V príspevku sa zaoberáme chorými, ktorí pociťujú neuropatickú bolesť, teda najčastejšie terminálne chorými. Poukazujeme a chceme poukázať na to, že mnohí autori navrhujú komplexné a často zložité postupy liečby a pritom sa zabúda na prepracovanie základných postupov zameraných na bežnú manipuláciu s chorými. Aj pri výučbe študentov stredných zdravotníckych škôl, vyšších odborných škôl, ale aj vysokých škôl sa zabúda na špecifiká polohovania a manipulácie s pacientmi/klientmi v akútnych štádiách ochorení a v terminálnych štádiách ochorení. Práve na toto by sme chceli upozorniť a zoznámiť Vás s našimi zámermi.
In this paper we deal with the sick who suffer from neuropathic pain, therefore most often terminally ill. We point and we want to point out that many authors have proposed a comprehensive and often complex treatment protocols and yet forgets to recast the basic patterns to normal handling sick. Even when teaching students high schools, colleges, universities as well as to forget the specifics of positioning and handling of patients / clients in the acute stage of the disease and end stage disease. It is on this, we would like to highlight and introduce you to our intentions.
- MeSH
- Pressure Ulcer nursing prevention & control therapy MeSH
- Quality of Life MeSH
- Humans MeSH
- Meta-Analysis as Topic MeSH
- Neuralgia * complications nursing rehabilitation MeSH
- Practice Patterns, Nurses' utilization MeSH
- Palliative Care * methods utilization MeSH
- Patient Positioning * methods utilization MeSH
- Guidelines as Topic MeSH
- Terminally Ill psychology MeSH
- Check Tag
- Humans MeSH
Introduction: This paper describes the use of evaluation and measuring scales in the performance of nursing practice in two healthcare facilities northeast region. Aim: In our research we have identified three goals. The first objective of the research was to determine the percentage of generaly nurses/midwives/pediatric nurses using evaluation and measuring scales in clinical practice non-accredited medical facilities. The second objective was to determine whether there is a statistical significance between the number of used and evaluation of the scale and type of education and length of nursing practice. The last objective was to find out where and through what methods respondents were familiar with evaluating and measuring scales (EMS). Methods: Data were collected from the 11-item questionnaire assessed their own work and Chi square test of independence (c2) at a significance level of a = 0,05 and relative frequency. Results: The results show that the evaluation and measurement scales used by 114 (58,47 %) respondents. We demonstrated a statistically significant relationship between the type of education and the use of evaluation and measurement scales. Conclusion: It's essential that nurses/midwives were systematically prepared to work with the most frequently used evaluation and measuring instruments during their studies through effective teaching methods.
- Keywords
- hodnotící a měřící škály,
- MeSH
- Process Assessment, Health Care statistics & numerical data MeSH
- Humans MeSH
- Nursing Care standards MeSH
- Nursing Assessment * standards statistics & numerical data utilization MeSH
- Practice Patterns, Nurses' utilization MeSH
- Nurse Midwives MeSH
- Surveys and Questionnaires MeSH
- Educational Status MeSH
- Nurse Clinicians * MeSH
- Check Tag
- Humans MeSH
Zavedenie kanylácie centrálneho venózneho systému do klinickej praxe, predstavuje výrazný pokrok v liečbe pacienta. Zároveň reprezentuje invazívnu techniku spojenú s narušením kožnej bariéry priamym vstupom do centrálneho krvného toku, s technickými rizikami, infekčnými a trombotickými komplikáciami. Cieľ: Cieľom práce bolo zistiť rozdiely medzi rámcovými procesuálnymi štandardmi MZ SR (Ministerstvo zdravotníctva Slovenskej republiky) č. 48, 49 a lokálnymi postupmi, ktoré sa používajú na Jednotke intenzívnej starostlivosti, Kliniky transplantačnej a cievnej chirurgie v Martinskej fakultnej nemocnici (MFN) u pacientov so zavedeným centrálnym venóznym katérom. Zároveň identifikovať najčastejšie sa vyskytujúce komplikácie. Metódy: Pre zber empirických informácii sme použili metódu auditu (pozorovanie, merania a štúdium dokumentácie). Výsledky: Na rozdiel od štandardu č. 48 sa používa pri preväze transparentná semipermiabilná fólia, do neobsadených uzáverov sa aplikuje celaskónová zátka a nepoužíva sa antibiotická masť. Pri manipulácií s centrálnym venóznym katétrom nie je pacient vo vodorovnej polohe a pri rozpájaní infúznych súprav sa nepoužíva dezinfekčný prípravok. Najčastejšou komplikáciou bol prítomný hematóm(66 %), bolesť (60 %) a leukocytóza (63 %). Závery: Zistené rozdiely v procesuálnych kritériách medzi štandardmi MZ SR č. 48, 49 a postupom práce na JIS negatívne neovplyvnili priebeh zavádzania centrálneho venózneho katétra (CVK) a následnú starostlivosť o centrálny venózny vstup (CVV) a CVK. Používanie ošetrovateľských štandardov má význam pre zabezpečenie kvalitnej a efektívnej starostlivosti. Je však dôležité, aby štandardy boli vytvorené tak, aby spĺňali ošetrovateľskú prax založenú na dôkazoch.
