scholarly journals Ki mit tud? – A betegátadásról. Egy magyar és lengyel mintán végzett tudásfelmérés tapasztalatai

2019 ◽  
Vol 160 (44) ◽  
pp. 1735-1743
Author(s):  
Judit Lám ◽  
Heléna Safadi ◽  
Eszter Pitás ◽  
Éva Belicza

Abstract: Introduction: The most common reason for the adverse events in healthcare is communication. Due to the development of health technologies and the increasing specialization of care, more and more healthcare professionals are involved in the treatment of patients, resulting in an increasingly important role and risk for patient handover. Aim: To present the current state of knowledge of patient handover through the results of an international project. Method: Self-developed, anonymous questionnaires with single and multiple choice questions were used to investigate handover knowledge among healthcare workers in 3 Hungarian and 3 Polish hospitals. The frequency of responses was analyzed according to their correctness. The factors that can influence the knowledge were studied using a regression model in the Hungarian sample. Results: The questionnaire was completed by 63% of the 2963 employees who received the questionnaires. In the two countries, there was no significant difference in the proportion of correct responses. Nearly half of the responders (49.4%–45.7%) gave the right answers to the question about the definition of patient handover. The lowest rate of correct answers (14.4%–11.1%) was given to elements of patient handover techniques. The difficulty of the questions also showed a similar pattern. Conclusion: Based on the results, it can be concluded that knowledge of handover needs to be improved in both countries. Although healthcare providers have some knowledge about handover, it cannot be considered accurate and complete. It is important to promote the knowledge and practice of handover together for the safety of patients and healthcare providers. Orv Hetil. 2019; 160(44): 1735–1743.

Author(s):  
Eduardo Sánchez-Sánchez ◽  
Ylenia Avellaneda-López ◽  
Esperanza García-Marín ◽  
Guillermo Ramírez-Vargas ◽  
Jara Díaz-Jimenez ◽  
...  

The aim of this study was to determine healthcare providers’ knowledge and practices about dysphagia. A descriptive cross-sectional study was carried out based on a self-administered and anonymous questionnaire addressed to healthcare providers in Spain. A total of 396 healthcare providers participated in the study. Of these, 62.3% knew the definition of dysphagia as a swallowing disorder. In addition, up to 39.2% of the participants reported that they did not know whether the EatingAssessmentTool (EAT-10) dysphagia screening test was usedin their own clinical settings. Similarly, up to 49.1% of them did not know the ClinicalExaminationVolume-Viscosity (MECV-V) method. Nearly all participants (98.8%) reported that thickeners must be used forall liquids administered to patients. A higher percentage of respondents based the choice of texture on patient’s tolerance (78.2%) rather than on the MECV-V result (17.3%). In addition,76.4% of the professionals had witnessed a bronchoaspiration; after it, 44.4% (n = 175) of them reported the appearance of pneumonia, and 14.5% (n = 57) the death of the patient (p = 0.005). The participants revealeda moderate/low knowledge ofthe definition, diagnosis, and clinical management of liquid dysphagia, which indicates some room for improvements.


2016 ◽  
Vol 8 (10) ◽  
pp. 135 ◽  
Author(s):  
Zahra Daneshvar Ameri ◽  
Ali Vafaee ◽  
Tahere Sadeghi ◽  
Zhila Mirlashari ◽  
Djavad Ghoddoosi-Nejad ◽  
...  

