BACKGROUND: Pressure ulcers/pressure injuries (PUs/PIs) relate to decreasing quality of life, prolonged hospitalisation, the increased economic cost of care, and increased mortality. That's why this study focused on one of the mentioned factors - mortality. OBJECTIVES: The study analyses national data in the Czech Republic to map the mortality phenomenon comprehensively based on data from national health registries. METHOD: The retrospective, nationwide cross-sectional data analysis of data collected by the National Health Information System (NHIS) has been provided in the period 2010-2019 with a special focus on 2019. Hospitalisations with PUs/PIs were identified by reporting L89.0-L89.9 diagnosis as a primary or secondary hospitalisation diagnosis. We also included all the patients who died in the given year with an L89 diagnosis reported in 365 days prior the death. RESULTS: In 2019, 52.1% of patients with reported PUs/PIs were hospitalised, and 40.8% were treated on an outpatient basis. The most common underlying cause of death mortality diagnosis (43.7%) in these patients was the diseases of the circulatory system. Patients who die in a healthcare facility while hospitalised with an L89 diagnosis generally have a higher category of PUs/PIs than persons who die outside a healthcare facility. CONCLUSION: The proportion of patients dying in a health facility is directly proportional to the increasing PUs/PIs category. In 2019, 57% of patients with PUs/PIs died in a healthcare facility, and 19% died in the community. In 24% of patients who died in the healthcare facility, PUs/PIs were reported 365 days before the death.
- MeSH
- dekubity * epidemiologie MeSH
- hnisání MeSH
- kvalita života MeSH
- lidé MeSH
- průřezové studie MeSH
- retrospektivní studie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
Objectives: The aim of the theoretical studies was to briefly characterize the team and the teamwork in hospice care, its evaluation and also to present the selected measurement tool useful for the evaluation of the teamwork in hospice care. Background: The focus of the work was grounded in the validation studies of several authors (Gittell et al. 2000; Hoegl, Gemuenden 2001; Sorra, 2004; Alexander et al. 2005; Wageman et al., 2005; Sexton et al. 2006; Edmondson, 2007; Ryan, Cott, 2008), who dealt with the creation of measurement and evaluation tools for examining the efficiency, functionality and team culture of multidisciplinary teams in health care. Methods: The teamwork assessment measurement tools in health care published abroad and validated have been analyzed analytically and synthetically. The literary and electronic sources gathered through the research and the reviewed full-text online databases (EBSCO, SCOPUS, Web of Knowledge) formed the basis of the analysis. Results: The proposed measurement instrument of the team culture level at multidisciplinary hospice teams is Dimensions of Teamwork survey – DTEAM (Ryan, 2008; Ryan, Cott, 2008). DTEAM was created for the purposes of executing the regular team culture surveys as a part of the internal processes of the multidisciplinary teams in health services. Conclusion: In connection with the increasing demand for all types of teams working in the medical field, it is necessary to expand the knowledge basis for the particular issues of the team functioning in health care and the possibilities of the evaluation of its effectiveness or functionality. For implementing the selected measurement tool into national practice the profound national validation is necessary to be made, the process of which is currently under construction.
Cieľ práce: Cieľom teoretickej štúdie bolo stručne charakterizovať tím a tímovú prácu v zdravotníctve, jej hodnotenie a tiež prezentovať vybrané meracie nástroje použiteľné pre hodnotenie tímovej práce v zdravotníctve. Východiská práce: Ťažiskom práce boli validačné štúdie niekoľkých autorov (Kalisch, Weaver, Salas, 2009; Kalisch, Lee, Salas, 2010; Kalisch, Lee, Rochman, 2010, Shteynberg, Sexton, Th omas, 2005; Sexton, Helmreich, Neilands et al. 2006; Ryan, 2008, Ryan, Cott, 2008), ktorí sa zaoberali tvorbou meracích a hodnotiacich nástrojov pre skúmanie efektivity, funkčnosti a tímovej kultúry ošetrovateľských a/alebo multidisciplinárnych tímov v zdravotníctve. Použité metódy a spôsob analýzy: Analyticko-syntetickým prístupom boli analyzované v zahraničí publikované a validované meracie nástroje pre hodnotenie tímovej práce v zdravotníctve. Základ analýzy tvorili elektronické zdroje, ktoré boli získané pomocou rešerše v recenzovaných fulltextových online databázach (EBSCO, SCOPUS, Web of Knowledge). Záver: V súvislosti so zvyšujúcimi sa nárokmi na všetky druhy tímov pôsobiacich v oblasti zdravotníctva je žiaduce rozširovať vedomostnú základňu o špecifi ckej problematike fungovania tímu v zdravotníctve a o možnostiach hodnotenia jeho efektívnosti či funkčnosti. Pre uvedenie vybraných meracích nástrojov do praxe v tuzemských podmienkach je potrebná dôkladná národná validácia, ktorej proces sa v súčasnosti pripravuje.
