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
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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.
Sestrinski vjestnik Čuljak, Martina; Franković, Sanda
Acta medico-historica Adriatica,
12/2022, Letnik:
20, Številka:
2
Journal Article, Web Resource
Recenzirano
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Osnutak Škole za sestre pomoćnice u Zagrebu 1921. označio je početak profesionalizacije sestrinstva u Hrvatskoj. Sestre pomoćnice ubrzo osnivaju strukovno udruženje i pokreću stručno glasilo. U ...prosincu 1932. izdaju prvi časopis na području tadašnje države, Vjesnik Sekcije za Savsku banovinu Jugoslavenskoga društva diplomiranih sestara pomoćnica. Izašao je samo jedan broj nakon čega u siječnju 1933. dolazi do promjene naziva časopisa u Sestrinsku riječ, koja izlazi do 1940. Nakon stanke od dvije godine, 1942. počinje se izdavati Sestrinski vjestnik (dalje Sestrinski vjesnik) koji izlazi zaključno s prvim brojem časopisa 1945. Prilozi u časopisu analizirani su s obzirom na stalne i povremene rubrike kojima su pripadali ili s obzirom na teme koje su obrađivali. Prilozi su objavljivani u sedam stalnih rubrika i jednu povremenu. Stalne rubrike bile su: Sestre nam pišu, Iz družtva, Iz uredništva, Promjene u službi kod sestara Glavnog ravnateljstva za zdravstvo, Mi čitamo, Zrnca i Sa kućnih posjeta, a povremena rubrika je Što drugi pišu. Ostali prilozi grupirani su tematski, prema sadržaju koji obrađuju, na sljedeće teme: položaj sestara u državi, sestrinsko zvanje, sestra kao promicatelj socijalne medicine i rad u institucijama, rad sestara na selu, zaštita žene (majke) i djeteta, bolesti i ozljede te priče iz sestrinske prakse. Autori većine priloga su sestre, a priloge o bolestima i ozljedama pišu liječnici. Sestrinski vjesnik imao je nekoliko funkcija: informativnu, edukativnu i promicanje profesionalne solidarnosti. Uz zapisnike Društva diplomiranih sestara pomoćnica Nezavisne Države Hrvatske od 1940. do 1945., časopis je iznimno vrijedna građa za analizu rada sestara pomoćnica toga vremena.
The founding of the School for Nursing in Zagreb in 1921 marked the beginning of the professionalization of nursing in Croatia. Nurses founded an association and started a professional newsletter. The Sestrinski vjesnik (Nursing Journal) was preceded by the Sestrinska riječ (Nursing Word). The journal articles were analyzed regarding the permanent and occasional sections to which they belonged or regarding the topics they covered. The regular columns were: Nurses write to us, From the Association and From the editorial board, Changes in the service of the nurses of the General Directorate of Health, We read, Grains, Home visits, and the occasional column was What others write. Other contributions are grouped according to the following topics: The position of nurses in the country, Nursing, Nursing as a promoter of social medicine and work in institutions, Nursing work in the countryside, Protection of women (mothers) and children, Diseases and injuries, and Stories from nursing practice. The authors of most of the articles were nurses, while in the thematic section, Diseases and injuries, the authors were doctors. The journal had several functions: informative, educational, and promotion of professional solidarity. Together with minutes of the Association of Graduate Nurses from 1940 to 1945, it makes exceptionally valuable material for analysis of the nursing work of that time.
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.
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.
Abstract Introduction Despite the high prevalence of malnutrition in patients at all levels of healthcare, early prevention and treatment of malnourished patients are often neglected and overlooked ...in clinical practice. The aim of this systematic literature review was to identify the factors considered most important by healthcare professionals in the identification and treatment of malnourished patients or those at risk of malnutrition. Methods A systematic literature review of qualitative research was conducted. Documents published in scientific journals in English from 2011 to 2021 were searched in the PubMed (MEDLINE), CINAHL and ProQuest databases. The results were analysed with a thematic analysis of qualitative research findings. Results From the search set of 1010 results, 7 sources were included in the final analysis. Factors identified by health professionals as important in the identification and treatment of malnourished patients in clinical practice were grouped into five themes: unclear organizational structure; indefinite structure of nutritional care; poor continuity of nutritional care; lack of knowledge and skills of health professionals; lack of time and human resources. Conclusions Health policy must provide resources for nutritional care for patients at all levels of health care on the initiative of the highest professional bodies at the state level. To improve the nutritional care of patients in clinical practice, the management of health care institutions must promote and enable the professional and organizational establishment of clinical nutrition as a regular medical activity of the institution, develop clinical nutritional pathways, and promote evidence-based clinical practice and interprofessional collaboration.
A low proportion of bystanders in Slovenia are willing to provide resuscitation to people experiencing cardiac arrest. We measured knowledge acquired after cardiopulmonary resuscitation training ...among Slovenian children in the final three grades of primary school.
This pre- and post-test cohort study included 566 schoolchildren aged 12-15 years. From April to May 2018, we administered a 15-item questionnaire to children in 15 primary schools, to assess the effects of theoretical and practical cardiopulmonary resuscitation training on their knowledge of cardiopulmonary resuscitation at 1-2 months after training. Data were processed using univariate, bivariate, and multivariate analyses.
A significantly greater level of post-training knowledge was noted in all three equally sized school grade groups (p=0.001). The youngest group (mean age 12.5 years) exhibited the greatest increase in knowledge, with test scores increasing by an average 2.65 (range 0-15) points. Age (p=0.001), body mass index (p=0.037), female sex (p=0.006), and previous resuscitation training (p=0.024) were significant independent predictors of pre-training knowledge level. Sex was the only predictor significantly influencing knowledge levels after training (p=0.002); girls scored up to 0.7 points higher than boys, both before and after training.
Among Slovenian schoolchildren aged 12-15 years, a significantly improved level of theoretical knowledge was demonstrated after cardiopulmonary resuscitation training. The introduction of cardiopulmonary training may be most effective in children aged 12.5 years (seventh graders). Early, compulsory resuscitation training might reduce social barriers to performing resuscitation, which may eventually translate into better post-cardiac arrest outcomes.
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