Motivation to work is understood as an individual´s approach to work, his/her willingness to work. People are motivated when they expect to achieve goals or get rewards satisfying their needs. Currently health care facilities are facing the shortage and turnover of nursing staff. Therefore, hospitals are commissioned to create such an environment in which nurses become motivated, because only motivated nurses can provide a quality nursing care, which is expressed in patients´ satisfaction and rewarding feelings in nurses. The aim of the thesis was to identify and compare motivational factors of senior nurses and nurses working in shifts. The aim was fulfilled. Three hypotheses were set. First hypothesis: The most important motivating factor in nurses in senior positions is professional development was not confirmed. Second hypothesis: The most important motivating factor in nurses working in shifts is a financial reward was not confirmed. Third hypothesis: Motivational factors in nurses vary depending on the job assignment was confirmed. Results of the survey will be provided to medical officers to give them an overview of the most important motivational factors in nurses and the outcomes could also be a source of information for the hospital management how to effectively motivate the personnel. Senior nurses may focus on non-financial forms of rewards such as acknowledgements, thanks, appreciations, and good interpersonal relationships in the workplace.

Successful coping with adaptation process by a nurse newly joining an intensive medicine workplace is quite a complicated process. Mastering sophisticated instrumentation, specialist demands of nursing care provision and everyday physical load as well as psychical stress expose each newly coming nurse to a wide spectre of demands the unconditioned coping with which is a basic precondition of successful integration to an elite team. Each incoming nurse (not just at an intensive care workplace) should be particularly supported by her nurse manager in the far from easy adaptation process, who can substantially help a new nurse adapt to the new environment and become an equivalent team member. The Thesis is aimed at the role of a nurse manager in comforting an adaptation process of a nurse joining an ARD and an ICU. The aim of the Thesis was to map the role of a nurse manager in adaptation process of a nurse joining an ARD and an ICU and to find out how such a nurse manager helps a nurse joining an ARD or an ICU with adaptation. Further aims were to map the process of adaptation of a nurse joining an ARD or an ICU itself and to examine the factors that mostly influence the adaptation process of a nurse joining an ARD or an ICU. A combination of qualitative and quantitative research was applied to the research part of the Thesis. A semi-standardized interview conducted with ARD and ICU ward sisters in selected hospitals in Prague was chosen as the data collection technique for the qualitative part. A questionnaire designed for nurses working at ARDs and ICUs in selected Prague hospitals, who themselves were undergoing or have recently undergone such an adaptation process was chosen as the data collection technique for the quantitative part. The aims of the Thesis have been met. The research results clearly showed that the adaptation process of a new nurse is not only based on effective specialist training, but also in integration of the nurse into the existing working team. It is thus necessary for a nurse manager to take sufficient care to the adaptation process and help a new nurse become an equivalent member of the team, which will thus achieve the set goals of the department as well as the whole organization under her efficient guidance. The results of our research may thus contribute to better awareness of the individual motivation factors of the adaptation process among the involved public. Upon the information found about functioning of a nurse manager in the process of adaptation of a nurse joining an ARD or an ICU a thought map was created, which might help as inspiration or as a manual for execution of this highly demanding process itself.

This diploma thesis deals with the psychological aspects of management focusing on the styles of leadership at the gynecological-obstetric department, specifically at the maternity hospital. The aim is to find out what kind of leadership is used by the senior and station nurses. This thesis explores how they interpret the management grid GRID and how they perceive themselves in terms of how midwives perform. For this research were choosen two hospitals, public and joint-stock company. That is why the objective was also to compare the interviews with midwives regarding their motivation, satisfaction and conflict occurance. Therefore the information was received that touched upon these topics and presented the perception of the workers in obstetrician. The theoretical part introduces the psychological aspects of leadership, so that the reader goes through chapters focusing on manager personality, management, leadership, work environment, work teams, motivation, workplace conflicts, stress, burnout syndrome, etc.. The empirical part is presented as part of the qualitative research, which presents the way of senior and station nurses with the help of the inspiration by design of the case study. Further a case study at the state hospital and a case study at joint-stock company are being developed with...

The fluctuation of nursing staff in the medical facilities is not just current problem in the Czech Republic. Aging population will present higher demand for number of nursing staff. It is assumed that the insufficient number of nursing staff will remain and even rise (also due to aging of the staff) if appropriate actions are not taken (Simoens et al., 2005). This thesis discusses the decision to migrate amongst the nursing staff - general nurses, practical nurses, midwives, and emergency paramedics within the medical facility. It analyses the reasons for changing their workplace. The investigation was executed using the questionnaire method. It was conducted in January and February of 2020 in the selected medical facility in the Czech Republic. Total of 701 questionnaires were distributed to all inpatient wards, outpatient departments and intensive care units. The investigation targeted nursing medical staff. A statistical analysis of the results was performed Mann-Whitney U test was used to monitor the differences for decision to migrate based on various characteristics and responses. Total of 415 completed questionnaires were analysed in this investigation. 61/415 (14.7 %) responders consider the change of workplace. The most common nursing staff members to consider the change were general...

