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Violence and aggression in healthcare professionals with a focus on workplace of acute psychiatric care
Němec, Tomáš ; Jirkovský, Daniel (advisor) ; Haluzíková, Jana (referee)
The aim of the bachelor thesis was to provide basic information on aggressiveness at selected workplaces of Bohnice Psychiatric Hospital. In the framework of this work, a questionnaire was submitted to 194 respondents performing general nurses or health care professions, acute care departments and subsequent psychiatric, anti-toxic and gerontopsychiatric care. The investigation took place during December 2016 and January 2017. The main results showed that respondents from PN Bohnice encounter high frequencies with aggressive patients, i.e. daily or weekly in 60% of cases. Most respondents (92%) encountered verbal and physical aggression. The most common kind of physical aggression is the destruction of property (52%), the assault of a health care professional (40%) and self-harm (39%). The most common type of aggressor is male (50%) and female (44%), less frequent visits and the patient's family (3%). For men, physical aggression is higher than for women by more than 13%. According to medical professionals, the most common cause of aggression is the disease (67%), fear and anxiety (32%), and the third is environment (27%). Physicians deal with conflicting situations most often by appointment (97%), and secondly in cooperation with other health workers, i.e. they call service (55%) or doctor (44%)....
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The motivation of general nurses for work in a psychiatric hospital
PROCHÁZKOVÁ, Zuzana
Motivation is a force which modifies and influences human behaviour in working process. It´s very important for nurses to be motivated at work education and the chance of its use in nursing profession represents one of the significant motivators. The aim of this work was to elaborate the basic motivational and demotivational factors for nurses used when deciding for the job in a psychiatric hospital and explore if qualifying education knowledge and study practice affect the decision for the job in a psychiatric hospital. Regarding these targets, the following hypotheses were set: H1: Meaningfulness of the work represents the main motivational factor for the profession choice in a psychiatric hospital. H2: Fear of the potential threat from the patient is the main demotivational factor. H3: Knowledge from the qualifying education doesn´t affect the job choice in a psychiatric hospital. H4: Practice during the studies has motivational impact on the following choice of work in a psychiatric hospital. To obtain the necessary data, the quantitative research was used with a questionnaire as a research instrument. There were 100 nurses working in psychiatric nursing included in the study, who received qualifying education at the higher medical school as gualified general nurses or at the university in nursing bachelor studies. Based on the results obtained, we examined that the interest in psychiatric nursing is thought to be the primary motivational component, but not the meaningfulness of the work. Psychical intensity of the work was classified as the main demotivational factor, not the fear of the potential threat from the patient. Regarding the education and practice it was noted, that the knowledge from the qualifying education doesn´t affect the job choice in a psychiatric hospital and practice during education has motivational impact on the following choice of work in a psychiatric hospital. As an outcome of the research the recommendation was created, which can be used as a scheme for qualifying education in terms of motivation and effective preparations of nurses for their work.
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Nurse in the psychiatric ward as a source of confidence and trust for the mentally ill
TICHÁ, Kateřina
Mental diseases are often view as a taboo and stigmatizing phenomenon by the public eye. Similarly, the work of a nurse in a psychiatric ward is considered as unimportant in number of publications. The nurses, working in this department, are designated as unable to work in other departments. In the theoretical part, first is mentioned the current psychiatric care in the Czech Republic. Further, a history of psychiatric care is also mentioned. The largest chapter is created by providing the general definition of communication, its forms and specific of communication with the mentally sick patients. The theoretical work is concluded by a chapter devoted to ethics and law in psychiatry, and of course the nurse as a person takes also a well-deserved part in it. The aims of the dissertation thesis were four. The first objective was to determine whether the authority of the nurse is an integral part of the nursing process in the care of the mentally ill patients. Furthermore it was to determine whether nurses in the psychiatric ward strengthen their authority by compliance with communication policies and procedures. The penultimate goal was to find out in what nurses with experience in other fields of medicine see the most important differences in the requirements imposed on them in the implementation of the nursing process. The last goal was to find out whether nurses in the psychiatric ward know and follow the guidelines for communicating with the mentally ill persons. To these goals four research questions were set: Do nurses perceive the influence, which results from their authority,as a positive aspect of nursing care of patients in the psychiatric ward? Is the nurses' authority strengthened within their work with the mentally ill throughout the observance of the principles of communication? What are the most common differences in nursing care that the nurses see, which currently works in the psychiatric ward in comparison with other branches of medicine, where they acted in the past? Do nurses have the knowledge of the principles of communication with the patients and adherence to these principles, in a psychiatric ward? The research group consisted from four nurses for observation purposes and seven nurses for semi-standardized interviews in the Psychiatric ward at the hospital of Ceske Budejovice, j.s.c. The first part of the research works with the concept of authority. This research provided a result that the authority should not occur between nurses and patients, and moreover nurses themselves should aspire to be more a companion and a helper to a successful treatment and mental health care. All nurses rather talk about trust, which by their own words is obligatory for effective nursing care and communication with the client. Therefore, they always try to provide the patient with maximum acceptable form of information and so to minimize their fear from the unknown and often from their own illness. At the same time they require and pay attention to strict observance of the rules by patients, which in effect reinforces the sense of confidence. Everywhere in health care and when working with people the communication is important, but nurses say, that in the care of the mentally ill, especially in communication it is essential not to make mistakes. The research observation confirmed their behavior, and with their approach that they subordinate all their behavior to the patient. When caring for a mentally ill person it is necessary at least double the efforts to gain the trust for enhance the feeling of safety and security. Nurses are also aware that working with patients depends on his personal qualities and recognition of individuality.
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