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Human resource management in nursing
Get PDFV diplomski nalogi je proučevan pomen načrtovanja in razvoja kadrovskih virov za uspešno delovanje neke organizacije. Glavni namen je bil ugotoviti, kdo je dejansko odgovoren za razvoj posameznega zaposlenega v neki organizaciji. Zanimalo nas je tudi, kako je z razvojem kadrov na področju zdravstvene nege. Na podlagi študija literature je bilo dognano, da je za svoj razvoj v veliki meri odgovoren posameznik sam, vendar pa do razvoja ne more priti, če organizacija ni razvojno naravnana, in da je razvoj kadrovskih virov v zdravstveni negi v veliki meri povezan s finančnimi sredstvi, ki sta jih posameznik in organizacija pripravljena vložiti v razvoj. Ugotovljeno je bilo tudi, da je v zdravstveni negi posebno pomembno permanentno izobraževanje, ker se stroka hitro razvija. Izobraženost in znanje izvajalcev zdravstvene nege bo pomembno vplivalo na pridobivanje samostojnosti in avtonomnosti stroke. Znanje pridobivamo v različnih oblikah formalnega in neformalnega izobraževanja. Zdravstvena nega zahteva profesionalno specifična znanja in spretnosti ter veliko mero humanosti, občutenja in razumevanja.SUMMARY
The diploma thesis has studied the importance of planning and development of human resources for the effective functioning of an organization. The main purpose was to determine who is actually responsible for the development of each employee in an organization. We were also interested in development of human resources in nursing care. Based on the study of literature it has been determined that the responsibility for their development is largely on the individual himself, but the development can\u27t occur if the organization is not development oriented, and that the development of human resources in nursing care is largely related to financial resources by the individual and organization willing to invest in development. It was also found that continuing education in nursing care is particularly important because the profession is evolving rapidly. Education and knowledge of nursing care providers will be significant in relation to the acquisition of independence and autonomy of the profession. The knowledge is obtained in various forms of formal and informal education. Nursing care requires specific professional skills and high degree of humanity, feeling and understanding
Organisation of Holistic Care for Elderly Persons with Diabetes
Get PDFV sodobnem svetu izredno narašča število starejših ljudi in hkrati tudi pojavnost kroničnih
bolezni, med katerimi je zelo pogosta sladkorna bolezen. Starostniki s sladkorno boleznijo
imajo specifične potrebe na področju zdravstvenega varstva in socialne varnosti in pri
ohranjanju oziroma vzdrževanju ustrezne kakovosti življenja v domačem okolju. Namen
specialističnega dela je prikazati vlogo patronažne medicinske sestre pri organizaciji in
koordinaciji celostne skrbi za starostnike s sladkorno boleznijo in predstaviti probleme, ki
se pri tem pojavljajo. Opravljena je bila kvantitativna raziskava, uporabljena pa
deskriptivna metoda. Podatki so bili zbrani z anketnim vprašalnikom retrospektivno.
