Namen prispevka je proučiti izvirnost uprizoritve drame Tri sestre Antona Pavloviča Čehova pri Luku Percevalu, izpostaviti povezave s poetiko Čehova in razkriti nekatere vzporednice s tradicijo ...evropskega gledališča dvajsetega stoletja, zlasti z gledališčem smrti Tadeusza Kantorja in gledališčem absurda. Posebna pozornost je namenjena prostorsko-časovnim značilnostim, semantiki novega naslova in uporabljenim tehnikām. Pri tem sta - ob upoštevanju kulturnega konteksta - uporabljeni primerjalna in intermedijska metoda. Percevalovo novo branje igre Čehova je v sozvočju s sodobnimi razmerami in stanjem človeštva (občutek osamljenosti, odtujenosti in absurdnosti obstoja ter bližajoče se globalne katastrofe).1
Sestrinska dokumentacija je dio medicinske dokumentacije pacijenta i prema Zakonu o sestrinstvu u Republici Hrvatskoj obveza i profesionalna odgovornost medicinskih sestara jest vođenje sestrinske ...dokumentacije kojom se evidentiraju svi provedeni postupci kod pacijenta tijekom 24 sata. Dokumentiranje je važno zbog pravne zaštite (sestrinska dokumentacija je dokument kojim se potvrđuju činjenice i tvrdnje u slučaju mogućeg spora ili konflikta), praćenja troškova u zdravstvu (omogućuje praćenje troškova u odnosu na učinkovitost), izvor je informacija za istraživanja kojima se mogu dobiti značajni rezultati korisni za razvoj sestrinske prakse, standarde sestrinstva, unaprjeđenje kvalitete zdravstvene njege (dokumentacija je dokaz o provedenoj zdravstvenoj njezi i sestrinskim intervencijama), društvene promjene, unaprjeđenje komunikacije u timu. Pravilna i pravovremena sestrinska dokumentacija s točnim i relevantnim informacijama o pacijentu značajno utječe na uspješnu komunikaciju u multidisciplinarnom timu radi dostupnosti sestrinskih zapisa u bolničkom informacijskom sustavu i ostalim članovima u timu koji skrbe za pacijenta. Jedna od značajnijih sastavnica sestrinske dokumentacije jest trajno praćenje stanja pacijenta odnosno decursus u koji se dokumentiraju sve promjene kod pacijenta tijekom 24 sata (simptomi, znaci, opisi novonastalog stanja, mogući uzroci i dodatni podatci koji nisu navedeni u anamnezi). U dosadašnjim studijama utvđeni su i nedostatci poput nepravovremenosti u dokumentiranju, netočnih podataka, diskontinuiteta u dokumentiranju decursusa, nejasnih uputa. Svrha je ovog članka naglasiti važnost sestrinske dokumentacije kao zakonski reguliranog dokumenta u sestrinskoj profesiji u Republici Hrvatskoj i kao važnog dijela sveukupne medicinske dokumentacije.
Quality of life of post-stroke patients Bártlová, Sylva; Šedová, Lenka; Havierniková, Lucie ...
Zdravstveno varstvo,
06/2022, Letnik:
61, Številka:
2
Journal Article
Recenzirano
Odprti dostop
Stroke is a disease whose consequences have a considerable impact on the quality of the patient's life. It is a widespread disease that has a disabling impact on life and, in addition to physical ...changes, brings about a number of psychological and cognitive processes.
The goal of the study was to identify and describe the quality of life of post-stroke patients.
The study design was quantitative. A questionnaire of the authors' own design and the SF-36 questionnaire were used to obtain the data.
Significant differences in patient quality of life were identified in relation to patient gender. Moreover, the quality of life in all individual SF-36 dimensions, except for mental health, deteriorated with age. With regard to occupational placement, employed respondents gave the highest evaluation of quality of life according to SF-36 and old-age pensioners the lowest. The analysis shows that quality of life in individual dimensions is positively influenced by respondents' higher education. The evaluation in individual dimensions improves with the time that has passed since the stroke.
The quality of life of post-stroke patients deteriorates with age. The deteriorating level of patient quality of life in older age requires programmes that include assessments and interventions that lead to the treatment of these patients.
