Uvod: Intermitentna samokatetrizacija je prednostna metoda praznjenja sečnega mehurja pri pacientih z zastojem urina. Medicinska sestra običajno pacienta nauči čiste ali aseptične tehnike ...samokatetrizacije. Namen prispevka je s pregledom literature ugotoviti, ali obstaja optimalna tehnika intermitentne samokatetrizacije, ki bi jo medicinske sestre priporočale pacientom.
Metode: Uporabljen je bil sistematični pregled literature v bazah podatkov: CINAHL, Medline, ProQuest, COBIB.SI in Cochrane Library. Vključena je bila literatura od prve omembe samokatetrizacije leta 1972 do leta 2016. S selekcijo prvotnih 350 virov smo glede na njihovo skladnost z namenom raziskave izbrali 67 enot literature.
Rezultati: Osemnajst referenc, izbranih z orodjem CASP, je bilo objavljenih med letoma 1992 in 2015: šest randomiziranih kliničnih in pet kohortnih raziskav ter šest sistematičnih pregledov literature in ena kritika. Ključne spremenljivke analize zbranih podatkov so bile sterilnost katetra, vrsta vlažilnega gela in higiena periuretralnega področja.
Diskusija in zaključek: Nobena tehnika intermitentne samokatetrizacije se ne izkaže kot optimalna. Ob upoštevanju značilnosti in sposobnosti pacienta je za slovenske razmere najboljša uporaba sterilnega materiala za enkratno uporabo (katetra in vlažilnega gela), higiena periuretralnega področja s sterilno solucijo in tamponi ter tehnika nedotikanja.
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NUK, ODKLJ, UL, UM, UPUK, VSZLJ
Aims
This study aimed at describing the job content of general nurses and comparing it to the work of nursing technicians, arranging it for orientation and level of work with things, data or people.
...Background
There is limited evidence on the content of the general nurses’ and nursing technicians’ job in post‐transitional countries.
Method
A quantitative analysis was conducted. The study was performed in a Slovenian medical hospital and in primary health centre. The variables were collected observing nursing activities at 10‐min intervals.
Results
Forty‐three hospital and seven primary health centres’ nursing staff participated in this study. A total of 14,584 nursing activities were recorded. The focus of general nurses was on working with data, and the focus of nursing technicians was on working with people (t = 18.328; df = 34,041; p < .001).
Conclusions
General nurses’ and health care technicians’ duties differ in content. General nurses work mostly with data, but health care technicians with people. The job content of both profiles differs related to the setting.
Implications for nursing management
It is recommended to return the focus of registered nurses from data to people. There is a need to do job analysis to enhance current practices in nursing management and professional development initiatives.
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BFBNIB, FZAB, GIS, IJS, KILJ, NLZOH, NUK, OILJ, SBCE, SBMB, UL, UM, UPUK, VSZLJ
Uvod: Nekateri oddelki za intenzivno terapijo in nego potrebe po osebju zdravstvene nege izračunavajo iz podatkov dveh sistemov kategorizacije potreb pacientov (slovenskem in točkovnem sistemu ...terapevtskih intervencij TISS-28). Namen raziskave je bil ugotoviti razlike v dokumentirani zahtevnosti zdravstvene nege in v potrebah po medicinskih sestrah glede na uporabljen sistem kategorizacije potreb pacientov.Metode: Uporabljena je bila kvantitativna opisna raziskava. Na bolnišničnem oddelku je bila v letu 2018 izvedena retrospektivna raziskava, v katero so bili vključeni podatki vseh 239 pacientov, ki so bili hospitalizirani med 1. januarjem 2016 in 31. decembrom 2016. S pregledom dokumentacije 108 opazovalnih dni so bili na opazovalni listi beleženi podatki o kategoriji potreb pacientov po dveh metodah kategoriziranja. Podatki so bili obdelani opisno in s statistiko sklepanja o povezavah.Rezultati: Razlika v dokumentirani stopnji zahtevnosti zdravstvene nege glede na uporabljeno metodo kategorizacije je statistično značilna. Število medicinskih sester, ki jih potrebujejo v zdravstveni negi, se razlikuje glede na uporabljeno metodo kategorizacije (Z = 3,548, p < 0,001); potreba po medicinskih sestrah se močno povezuje z metodo kategorizacije pacienta (ρ = 0,939, p = 0,001).Diskusija in zaključek: Potrebe po medicinskih sestrah, ki izhajajo iz metode kategoriziranja pacientov s TISS-28, so v primerjavi z neto potrebami glede na Slovensko kategorizacijo zahtevnosti bolnišnične zdravstvene nege večje. Izsledki raziskave so pomembni za menedžment zdravstvene nege, ki z izbiro sistema kategorizacije potreb pacientov lahko vpliva na prikaz kadrovskih potreb.
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NUK, ODKLJ, UL, UM, UPUK, VSZLJ
Aim
To examine the effect of nurse staffing patterns (nursing staff skill mix and patient classification system) on patient satisfaction with the nursing care received.
Background
Evidence about the ...relationship between the nursing staff structures and patient outcomes in post‐transitional countries is limited.
Methods
The research was conducted in three units of one secondary‐care regional hospital in Slovenia over 1 month. This cross‐sectional study used three main data elements exploring nursing staff levels (nursing hours per patient day and skill mix), patient needs (using a classification system), and patients’ satisfaction with nursing care; 484 patients participated.
Results
Significant positive correlations were found between the patients’ satisfaction and the realized percentage of the registered nurse personnel requirements, the level of nursing care hours per patient day, and the proportion of registered nurses in the nursing team.
