The dissertation thesis deals with the issue of violence during mutual contact of a patient and a nurse in the Czech Republic. Its main aim is to map violence which appears only during mutual contact between general nurses and patients. The secondary aims were to identify the most common problems in these situations, and to find possibilities to solve them. The aims were tested by four hypotheses and one research question. Mixed design - a combination of quantitative methods, qualitative in-depth interviews, and ex-post evaluation of my own teaching method - was used in this research. The quantitative sample included 896 respondents (500 general nurses, 92 doctors, 151 paramedics, 25 ambulance drivers, 60 physiotherapists, 18 safety workers and 50 auxiliary health care workers). Qualitative research is based on ten in-depth interviews with nurses (from various departments including outpatient care and emergency pre-hospital care) who have experienced a violent incident (analyzed by coding according to Glaser and Strauss). Unlike quantitative research, in-depth interviews are carried out on a smaller sample of respondents. Originally, there were 50 interviews carried out, but some attributes were being repeated, thus only 10 interviews were chosen to show the most important aspects. Ex-post evaluation included evaluation of practical training of 550 non-medical health care workers (general nurses, porters, auxiliary workers) in 14 workshops that were organized during 11 months. The total number of non-medical health care workers in the project was 550. After 12 months, 239 questionnaires were returned (42 % response rate). The first hypothesis, that both female and male health care workers alike experience violence in providing nursing care in the Czech Republic, was verified. The second hypothesis proved that general nurses in the Czech Republic are the professional group that is most exposed to verbal violence. Violence in health care in the Czech Republic is thus mostly a problem of nursing care. The third hypothesis proved that nurses with secondary education are exposed to violence more often than nurses with tertiary education. Qualitative analysis discovered a new dimension of violence in nursing - nurses' behaviour adds significantly to conflict escalation and is one of the causes of violence. The fourth hypothesis proved that it is possible to prepare nurses for dealing with a violent patient and prevent violence by choosing the correct style of communication.
| Identifer | oai:union.ndltd.org:nusl.cz/oai:invenio.nusl.cz:203208 |
| Date | January 2015 |
| Creators | PEKARA, Jaroslav |
| Source Sets | Czech ETDs |
| Language | Czech |
| Detected Language | English |
| Type | info:eu-repo/semantics/doctoralThesis |
| Rights | info:eu-repo/semantics/restrictedAccess |
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