BACKGROUND: The perception of the quality of care provided by the medical institution to patients is directly affected by the job satisfaction of nurses. The feeling of job satisfaction is caused besides other things by the subjective expectations of employees about what their work should provide them with in return. The aim of the study is to evaluate and compare job satisfaction of hospital nurses in the Czech Republic in 2011 and 2021 by identifying differences between their personal preferences and perceived saturation. METHODS: The respondents are hospital nurses in the Czech Republic in 2011 and 2021. A developed questionnaire was used to determine the job satisfaction factors. The order of factors of personal preferences, perceived saturation and differences between them was compiled. For evaluation was used the Euclidean distance model that enables to capture the order and determine the significance given by the distance in which the factors are located. RESULTS: At the top of personal preferences of hospital nurses, the factors salary and patient care are in the first two places with a similar distance. The salary factor is the most preferred by hospital nurses in both evaluated periods, and at the same time there is the greatest discrepancy between personal preferences and perceived saturation. By contrast, image of profession and working conditions were sufficiently saturated by the employer in both periods, but nurses do not significantly prefer these factors. CONCLUSIONS: The salary and patient care (i.e. the mission of the nurse's work itself) are at the top of personal preferences of hospital nurses, with an exclusive position among other factors. We consider it important that the hospital management emphasizes them in the management of hospital nurses. At the same time, the patient care is perceived by the hospital nurses as one of the most saturated factors - in contrast to salary, which is located at the complete opposite pole as the least saturated factor and therefore emerges from the mutual comparison as the factor with the greatest degree of divergence. The stated conclusions are valid for both compared periods. New method of data evaluation was successfully tested.
- Publikační typ
- časopisecké články MeSH
Úvod: Všeobecné sestry hrají jednu z klíčových rolí ve zdravotnickém systému. Vzhledem této jejich nezastupitelné roli, je nezbytné, aby management poskytovatelů zdravotnické péče poznal klíčové factory pracovní spokojenosti a motivace k práci a take aby identifikoval factory pracovní nespokojenosti. Management tak následně může vytvořit pracovní prostředí, které sestrám pomůže zvládat psychické I fyzické požadavky profese, sníží fluktuaci a zvýší kvalitu péče o pacienty. Cíl: Cílem práce je identifikovat subjektivní pořadí osobních preferencí jednotlivých faktorů pracovní spokojenosti všeobecných sester a subjektivní vnímáním saturace osobních preferencí jednotlivých faktorů pracovní spokojenosti zaměstnavatelem a zjistit nejvyšší divergence. Metody: V prvním pololetí roku 2018 byla provedena průřezová studie. Na dotazník Motivačních faktorů odpovědělo 462 respondentů, tj. 28,2 %. K vytvoření pořadí faktorů byl použit Euclidean distance model. Výsledky: Subjektivně nejvíce preferovanými faktory byly Plat/Mzda, Spolupráce na oddělení, Spolupráce s jinými profesem, Pracovní vztahy s nadřízenými pracovníky a Uznání. Nejvíce saturovanými faktory pracovního prostředí z pohledu všeobecných sester byly Přímá péče o pacienty, pracovní vztahy s nadřízenými, spolupráce na oddělných a spolupráce s jinými profesemi. Nejvyšší divergence faktorů byla zaznamenána u faktoru Plat/Mzda a Uznání. Závěry: Přestože mzdy a platy ve zdravotnictví stále vzrůstají, sestry v této oblasti pociťují pracovní nespokojenost, což mohou zaměstnavatelé ovlivnit pouze omezeně. Velké možnosti však nabízí manažerům nefinanční uznání práce, jež nevyžaduje dodatečné peněžní prostředky. Vzhledem k faktu, že jsou dobře vnímané pracovní vztahy s nadřízenými, měl by management nemocnic usilovat o co možná nejvyšší využití potencionálu faktoru uznání a školit vedoucí pracovníky jejímu použití.
