Optimal Cooperation of Medical Care and Nursing Care in a Two-Region Spatial Model

Author(s):  
Tohru Naito
Author(s):  
Gulbanu Sarsembaikyzy ◽  
◽  
Zhanar Tyulyubayeva ◽  

Currently, the nursing process is at the core of nursing education and practice, creating a scientific base for nursing care. The nursing process is one of the basic and integral concepts of the modern model of nursing service. This concept was given birth in the United States in the mid-50s and over the years of testing in clinical settings has proved its feasibility. In the health system, the professional group of secondary medical personnel is the most numerous and has a significant impact on ensuring the quality, availability of medical care, and efficiency of the entire system. Over the years, nurses from different countries have sought to gain recognition for their profession. The main goal was to establish the boundaries of their professional activities, the differences between medical and nursing duties, to create a terminological and conceptual apparatus of the profession and to determine the scientific method of providing nursing care to patients (clients). One of the most relevant areas of healthcare reforms in Kazakhstan is the development and expansion of the functions of nursing staff, including the maintenance of nursing documentation, the establishment of a nursing diagnosis, monitoring and management of patients, etc. What is the problem? 1. Lack of a single terminological and conceptual apparatus for all nurses; 2. Workload of general practitioners; 3. Implementation of patient attendance by nurses under the doctor's login; 4. Lack of payment to nurses for services rendered; 5. In appreciation of the role of the average medical worker in the treatment process; 6. Low potential in the nursing service. Policy options Scenario 1. Institutionalization of CCC in the health system of the Republic of Kazakhstan through the gradual introduction into information systems of the international classification of nursing diagnoses and nursing interventions in the practice of secondary medical workers. Scenario 2. Interaction of vertical links in the implementation of the CCC by making appropriate changes to regulatory legal acts. Scenario 3. Financing of nursing services by including nursing services in the medical services tariff. The vision for the implementation of the scenarios/policy options. Each of these policy options can contribute to improving the efficiency of providing medical care to the population, the status of secondary medical personnel, and the development of their critical thinking. However, given the different options in the direction of actions, resources and methods used, these policy options can provide a more significant achievement of the goal in improving the quality and effectiveness of introduction when they are implemented in association.


PEDIATRICS ◽  
1968 ◽  
Vol 42 (5) ◽  
pp. 743-751
Author(s):  
Willis A. Wingert ◽  
William Larson ◽  
David B. Friedman

Patterns of obtaining medical care for children from broken, lower socioeconomic families did not differ significantly from that of intact families. Many separated and divorced mothers handled their children's health problems adequately in spite of economic and transportation problems. Stability and intactness are not synonymous. The broken family may actually be quite stable due to hidden mates, guidance from appropriate social agencies and social norms which assign medical nursing care to the mother. This parental coping mechanism may be developed by long experience in dealing with the usual problems of a disadvantaged population: unemployment, desertion, poor housing and frequently, open violence.


2020 ◽  
pp. 46-56
Author(s):  
Thuoc Doan Phuoc ◽  
Lien Duong Thi Hong ◽  
Tu Nguyen Viet ◽  
Thao Tran Thi Thanh

Background: The quality of nursing care plays an important role in overall quality of medical care. Nurses and midwives perform care well, contributing to making patients feel secure, confident, cooperative, and increasing treatment efficiency and patient satisfaction. Objective: To assess the patient’s satisfaction with nursing care provided by clinical departments in Hue University of Medicine and Pharmacy Hospital in 2019. Subject and method: A cross-sectional study on 600 inpatients at Hue University of Medicine and Pharmacy Hospital. Results: The general proportion of patient statisfaction was 71.4%%. Patients were satisfied more with mental health services (77.8%), nursing care skills (75.5%) and the relationship with nurses (70.2%), consulting health education services (73.6%). Patient were less satisfied with hospital hygiene (61.5%). Conclusion: overall, more patient show enthusiasm with the medical care provided by nurse (71.4%). However, the patient’s satisfaction with hospital hygiene stood at only 61.5%. Keywords: Quality of nursingcare, nurse, midwife


2021 ◽  
Vol 283 ◽  
pp. 02023
Author(s):  
Lexuan Li

Based on the background of aging, the demand of social pension is increasing day by day. In the face of the continuous development of aging, the plight of shortage of pension resources. Based on the analysis of pension buildings at home and abroad, this paper puts forward a new mode of “Medical Support Integration” architecture, and summarizes the design points of the pension medical care combined architecture. The purpose of this paper is to provide a design basis for the construction of comprehensive and sustainable pension buildings, alleviate the plight of the elderly, and from the perspective of the elderly, fully consider the elderly physical and mental needs, improve the integration of medical and nursing care space, and create a paradise for the elderly.