The history of Croatian urology clearly shows its affiliation to the medical and civilizational circle of the Western world. The Department of Urology at the Sestre milosrdnice University Hospital ...Center is the oldest urology institution in the Republic of Croatia. The Department was established in 1894, when the new Sestre milosrdnice Hospital was open in Vinogradska cesta in Zagreb. It was then that doctor Dragutin Mašek founded the so-called III Department, which, in addition to treating urology patients, also treated patients with conditions of the ear, nose and throat, eye diseases and dermatologic conditions. Dragutin Mašek had already realized that medicine would soon be divided into fields and had assigned younger doctors joining the III Department to specific fields. As a result, urology was given to Aleksandar Blašković, who founded the first independent department of urology in Croatia in 1926. In 1927, he was appointed Professor of urology at the Zagreb School of Medicine, where he established the first department of urology and was giving lectures and practicals. Under his leadership, the Department of Urology was given the status of a Clinic, a teach-ing department, the first of its kind in Croatia. Owing to all his activities in the field of urology, the history remembers him as the "father of modern Croatian urology". Over the course of the following years, department chairs had changed, but luckily for the patients, approach to work had not. Conscientiousness, trust, competence and charity. After all, charity is the idea that the hospital carries even in its name, after the Sisters of Charity who had founded it. In all the decades, the Department of Urology has been following global development paths, objectively legging behind top facilities in the world by only a few years. Overall professional and scientific urology activities culminated in 1998, when the Clinic became the Reference Center of the Ministry of Health of the Republic of Croatia for prostate cancer, and in 2011, when it became the European Board of Urology Certified Center. All that has been achieved could not have been done without wholehearted help and cooperation of the nurses, as well as every other department employee from the beginnings of urology until today. Despite its rich history, the Department does not rest on laurels. Today, it is a modern urology department together with its European role models.
Well-being is one of the most important factors in whether nurses decide to remain in the nursing profession. This study aims to examine well-being and satisfaction among nurses working in Slovenian ...hospitals and to identify the related demographic factors.
This descriptive cross-sectional study uses standardised instruments. The sample included 640 nurses working in Slovenian hospitals. The difference between individual variables were analysed using the Mann-Whitney and Kruskal-Wallis tests.
Nurses self-assessed their satisfaction and well-being as moderate. Forty-seven per cent of nurses were satisfied with their job, 49% assessed their psychological well-being as good, 52% were often exposed to stress at the workplace and 30% were always exposed to stress at the workplace. Levels of job satisfaction (p=0.031), psychological well-being (p=0.029) and subjective well-being (p=0.014) were found to differ significantly according to level of education, while levels of job satisfaction (p=0.005), life satisfaction (p<0.001), psychological well-being (p<0.001) and subjective well-being (p<0.001) were also found to differ according to years of nursing service and from hospital to hospital (p<0.001).
The key finding of the study is that nurses are moderately satisfied with their work and life and that they display moderate levels of psychological and subjective well-being. Hospitals can be successful and achieve the goals of the organisation if their employees are satisfied with work and enjoy good levels of well-being. Hospital management have to recognise the importance of ensuring that nurses and other employees are satisfied and healthy.
Incivility among nurses and matrons can lead to various issues such as employment turnover and dysfunctional patient care. Therefore, the need to examine and assess the uncivil behaviors among nurses ...and matrons is evident. The main purpose of this article is to study and determine the frequency of incivility between nurses and matrons from nurses’ point of view.
In this cross-sectional study, 200 nurses were selected from three educational hospitals of Mashhad using stratified-cluster random sampling method. The main research instrument was the edited Ottinot’s questionnaire of “perceived workplace civility climate scale (PWCC)” as well as general demographic information questionnaire. Data were analyzed using descriptive and inferential statistics in SPSS version 11.5.
According to research findings, 22.6% of isolating behaviors, 27% of gossiping behaviors, 28% of hostile behaviors, and 26.5% of privacy violation behaviors were reported among matrons for at least one instance. In total, 28.8% (45 persons) admitted that they had observed at least one instance of uncivil behaviors in workplace once or twice.