Introduction: General nurses play a major role in the healthcare system. In consideration of their irreplaceable position it is necessary for the managements of healthcare providers to identify the key factors of their job satisfaction and work motivation, and to identify factors of job dissatisfaction. The managements can, consequently, create a work environment that enables nurses to cope with psychological and physical requirements of their profession, decreases turnover, and raises the quality of patient care. Aim: This article aims to identify the subjective order of personal preferences of individual factors related to job satisfaction of general nurses and their subjective perception of saturation of factors that influence job satisfaction, together with finding the greatest divergence. Method: A cross-sectional study was carried out in the first half of 2018. A questionnaire about motivation factors was completed by 462 respondents, i.e. 28.2%. We used the Euclidean distance model to determine the order of factors. Results: The factors with the highest subjective preference were Salary, Interpersonal work relationships with peers, Interpersonal work relationships with other professions, Interpersonal work relationships with supervisors, and Recognition. Factors with the highest saturation related to nurse’s working environment included Patient care, Interpersonal work relationships with supervisors, Interpersonal work relationships with peers, and Interpersonal work relationships with other professions. The greatest divergence occurred in factors Salary and Recognition. Conclusion: Although salaries in healthcare continue to rise, nurses in this sector experience job dissatisfaction which can be influenced by employees only to a limited extent. There is, however, a considerable potential for non-financial recognition which does not require additional finance. In consideration of the fact that the respondents in this study perceived positively their working relationships with supervisors, hospital managements should work towards the best possible use of this factor and train their managers to employ it.
OBJECTIVES: The aim of the study was to assess the prevalence of burnout syndrome and mobbing, to determine their mutual relationship, and to identify predictors related to the probability of occurrence of burnout syndrome in general nurses working in hospitals. METHODS: The work is designed as a cross-sectional study. The research took place in 2018 and the sample included 250 general nurses. Statistical evaluation was performed by means of descriptive statistics, Spearman's correlation coefficient, and logistic regression. Three standardized questionnaires were used - Maslach Burnout Inventory, Negative Questionnaire Act and SUPSO. RESULTS: The research revealed burnout syndrome in the area of emotional exhaustion in 28.8% of nurses, of depersonalization in 15.2%, and in the area of personal accomplishment in 38.4%. 51.2% of nurses never experienced mobbing at workplace, one act of mobbing over the last six months was reported by 17.6% of respondents, two and more acts by 31.2%. Logistic regression revealed that the probability of occurrence of burnout syndrome in the area of emotional exhaustion is influenced by age, sex and by the size of an urban area, it is increased by anxiety and depression. In the area of depersonalization the probability of incidence increases with impulsiveness and dejection. In the area of personal accomplishment the probability of burnout syndrome incidence is increased by the lack of psychological wellbeing and activeness, by restlessness and impulsiveness. Though there were found significant relationships between all component parts of burnout syndrome and mobbing, multivariate logistic regression did not show the impact of any component part of mobbing on the probability of occurrence of burnout syndrome. CONCLUSIONS: The research revealed that the probability of burnout syndrome incidence is related to socio-demographic factors as well as to an individual's psychological states and perceptions. Direct impact of mobbing on the probability of burnout syndrome incidence was inconclusive.
- MeSH
- duševní vyhoření epidemiologie MeSH
- lidé MeSH
- prevalence MeSH
- profesionální vyhoření * epidemiologie MeSH
- průřezové studie MeSH
- šikana * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
The risk of psychological disorders influencing the health of workers increases in accordance with growing requirements on employees across various professions. This study aimed to compare approaches to the burnout syndrome in European countries. A questionnaire focusing on stress-related occupational diseases was distributed to national experts of 28 European Union countries. A total of 23 countries responded. In 9 countries (Denmark, Estonia, France, Hungary, Latvia, Netherlands, Portugal, Slovakia and Sweden) burnout syndrome may be acknowledged as an occupational disease. Latvia has burnout syndrome explicitly included on the List of ODs. Compensation for burnout syndrome has been awarded in Denmark, France, Latvia, Portugal and Sweden. Only in 39% of the countries a possibility to acknowledge burnout syndrome as an occupational disease exists, with most of compensated cases only occurring in recent years. New systems to collect data on suspected cases have been developed reflecting the growing recognition of the impact of the psychosocial work environment. In agreement with the EU legislation, all EU countries in the study have an action plan to prevent stress at the workplace.
