion that can be drawn from the audit results is as follows: the most common errors committed by the nurses are usage of generic drugs, lack of hand disinfection, touching medication with bare hands, preparation of meds in corridors instead of at the patient's hospital bed and incorrect drug disposal when the left-over tablets were put back in the packet. Conclusion: From the statistically significant connection between the probability of the risk and the department (type of care), it came to light that risk of injury to patients during their hospitalization, risk of nosocomial infection, risk of falls in patient, risk of immobilization syndrome and risk of aggressive behaviour are more common risks in internal wards rather than in surgical wards. Nurses with work experience over 11 years proved to have the best knowledge of principles of safe administration of oral medication. The audit proved that despite their good knowledge of safe drug administration procedures, the nurses do not always follow these in the workplace. My thesis is a proposal for standard care procedure 'administration of oral medication'.
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Utilization of the role of a nurse as a decision-maker in practice in connection with provision of quality nursing care
STEHLÍKOVÁ, Jaroslava
The thesis attempts to outline the extent to which the decision-making role of nurses is utilized, and the main factors that affect decision-making of nurses within the scope of provision of nursing care. The research has found out that nurses utilize their decision-making role to an insufficient extent hence the sense and purpose of decision-making must be emphasised again. This task may be assumed by managing nurses. Managing nurses may also contribute by more effective defending of competences of nurses. From the factors needed by nurses for effective decision-making, attention should be paid particularly to education. It is necessary to make possible for nurses to extend their knowledge and thus to obtain theoretical insight (e.g. in respect of decision-making) to be used by them while providing care to a patient/client.
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Requirements for changes in nursing care on the part of top management
PŘIBYLOVÁ, Kateřina
Requirements for changes in nursing care on the part of top management Abstract At present, nursing care has been experiencing a great progress. Implementation of the nursing process as a working method has been striven for. The educational system for non-medical workers has been changing. Nurses holding top managerial posts should have competence to lead and manage people effectively in the ever changing nursing environment. To acquire information necessary for achievement of the set goals, a quantitative research was employed. Within the framework of the quantitative research, the questioning method using a questionnaire was selected. The questionnaires concerned were sent to top managers among nurses and doctors working in medical centres all over the Czech Republic. The thesis had three objectives defined. First, to discover what prerequisites top managers miss to be able to implement the changes concerned in the area of nursing care. Second, to discover top managers´ opinions on the system of nursing care provision. Third, to identify differences between requirements for the nursing process method on the part of top managers {--} nurses and top managers {--} doctors. Based on these objectives, four hypotheses were formulated. The hypothesis no. I: The current situation does not allow top managers operating in health service to implement changes in nursing care in practice. This hypothesis has been confirmed. The hypothesis no. 2: Top managers do not require group nursing care as a prerequisite for the implementation of nursing care changes. This hypothesis has not been confirmed. The hypothesis no. III: Representatives of nurses in managerial posts promote the nursing process application as a prerequisite for changes concerning nursing care. This hypothesis has been confirmed. The hypothesis no. IV: Representatives of medicine doctors in managerial posts do not promote the nursing process application as a method of nurses´ work. This hypothesis has not been confirmed. As far as the results of this diploma thesis are concerned, we were trying to outline possible solutions of the issues concerning changes in nursing care. Top managers are recommended to stimulate critical thinking in their employees in the course of work in the nursing process. It is beneficial to improve communication on the managerial level in hospitals, and in addition, to obtain feedback from subordinates with respect to continuing education, to identify effectiveness and needs relating to education on the part of employees and to enable them to participate in the process of the respective changes implementation. To train function nurses in such changes management. To implement a programme aiming at continual quality improvement.
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Realization of Nursing Care Concept in Practice
BALDOVÁ, Martina
The main objective of the thesis was ascertaining of realization of the Nursing Care Concept issued by the Ministry of Health in 2004, in Czech hospitals. To achieve results a quantitative research method was used. While collecting data we used a questioning method, by means of questionnaires. The questionnaires were intended for staff nurses/deputies of nursing care in Czech hospitals. As a research sample we chose hospitals in the Czech Republic which provide acute ward (bed) care. The found out data should clarify what is the actual status of realization of the Nursing Care Concept in Czech hospitals.
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Position of the head sister viewed by a medical sttaf member
LUKÁŠOVÁ, Věra
The position of the head sister viewed by a medical staff member My thesis examines the position of the head sister from the viewpoint of staff nurses both in state-run and private health care facilities. It gives insight into contacts between the head sister and staff nurses, especially if staff nurses are informed enough about the head sister´s duties. The results obtained in state-run and private health care facilites are compared. The following hypotheses were set: H I - staff nurses get into a personal contact with the head sister at least twice a year; H II {--} staff nurses are informed about the duties of the head sister ; H III {--} staff nurses working in hospitals, Inc., get into personal contacts with the head sister more often than staff nurses working in teaching hospitals. I set up thirty questions to address the issues of the position of the head sister in the hospital management and her duties. To obtain as much as possible information and to involve as many as possible respondents, the quantitative method of a questionnaire was used. The questionnaire consisted mainly of closed and semi-closed questions .One open question was also included to enable the respondents to express their own opinions. Respondents from the teaching hospital in Plzen and several other hospitals in the Plzen region ( the hospital Primaved, the Mulac hospital, the hospital in Stod, the hospital in Domazlice) took part in the investigation. The results of the investigation were processed in two phases: first the overall summary of all the replies was made and in the second phase the replies of the particular groups of respondents were evaluated separately. The investigation shows that staff nurses come into contact with the head sister and are familiar with her duties. The same conclusion was reached by comparing the replies obtained from staff nurses working in both kinds of hospitals, state-run and private. The results suggest that stuff nurses in both kinds of hospitals are thus well informed about the position of thehead sister. The objective of the investigation was achieved. The hypotheses I and II were confirmed, the hypohtesis III was not confirmed. The conclusions of the investigation will be presented at a workshop in the teaching hospital in Plzen with the approval of the head sister.. If the medical periodical is interested the conclusions will also be published there.
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