Uvod: Bolesnici i njihove obitelji od medicinskih sestara očekuju suosjećanje, empatiju i uzajamno poštovanje. S ciljem što boljeg usvajanja empatičkih vještina komuniciranja s bolesnicima, u ...sestrinskoj profesiji potrebno je provoditi kontinuiranu edukaciju od samog početka školovanja te nastaviti putem cjeloživotnog učenja.Ispitanici i metode: Podaci su prikupljani općim upitnikom o demografskim karakteristikama i studentskom verzijom Jeffersonove ljestvice empatije razvijene posebno za proučavanje empatije zdravstvenih djelatnika i studenata u kontekstu skrbi o pacijentima. Istraživanjem su obuhvaćene 252 medicinske sestre i tehničara. Provedeno je presječno istraživanje. Statistička analiza rađena je programskim sustavom MedCalc.Rezultati: Istraživanjem je uočena visoka razina empatije, medijan Jeffersonove ljestvice empatije iznosio je 121 (IQR 111 – 128), što je iznad prosjeka u usporedbi s prijašnjim istraživanjima. Značajno višu razinu empatije iskazale su žene u usporedbi s muškarcima, a značajno nižu najmlađi ispitanici. Nije uočena povezanost empatije s razinom obrazovanja.Zaključak: Rezultati istraživanja ukazuju na visoku razinu empatije kod medicinskih sestara i tehničara, ali još uvijek ima dovoljno prostora za poboljšanja. Očekivala se viša razina empatičnosti prvostupnika sestrinstva. Pretpostavljalo se da će profesionalno iskustvo, kao i obrazovanje, doprinijeti višoj razini empatičnosti. Može se zaključiti da bi u obrazovanje medicinskih sestara i tehničara poželjno bilo uključiti više sati poučavanja o dobrobitima empatije i vježbanju vještine iskazivanja empatije.
Aim
: Aim of this paper is to examine the empathy of nurses and technicians. Patients and their families expect compassion, empathy, and mutual respect from nurses. In order to better acquire empathic skills of communication with patients in the nursing profession, it is necessary to conduct continuous education from the beginning of their education and continue through lifelong learning.
Participants and methods:
Data were collected through a general questionnaire on demographic characteristics and a student version of the Jefferson Empathy Scale developed specifically to study the empathy of health professionals and students in the context of patient care. The research included 252 nurses and technicians. A cross-sectional study was conducted. Statistical analysis was performed with the MedCalc software system.
Results:
The research found a high level of empathy, the median Jefferson empathy scale was 121 (IQR 111-128), which is above average compared to previous research. Here is a significantly higher level of empathy in nurses than in medical technicians and significantly lower in the youngest respondents. The association of education with the level of empathy was not observed.
Conclusion:
The results of the research indicate a high level of empathy among nurses and technicians, but there is still enough room for improvement. Higher levels of empathy were expected in bachelor's of nursing. It was assumed that professional experience as well as education would contribute to a higher level of empathy. It can be concluded that it would be desirable to include more hours in the education of nurses and technicians in teaching about the benefits of empathy and practicing the skill of expressing empathy.
Cilj: Cilj je ovog istraživanja usporediti kvalitetu života pacijenata s kroničnim ranama u domovima za starije i nemoćne i ustanovama za zdravstvenu njegu u kući.
Metode: U uzorak je bilo uključeno ...50 pacijenata iz doma za starije i nemoćne osobe te 50 pacijenata koje se njeguju u ustanovama za zdravstvenu njegu u kući, a radi se o namjernom kvotnom uzorku. Kao instrument istraživanja korišten je upitnik Quality of Life with Chronic Wounds – Wound-QoL Questionnaire.
Rezultati: Rezultati su pokazali da kronične rane umjereno negativno djeluju na pojedine aspekte života pacijenta. Smetnje vezane za pojedina područja kva- litete života bile su izraženije kod pacijenata u domovima za starije i nemoćne u odnosu na pacijente u ustanovama za zdravstvenu njegu u kući.
Zaključak: Kvaliteta života statistički je značajno bolja kod pacijenata u ustanovama za zdravstvenu njegu u kući, stoga se preporučuje primjena navedenog oblika zdravstvene njege u odnosu na institucionalnu skrb kad god je to moguće.
Aim: This paper aims to compare the quality of life of patients with chronic wounds in residential care homes/nursing homes and patients receiving services from home care organisations.
Methods: The sample included 50 patients from residential care homes/nursing homes and 50 patients receiving services from home care organisations chosen by deliberate quota sampling. Quality of Life with Chronic Wounds – Wo- und-QoL Questionnaire was used as a research instrument.
Results: The results have shown that chronic wounds have a moderately negative effect on certain aspects of the patient’s life. Impediments referring to certain aspects of life quality were more noticeable with patients living in residential care homes/nursing homes compared to those who are benefactors of services of home care organisations.
