Stav zdravotníctva Slovenskej republiky je už niekoľko rokov v dôsledku nesystémových zmien a zlého finančného ohodnotenia zdravotníckych pracovníkov, zvlášť sestier a pôrodných asistentiek, v žalostnom stave. Dlhodobá nedostatočná kapacita stavu sestier a pôrodných asistentiek k rozsahu zdravotnej starostlivosti sa prejavuje plnou mierou dopadu v období pandémie COVID-19. Sestry a pôrodné asistentky sú preťažené a vyčerpané, čo môže mať za následok frustráciu a prinášať napätie do vzťahu sestra - pacient. Táto situácia môže podnietiť sťažnosti a vyústiť až do možných právnych sporov. Autori v článku uvádzajú aspekty ošetrovateľskej starostlivosti, ktoré z právneho hľadiska môžu pôsobiť preventívne.
- MeSH
- Codes of Ethics legislation & jurisprudence MeSH
- Clinical Competence MeSH
- Education, Nursing, Continuing legislation & jurisprudence MeSH
- Morale MeSH
- Nursing Care MeSH
- Personality MeSH
- Nurse Midwives classification organization & administration legislation & jurisprudence MeSH
- Reference Standards MeSH
- Education, Nursing legislation & jurisprudence MeSH
- Legislation as Topic MeSH
- Nurses classification organization & administration legislation & jurisprudence MeSH
- Geographicals
- Slovakia MeSH
Nedostatek zdravotnických pracovníků je v současné době považován za závažný celosvětový problém. Vzhledem k očekávaným demografickým změnám se dá předpokládat ještě jeho další eskalace v budoucnu. Zabránění odchodu zkušených a kvalifikovaných sester z profese může být pro řešení tohoto problému klíčové. V současné době dostupná data naznačují, že důvodem rozhodnutí o změně profese u sester nemusí být pouze nedostatečné finanční ohodnocení nebo individuální charakteristiky sester, ale především velké množství faktorů týkajících se kvality jejich pracovního prostředí. Tyto faktory přitom mají vliv nejen na narůstající fluktuaci sester, ale také negativně ovlivňují kvalitu poskytované zdravotní péče. Řešení kvality pracovního prostředí zdravotnických pracovníků včetně sester se zdá být pro dosažení jejich optimálního počtu v budoucnu zásadní, stejně jako pro dosažení optimální úrovně kvality poskytované péče.
The shortage of healthcare workers is currently considered a serious global problem. This could be further escalated due to theexpected demographic changes in the future. Finding a solution how to prevent qualified and experienced nurses from leavingtheir profession may be critical. Currently available evidence suggests that the main reason for a decision to leave nursing maynot only be the level of remuneration or individual characteristics of nurses, but above all a large number of factors affecting thequality of work environment. Those factors influence not only the increasing nursing turnover but also affect negatively the qualityof the provided health care. Addressing the quality of the work environment seems to be essential in order to achieve optimalnumber of health care workers including nurses in the future, as well as to bring the quality of provided care to the optimal level.
- MeSH
- Economics, Hospital organization & administration legislation & jurisprudence MeSH
- Quality of Health Care economics classification trends MeSH
- Humans MeSH
- Unemployment classification trends MeSH
- Workplace classification organization & administration MeSH
- Job Satisfaction MeSH
- Work Performance classification MeSH
- Workload classification MeSH
- Statistics as Topic MeSH
- Employment methods organization & administration manpower MeSH
- Nurse Clinicians economics classification organization & administration MeSH
- Nurses economics classification organization & administration MeSH
- Check Tag
- Humans MeSH
Background: Medication management is considered to be highly important area of health care. It is ensured by different health care professionals, unfortunately their competences are not always clear. Aim: The aim of this study is to describe role and formal competences of nurses in medication management in the Czech Republic. Methods: Literature for this review was identified using electronic searches of databases Medline, ProQuest Central, EBSCOhost, ScienceDirect and Web of Science, hand searches of legal norms and hand searches of professional Czech and Slovak journals. Results: Medication management is highly regulated area covered by many legal norms having different levels of authority. Although many of the activities related to medication management are described in details, certain activities remain poorly defined, everyday practice can differ, and certain health care professionals are exceeding their competencies related to medication management. Conclusion: To ensure adequate quality of care, formal competencies related to medication management should be effectively matched with responsibilities and duties in real practice.
