Ispitivanje povezanosti između postojećeg i potrebnog broja medicinskih sestara na temelju izračuna kategorizacije bolesnika kod kirurških bolesnika u Općoj bolnici Zadar

master's thesis

• Title (english): Assessment of correlation between the actual and planned number of nurses based on the patient categorization calculation for surgical patients at the Zadar General Hospital
• Author: Darija Katuša
• Mentor: Ana Budimir (mentor)
• Committee member: Ivana Mareković (predsjednik povjerenstva)
• Committee member: Goran Tešović (član povjerenstva)
• Committee member: Ana Budimir (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Surgery); Zagreb
• Defense date and country: 2015-01-28, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery

Abstract

Primarna svrha kategorizacije bolesnika je odgovoriti na promjenjivu prirodu zahtjeva za zdravstvenom njegom. Sistemi kategorizacije bolesnika su zasnovani na teorijskom okviru koji odražava koncept zdravstvene njege. Kategorizacija ne znači nužno da su bolesnici u istoj kategoriji identični, već da su slični jedni drugima, s obzirom na određene karakteristike, u odnosu na bolesnike druge kategorije. Nakon Drugog svjetskog rata, u razvijenom svijetu, dolazi do porasta troškova vezanih za zdravstvenu njegu, ali i manjka radne snage, što je vodilo prvom konkretnom pokušaju kategorizacije pacijenata sukladno intenzitetu zahtjeva za njegom. Pokret je bio poznat kao „progresivna njega bolesnika“ a sastojao se u sistemskoj kategorizaciji pacijenata sukladno njihovim medicinskim potrebama i potrebama zdravstvene njege. Cilj ovog istraživanja je bio ispitati odnos postojećeg i potrebnog broja medicinskih sestara na temelju izračuna kategorizacije bolesnika, te odrediti udio onih pacijenata čija skrb zahtijeva postupke i ponašanja koja po svojoj naravi zahtijevaju višu razinu kompetencija medicinskih sestara. Uzorak je sačinjavao 577 pacijenata hospitaliziranih na Odsjeku za abdominalnu kirurgiju II i opću kirurgiju, Odjela za kirurgiju Opće bolnice Zadar u periodu od 01. prosinca 2013.godine do 31. svibnja 2014. godine.

Abstract (english)

Primary patient classification purpose is to answer the nature of health care demand. Patient classification systems are based on the theoretical frame that reflects the concept of health care. Classification does not necessarily mean that patients in the same unit are identical, but rather similar to each other, considering their certain characteristics, as opposed to patients in another category. After the World War II, in the developed world, rising health care related costs and manpower shortages led to first specific patient classification attempt based on the intensity of health care demands. This movement was known as 'progressive patient nursing' and consisted in systemic categorization of patients in accordance with their medical needs and health care demands. The purpose of this research was to examine the relationship between existing and necessary number of nursing personnel based on the patient classification calculation, and to define share of those patients whose care demands procedures that require higher level of nursing personnel competence. The study included 577 patients hospitalized in the Unit of abdominal surgery II and general surgery, Department of sugery, General Hospital Zadar, in time period between December 1st 2013 and May 31st 2014.

• Keywords: kategorizacija pacijenata; progresivna njega; kritični čimbenici
• Keywords (english): patient classification; progressive cate; critical indicators
• Language: croatian
• URN:NBN: urn:nbn:hr:105:780539
• Study programme: Title: Studies in Nursing; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2015-11-04 13:01:53