PURPOSE: Comfort promotion plays a significant role in end-of-life patient care. The objective of this study was to determine the utilization rate of comfort supporting nursing activities in end-of-life patients in an institutionalized environment in the Czech Republic in relation to the age of the registered nurses (RNs), length of work experience, education level, and type of workplace. DESIGN: A cross-sectional, descriptive study was designed. A questionnaire with Likert scales included 31 activities of dying care and spiritual support interventions. The sample comprised 907 RNs working in 49 institutions in nine regions of the Czech Republic. The Kruskal-Wallis test, Mann-Whitney U post-hoc test with Bonferroni correction of significance, Spearman's correlation analysis, and logical regression model were used for statistical evaluation. FINDINGS: The least frequently implemented activity by RNs was "Show the patient's willingness to discuss death" and the most frequent activity was "Threat to the patient's dignity and respect." The highest utilization rate of nursing activities was reported in the physical dimension, while the lowest utilization rate of nursing activities was in the social dimension set. Significant predictors for the high utilization rate of physical dimension set activities were hospice care departments, long-term care facilities (LTCFs), and the age of RNs. Hospice departments were also a predictor of high utilization rate of activities in the psychological, spiritual, and social dimension set activities. CONCLUSIONS: With the exception of hospice departments, RNs used activities encouraging psychological, spiritual, and social comfort for end-of-life patients less frequently than the physical dimension. CLINICAL RELEVANCE: RNs in hospitals and LTCFs focus insufficiently on the spiritual and psychosocial comfort of end-of-life patients. This study is of particular significance to educators who prepare the next generation of nurses.
- MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- nemocnice MeSH
- ošetřovatelství metody MeSH
- paliativní péče organizace a řízení MeSH
- péče o umírající organizace a řízení MeSH
- péče v hospici organizace a řízení MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- senioři MeSH
- spiritualita MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- práce podpořená grantem MeSH
- Research Support, N.I.H., Extramural MeSH
- Geografické názvy
- Česká republika MeSH
Aim: The aim of our research was to find out the position (and its changes over a period of time) of continuing education on the personal work values scale of general nurses working in hospitals in the Czech Republic. Methods: The research was designed as a comparative study (comparison of results from the years 2006, 2011 and 2016). The data were obtained through a questionnaire using Herzberg’s two-factor theory of motivation. However, the theory was adapted to reflect current conditions of care-givers who work within a multidisciplinary team. The questionnaire aimed at distinguishing the order of the selected factors of working environment, which subsequently created the scale of personal values. 3081 respondents took part in the research in 2006, 1992 respondents in 2011, and 1751 respondents in 2016. The comparative analysis data were processed with the Euclidean distance model and non-parametric tests. Results: In 2006, the possibility to engage in continuing education occupied 8th place on the scale of personal preferences (out of 16), in 2011 it ranked 10th, and 12th in 2016. The research results reveal a long-term tendency towards a decrease of personal preferences regarding continuing education. The decrease was statistically significant between the years 2006 and 2011 and the year 2016 (p < 0.001). The results indicate that with an increasing age the preference for continuing education decreases (p < 0.001). A statistically significant reduction in the preference for continuing education was found in nurses aged approx. 45 years. Conclusions: Highly professional, effective and good quality education (and subsequent continuing education) is essential for the provision of safe and good quality care. A nurse in a managerial position should encourage staff nurses to continually learn irrespective of their age. Only this may lead to a high quality care for patients.
- MeSH
- kontinuální vzdělávání zdravotních sester MeSH
- motivace MeSH
- nemocnice MeSH
- Publikační typ
- srovnávací studie MeSH
Aim: The aim of our research was to find out the position (and its changes over a period of time) of continuing education on the personal work values scale of general nurses working in hospitals in the Czech Republic. Methods: The research was designed as a comparative study (comparison of results from the years 2006, 2011 and 2016). The data were obtained through a questionnaire using Herzberg's two-factor theory of motivation. However, the theory was adapted to reflect current conditions of care-givers who work within a multidisciplinary team. The questionnaire aimed at distinguishing the order of the selected factors of working environment, which subsequently created the scale of personal values. 3081 respondents took part in the research in 2006, 1992 respondents in 2011, and 1751 respondents in 2016. The comparative analysis data were processed with the Euclidean distance model and non-parametric tests. Results: In 2006, the possibility to engage in continuing education occupied 8th place on the scale of personal preferences (out of 16), in 2011 it ranked 10th, and 12th in 2016. The research results reveal a long-term tendency towards a decrease of personal preferences regarding continuing education. The decrease was statistically significant between the years 2006 and 2011 and the year 2016 (p < 0.001). The results indicate that with an increasing age the preference for continuing education decreases (p < 0.001). A statistically significant reduction in the preference for continuing education was found in nurses aged approx. 45 years. Conclusions: Highly professional, effective and good quality education (and subsequent continuing education) is essential for the provision of safe and good quality care. A nurse in a managerial position should encourage staff nurses to continually learn irrespective of their age. Only this may lead to a high quality care for patients.