Incivility exists among a quarter of nurses and matrons. Since in nursing society and culture of Islamic Iran these behaviors cannot be tolerated, it is highly recommended that managers, strategists, and nursing teachers pay a special attention to such behaviors among students, employers, and co-workers
Nepristojno ponašanje u međusobnom odnosu medicinskih sestara i glavnih medicinskih sestara može da dovede do mnogih posledica, poput promene radnog mesta i neadekvatne nege bolesnika. Iz tog razloga, potreba za ispitivanjem i procenom nepristojnog ponašanja u međusobnom odnosu medicinskih sestara i glavnih medicinskih sestara je očigledna. Cilj ovog rada bio je da analizira i odredi učestalost nepristojnog ponašanja u odnosu između medicinskih sestara i glavnih medicinskih sestara sa stanovišta medicinskih sestara.
Za ovu studiju preseka odabrano je dvesta medicinskih sestara iz triju bolnica u Mashhadu pomoću stratifikovane kluster metode slučajnog uzorka. Osnovni instrument istraživanja bio je prilagođeni Ottinotov upitnik sa skalom za procenu pristojnosti na radnom mestu (PWCC skala), kao i upitnik o opštim demografskim podacima. Podaci su analizirani primenom deskriptivne i inferentne statistike, u SPSS programskom paketu, verzija 11.5.
Prema rezultatima istraživanja, u ponašanju glavnih medicinskih sestara identifikovano je 22,6% izolovanog ponašanja, 27% ogovaranja, 28% neprijateljskog ponašanja i 26% narušavanja privatnosti. Ukupno, 28,8% (45 osoba) je priznalo da su na radnom mestu primetili barem jedan oblik nepristojnog ponašanja jednom ili dva puta.
Nepristojno ponašanje je zabeleženo kod jedne četvrtine medicinskih sestara i glavnih medicinskih sestara. S obzirom da se u krugovima sestrinstva i islamske zajednice ovi oblici ponašanja ne mogu tolerisati, menadžerima, stratezima i nastavnicima se ozbiljno preporučuje da obrate pažnju na ovakve oblike ponašanja među studentima, zaposlenima i saradnic.
Hospital healthcare service quality measurement represents an important approach for advancing healthcare systems. This paper presents preliminary results of a research on the quality of healthcare ...services provided by a large, public, university hospital centre in Croatia, based on the Gaps Model of Service Quality and the SERVQUAL instrument. The importance of particular service quality dimensions was analyzed, as well as the gaps between patient perceptions and expectations of healthcare services provided by 18 departments of the university hospital centre. Results revealed the gaps that exist at the level of the university hospital centre as a whole, showing the size variations in different service quality dimensions. The management of the university hospital centre should improve healthcare service quality in all dimensions by paying particular attention to the 'responsiveness' and 'tangibility', where the largest gap was identified.
Higher nursing workload increases the odds of patient deaths, as the work environment has a significant effect on patient outcomes. The aim of the study was to explore the relation between patient ...outcomes and nurses' working conditions in hospitals.
Administrative data on discharges of surgical patients for the year 2019 in eight general hospitals and two university medical centres in Slovenia were collected to determine in-hospital mortality within 30 days of admission. The RN4CAST survey questionnaire was used to gather data from nurses in these hospitals, with 1,010 nurses participating. Data was collected at the beginning of 2020. The number of nurses per shift and the nurse-to-patient ratio per shift were calculated. Univariate, bivariate and multivariate statistical methods were used to analyse the data.
The 30-day in-hospital mortality for surgical patients was 1.00% in the hospitals sampled and ranged from 0.27% to 1.62%. The odds ratio for staffing suggests that each increase of one patient per RN is associated with a 6% increase in the likelihood of a patient dying within 30 days of admission. The mean patient-to-RN ratio was 15.56 (SD=2.50) and varied from 10.29 to 19.39. Four of the 13 tasks checked were not performed on patients during the last shift.
The results are not encouraging, with an extremely critical shortage of RNs and thus a high RN workload. The number of patients per RN is the highest in Europe and also higher than in some non-European countries, and represents an extreme risk to the quality of nursing and healthcare as a whole. The recommendation for acute non-emergency internal medicine and surgery departments is four patients per RN per shift.
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