Aims: Th e aim of the theoretical studies was to briefl y characterize the team and the teamwork in health care, its evaluation and also to present the selected measurement tools useful for the evaluation of the teamwork in health care. Background: Th e focus of the work were the validation studies of diff erent authors (Kalisch, Weaver, Salas, 2009, Kalisch, Lee Salas, 2010, Kalisch, Lee, Rochman, 2010, Shteynberg, Sexton, Th omas, 2005, Sexton, Helmreich, Neilands et al. 2006, Ryan 2008, Ryan, Cott, 2008)who dealt with the creation of measurement and evaluation tools for examining the effi ciency, functionality and team culture of nursing and / or multidisciplinary teams in health care. Methods: Th e measurement tools for assessing teamwork in health care published and validated abroad have been analyzed analytically and synthetically. Th e core of the analysis was gathered through research of full-text on-line databses(EBSCO, SCOPUS, Web of Knowledge). Conclusion: In connection with the increasing demand for all types of teams working in the medical fi eld, it is necessary to expand the knowledge basis for the particular issues of the functioning of the team in health care and the possibilities of evaluating its eff ectiveness or functionality. For implementing the selected measurement tools into national practice a profound national validation must be carried out, the process of which is currently in preparation.
- MeSH
- kvalita zdravotní péče * normy MeSH
- lidé MeSH
- metaanalýza jako téma * MeSH
- ošetřovatelská péče metody normy statistika a číselné údaje MeSH
- průzkumy a dotazníky MeSH
- řízení kvality * MeSH
- statistika jako téma MeSH
- týmová péče o pacienty * klasifikace statistika a číselné údaje MeSH
- veřejné zdravotnictví MeSH
- Check Tag
- lidé MeSH
- Klíčová slova
- onkologické onemocnění, induktivní statistika, Nowotného škála naděje,
- MeSH
- lidé středního věku MeSH
- lidé MeSH
- naděje MeSH
- nádory MeSH
- průzkumy a dotazníky MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- statistika jako téma MeSH
- výběr pacientů MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Klíčová slova
- týmová práce, dotazník, recenzovaný článek, hodnocení týmové práce,
- MeSH
- péče o pacienty v kritickém stavu MeSH
- Klíčová slova
- Nursing teamwork survey, NTS,
- MeSH
- lidé MeSH
- ošetřování týmové * normy MeSH
- péče o pacienty v kritickém stavu * normy pracovní síly MeSH
- průzkumy a dotazníky MeSH
- psychometrie MeSH
- řízení ošetřovatelství - výzkum * metody normy MeSH
- týmová péče o pacienty * normy MeSH
- zdravotní sestry * MeSH
- Check Tag
- lidé MeSH
Vzdelávaniu sestier v odbore paliatívna starostlivosť sa v súčasnosti venuje čoraz väčšia pozornosť. Nasledujúci príspevok informuje o snahách Katedry ošetrovateľstva Lekárskej fakulty Masarykovej univerzity (KO LF MU) v Brne implementovať problematiku paliatívnej starostlivosti do vzdelávania sestier. Približuje konkrétny prípad, v ktorom bolo študentom bakalárskeho štúdia odboru Všeobecná sestra umožnené získať nové poznatky v oblasti paliatívnej starostlivosti v medzinárodnom kontexte. V Holandskom Haagu sa na workshope paliatívnej starostlivosti stretli učitelia a študenti štyroch európskych univerzít, kde ich hlavnou úlohou bolo vymeniť si doterajšie vedomosti a skúsenosti v oblasti klinického využitia paliatívnej starostlivosti, konkrétne eutanázie a paliatívnej sedácie.
