Příspěvek se zabývá problematikou znalostí sester v oblasti komunikace se specifickou skupinou pacientů, pacientů s mentální retardací. Důležitou součástí integrace do společnosti je vhodná komunikace a správné porozumění. Udržovaná a správná komunikace pomáhá rozvíjet mezilidské vztahy a dokáže sbližovat. Zjištění znalostí a zkušeností sester při komunikaci s pacienty s mentálním handicapem bylo uskutečněno prostřednictvím nestandardizovaného dotazníkového šetření, které probíhalo na vybraných pracovištích lůžkové péče ve Fakultní nemocnici v Motole. Pro zjišťování souvislostí ve stanovených hypotézách bylo užito statistické metody Pearsonova chí kvadrátu, dosažená statistická významnost byla porovnávána s konvenční hodnotou hladiny významnosti α = 0,05. Výsledky potvrzují, že s pacienty s mentální retardací se častěji setkávají sestry na odděleních pro děti. V neposlední řadě bylo prokázáno, že znalostí dětských a všeobecných sester o komunikaci s mentálně retardovanými nesouvisí s jejich dosaženým vzděláním.
- MeSH
- Child MeSH
- Adult MeSH
- Process Assessment, Health Care methods statistics & numerical data MeSH
- Inpatients psychology MeSH
- Communication MeSH
- Communication Barriers MeSH
- Humans MeSH
- Intellectual Disability nursing MeSH
- Persons with Intellectual Disabilities psychology MeSH
- Surveys and Questionnaires MeSH
- Chi-Square Distribution MeSH
- Nurse-Patient Relations MeSH
- Nurse Clinicians statistics & numerical data MeSH
- Check Tag
- Child MeSH
- Adult MeSH
- Humans MeSH
Cieľom príspevku je prezentovať výsledky štúdie zameranej na zistenie rizika syndrómu vyhorenia u sestier. Pre profesiu sestra je typické zvýšené riziko syndrómu vyhorenia, ktorý zjednodušene možno chápať ako stav celkového vyčerpania organizmu. Na posúdenie rizika vzniku vyhorenia bol použitý dotazník autorov Shirom a Melamed. Hodnotilo sa bodové skóre, ktoré mohlo byť v rozsahu 14 – 98 bodov, so zvyšujúcim skóre sa zvyšovalo riziko vyhorenia. Výskumnú vzorku tvorilo 356 sestier pracujúcich v štátnom zdravotníckom zariadení na štandardných oddeleniach, jednotkách intenzívnej starostlivosti a v ambulanciách. Zistili sme, že priemerné skóre rizika vyhorenia všetkých sestier bolo na úrovni 45,96 bodov. Najvyššie skóre vyhorenia bolo v subškále fyzickej únavy, 24,63 bodov, pričom 24 bodov je považovaných za zvýšené riziko. Rizikovú hranicu fyzickej únavy presiahlo 51,12 % sestier. V subškále kognitívnej opotrebovanosti a v oblasti emocionálneho vyčerpania priemerné skóre nedosiahlo rizikových hodnôt. Vysoká úroveň fyzickej únavy je dôsledkom nedostatočného personálneho zabezpečenia pracovísk, nadlimitného počtu nadčasových hodín a s tým spojenej záťaže. Je nevyhnutnosťou zlepšiť pracovné podmienky sestier, zvýšiť atraktivitu profesie sestra a motiváciu pre výber tohto povolania.
The aim of the paper is to present the results of the study aimed at detecting the risk of burnout syndrome in nurses. For the nursing profession, an increased risk of burnout syndrome is typical, which can be seen as the state of overall exhaustion. The maesure by Shirom and Melamed was used to assess the risk of burnout. Score points were examined, ranging from 14 to 98 points, with a higher score increasing the risk of burnout. The research sample consisted of 356 nurses working in the national health facility at standard departments, intensive care units and outpatient departments. We found that the average risk score for all nurses was at 45.96 points. The highest burnout score was 24.63 points in the Physical Fatigue Subscale, with 24 points being considered as an increased risk. The risk margin of physical fatigue exceeded to 51.12 % of nurses. In the subscale of cognitive weariness and in the area of emotional exhaustion, the average score did not reach the risk values. The high level of physical fatigue is the result of insufficient assurance of employees at workplaces, exceeded limitation of overtime work and the associated burden. It is necessary to improve the working conditions of nurses, to increase the attractiveness of the nursing profession and motivation to choose this profession.
