Dvosmjerna komunikacija između tercijarne i primarne zdravstvene zaštite prilikom planiranja otpusta bolesnika na kraju života

master's thesis

• Title (english): Two-way communication between the tertiary and primary levels of health care when planning discharge of patients at the end of life
• Author: Ana Joka
• Mentor: Ana Budimir (mentor)
• Committee member: Zrinka Bošnjak (predsjednik povjerenstva)
• Committee member: Goran Tešović (član povjerenstva)
• Committee member: Ana Budimir (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2023-05-16, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care

Abstract

Planiranje otpusta bolesnika primjenjuje se na sve bolničke pacijente.
Interdisciplinarnim pristupom obuhvaćamo bolesnika, obitelj, zajednicu i skrb na kraju života,
proces planiranja uključuje razumljivu komunikaciju i međusobnu suradnju različitih timova.
Komunikacija uključuje stvaranje povjerljivog međusobnog odnosa u razmjeni informacija,
razina informacija se mijenja tokom godina, a informatizacija bolničkog prijenosa podataka
olakšava pružanje i nastavak potreba bolesnika na kraju života. Odnos između razina
zdravstvene zaštite mora biti prilagođen bolesniku, njegovom tretmanu i potrebama, zbog
čega je potrebno informacije prezentirati razumljivim jezikom i upotrebljavati metode koje
omogućavaju elektronički zapis podataka. Dvosmjerna komunikacija omogućava bolju
pripremu u prijenosu informacija, nastavku skrbi i sprječavanju rehospitalizacije, ako se
planiranje otpusta provodi prema svim standardima kvalitete. Bolesnici na kraju života i
njihove obitelji uključene su od početka zbrinjavanja simptoma do pružanja žalovanja na
kraju života. Kontinuitet zdravstvene skrbi održava se pravilnom komunikacijom i razmjenom
podataka po izlasku iz bolnice. Povezivanje primarne i tercijarne razine zdravstvene zaštite
pokazalo se kao najbolje rješenje prilikom otpusta iz bolničkog sustava u kućne uvjete
bolesnika. Najbolja rješenja najtežih izazova kod skrbi za bolesnike koji imaju potrebu za
palijativnom skrbi proizlaze iz velike razine znanja, iskustva i promišljanja sudionika. Cilj
ovog rada je prikazati promjene u planiranju otpusta bolesnika na kraju života, kvalitetu
sigurnosti u upotrebljavanju dokumentacije te prikazati način pružanja potpore i organizacije
kroz dvosmjernu komunikaciju. Medicus programsko rješenje predstavlja najbolje rješenje za
planiranje otpusta bolesnika koji imaju potrebu za palijativnom skrbi.

Abstract (english)

Patient discharge planning applies to all hospital patients. With an interdisciplinary
approach, we include the patient, family and community and care at the end of life The
planning process includes understandable communication and mutual cooperation of different
teams. Communication involves the creation of a confidential mutual relationship in terms of
the exchange of information as the amount of information changes over the years. On the
other hand, the computerization of hospital data transmission facilitates the provision and
continuation of the patient's needs at the end of life. The relationship between different levels
of health care must be adapted to the patient type, his treatment and needs, therefore it is
necessary to present information in understandable language and use methods that enable
electronic data recording. Two-way communication enables better preparation in the transfer
of information, a continuation of care and prevention of re-hospitalization if discharge
planning is carried out according to all quality standards. Patients at the end of life and their
families are involved from the beginning of symptom management to the provision of
bereavement at the end of life. Continuity of health care is maintained by proper
communication and data exchange after leaving the hospital. Linking primary and tertiary
levels of health care seems to be the best solution after discharge from the hospital to home
care The best solutions for the upcoming problems in the care of patients in need of palliative
care arise from the high level of knowledge, experience and reflection of the caregivers. The
aim of this paper is to show changes in the planning of discharge of patients at the end of life,
quality and safety in the documentation use, and to show the way of providing support and
organization through two-way communication. Medicus program solution presents the best
solution for planning the discharge of patients in need of palliative care.

• Keywords: planiranje otpusta; Medicus programsko rješenje; dvosmjerna komunikacija; palijativni bolesnik; palijativna skrb
• Keywords (english): discharge planning; Medicus program solution; two-way communication; palliative patient; palliative care
• Language: croatian
• URN:NBN: urn:nbn:hr:105:761335
• 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: 2024-04-18 09:22:44