Conclusion: Statistically, the quality of life is significantly better in patients who receive health services from home care organisations; it is thus recommendable to apply this form of health care as opposed to institutional care whenever possible.
To ensure and improve the quality of health care, healthcare institutions have to establish a board to create the rules on the management of medical records. The main role of the board is to design a ...hospital general internal document entitled Rules for the Management of Medical Records at the Hospital Information System (HIS). This document regulates the management of medical records in HIS and defines the level of access for medical staff, as well as the responsibility for entering and updating medical records in HIS.
Uvod
: Povijest skrbi za bolesne i potrebite u Karlovcu veže se za osnutak grada. Bolnice se grade isprva unutar tvrđave, a od 1779. godine i izvan tvrđave. Osoblje koje je radilo u bolnicama bili su ...priučeni liječnici koji su se s vremenom stručno osposobljavali. Njihova se imena navode u najranijim bolničkim spisima. Rad osoba koje su pomagale liječnicima i njegovale bolesnike oskudno je opisan i ne nalazimo podatke o tome tko su bile prve školovane medicinske sestre koje su radile u Karlovcu. Autorice su u radu pokušale učiniti rekonstrukciju početaka sestrinstva u Karlovcu i pronaći imena prvih sestara te podatke o školovanju i djelokrugu i/ili mjestu rada.
Metode:
Polazište za izradu rada bili su dokumenti pohranjeni u pismohrani Opće bolnice Karlovac, arhivskim fondovima i zbirkama Hrvatskog državnog arhiva (HDA) te Državnom arhivu u Karlovcu (DAKA), kao i dokumenti pohranjeni u pismohrani Škole za medicinske sestre Mlinarska, Družbe sestara milosrdnica sv. Vinka Paulskog u Zagrebu, i Milosrdnih sestara sv. Križa u Đakovu. Kao dopuna ovim izvorima korišteni su do sada objavljeni radovi.
Rezultati:
Pregledom pronađene povijesne građe saznajemo da se do 19. stoljeća ne nalaze imena ni zvanja osoba koje su njegovale bolesne. Postoje zapisi o imenima i prezimenima liječnika i bolesnika, ali za pomoćno se osoblje pretpostavlja da su to bile priučene žene. Kao prvi educirani kadar spominju se redovnice koje su krajem 19. stoljeća došle raditi u gradsku javnu bolnicu. Redovnice su radile i u sklopu Crvenog križa te priručnim bolnicama zajedno s građankama Karlovca. Na temelju uvida u arhivsku građu doznaju se imena sestara koje su djelovale u Karlovcu, kao i njihov djelokrug te mjesto rada. Osobe koje se najranije spominju u zapisima su primalje Ana Lamprecht i Sofija Piljuga, ali nisu pronađeni podaci o njihovoj izobrazbi. Na temelju pregledane povijesne građe može se izdvojiti Perpetua Kovačić koja je bila zaposlena u Karlovcu kao prva redovnica koja se školovala u Školi za sestre pomoćnice u Zagrebu.
Zaključak
:
Cjelokupan sestrinski rad u bolnicama u Karlovcu provodile su većinom redovnice. Brinule su o bolesnima, pripremale hranu, uređivale okoliš i provodile higijenu u bolnici. Rad je bio zahtjevan i popraćen teškim radnim uvjetima. Analizom povijesne građe doznaju se mnoga imena osoba koje su njegovale i skrbile o bolesnima u Karlovcu. Daljnjim istraživanjem i analizom povijesnog materijala moglo bi se doći do dodatnih i/ili novih informacija te drugačijih zaključaka. Ostaje nepoznat podatak o osobama koje su njegovale bolesnike u gradskoj javnoj bolnici u razdoblju od njezina osnutka do dolaska prvih redovnica.
Introduction:
The history of care for the sick and people in need in Karlovac is linked to the founding of the city. Hospitals were first built inside the fortress, and from 1779 onwards outside the fortress. The staff working in the hospitals included trained doctors who, over time, got professionally educated. Their names are mentioned in the earliest records of hospitals. The work of the people who helped doctors and cared for the patients is poorly described and we do not find any information regarding the first educated nurses who worked in Karlovac. The authors of this paper tried to reconstruct the beginnings of nursing in Karlovac and find the names of the first nurses and information about their education, scope and/or place of work .
Methods:
The starting point for this work were documents stored in the archives of the Karlovac General Hospital, archives and collections of the Croatian State Archives (HDA) and the State Archives in Karlovac (DAKA). We also used documents stored in the archives of the School of Nursing Mlinarska, Society of Sisters of Charity St. Vinko Paulski in Zagreb, and the Sisters of Mercy of St. Cross in Đakovo. In addition to these sources, previously published papers were also used.