<p><strong>Background: </strong>Parenteral nutrition is a lifesaving therapy for many infants who are unable to tolerate enteral feedings. It fulfils preterm neonates’ needs for growth and development when their sizes or conditions preclude enteral feeding. Virtuous nursing care and close biochemical monitoring are absolutely essential for successful parenteral nutrition therapy. Since poor knowledge in parenteral nutrition can causes severe impairment to neonatal infants, the conduction of this study is essential.</p><p><strong>Aims: </strong>The present study aims to: (1) examine the knowledge and practice of nurses in total parenteral nutrition (TPN); (2) employ training programs for improving knowledge and practice in management of TPN in new-borns.<strong></strong></p><p><strong>Method: </strong>A quasi-experimental study was carried out in Sarem Maternity Hospital in Tehran, Iran. The study population included nurses working in Neonatal Intensive Care Unit (NICU) who were included in the study using headcount census method (n=30). A two-part questionnaire including demographic information; 20 multiple choice questions on the nurses’ knowledge of TPN therapy and 19-item 3-point Likert-type checklist on administration of TPN completed by observing the nurses’ practice. To examine the reliability of the practice part, Cronbach's alpha method was used (α=0.78). Study interventions were mentoring education by the researcher and researcher-developed training manual and educational video and guidelines about neonatal parenteral nutrition. Before and after intervention data were collected and compared using paired t-test.<strong></strong></p><p><strong>Results: </strong>The mean scores of nurses' knowledge before and afterward parenteral nutrition (PN) training program were 11.93±1.91 and 17.56±1.59, respectively. The mean scores of the nurses' practice earlier and after training program were 38.84±2.96 and 40.15±3.02, respectively. Comparing the mean scores of the nurses' familiarity, before and after taking the training course, demonstrated a significant difference (p&lt;0.0001). The knowledge of the nurses in all areas of parenteral nutrition prescription was significantly improved after the employment of mentoring method (p&lt;0.05). Despite an increase in the post-intervention total score, the nurses’ practice, before and after, the intervention was not statistically significant (p&lt;0.05).<strong></strong></p><p><strong>Conclusion: </strong>There is a breach between nursing knowledge and practice in prescribing parenteral nutrition. The gap between knowledge and practice in this area can lead to more morbidity and negative influences on the infant. Therefore, it is required that the gap between knowledge and practice is known as the infant gets less damage.</p>


2020 ◽  
Vol 11 (3) ◽  
pp. 47 ◽  
Author(s):  
Lorenzo Nicoletti ◽  
Sebastian Mayer ◽  
Matthias Brönner ◽  
Ferdinand Schockenhoff ◽  
Markus Lienkamp

The derivation of a battery electric vehicle (BEV) architecture represents a challenging task for car manufacturers. For the early development of combustion engine architectures, the required design parameters can be derived from the analysis of previously-built model series. Regarding BEV architectures, the manufacturers do not yet have a reference series of vehicles on the basis of which they can derive the essential design parameters. Therefore, these parameters are mainly estimated at high cost in the early development phase. To avoid cost-intensive changes in the further course of development it is crucial to choose the right set of design parameters. For this reason, the aim of this paper is the identification of a minimum set of design parameters, derived from the current state-of-the-art of vehicle development by a structured literature comparison. We group the results according to our definition of vehicle architecture and discuss each identified parameter to explain its relevance. The sum of all parameters presented in this paper builds a minimum set of design parameters, which can be employed as a guideline for the definition of BEV architectures in the early development stage.


2018 ◽  
Vol 48 (1) ◽  
pp. 125-135 ◽  
Author(s):  
Richa Soni ◽  
Kamna Tank ◽  
Nayan Jain

Purpose The purpose of this study was to assess the knowledge, attitude and practice about probiotic use among health professionals of Ahmedabad, India. Design/methodology/approach A structured questionnaire was prepared. The questionnaire consisted of 12 close-ended questions related to definition, mechanism of action, safety consideration, health benefits, sources and four questions to assess their attitude and practice about probiotics. Total 267 healthcare professionals were requested to fill the questionnaire. Participants were doctors, medical students, nutritionists, nutrition students, pharmacists and pharmacy students. Findings Results of the survey revealed that most of the participants (93.25 per cent) were aware of the term probiotic, 66.66 per cent professionals were able to answer the right mechanism of action of probiotics. Only 54.68 per cent health professionals knew the health benefits correctly. There was a significant difference between the knowledge of professionals from different fields (p < 0.05). Medical students had highest knowledge scores, whereas nutrition students had lowest knowledge scores. There was no significant difference between knowledge of doctors, pharmacist and nutritionist, but knowledge of medical students was significantly higher than the nutrition students (p < 0.05). Majority of the respondents (85.76 per cent) believed that probiotics are useful for patients. Nearly 50 per cent preferred probiotic food over probiotic drugs. Almost half of them (48.68 per cent) agreed that probiotics can significantly affect the outcome of any therapy. Originality/value Nutritionists and medical students have shown to be more knowledgeable about probiotics than professionals and students of other fields. A positive and significant correlation was found between knowledge and attitude of healthcare providers.