- MeSH
- kontinuální vzdělávání zdravotních sester organizace a řízení statistika a číselné údaje MeSH
- lidé MeSH
- odborné všeobecné sestry * výchova MeSH
- průzkumy a dotazníky MeSH
- socioekonomické faktory MeSH
- věkové rozložení MeSH
- zdravotní sestry v klinické praxi výchova MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- práce podpořená grantem MeSH
Profese lékaře i nelékařských zdravotnických pracovníků je charakteristická svým každodenním intenzivním stykem s pacienty či klienty. Tyto interakce však znamenají zvýšené nebezpečí vystavení psychosociálním rizikům. Psychosociální rizika se týkají způsobu, jakým je práce navržena, organizována a řízena, stejně jako sociálního kontextu práce. Mohou mít vážné důsledky pro zdraví a blaho pracovníků. Evropská agentura pro ochranu zdraví při práci řadí mezi základní psychosociální rizika pracovní stres, syndrom vyhoření, mobbing/bullying, násilí, pracovní dobu, zneužívání návykových látek. Cílem tohoto článku je podat stručný přehled základních psychosociálních rizik a jejich důsledků jak pro samotné zdravotníky, tak pro jejich pacienty.
Medical and allied health professions are characteristic of an everyday intense contact with patients and clients. However, these interactions also bring about increased danger of psychosocial risks. Psychosocial risks involve job content, its organization and management, as well as its social context. As such they may pose serious consequences for health and well-being of the professionals. The European Agency for Safety and Health at Work counts among major psychosocial risks: stress at work, burnout syndrome, mobbing/bullying, violence at work, working hours and substance abuse. The aim of the presented article is to give a brief survey of the basic psychosocial risks and their consequences for both health care workers and their patients.
- MeSH
- lidé MeSH
- násilí na pracovišti MeSH
- poruchy spojené s užíváním psychoaktivních látek MeSH
- práce psychologie MeSH
- pracovní zátěž psychologie MeSH
- profesionální vyhoření etiologie prevence a kontrola MeSH
- psychický stres * MeSH
- rizikové faktory MeSH
- šikana MeSH
- spánková deprivace psychologie MeSH
- zdravotničtí pracovníci * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- práce podpořená grantem MeSH
- přehledy MeSH
Východiska: Péče o rodinného příslušníka je náročná a představuje pro pečovatele zátěž. V důsledku dlouhodobé zátěže může u pečovatele dojít k rozvoji syndromu vyhoření. Podobně jako na rodinné pečující, jsou i na profesionální pracovníky kladeny požadavky, které představují zátěž. Cíl: Cílem výzkumu bylo zjistit míru syndromu vyhoření a rozdíl v míře vyhoření u rodinných pečujících a u profesionálních pečujících. Metodika: Byla použita metoda kvantitativního dotazníkového šetření s použitím dotazníku Burnout Measure (BM). Soubor respondentů byl tvořen 50 rodinnými pečujícími (42 žen, 8 mužů) s průměrnou délkou pečování 5 let a 57 profesionálními pečovateli – zdravotníky a pracovníky v sociálních službách (55 žen, 2 muži), kteří poskytují péči v zařízení Domov pro seniory Pohoda, Olomouc-Chválkovice a Domov pro osoby se zdravotním postižením Nové Zámky s průměrnou délkou praxe 12 let. Výsledky: Syndrom vyhoření byl zjištěn ve vyšší míře u rodinných pečujících než u profesionálních pečovatelů (p < 0,001). Syndrom vyhoření byl prokázán u 25 rodinných pečujících a 2 profesionálních pečujících. Zvýšené riziko syndromu vyhoření bylo zjištěno u 13 rodinných pečujících a u 8 profesionálních pečujících. Závěr: Pokud pro rodinu představuje péče o rodinného příslušníka nadměrnou zátěž, měla by využít respitních nebo terénních služeb poskytovaných společností, aby nedošlo k syndromu vyhoření.