- MeSH
- Clinical Competence * MeSH
- Humans MeSH
- Medication Therapy Management * standards organization & administration MeSH
- Nursing Staff classification standards MeSH
- Nurse's Role MeSH
- Nurses * classification standards MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
- Geographicals
- Czech Republic MeSH
Aim: The aim of the survey is to identify factors of the work environment which are important for general nurses when they are considering whether or not to leave their current employer. Design: The research consists of an observational and a crosssectional study. Methods: Based on a modified interpretation of Herzberg's theory, we created a structured interview to investigate environmental factors. Interviewers carried out 1,992 interviews with hospital nurses working in the Czech Republic, between 2011 and 2012. The data gathered were analyzed with data mining tools – a decision tree and nonparametric tests. Results: If a good opportunity arose, 34.7% of nurses would leave their current employer. The analysis of the decision tree identified the factor “Patient care”, i.e. a factor concerning the nature of the work itself, as the most important. Data mining offers a new view of the data and can reveal valuable information existing within the primary data. Conclusion: Data mining has great potential in nursing. In this research, the decision tree shows that the essence of the nursing profession is the nursing work itself and it is also the most significant stabilizing factor. The management of healthcare providers should create and maintain a work environment which will ensure nursing work can be performed without impediment, thus minimizing staff turnover.
- MeSH
- Data Mining MeSH
- Humans MeSH
- Motivation MeSH
- Salaries and Fringe Benefits MeSH
- Patient Care psychology MeSH
- Occupational Stress MeSH
- Job Satisfaction * MeSH
- Decision Trees MeSH
- Employment MeSH
- Nurses * economics classification psychology statistics & numerical data MeSH
- Check Tag
- Humans MeSH
- Female MeSH
- Publication type
- Observational Study MeSH
- Research Support, Non-U.S. Gov't MeSH
- Keywords
- výzkumné cíle v ošetřovatelství, jednotlivé fáze výzkumu,
- MeSH
- Goals MeSH
- Codes of Ethics history legislation & jurisprudence MeSH
- Clinical Nursing Research * MeSH
- Education, Nursing, Continuing methods trends MeSH
- Humans MeSH
- Nursing Process * classification standards trends MeSH
- Pilot Projects MeSH
- Data Collection methods utilization MeSH
- Statistics as Topic MeSH
- World Health Organization MeSH
- Investigative Techniques MeSH
- Nurses * classification organization & administration legislation & jurisprudence MeSH
- Check Tag
- Humans MeSH
- Keywords
- GCP - Good Clinical Practice,
- MeSH
- Clinical Nursing Research ethics methods trends MeSH
- Education, Nursing, Continuing methods trends MeSH
- Humans MeSH
- Motivation ethics classification MeSH
- Professional Competence standards legislation & jurisprudence MeSH
- Nursing Informatics methods trends MeSH
- Nursing Methodology Research methods trends MeSH
- Nurse's Role * psychology MeSH
- Educational Status MeSH
- Patient Care Team ethics trends utilization MeSH
- Research Personnel history organization & administration trends MeSH
- Nurses * classification organization & administration utilization MeSH
- Check Tag
- Humans MeSH
- Keywords
- státní závěrečná zkouška, úřední zaregistrování, odchod sester do Německa,
- MeSH
- Delegation, Professional MeSH
- Education, Nursing, Continuing * MeSH
- Humans MeSH
- Salaries and Fringe Benefits * MeSH
- Nursing Care methods organization & administration manpower utilization MeSH
- Registries * MeSH
- Schools, Health Occupations * organization & administration trends MeSH
- Contracts legislation & jurisprudence MeSH
- Credentialing * legislation & jurisprudence MeSH
- Education * MeSH
- Competency-Based Education * MeSH
- Nurses * classification organization & administration trends MeSH
- Check Tag
- Humans MeSH
- Geographicals
- Germany MeSH
- MeSH
- Humans MeSH
- Salaries and Fringe Benefits MeSH
- Personnel Staffing and Scheduling MeSH
- Job Description MeSH
- Workload MeSH
- Education, Nursing, Baccalaureate * MeSH
- Education, Nursing, Graduate * MeSH
- Educational Status * MeSH
- Legislation, Nursing MeSH
- Nurses * economics classification standards organization & administration trends utilization legislation & jurisprudence MeSH
- Check Tag
- Humans MeSH