Raziskava je potrdila, da se patronažne medicinske sestre pogosto vključujejo v celostno
oskrbo sladkornega bolnika — starostnika na domu. Obiskujejo jih v okviru preventivne in
kurativne dejavnosti in skušajo doseči njihovo čim večjo samostojnost. Pri reševanju
problemov najpogosteje sodelujejo z osebnim zdravnikom, diabetološko ambulanto, svojci,
Centrom za pomoč na domu in Centrom za socialno delo. Ugotovili smo tudi, da je
kontinuiranost zdravstvene nege zadovoljiva, prev tako je zadovoljivo sodelovanje med
zdravstvenimi in socialnimi institucijami. Patronažne medicinske sestre opravljajo vlogo
koordinatorja različnih oblik pomoči na domu, saj v sedanjem sistemu razne oblike pomoči
delujejo vsaka zase samostojno in med seboj neusklajeno. Tako imenovana laična oskrba
ni povsod zadovoljivo organizirana in usposobljena, da bi ji lahko predali skrb za
aplikacijo medikamentozne terapije v primerih, ko sladkorni bolniki in njihovi svojci tega
niso zmožni sami. V prihodnosti pričakujemo organizirano itegrirano dolgotrajno oskrbo,
ki naj bi omogočila boljšo povezanost in koordiniranost med službami in tako večjo
kakovost, učinkovitost ter racionalnost potrebnih storitev.In today\u27s world the number of elderly persons grows rapidly and with it the incidence of
chronic diseases, amongst which diabetes is one of the most common. Elderly persons with
diabetes have special needs concerning their health care and social security as well as in
preserving or maintaining a quality way of life in domestic environment. With this research
paper we wanted to show the role of community nurse in organizing and coordinating the
whole care of elderly persons with diabetes and to present the problems that occur along
the way. We made a quantity research using the descriptive method. Data was gathered
with a questionnaire retrospectively. The research confirmed that community nurses are
often engaged in the whole care of a diabetic patient – elderly persons at their home. Their
visiting activities are part preventive and part curative, but always in attempt to foster the
patient\u27s maximum self-sufficiency. In trying to solve a problem they most frequently
contact the doctor, diabetic clinic, family members, Home Assistance Center and Social
Work Center. We also concluded that continuity of nursing care is satisfactory, the same as
the cooperation between medical and social institutions. Community nurses assume the
role of coordinators of different forms of home care, as in the current system different
forms of help and care act separately and uncoordinated. Likewise, the appointed lay care
is not always so well organized or qualified that we could simply hand over the application
of medical therapy to them in cases where diabetic patients and their families are not
capable of doing it themselves. In the future, we expect organized integrated care, that will
make possible a better connection and coordination between services, and with it a greater
quality, efficiency and rationality of necessary services
Patients\u27 evaluation of nusres quality of work in outpatient services
Get PDFDiplomsko delo predstavlja najprej teoretični del o delu medicinske sestre v ambulantni dejavnosti. Delo medicinske sestre v ambulantni dejavnosti je raznoliko in naporno. Ker je vsaka medicinska sestra odgovorna za veliko število pacientov, nas je zanimalo, kako si medicinske sestre organizirajo obravnave pacientov in kako so pacienti zadovoljni z obravnavo v ambulantah s strani medicinske sestre.
V raziskavi je sodelovalo petdeset pacientov Zdravstvene postaje Tezno, kateri so odgovarjali na anketni vprašalnik z enaindvajsetimi vprašanji. Raziskava je potekala v mesecu aprilu 2009.
Z raziskavo smo ugotovili, da se kar 92% pacientov na obravnavo oz. pregled predhodno naroči, kar pripomore k boljšemu načinu obravnave in krajšemu času čakanja na obravnavo. 66% pacientov, ki so na obravnavo čakali, je dobilo pojasnilo, zakaj so bili obravnavani z zamudo. Pacienti so mnenje, da veliko odgovornost za zamujanje obravnave nosijo sami, saj se še vedno veliko pacientov ne drži točnega časa obravnave. 46% pacientov je bilo z obravnavo zadovoljnih. 66% anketiranih je mnenja, da so medicinske sestre preobremenjene z administrativnim delom in tako se ne morejo dovolj posvetiti pacientom.
Z analizo rezultatov raziskave smo torej spoznali, da medicinske sestre v Zdravstveni postaji Tezno svoje delo opravljajo kakovostno, kar pomeni, da delo v ambulantah poteka nemoteno. 72% pacientov je čakalo do 20 minut, kar je kratek čas glede na čakanje še pred nekaj leti. Pacienti so s sprejemom in komunikacijo medicinske sestre v splošni ambulanti zadovoljni, moteči so telefoni, na kar pa medicinska sestra nima vpliva.First part of this diploma represents theoretical part on the work of a nurse in an outpatient service. Work of a nurse in an outpatient service is diverse and strenuous. Since each nurse is responsible for great number of patients, we were interested in the ways nurses organise patient treatment and how the patients are satisfied with the nurse’s treatment in an outpatient service.
This research included 50 patients from Zdravstvena postaja Tezno who filled out a questionnaire with 21 questions. The research was carried out in April 2009.