Background: Caring for a family member is demanding and poses a considerable strain for the carer. Due to this long-term strain, the carer may develop burnout. Care divided between the family and a state institution seems to be ideal. Nevertheless, there are demands which pose a strain even for professional carers. Aim: The aim of the research was to ascertain the degree of burnout rate and differences between family caregivers and professional carers. Methods: A quantitative approach was taken: Burnout Measure (BM) questionnaire survey was conducted. The sample consisted of 50 family caregivers (42 women, 8 men) with average care length 5 years and 57 professional carers – workers from healthcare and social services (55 women, 2 men) from a care home Pohoda, OlomoucChválkovice and a care home for disabled people Nové Zámky with average work experience 12 years. Results: A higher burnout rate was found among family caregivers compared to professional carers (p < 0.001). Burnout was confirmed in 25 family caregivers and 2 professional carers. An increased risk for developing burnout was found in 13 family caregivers and 8 professional carers. Conclusion: Caring for a family member presents an excessive strain for the family caregiver and respite care or community services should be introduced to prevent developing burnout.
- MeSH
- chronická nemoc ošetřování MeSH
- domácí ošetřování psychologie MeSH
- duševní vyhoření * prevence a kontrola psychologie MeSH
- kvalita života MeSH
- lidé MeSH
- ošetřovatelská péče MeSH
- osoby pečující o pacienty * MeSH
- profesionální vyhoření * prevence a kontrola psychologie MeSH
- průzkumy a dotazníky statistika a číselné údaje MeSH
- psychický stres MeSH
- rodina psychologie MeSH
- tělesná námaha MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- práce podpořená grantem MeSH
Východiska: Chronické srdeční selhání je označováno jako epidemie 21. století, která má závažné důsledky, výrazně snižuje délku života a má negativní dopad na kvalitu života. Se zhoršenou kvalitou života u pacientů s chronickým srdečním selháním souvisí deprese, která je diagnostikována až u 36,5 % z nich. Cíl: Cílem výzkumu bylo zjistit míru kvality života a deprese a jejich vzájemný vztah u pacientů s chronickým srdečním selháním a srovnat sledované proměnné s kontrolní skupinou. Metodika: Výzkumné šetření bylo realizováno na kardiologickém oddělení tří nemocnic v České republice od října roku 2015 do dubna roku 2016. Zúčastnili se pacienti, kteří byli hospitalizovaní a léčili se s chronickým srdečním selháním. K výzkumnému šetření byly použity 2 standardizované dotazníky: dotazník kvality života WHOQOL-BREF a dotazník deprese BDI-II. Výsledky: Z výsledků výzkumného šetření vyplynulo, že existuje signifikantní rozdíl v míře kvality života mezi zkoumaným souborem a kontrolní skupinou. Z výsledků lze také konstatovat, že existuje statisticky významný rozdíl v míře deprese mezi zkoumaným souborem a kontrolní skupinou. Byl rovněž zjištěn signifikantní negativní vztah mezi celkovou kvalitou života a depresí u pacientů s chronickým srdečním selháním. Závěr: Včasnou diagnostikou a terapií deprese by mohlo dojít nejen ke zkvalitnění života pacientů s chronickým srdečním selháním a to ve všech oblastech, ale i ke snížení počtu hospitalizací.
Background: Chronic heart failure is labelled as an epidemic of the 21st century with serious consequences dramatically reducing life expectancy with a negative impact on quality of life. Impaired quality of life in patients with chronic heart failure is linked to depression which is diagnosed in as many as 36.5% of the patients. Aim: The aim of the research was to determine the level of quality of life and depression and their relatedness in patients with chronic heart failure and to compare the observed variables with a control group. Methods: The research was carried out at cardiologic departments of three hospitals in the Czech Republic between October 2015 and April 2016. The research sample included patients admitted to hospital for chronic cardiac failure. The research survey used two standardized questionnaires: quality of life questionnaire WHOQOL-BREF questionnaire depression and BDI-II. Results: The results of the survey show that there is a significant difference in quality of life between the examined population and the control group. The results also suggest that there is a statistically significant difference in the rate of depression among the examined population and the control group. It can be concluded that there is a significantly negative relationship between overall quality of life and depression in patients with a chronic heart failure. Conclusions: Early diagnosis and depression management could lead to overall better quality of life of these patients as well as to decrease in the number of hospitalizations.
- MeSH
- analýza dat MeSH
- deprese * MeSH
- kognitivně behaviorální terapie MeSH
- kvalita života * psychologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- průzkumy a dotazníky MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- skupinová psychoterapie MeSH
- srdeční selhání * ekonomika epidemiologie komplikace mortalita psychologie MeSH
- vzdělávání pacientů jako téma MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- práce podpořená grantem MeSH