- MeSH
- Risk Assessment statistics & numerical data MeSH
- Middle Aged MeSH
- Humans MeSH
- Occupational Stress MeSH
- Burnout, Professional * epidemiology prevention & control psychology MeSH
- Surveys and Questionnaires MeSH
- Risk Factors MeSH
- Age Distribution MeSH
- Nurse Clinicians statistics & numerical data MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
Práce sester je spojována s psychickou zátěží, která pramení nejčastěji z vysoké míry odpovědnosti, z neustálého kontaktu s lidmi a také z neustále se zvyšujících nároků a požadavků kladených na výkon povolání sestry. Při ošetřování seniorů je neopomenutelným faktorem i skutečnost, že sestry jsou nuceny zamýšlet se na vlastním stářím. Cíl: Cílem příspěvku je poskytnout aktuální poznatky o psychické zátěži sester pečujících o seniory a dále objektivizovat míru zátěže u sester pečujících o seniory na interních odděleních a na odděleních následné péče. Metodika: Do empirického šetření bylo osloveno celkem 120 sester pečujících o seniory ve čtyřech lůžkových zařízeních. Vlastní sběr dat byl proveden s použitím Meisterova dotazníku, který slouží k posouzení vnímání vlastní psychické zátěže. Výsledky: Následná analýza dat 95 respondentů ukázala, že 69 % respondentů z interních oddělení a 58 % respondentů z oddělení následné péče často pociťuje časový tlak. I přes tuto skutečnost 54 % sester z interních oddělení a 70 % sester z oddělení následné péče pociťuje uspokojení z práce a do zaměstnání chodí rádo. Zároveň uvedlo 60 % sester z interních oddělení a 47 % sester z oddělení následné péče skutečnost, že by nechtěly vykonávat jinou profesi. Jako zajímavou a duševně neotupující svou práci označilo 79 % sester z interního oddělení a 70 % sester z oddělení následné péče. Porovnání výsledků mezi sestrami z různých pracovišť bylo prokázáno, že sestry z oddělení následné péče mají tendence k přetížení, sestry z interních oddělení se pohybovaly ve zjištěných hodnotách na horní hranici normy. Závěr: Výsledky našeho šetření prokázaly větší psychickou zátěž u sester pečujících o seniory na odděleních následné péče. Zjištěné hodnoty u sester z interních oddělení se ale pohybovaly na horní hranici normy, což prokazuje zvýšenou zátěž při péči o seniory obecně.
Nursing care is associated with a mental burden, which is usually based on a high level of responsibility, a permanent contact with humans and continuously increasing demands and requests on nursing staff. The fact that a nurse taking care of senior citizens is challenged by the idea of her own age can not be neglected. Aim: The goal of this work is to offer a recent knowledge on the mental burden in nurses taking care of senior people and objectively assess the level of burden in these nurses working at departments of internal medicine and follow-up care. Methods: We asked 120 nurses taking care of senior citizens at four in-patient departments to enter our study. We applied the Meister´s questionnaire which is meant to assess one´s own level of a mental burden. Results: The analysis in 95 respondents indicated that 69% of nurses at departments of internal medicine and 58% of nurses at departments of follow-up care feel to be pressed for time. Nevertheless, 54% of nurses at departments of internal medicine and 70% of nurses at departments of follow-up care are satisfied with thein own job and like to go to work. At the same time, 60% of nurses at departments of internal medicine and 47% of nurses at departments of follow-up care would not change their job. The work was described as interesting and mentally-challenging in 79% of nurses at departments of internal medicine and 70% of nurses at departments of follow-up care. The comparison of results among various workplaces indicated that the nurses at departments of followup care tend to be mentally overstrained, whilst the mental burden in the nurses at departments of internal medicine was at the higher normal level. Conclusions: Our results showed a higher mental burden in the nurses taking care of senior people at departments of follow-up care. However, the ascertained values in the nurses at departments of internal medicine were at the higher normal level, which reflects a generally increased mental burden in nursing of elderly citizens.