With this research we found out that 92% of patients make a prior appointment for the examination or treatment. This contributes to a better method of treatment and reduced waiting time for a treatment.
66% of patients who had to wait for a treatment were explained why they were treated with a delay.
Patients believe that they are to a great extent responsible for a delay in treatment because many patients still do not come on time for their treatment.
46% of patients werw satisfied with the treatment. 66% of the patients think the nurses are overloaded with paperwork and that because of it they cannot devote all their attention to he patients.
With the result analysis of the research we came to a conclusion that nurses in Zdravstvena postaja Tezno are doing their work qualitatively which means that the work in outpatient services is carried out undisturbed.
72% of patients had to wait up to 20 minutes which is a short period in regards with waiting time just a few years ago.
The patients werw satisfied with the reception and the communication of a nurse in an outpatient clinic. They were disturbed by the ringing telephones but the nurse does not have an influence over them
The changing of values among nursing providers
Get PDFDiplomsko delo z naslovom Spreminjanje vrednot pri izvajalcih zdravstvene nege je empirično. V njem smo s pomočjo deskriptivne metode ter študija tuje in domače literature predstavili teoretične osnove, ki so vezane na pojem »vrednota«. Opisali smo, kako vrednote vplivajo na odločanje in obnašanje, predstavili smo razvoj in oblikovanje vrednot, opisali vrednote v zdravstveni negi ter predstavili izvajalce zdravstvene nege. Namen diplomskega dela je bil spoznati ali se vrednote pri izvajalcih zdravstvene nege spreminjajo z ozirom na spol, delovno dobo in stopnjo izobrazbe. V diplomskem delu smo zato na podlagi kvantitativne metodologije raziskovanja in dobljenih rezultatov primerjali povprečno oceno pomembnosti vrednot, glede na spol, delovno dobo in stopnjo izobrazbe in ugotovili, da je povprečna ocena pomembnosti posamezne vrednote oziroma hierarhična lestvica vrednot odvisna od spola, delovne dobe, stopnje izobrazbe in se glede na te parametre tekom življenja in profesionalnega razvoja posameznega izvajalca zdravstvene nege tudi spreminja in razlikuje. Razlike v vrednotnih usmeritvah sicer niso radikalne, a so kljub temu opazne.The diploma titled “The changing of values among nursing providers” is an empiric work, where we have presented theoretical basis related to the concept of “value” by the use of descriptive method and foreign and national literature. In diploma, we have described the ways how values influence the decisions and behaviour, presented the development and forming of values, described the values in nursing and presented nursing providers. The purpose of our diploma work was to determine whether the values change among nursing providers in regards to sex, length of service and level of education. Thus, we have compared the average assessment mark of the importance of values regarding sex, length of service and level of education based on quantitative methodology of research and the results gained. We have found out that the average assessment mark of importancy of a certain value or that the hierarchic value scale depends on sex, length of service and level of education and also changes and differs in accordance with these parameters in life and professional development of a certain nursing provider. The differences in values’ orientation are not radical, but nonetheless noticable
Assesment of quality communication betwen members of nursing team
Get PDFTeoretično izhodišče: Kakovostna in uspešna komunikacija postaja vse pomembnejši element na področju zdravljenja in zdravstvene nege, kar vpliva na to, da se na tem področju vse bolj uveljavljajo, sodobne metode dela. Tako je nujno, za vse, ki delajo v zdravstvu, da poznajo osnovne značilnosti komuniciranja in dejavnike, ki vplivajo na to, ali bo komuniciranje uspešno in kakovostno ali ne.
Namen: V diplomskem delu smo želeli oceniti kakovost komuniciranja med člani negovalnega tima. Želeli smo ugotoviti kakšna je dejanska komunikacija med člani negovalnega tim, ter kako bi člani negovalnih timov kot posamezniki izboljšali komunikacijo in kaj so pripravljeni storiti za to.