Results:
A review of the found historical material until the 19th century does not reveal the names or titles of the people who cared for the sick. There are records of the names and surnames of doctors and patients, but the support staff is presumed to have been hastily trained women. The nuns who came to work in the Town Public Hospital at the end of the 19th century are mentioned as the first educated staff. The nuns also worked as part of the Red Cross and handy hospitals together with the citizens of Karlovac. By reviewing the archives, the names of the sisters who worked in Karlovac, as well as their scope of work and place of work, are found. The people first mentioned in the records are midwives Ana Lamprecht and Sofia Piljuga, but there is no data on their education. Based on the reviewed historical material, Perpetua Kovačić was the first nun employed in Karlovac and educated in the School for Nurses in Zagreb.
Conclusion:
The entire nursing work in the hospitals in Karlovac mostly did nuns. They cared for the sick, prepared food, arranged the environment, and carried out hygiene in the hospital. The work was demanding and accompanied by difficult working conditions. The analysis of the historical material reveals many names of people who cared for the sick in Karlovac. Further research and analysis of historical material might lead to additional or new information and possible different conclusions. The data on the people who cared for the patients in the Town Public Hospital in the period from its establishment until the arrival of the first nuns remains unknown.
Introduction:
Tonsil operations are among the most usual operations performed on children. The aim of this study is to establish how age, sex, body height, and weight affect the recovery of children ...after tonsillectomy.
Methods:
This study involved 66 children, girls and boys equally, between the ages of 4-9. The survey obtained seven questions about the factors that we have evaluated as significant for the postoperative recovery of children (fluid intake, food intake, sleep, daily activities, mood, communication, hospitalization) and was conducted by a nurse on the third, the seventh and the fifteenth postoperative day by a telephone inquiry.
Results:
Statistically significant difference between boys and girls was found during the seventh day (daily activities) and the fifteenth day (sleep). Pearson test of correlation established a statistically significant negative correlation in the group of all children with age/height/weight during the third, seventh, and fifteenth day for the consummation of liquid and food, sleep, daily activities, mood, and communication. Statistical significance was not established in relation to the hospitalization.
Conclusion:
We can conclude that, in our sample physically smaller thus, younger children recover better than the elder ones, which is statistically confirmed by a significant negative correlation between age, weight, height, and the observed parameters during the recovery. To a further extent, we concluded that girls recover slightly better than boys, but for most parameters the difference was not statistically significant.
Uvod:
Operacije krajnika među najčešćim su vrstama operacija koje se izvode na djeci. Cilj je ovog istraživanja utvrditi kako dob, spol, tjelesna visina i težina utječu na oporavak djece nakon tonzilektomije.
Metode:
U ovom je istraživanju sudjelovalo 66 djece, podjednako djevojčica i dječaka, u dobi od 4 do 9 godina. Istraživanje obuhvaća sedam pitanja o čimbenicima koje smo procijenili značajnima za postoperativni oporavak djece (unos tekućine, unos hrane, spavanje, dnevne aktivnosti, raspoloženje, komunikacija, hospitalizacija), a provode ga medicinske sestre tijekom trećeg, sedmog i petnaestog postoperativnog dana telefonskim upitom.
Rezultati:
Statistički značajna razlika između dječaka i djevojčica utvrđena je tijekom sedmog dana (dnevne aktivnosti) i petnaestog dana (spavanje). Pearsonovim testom korelacije utvrđena je statistički značajna negativna korelacija u svim skupinama djece s dobi, visinom i težinom tijekom trećeg, sedmog i petnaestog dana za konzumaciju tekućine i hrane, spavanje, dnevne aktivnosti, raspoloženje i komunikaciju. Statistički značajna razlika nije utvrđena u odnosu na hospitalizaciju.
Zaključak:
Možemo zaključiti da se u našem uzorku fizički manja, dakle, mlađa djeca oporavljaju bolje od starije djece, što je statistički potvrđeno značajnom negativnom korelacijom između dobi, težine, visine i promatranih parametara tijekom oporavka. Nadalje, zaključili smo da se djevojčice oporavljaju bolje od dječaka, ali za većinu parametara razlika nije bila statistički značajna.
U cilju osiguranja i unaprjeđenja kvalitete zdravstvene zaštite, bolničke zdravstvene ustanove moraju imati Povjerenstvo za izradu pravila nastajanja i vođenja medicinske dokumentacije. Osnovna uloga ...bolničkog Povjerenstva je izrada internog općeg akta pod nazivom “Pravila vođenja medicinske dokumentacije u BIS-u”. Ovim aktom utvrđuje se način vođenja medicinske dokumentacije u bolničkom informacijskom sustavu (BIS) i definira medicinskom osoblju određena razina pristupa, te ovlasti za pisanje i nadopunjavanje medicinske dokumentacije u BIS-u.
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