Implementation of central venous catheterization system to the clinical practice represents considerable progress and benefit for the patient. On the other side central venous catheter is invasive method connected with skin tissue impairment direct entrance to central venous system with technical risks, infection and thrombosis complications. Aim: The aim of our study was find out differences between the national standards No. 48, 49 created by Ministry of health of Slovak Republic and the local standards, which are using in Intensive care Unit of Transplant and vascular surgery Clinic of Faculty Hospital in Martin. And also to identify the most often occurring complications related to insertion of central venous catheter. Methods: We used the method of audit (method of observation, measurement and documentation study respectively) to collect empirical data. Results: In contrast with standard no. 48 there is using transparent semipermeable film in dressing. C-vitamin clot is applied to the free inputs and there is not used antibiotic unguent. In the manipulation of central venous catheter, a patient is not in a horizontal position and in disconnecting of infusion sets are not used disintectant. The most often occuring complication was a haematoma in 66 %, pain in 60 % and leukocytosis in laboratory examination (which could be a sign of inflammatory process) in 63 % in our group of the patients. Conclusions: The differences found between standards MZ SR n. 48, 49, and work progresses on the intensive care unit do not adversely affect the course of the insertion of central venous catheter (CVC) and care of central venous access (CVA)and CVC. Using of nursing standards of CVC is important for providing the high-class and effective health care. Also is important that the standards should be designed to meet the nursing practice based on evidence.
- MeSH
- Catheterization, Central Venous methods nursing adverse effects MeSH
- Catheter-Related Infections prevention & control MeSH
- Quality of Health Care MeSH
- Qualitative Research MeSH
- Humans MeSH
- Nursing Care methods standards MeSH
- Nursing Evaluation Research statistics & numerical data MeSH
- Practice Patterns, Nurses' utilization MeSH
- Critical Care MeSH
- Check Tag
- Humans MeSH
Predmetom tejto štúdie bola komparatívna analýza ošetrovatel'skej teórie a praxe na Slovensku a v Čechách. Identifikované a porovnávané boli nasledovné kategórie: vzdelávanie, kategórie zdravotníckych pracovníkov, špecializačné odbory a certifikačné pracovné činnosti, organizačná štruktúra, systém regulácie ošetrovatel'ského povolania, legislatívne normy a klinická prax. Zistené poznatky boli interpretované formou tabuliek, ktoré zobrazovali spoločné ukazovatele a odlišnosti špecifické pre dané krajiny. Sestry v klinickej praxi na Slovensku poskytujú ošetrovatel'skú starostlivost' metódou ošetrovatel'ského procesu s využitím ošetrovatel'skej dokumentácie, ktorá je vydaná MZ SR ako jednotný formulár pre všetky zdravotnícke zariadenia. Vol'ný pohyb obyvatel'ov na trhu práce v rámci krajín EÚ a zvýšená emigrácia obyvatel'stva vedie k utváraniu róznorodých etnických skupín v ČR, čo v značnej miere ovplyvňuje vývoj a úroveň transkultúrneho ošetrovatel'stva. Hlavným zdrojom informácií bolo štúdium literatúry, odborné publikácie, internetové zdroje, príspevky z konferencií, ale aj osobné skúsenosti z klinickej, či pedagogickej praxe.
Main aim of this study was comparative analysis of nursing theory and practice in Slovakia and Czech republic. Education's category of health care professionals, different level of health care professionals, types of specialisation in nursing, organizational structure and system of professional regulation and directive use in health care system were identified and compared in our research. The findings were summarized and compared. Significant attribute that nurses in Slovakia are working by nursing process us ing documentation regulated by directive of MZ SR. Czech republic in the present time developing a new task - transcultural nursing care as a result of globalisation and moving of peoples within EU. The research is based on study of literature, literature search, official publication, and documents from professional conferences, directives and personal experiences.