Naslov Otpusno pismo zdravstvene njege kao oblik suradnje bolničkih i patronažnih medicinskih sestara Naslov (engleski) Information on patient care in discharge letters as a form of cooperation of hospital nurses and public health nurses Autor Kristina Hanžek Mentor Goranka Petriček (mentor)Član povjerenstva Đurđica Kašuba Lazić (član povjerenstva)Član povjerenstva Venija Cerovečki Nekić (član povjerenstva)Član povjerenstva Goranka Petriček (član povjerenstva)Ustanova koja je dodijelila Sveučilište u Zagrebu Datum i država obrane 2015-07-01, Hrvatska Znanstveno / umjetničko BIOMEDICINA I ZDRAVSTVO Sažetak Cilj: istražiti mišljenja i stajališta patronažnih sestara o otpusnom pismu zdravstvene njege (OPZNJ) kao obliku suradnje s medicinskim sestrama iz sekundarne i tercijarne zdravstvene zaštite u svrhu unapređenja njihove suradnje.
Ispitanici i metode: od siječnja do ožujka 2015. godine provedeno je kvalitativno istraživanje metodom fokus-grupa. Uzorak od 27 patronažnih sestara, zaposlenica domova zdravlja Zagreb Centar i Zagreb Zapad, regrutiran je za fokus-grupe. Pod vodstvom moderatora, uz neposrednu opservaciju istraživača, provedene su 4 fokus-grupe s patronažnim sestrama, koje su snimljene i transkribirane te je provedena kvalitativna analiza podataka bazirana na utemeljenoj teoriji. Proizašle su četiri glavne teme i eksplanatorna modela: susret s OPZNJ-em; obilježja postojećeg OPZNJ-a; elementi suradnje patronažnih sestara s bolničkim medicinskim sestrama putem postojećeg OPZNJ-a; preporuke za unapređenje OPZNJ-a.
Rezultati: iako se većina patronažnih sestara susrela s OPZNJ-em, iskustvo upućuje na to da njegovo pisanje nije rutinska procedura sestrinskog rada, nego je većinom pisano samo za određene skupine bolesnika određenih zdravstvenih ustanova, te kao dio zasebnoga projekta. Manjim dijelom OPZNJ su pisana rukom, nečitljiva i štura, a pokatkad je dio podataka netočan. Dio ih i ne dođe do patronažne sestre ili dođe prekasno, kad je zdravstvena njega već organizirana. Razlozi navedenom jesu: prekasno izdavanje OPZNJ-a u bolnici; potom zadržavanje OPZNJ-a u bolesnikovu zdravstvenom kartonu kod obiteljskog liječnika ili ga bolesnik zagubi. Sve su patronažne sestre istaknule potrebu za OPZNJ-em navodeći njegovu pozitivnu ulogu u organizaciji zdravstvene njege nakon otpusta bolesnika iz bolnice s aspekata olakšanja planiranja vrste postupaka te osiguranja kontinuiteta zdravstvene njege. U takvim je slučajevima OPZNJ pokazatelj dobre sestrinske prakse.
Zaključak: istaknuta je pozitivna uloga OPZNJ-a u organizaciji zdravstvene njege nakon otpusta bolesnika iz bolnice s gledišta olakšanja planiranja vrste postupaka te osiguranja kontinuiteta zdravstvene njege. Rutinsko izdavanje OPZNJ-a za svakog bolesnika u kojeg je indiciran nastavak provođenja zdravstvene njege nakon otpusta pridonosi profesionalizaciji sestrinstva, isticanjem važnosti i neupitnosti mjesta i uloge medicinske sestre kao uvjeta racionalnog planiranja i organizacije, a, posljedično, i osiguranja racionalne, kontinuirane, holističke i kvalitetne zdravstvene njege svakoga pojedinog bolesnika.
Sažetak (engleski) Aim: To explore community health nurses' opinions on and attitudes toward a nursing discharge summary (NDS) as a means of improving their collaboration with nurses working in secondary and tertiary healthcare.
Subjects and methods: A qualitative study using focus groups was performed from January to March 2015. The study sample included 27 community health nurses working at „Zagreb Center“ and „Zagreb West“ Health Centers. The nurses were divided into four focus groups, which were guided by a moderator and directly observed by the researcher. The discussions during the focus groups were recorded and transcribed. A qualitative data analysis based on an established theory was performed. Four main topics and four explanatory models were identified including the encounter with NDS's, characteristics of the existing NDS's, elements of collaboration between community health nurses and hospital nurses via the existing NDS's, and recommendations for NDS improvement.
Results: The majority of community health nurses were familiar with NDS's; however, generating NDS's was not part of the routine nursing work. NDS's were written mostly for particular patient groups discharged from particular healthcare institutions within a separate project. Occasionally, NDS's were handwritten, illegible, and scanty on details, which were sometimes also partly incorrect. Some of NDS's never reached community health nurses or were delivered only after the patient care had already been organized, mostly because NDS's were not sent from hospitals in time, or were retained in patient files at their family physician's office, or were lost by the patients. All community health nurses emphasized the need for NDS and the positive role that NDS plays in the organization of patient's care after hospital discharge as an important aid in planning the types of procedures and ensuring the continuity of care. In these cases, an NDS was an indicator of good nursing practice.
Conclusion: NDS's were indicated to play an important role in organizing patient's care after discharge, especially in planning the types of procedures and ensuring the continuity of patient's care. Routine NDS writing for each patient with an indication for continued care after discharge may contribute to increased level of professionalism in nursing by highlighting the importance and indispensability of nurses and the essential role they play in rational planning and organization of patient's care and, consequently, in ensuring the delivery of rational, continued, holistic and quality care to each individual patient.
Ključne riječi
patronažne sestre
otpusno pismo zdravstvene njege
zdravstvena njega
Ključne riječi (engleski)
nurses
community health
patient discharge summary
health care
Jezik hrvatski URN:NBN urn:nbn:hr:105:128983 Studijski program Naziv: Sestrinstvo Vrsta resursa Tekst Način izrade datoteke Izvorno digitalna Prava pristupa Otvoreni pristup Uvjeti korištenja Datum i vrijeme pohrane 2016-04-27 08:21:05