Metoda: Raziskava je temeljila na kvantitativni metodologiji. Anketni vprašalnik je bil anonimen. Vzorec raziskave je zajemal 20 članov negovalnega Oddelka za bolezni prebavil in 20 članov negovalnega tima Oddelka za splošno in abdominalno kirurgijo Splošne bolnišnice Celje.
Rezultati: Podatki, ki smo jih pridobili ob zaključku raziskave, nam kažejo na to, da v negovalnih timih poznajo pojem komunikacija. Člani negovalnih timov podpirajo uvajanje sprememb v komunikaciji. V največji meri se zavzemajo za več timskih sestankov (50 % anketiranih Oddelka za splošno in abdominalno kirurgijo) in omogočanje večjih možnost izobraževanj s področja komunikacije (45 % anketiranih negovalnega tima Oddelka za bolezni prebavil). V obeh negovalnih timih je najbolj pomemben dejavnik komunikacije kontinuirano strokovno usposabljanje s področja komunikacije, saj se zavedajo da bi jim to lahko pomagalo k lastnemu napredku in pozitivno vplivalo na njihovo kakovost komuniciranja. Stres na delovnem mestu in neustrezna klima imata velik vpliv na odločitev za zapustitev delovnega tima, saj bi v obeh negovalnih timih zaradi tega prenehala z zaposlitvijo več kot polovica članov negovalnega tima. V negovalnih timih se pojavljajo tudi ovire na področju komuniciranja. Največjo oviro v komuniciranju povzroča preobremenjenost z delom.
Sklep: Iz raziskave je razvidno, da ima kakovost komuniciranja med člani negovalnega tima osrednjo vlogo pri timski obravnavi pacienta. V negovalnih timih Splošne bolnišnice Celje obstaja nekaj ovir na področju komuniciranja, vendar so zaposleni zelo odprti za spremembe in jih tudi podpirajo. Sami so podali predloge izboljšav, v katere so pripravljeni tudi vlagati, kajti zavedajo se, da bi ustrezne izboljšave, pomembno vplivale na izboljšanje kakovosti komuniciranja v njihovih negovalnih timih.Theoretical basis: Quality and effective communication is becoming an increasingly important element in treatment and nursing care, which affects the fact that this area is gaining ground, modern methods. Thus, it is essential for everyone working in health care, to know the basic features of communication and the factors that influence whether or not to communicate successfully and quality or not.
Purpose: In this thesis we want to assess the quality of communication between nursing care team members. We wanted to determine how the actual communication between members of the nursing team, and how to nursing team members as individuals to improve communication and are willing to do anything for it.
Method: The study was based on qualitative methodology. The survey questionnaire was anonymous. The sample survey consisted of 20 members of the nursing departments of digestive diseases and 20 members of the nursing team of the Department of General and Abdominal Surgery General Hospital Celje.
Results: Data were obtained at the completion of research, we suggest that the teams know the concept of caring communication. Nursing care team members support the introduction of changes in communication. The greatest advocate for more team meetings (50% of respondents of the Department of General and Abdominal Surgery) and allow greater opportunity of training in the field of communication (45% of surveyed nursing team of the Department of digestive diseases). In the two nursing teams, the most important factor in communication continuous professional training in the field of communication, knowing that they could help to find his own progress and positive impact on the quality of communication. Stress in the workplace and inadequate air conditioning have a major impact on the decision to leave the working team, because in both nursing teams to close the employment of more than half of the nursing team members. The care teams, there are also barriers to communication. The greatest barrier to communication congestion caused by work.