2020 ◽  
Vol 10 (3) ◽  
pp. 244-259
Author(s):  
Abdulaziz M. Alsufyani ◽  
Abdulaziz A. Aldawsari ◽  
Sayer M. Aljuaid ◽  
Khalid E. Almalki ◽  
Yasir M. Alsufyani

Background: The examination of the literature indicates that practicing nurses are barely engaged in developing enhancement programs for quality nursing care. There are numerous studies on the value of nursing care, but none offers ways of assessing the value of care provided by nurses. Identifying the essence of quality nursing care can facilitate effective enhancement approaches. It was prudent to explore the relationship between advocacy, caring, and empathy in delivering quality nursing care.Purpose: This study aimed to comprehend the views of Saudi Arabian nurses on how empathy, advocacy, and caring act as measurements of quality of nursing care.Methods: A qualitative investigative, descriptive design was used to explore the advocacy, empathy, and caring from the viewpoints of practicing nurses. Twenty-one general and specialized medical care nurses from King Saud Medical City in Saudi Arabia were recruited through purposive sampling. The researchers conducted semi-structured interviews that were recorded, written out, and subjected to thematic analysis.Results: The findings have led to the establishment of quality Saudi nursing care with the identification of core themes: empathy, advocacy, and caring. The findings of this study elevate the understanding of the quality of nursing care in the Saudi context.Conclusion: The participants aver that patient advocacy, empathy, and care are parts of the characteristics of nursing profession. These characteristics aid in listening and comprehending patients’ perspectives. Following the findings, it is suggested to provide training to the nurses to overcome the challenges faced by nurses in reflecting empathy.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M B Kaziuk ◽  
W Kosiba

Abstract Introduction Haemodialysis is one of the methods of renal replacement therapy which is most frequently used in Poland and in the world in patients with chronic and acute renal failure. Purpose: An attempt was made to have patients undergoing regular haemodialysis assess the results of activity of dialysis centres. Methods 64 patients (30 women, 34 men, age: 50.2 +/- 11.9 years) undergoing dialysis therapy in three selected dialysis centres in Poland were included in the study. A questionnaire correlated with the analytic hierarchy process (AHP) was employed for the assessment. The dialysis centres were assessed by the patients in the context of availability of services, communication between the medical staff and the patient and the treatment used. Two sub-criteria were connected with each criterion, for which significance (priorities) indicating a dependent impact on the assessment of the quality of dialysis centres was calculated. Results From amongst four domains of the assessment of dialysis centres, the patients rated medical care and nursing care the highest (w = 0.386), where medical care had significance equal to 0.455, and nursing care had significance equal to = 0.545. The next important part of the assessment of dialysis centres was communication between the medical staff and the patient (w = 0.321) and the treatment used (haemodialysis) (w = 0.155). Availability of services had the lowest significance (w = 0.138), including performance of examinations for kidney transplant and medical transport for haemodialysis. Conclusions The assessment of dialysis centres using the AHP method should be part of the therapeutic process where one needs to emphasise the role of the patient in chronic nephrological care which translates into the quality of services provided by dialysis centres. Key messages The assessment of dialysis centres using the AHP method should be part of the therapeutic process. The patient’s role and its good assessment in the treatment process is very important.


1998 ◽  
Vol 11 (3) ◽  
pp. 126-137 ◽  
Author(s):  
Martin G. Cole ◽  
François J. Primeau ◽  
L. Michel Élie

The purpose of this paper was to contribute to a new conceptual understanding of delirium by reviewing evidence related to its prevention, treatment, and outcome. The review process involved a systematic search of the literature on each topic, assessment of the validity of the studies retrieved, and examination of their results. The literature search identified 10 studies on prevention, 13 studies on treatment, and 15 studies on outcome. Most studies had methodological limitations. Abroad spectrum of interventions appeared to be modestly effective in preventing delirium in young and old surgical patients but not elderly medical patients; systematic detection and intervention programs and special nursing care appeared to add large benefits to traditional medical care in young and old surgical patients and modest benefits in elderly medical patients; haloperidol, chlorpromazine, and mianserin appeared to be useful in controlling the symptoms of delirium in both surgical and medical patients; and good levels of premorbid function seemed to be related to better outcomes. Although the above findings do not contribute to a new conceptual understanding of delirium, they do suggest directions for further research on the treatment of delirium.


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