- MeSH
- Geriatric Nursing * manpower MeSH
- Humans MeSH
- Surveys and Questionnaires MeSH
- Stress, Psychological epidemiology MeSH
- Educational Status MeSH
- Age Distribution MeSH
- Nurse Clinicians psychology statistics & numerical data MeSH
- Risk Adjustment statistics & numerical data MeSH
- Check Tag
- Humans MeSH
- MeSH
- Ambulatory Care manpower statistics & numerical data MeSH
- Salaries and Fringe Benefits statistics & numerical data trends MeSH
- Nurse Practitioners economics statistics & numerical data MeSH
- Nurse Midwives economics statistics & numerical data MeSH
- Nurse Clinicians statistics & numerical data trends MeSH
- Publication type
- Newspaper Article MeSH
The aim of the research was to determine the prevalence of burnout syndrome and empathy among general nurses working in standard hospital settings (University Hospital Olomouc), and among general nurses working in emergency medical services, as well as to identify the differences in the degree of burnout syndrome and empathy between the two groups. Another objective was to establish whether there is a relationship between burnout syndrome and empathy in the groups of general nurses specified above. Questionnaires MBI-GS (Maslach Burnout Inventory) and IVE (Eysenck Impulsivity Inventory) were used to obtain the data. The research involved 175 respondents. A significantly higher rate of emotional exhaustion was found in hospital nurses (p = 0.001), while the degree of depersonalization was significantly higher in emergency medical services nurses (p = 0.001). The difference in the degree of personal accomplishment was not statistically significant. The relationship between burnout syndrome and empathy was confirmed. A significant weak positive correlation (r = 0.361; p = 0.001) between empathy and emotional exhaustion was found among general nurses working in emergency medical services.
- MeSH
- Adaptation, Psychological MeSH
- Depersonalization epidemiology etiology psychology MeSH
- Emotional Adjustment classification MeSH
- Empathy MeSH
- Humans MeSH
- Burnout, Professional * diagnosis epidemiology psychology MeSH
- Surveys and Questionnaires MeSH
- Emergency Nursing manpower MeSH
- Nurse Clinicians psychology statistics & numerical data MeSH
- Check Tag
- Humans MeSH
- Publication type
- Research Support, Non-U.S. Gov't MeSH
- MeSH
- Adult MeSH
- Clinical Competence * standards legislation & jurisprudence MeSH
- Humans MeSH
- Adolescent MeSH
- Salaries and Fringe Benefits MeSH
- Patient Advocacy psychology trends education MeSH
- Professional Competence * standards legislation & jurisprudence MeSH
- Nursing Audit methods standards utilization MeSH
- Job Satisfaction * MeSH
- Surveys and Questionnaires MeSH
- Specialization MeSH
- Education, Nursing * methods standards organization & administration statistics & numerical data trends legislation & jurisprudence MeSH
- Education MeSH
- Research Design * standards trends MeSH
- Physician-Nurse Relations MeSH
- Nurse-Patient Relations MeSH
- Legislation as Topic * MeSH
- Nurse Clinicians * classification standards organization & administration statistics & numerical data trends education legislation & jurisprudence MeSH
- Health Workforce classification trends MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Adolescent MeSH
- Male MeSH
- Female MeSH
- MeSH
- Nurse Clinicians statistics & numerical data education supply & distribution MeSH
- Publication type
- Newspaper Article MeSH
Aim: The aim of this observational cross-sectional study was to determine the differences in attitudes of nurses toward patient aggression according to the type of workplace. Predictors of attitudes of nurses was also surveyed. Methods: A survey was undertaken among 61 nurses from internal and surgical wards and 56 nurses from psychiatric wards. In this survey, three questionnaires were used to measure attitude toward aggression; experience in the prevalence of aggression and factors contributing to aggression of patients. For determining the associations between variables and predictors of attitudes, the multiple regression analyses were used. Results: Nurses from psychiatric wards reported being more frequently confronted with all types of patient aggression. They also reported more significant influence of patient variables contributed to the incidence of violence within the psychiatric sector. Nurses from all types of wards perceived patient aggression as being destructive or offensive and not serving a protective or communicative function aggression. Perceptions of frequency of patient aggression were not confirmed as the significant predictors of nurses' attitudes in psychiatric sector. Physical violence (behaviour that will harm or cause injury) and sexual assault or rape were identified as the significant predictors of nurses' attitudes worked in internal and surgical departments. Conclusion: The study confirmed differences in predictors of attitudes of nurses toward patient aggression according to the type of workplace.