Conclusions
A significant association between the actual and needed staffing levels and patient satisfaction was found. Nurse staffing patterns affect patient outcomes.
Implications for Nursing Management
This paper supports a higher proportion of registered nurses and an increased number of overall nursing staff working hours. Managers should consider the results of the patient needs categorization system and the workforce structure characteristics as predictors of patient satisfaction.
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BFBNIB, FZAB, GIS, IJS, KILJ, NLZOH, NUK, OILJ, SBCE, SBMB, UL, UM, UPUK, VSZLJ
An integrative review of 21 studies found mixed results on the associations of work schedule and nurse fatigue. Suggestions for nurse leaders include monitoring fatigue in shift workers, ensuring ...supportive work design, promoting a healthy lifestyle, and implementing scheduling interventions.
An integrative review of 21 studies found mixed results on the associations of work schedule and nurse fatigue. Suggestions for nurse leaders include monitoring fatigue in shift workers, ensuring ...supportive work design, promoting a healthy lifestyle, and implementing scheduling interventions.
Introduction: Kinesio taping is rehabilitative technique used to facilitate the body’s natural healing process while providing support and stability to muscles and joints, without restricting their ...range of motion. We conducted a thorough literature search and evaluation to clarify whether kinesio taping is effective in reducing lower back pain.
Methods: Cochrane Library, CINAHL, COBIB.SI, PubMed and Science Direct were searched using Boolean operators search strings of different keywords such as: adult, low back pain, Kinesio tape, Kinesio taping, kinesiotaping, effects. The search was limited to full-text articles published from 2011 to 2016.
Results: A total of 137 records were identified, 123 abstracts screened, and 14 full-text articles assessed for eligibility. Finally, nine publications were selected using CASP tool: eight randomized clinical studies and one literature review. The key variables from collected data were the subject characteristics, taping technique, control interventions, instrument, and outcome.
Conclusions: The effect of Kinesio taping in reducing low back pain is positive, but was not statistically significant in analyzed studies. Taping therapy may therefore be used as a supplementary method to conventional physical therapy procedures, and may be important for patients because of its easy accessibility and safet
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IZUM, KILJ, NUK, ODKLJ, PILJ, PNG, SAZU, UL, UM, UPUK
Aims
To identify the determinants of the quality of nursing care from the perceptions of nursing personnel.
Background
The quality of nursing care is often measured with standards, expectations, ...satisfaction and outcomes, but in developing countries, it relies mostly on negative indicators.
Methods
A descriptive qualitative study was used. Semi‐structured interviews based on the critical incident technique were conducted with a convenience sample of 136 nursing personnel who told 225 stories.
Results
Seven quality determinants of nursing care were identified as follows: standard of care, triage and assessment, emergency care, communication with the patient or family, communication with colleagues, multidisciplinary teamwork and helping colleagues. The most important one was the standard of care.
Conclusion
Quality nursing care is based on the degree of excellence nursing personnel show with regard to their competences in technical care, communication and teamwork. A key attribute of quality nursing care is defined by the related standards, and the focus is mostly on the nursing care process.
Implications for nursing management
These findings can increase awareness of the determinants of nursing quality and the qualities of the nursing personnel involved and can help managers to evaluate nursing practice, select new employees and organise teams.
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BFBNIB, FZAB, GIS, IJS, KILJ, NLZOH, NUK, OILJ, SBCE, SBMB, UL, UM, UPUK, VSZLJ
Simulation and role-playing are the most commonly used experiential teaching methods in nursing education. The purpose of the study was to describe the impact of geriatric role-play workshops on the ...knowledge and skills of nursing students. We set one hypothesis: Students believe that learning through experiential role-play improves their professional competencies.
We conducted a descriptive quantitative study, collecting the data with a questionnaire. The study included 266 first-year nursing students who underwent 10 h of role-playing workshops in geriatric nursing in 2021. The questionnaire was compiled for the purpose of the present study, and its' internal consistency was 0.844 (n = 27). We used descriptive and correlation statistical analysis.
Respondents were convinced that they gained and consolidated knowledge and connected theory with practice through role-playing. They especially emphasized the abilities they acquired to communicate in a group, engage in constructive reflection, be more sensitive to one's own emotions, and feel empathy.
Respondents understand the use of the role-play method as an effective form of learning in geriatric nursing. They are convinced that they will be able to use the experience when working with an elderly patient in a clinical setting.
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IZUM, KILJ, NUK, OILJ, PILJ, PNG, SAZU, UL, UM, UPUK, VSZLJ
This study aimed at describing the job content of general nurses and compare it to the work of nursing technicians, arranging it for orientation and level of work with things, data or people.
There ...is limited evidence on the content of the general nurses' and nursing technicians' job in post-transitional countries.
A quantitative analysis was conducted. The study was performed in a Slovenian medical hospital and in primary health centre. The variables were collected observing nursing activities at 10-minute intervals.
Forty-three hospital and seven primary health centres' nursing staff participated in this study. A total of 14,584 nursing activities were recorded. The focus of general nurses was on working with data and the focus of nursing technicians was on working with people (t = 18.328; df = 34041; p < 0.001).
General nurses' and health care technicians' duties differ in content. General nurses work mostly with data, but health care technicians with people. The job content of both profiles differs related to the setting.
It is recommended to return the focus of registered nurses from data to people. There is a need to do job analysis to enhance current practices in nursing management and professional development initiatives.
Full text
Available for:
BFBNIB, FZAB, GIS, IJS, KILJ, NLZOH, NUK, OILJ, SBCE, SBMB, UL, UM, UPUK, VSZLJ
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