Conclusion: The study shows that the quality of communication between nursing care team members play a central role in the team treatment of the patient. Nursing teams in the General Hospital Celje, there are some barriers to communication, but working very open to change and support them. They have made the improvements, in which they are also willing to invest, because aware that appropriate improvements could have significant impact on improving the quality of communication in their nursing care teams
Motivating nurses and health technicians and rewarding system
Get PDFProblem, ki smo ga želeli raziskati, je (ne)motiviranost izvajalcev zdravstvene nege. Namen dela je bil narediti teoretični pregled motiviranja ter nagrajevanja in ugotoviti, ali je obstoječ sistem nagrajevanja in motiviranja v Zdravstvenem domu Ravne na Koroškem učinkovit in ali so zaposleni motivirani, da sledijo ciljem organizacije. V teoretičnem delu diplomskega dela smo razložili pojem motivacije in naredili povzetek vodilnih motivacijskih teorij, oblik nagrajevanja in pregled nagrajevanja izvajalcev zdravstvene nege v javnem sektorju. V raziskovalnem delu smo se odločili za uporabo kvantitativne metodologije z uporabo ankete, raziskava pa je bila omejena na Zdravstveni dom Ravne. Ugotovili smo majhne razlike v rangiranju motivacijskih faktorjev med zdravstvenimi tehniki in medicinskimi sestrami (predvsem plača, odnos z nadrejenim in izobraževanje) ter potrdili, da denarno nagrajevanje ni najpomembnejši dejavnik motiviranja in da drugi (mehki) dejavniki pomembno vplivajo na motivacijo in zadovoljstvo izvajalcev zdravstvene nege, ki je v Zdravstvenem domu Ravne na visokem nivoju. Šibke točke, na katere je raziskava opozorila, so nezadovoljstvo z višino plače, možnostjo in načinom napredovanja ter nezadovoljstvo z odnosi z nadrejenimi in statusom izvajalcev zdravstvene nege v organizaciji. Raziskava je tudi potrdila nezadovoljstvo s sedanjim sistemom nagrajevanja uspešnosti posameznikov in z odpravo plačnih nesorazmerij.The problem that we wanted to explore is the motivation of nursing personnel. Purpose of this graduate paper was to make a theoretical overview of motivation and rewarding, and to determine whether the existing system of rewarding and motivating of nursing personnel in the Health Centre Ravne is effective and whether the employees are motivated to pursue the organizational goals. In the theoretical part of the paper, we explained the concept of motivation and made a summary of leading motivation theories, reward systems and an overview on rewarding nursing personnel in the Slovenian public sector. In the survey, which was carried out at Health Centre Ravne, we decided to use quantitative methodology, using a questionnaire. We found small differences in ranking of motivational factors among health technicians and nurses (especially salary, relationship with superiors and education), and confirmed that salary is not the most important motivating factor. Other (soft) factors have a significant impact on motivation and satisfaction of nursing personnel, which is on a high level in the Health Centre Ravne. Dissatisfaction with the level of salaries, promotion possibilities, and dissatisfaction with relations with superiors and the status of nursing personnel internally in the organization was confirmed. The survey also showed high levels of dissatisfaction with the current rewarding system of individual performance and with the latest improvements in public sector’s salary system (elimination of wage disparities)
Delovne obremenitve medicinskih sester in zdravstvenih tehnikov v Splošni bolnišnici Murska Sobota : diplomsko delo
Get PDFInfluence of the environment on nursing care activities
Get PDFV diplomskem delu smo opisali dejavnike okolja, ki vplivajo na zdravstveno nego. Ker o vplivu okolja na zdravstveno nego še ni veliko napisanega in se nam je takšna tema zdela zanimiva, smo se odločili pisati prav o tem. Diplomsko delo je teoretičnega tipa. Uporabili smo deskriptivno metodo dela s študijem domače in tuje literature, prebiranjem strokovnih člankov in spletnih virov. Pri izdelavi diplomskega dela smo uporabili shemo Svetovne zdravstvene organizacije, ki prikazuje zunanje in notranje dejavnike, ki vplivajo na zdravstveno nego. V okviru diplomskega dela smo ugotovili, da stopnja izobrazbe in s tem povezan socialni status vplivata na zdravje ljudi, saj so slabše izobraženi ljudje manj ozaveščeni o skrbi za zdravje, primanjkuje jim tudi finančnih sredstev, da bi si lahko privoščili za zdravje pomembne dobrine. Ugotovili smo tudi, da bi pri oblikovanju zdravstvene politike morale sodelovati tudi medicinske sestre, saj bi se tako bolj zavzemali