- Keywords
- interní oddělení nemocnice,
- MeSH
- Aggression * psychology MeSH
- Surgery Department, Hospital MeSH
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Linear Models MeSH
- Workplace Violence psychology statistics & numerical data MeSH
- Statistics, Nonparametric MeSH
- Psychiatric Nursing MeSH
- Nursing Staff, Hospital * psychology statistics & numerical data MeSH
- Attitude of Health Personnel * MeSH
- Cross-Sectional Studies statistics & numerical data MeSH
- Surveys and Questionnaires MeSH
- Psychiatric Department, Hospital MeSH
- Regression Analysis MeSH
- Risk Factors MeSH
- Age Factors MeSH
- Nurse-Patient Relations * MeSH
- Nurse Clinicians psychology statistics & numerical data MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Research Support, Non-U.S. Gov't MeSH
- Comparative Study MeSH
Aim: The aim of this study was to determine perceptions of individualized care by nurses and patients, to determine relationships between demographic characteristics and perceptions of individualized care, and to compare the differences between nurses and patients. Methods: A descriptive correlation study. The research sample consisted of a group of 185 nurses and 279 patients surgical departments of four hospitals in Ostrava and its surroundings. Data were collected in fall 2009 using standardized instrument ICS with two versions for nurses and patients (Suhonen et al., 2005). Results: Measuring instrument with three subscales were used simultaneously for nurses (nurse-ICS) and patients (ICS-patient), evaluation was done using the Likert scale (1-5). Patients perceived that nurses are generally supporting their individuality during nursing care. Nurses assessed the perceptions of individualized care in all areas by higher average score than patients (p < 0.01). The most neglected areas in both groups was the patient´ personal life situation. Strong influence of demographic characteristics of patients and nurses in their perceptions of individualized care was not proven. Guest perceptions of individualized care were more positive in patients with shorter hospital stay and patients who were admitted to the hospital as planned. There were no significant differences in perception of individuality and individualized care among hospitals. Conclusion: The results of this study showed differences in the perception of individuality and the patient's individualized care between nurses and patients. ICS is a useful tool for assessing perceptions of individualized nursing care in the Czech environment.
- Keywords
- dotazník Individualised Care Scale (ICS),
- MeSH
- Surgery Department, Hospital MeSH
- Length of Stay MeSH
- Adult MeSH
- Process Assessment, Health Care MeSH
- Inpatients * psychology statistics & numerical data MeSH
- Individuality MeSH
- Humans MeSH
- Nursing Care MeSH
- Patient-Centered Care * statistics & numerical data utilization MeSH
- Attitude of Health Personnel MeSH
- Surveys and Questionnaires MeSH
- Nurse's Role MeSH
- Statistics as Topic MeSH
- Nurse-Patient Relations MeSH
- Nurse Clinicians * psychology statistics & numerical data MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Geographicals
- Czech Republic MeSH
