Cilj rada bio je dobiti uvid u iskustva stručnjaka o radu u području udomiteljstva trudnica i/ili roditelja s djetetom. Istraživanje je provedeno sa stručnjacima iz područja zaštite prava djece i ...obitelji (N = 59). Podatci su prikupljeni pomoću upitnika te obrađeni kvantitativnom analizom sadržaja. Rezultati ukazuju na nerazvijenost udomiteljstva za trudnice ili roditelja s djecom u Hrvatskoj pri čemu stručnjaci opisuju izazove u radu u vidu poteškoća i prepreka na strani udomiteljskih obitelji, korisnika, države i stručnjaka. Kao posebno osjetljivim prepoznaju udomiteljstvo maloljetnih majki i maloljetnih roditelja koje za sobom nosi i određene izazove u skrbi, ali i rizike. Kompetencije koje bi udomitelji trudnica ili majki s djecom trebali imati opisuju znanjem i vještinom, potrebnom stručnom spremom, dobi, vlastitim osobinama i prethodnim iskustvom. Stručnjaci navode da bi edukacija udomitelja trebala obuhvatiti teme vezane uz ulogu stručnjaka, sustava i udomitelja, zatim teme koje se odnose na odnos i dužnosti udomitelja prema trudnici/roditelju i njihovoj djeci, kao i teme vezane uz kontakt udomitelja s partnerom – ocem djeteta, obitelji trudnice/roditelja, kao i s lokalnom zajednicom. Stručnjaci daju i preporuke za unapređenje trenutnog stanja udomiteljstva trudnica ili roditelja s djecom u RH.
The aim of this paper was to gain insight into the experience of a specialist working with pregnancy or parenting in foster care. The survey was conducted with experts (N=59) from the area of protection of childrens' and family rights. Data were collected by questionnaire and then processed by quantitative content analysis. The results indicate the underdevelopment of pregnancy or parenting foster care in Croatia, where experts describe challenges in the form of difficulties and obstacles for foster families, beneficiaries, the state, and professionals. They recognize the foster care of underage mothers and underage parents as particularly sensitive, which brings certain challenges in care and risks. The competencies that foster parents of pregnant women or parents with children should have are described through knowledge and skills, required education, age, personal characteristics, and previous experience. Experts state that foster care education should include topics related to the role of professionals, the system, and foster parents, as well as topics related to the relationship and duties of foster parents towards pregnant women/parents and their children, as well as topics related to foster parents' contact with the partner (the child’s father), the family of the minor pregnant woman or mother, as well as with the local community. Experts also give recommendations for improving the current state of pregnancy or parenting foster care in the Republic of Croatia.
This study aimed to describe real-life microbiological testing of adults hospitalised with community-acquired pneumonia (CAP) and to assess concordance with the 2007 Infectious Diseases Society of ...America (IDSA)/American Thoracic Society (ATS) and 2011 European Respiratory Society (ERS) CAP guidelines. This was a cohort study based on the Global Initiative for Methicillin-resistant
Pneumonia (GLIMP) database, which contains point-prevalence data on adults hospitalised with CAP across 54 countries during 2015. In total, 3702 patients were included. Testing was performed in 3217 patients, and included blood culture (71.1%), sputum culture (61.8%),
urinary antigen test (30.1%), pneumococcal urinary antigen test (30.0%), viral testing (14.9%), acute-phase serology (8.8%), bronchoalveolar lavage culture (8.4%) and pleural fluid culture (3.2%). A pathogen was detected in 1173 (36.5%) patients. Testing attitudes varied significantly according to geography and disease severity. Testing was concordant with IDSA/ATS and ERS guidelines in 16.7% and 23.9% of patients, respectively. IDSA/ATS concordance was higher in Europe than in North America (21.5%
9.8%; p<0.01), while ERS concordance was higher in North America than in Europe (33.5%
19.5%; p<0.01). Testing practices of adults hospitalised with CAP varied significantly by geography and disease severity. There was a wide discordance between real-life testing practices and IDSA/ATS/ERS guideline recommendations.
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