za zadovoljevanje potreb pacientov. Prebivalstvo se vedno bolj stara. Raziskave kažejo, da bo leta 2020 že 20 % prebivalcev Slovenije starih nad 65 let, kar pa bo povečalo potrebe po zdravstveni negi, s tem pa bi se moralo povečati tudi zaposlovanje medicinskih sester. Pomembno je tudi izobraževanje medicinskih sester, saj le visoko izobražene in dobro strokovno podkovane medicinske sestre lahko nudijo kakovostno obravnavo pacientov. Pomembno vlogo v zdravstveni negi ima tudi menedžment. Z dobrim menedžmentom mora organizacija dobro delovati in dosegati cilje, za to pa je potreben dober menedžer. Pri nas še ni izobraženih medicinskih sester menedžerk, vendar bi bilo potrebno izvesti tudi takšen program, saj bi zaposlovanje tako izobraženega kadra pomenilo velik napredek v zdravstveni negi.In this dissertation we have specified environmental factors which affect health care. It is not said much about this subject and we have found it interesting enough to write about it. The dissertation is theoretical matter. We have used a descriptive method of task based on domestic and foreign literature study including reading of specialized articles and web resources. Upon making the dissertation we have utilised the scheme of World Health Organisation which present outer and inner factors on health care. With regard to this dissertation we have concluded that an educational level associate with a social status affect the health of people because less educated people are less conscious about health care and have a lack of finance resources in order to get appropriate health goods. We have also concluded that nurses should take part in form of health politics and in this way stick for satisfaction of patient needs. The population is getting older. Researches explain that in 2020 indeed 20% of Slovenian population will be over 65 years old which will amplify the necessity of health care and accordingly more vacancies for nurses. Education of nurses is essential as well, since only high educated and good professional based nurses can offer a quality treatment to patients. The important role in health care has also management. With good management should an organisation present well and reach given targets and for this a good manager is needed. In this country we still do not have educated manager nurses and this programme should be implemented since employment of such educated profile will mean an enormous advantage in health care
People\u27s need for health care
Get PDFV diplomskem delu z naslovom Potrebe ljudi po zdravstveni negi, smo zajeli starostnike, stare 65 let in več, ter prikazali njihove potrebe po zdravstveni negi. Diplomsko delo obsega teoretični in raziskovalni del. Za pripravo diplomskega dela je bilo potrebno opraviti terensko delo, obiskali smo starostnike v domu starejših občanov Črnomelj. Želeli smo spoznati in opisati potrebe po zdravstveni negi ter ugotoviti, ali je zmanjšana oziroma popolna nesposobnost opravljanja osnovnih življenjskih aktivnosti razlog za sprejem v Dom starejših občanov.
V prvem delu diplomskega dela smo opredelili pojem »potreba«, predstavili hierarhijo potreb po Masslowu, za tem pa smo opisali zdravstveno nego in vlogo medicinske sestre pri zadovoljevanju osnovnih življenjskih aktivnosti pri starostnikih. V drugem delu smo prikazali rezultate, kateri so nam dokazali, da je razlog za sprejem v Dom starejših občanov, predvsem nesposobnost starostnikov skrbeti sam zase, ter tudi rehabilitacija po poškodbah, kot so padci, oziroma rehabilitacija po boleznih. Rezultati so bili pričakovani in so potrdili cilje, katere smo si zastavili.This diploma deals with the elderly people (people over 65) and their needs for nursing care. This diploma has two parts: theoretical and practical part where our survey is presented. We started by doing a field research where seniors in the seniors in home for elderly in Črnomelj were visited. The main objective of the work is to recognise and describe needs of senior citizens in terms of nursing care. In the theoretical part of the diploma the term need is defined, here also Masslow’s hierarchy of needs is presented. We continued by defining the nursing care and the role of the nurse in the satisfaction of basic life activities. In the second part, the results of the survey are presented. The results have proven, that most of the people have entered into a institutional care due to the incapacity to take care o their own needs and a small portion due to the rehabilitation (due to injuries or illnesses). The results were expected and they confirmed the objectives. We used the descriptive method to gain these results
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