Considering serious health, social and subsequently economic impacts which are rising due to the heavy alcohol consumption in the Czech Republic and the whole of Europe, the WHO proposed scientifically based tools, the aim of which is to minimize damage caused by alcohol. Health service is, therefore, highly recommended to establish Screening and brief interventions (SBI). The SBI method belongs to behavioural and cognitive-behavioural therapies. The goal is to identify people with risk or harmful alcohol consumption, to stop its usage, to diminish risks and get a motivation to seek specialized assistance. The majority of recommendations to establish SBI for risk and harmful drinking are especially aimed at primary care, mostly at doctors. Nurses with their broad competence in a lot of medical fields are left behind even though their activity including direct contact with patients involves analysing the levels of risk factors which alcohol is a part of. The purpose of the study is to clarify under which circumstances it is possible to effectively apply the SBI methodology into nursing practice in a selected Czech district, to describe the current engagement and extent of nurses' motivation to deal with alcohol prevention, to look for possibilities of SBI integration into real nursing practice and...

Diploma thesis deals with the problems of sleep of the patients in intensive care. Sleep is the very basic of human needs and its correct pattern is crucial for any activity of an organism. A person who is sick has an increased need for sleep and are among the most frustrated needs. The theoretical part defines sleep as a basic human need to deal with physiology and sleep disorders. I include a chapter dealing with intensive care and aspects of the environment that affect sleep of the patients. The main objective is to determine whether the need for sleep of the patients is saturated or not. I also set milestones as to gain information regarding patients sleeping pattern at home.To find out, what influence nurses in approaching sleep as a matter and to look for factors that have an influence of some sort from the nurses point of view regarding the sleeping pattern same as from the patients view of the matter. In the empirical part, I reached the set goals through interviews and questionnaires. Thanks to interviews with patients, I discovered that need of sleep of patients in intensive care is not saturated.Out of the 30 respondents I interviewed, 17 of them therefore deemed their sleep as poor and insufficient. I also worked out the factors that have the greatest negative effect on the need of...

AND KEY WORDS The thesis is focused on the motivation of nurses working in intensive care and presents theoretical and empirici part. The aim of the theoretical part is to define the concept of motivation from the perspective of psychology. Among other things, it includes motivation of employees to perform a quality work and last but not least, motivation and job satisfaction of nurses in health care. The work will also include examples of research on thist topic. Practical part inculdes quantitative research which is in form of questionnaire. This research is compared to other researches with focus on the motivational elements of nursing. In conclusion, the data are analyzed statisticaly and evaluated in the final discussion. Keywords: motivation, lack of motivation, management, job satisfaction, nurse.

This thesis deals with the development of education in anesthesiology and intensive care in the Czech Republic. The operational objective of the historical-theoretical thesis is to explore specialized education in the field of intensive care from its roots to the present. At the beginning of the thesis describes the development of the field of Anesthesiology and Intensive Care, also are given information about the work of nurses, including their competencies in this field before the official introduction of specialized study. The following chapters are devoted specialized education from 1971 to 2013. Each of these chapters ends with a list of competencies of nurses, which are then compared. The thesis is the comparison of specialized study from 1971 to 2013. The thesis also deals with the development of the field paramedic and informs about current possibilities of specialization in intensive care and specialization at universities with their comparison.

Master thesis is dealing with the influence of sport activity at burnout among nurses working in intensive care and resuscitation. The thesis is divided into the theoretical and the empirical part. In the theoretical part we deal with burnout, its risk factors, symptoms and preventive measures. Other chapters are devoted to sports, primarily focused on the influence of sports activities on psychological stress and burnout. We also describe the possibilities of introducing sport activities to the workplaces. The main goal of our work is to determine whether there exists a relationship between sport activity and the risk of burnout. The research was carried out with the use of a quantitative questionnaire survey, which consisted of two parts. The first part contained questions related to burnout and was conducted using a validated MBI (Maslach Burnout Inventory) questionnaire. The second part contained questions related to the leisure sports activities of nurses. Within Všeobecná fakultní nemocnice in Prague, Malvazinky rehabilitation clinic, hospital Mělník, Tanvald, Sedlčany and Neratovice were distributed 298 questionnaires to the nurses working on the resuscitation or intensive care departments. The final testing sample consisted of 233 questionnaires (78% of surveyed nurses). It was found out...

This thesis focuses on the work of charge nurses in intensive care units (ICUs) as first-line managers. The practical part of the thesis aims at assessing the experience with nursing management in day-to-day routine, especially with the management of change introduction, conflict resolution and motivation of employees. It further compares different charge nurses' career beginnings. The second part of the research deals with personal typology of charge nurses. Twenty six ICU charge nurses were included into the study. The results indicate that charge nurses are not being specifically prepared for their job and that they particularly lack any special education in management. They usually solve conflicts either by compromise or via a directive. Most charge nurses intend to introduce changes into daily practice and they perceive changes as positive. Conversely, they describe the attitude of their subordinates towards changes as negative. Charge nurses generally know the motivators of their employees; however, they excessively and inappropriately use praising as motivation tool. Although not standardized and not used generally, a formal evaluation of employees is considered by charge nurses as a possible way to improve motivation. Allover, the study shows the need for a more thorough management training...