Author(s):  
Anita Medhekar

The main aim of embracing evolutionary digital e-health technologies such as ‘My Health Records' is to transform and empower the patients to control their health records, access, choose the right healthcare provider and suitable treatment, when required. It has been a challenge for the healthcare practitioners, hospital staff, as well as patients to accept, embrace, and adopt transformative digital e-health technologies and manage their healthcare records amidst concerns of slow adoption by the patient due to data privacy and cybersecurity issues. Australia, since COVID-19, has stressed the importance of secure online connectivity for the government, business, and the consumers. It is essential that My Health Record platform is cyber-safe, and user-friendly so that consumers feel conformable, safe and secure regarding their personal health records. This chapter discussed the challenges of embracing e-health digital technologies and assurance of advancing cybersecurity of online My Health Record, which will transform e-health provision and empower patients and healthcare providers.


2020 ◽  
pp. 6-17
Author(s):  
Valentyn SHCHERBYNA ◽  
Tetiana BODNAR

The article explores the category of «property management», its concepts and content, as well as its relation with the categories, «management of objects of state (municipal) property», «right of operational management», «sphere of management», «transfer of property» to the sphere of management. According to the results of the research, the definition of the concept of communal property as the right of a territorial community to formulate, use and dispose of property belonging to it, both directly and through local authorities, at its discretion and in its own interests on the basis of expediency, economy and efficiency is formulated. It is proposed to administer communal property to understand the exercise of powers of local self-government and their authorized bodies to exercise the rights of the territorial community of a village, settlement, city as the owner of such objects related to the possession, use and disposal of them, within the limits defined by the legislation of Ukraine, to meet the needs of the local community, state and public. The characteristic features of property management based on the contract of property management (Article 1029 of the Civil Code of Ukraine) and the management of state and communal property, which is carried out, in particular, in accordance with the Laws of Ukraine «On State Property Management» and «On Local Self-Government in Ukraine», indicating a significant difference between these types of government. It is proposed to amend: a) the Constitution of Ukraine, which establish that: 1) the subject of state ownership is the state represented by the Verkhovna Rada of Ukraine; 2) the property belonging to the Autonomous Republic of Crimea (the Crimean Tatar Autonomous Republic, if any) is state property; b) to the Law of Ukraine «On Local Self-Government in Ukraine» by defining the concept of management of communal property objects and clarifying the definition of the term «communal property right». Keywords: communal property right, management of communal property, sphere of management, transfer of property to the sphere of management.


Author(s):  
H. Kalmykov

The article deals with highlighting of the results of psychological problem analysis demanded by the current state of the development of psychotherapy – medical and psychological science and practice of treatment by word; establishing the relationship between psychology, psychiatry and psychotherapy, which has been recently formed in the world practice on providing psychological care; identifying the ideas of scientists and practitioners working in the field of psychotherapy, the strategies and tactics of training future psychotherapists in universities. The article presents debatable, sometimes diametrically opposed, views of domestic and foreign scientists (physicians, practicing psychotherapists and supervisors) on the definition of their own, different from each other, subjects in psychology, psychiatry and psychotherapy - sciences related to a common object of study – the human psyche, as well as which of the specialists who provide psychological assistance has the right to work as a psychotherapist. Considerable attention in the content of this article is paid to the explanation of what points of view exist in the representatives of science, public organizations, medicine and psychology on the delimitation of psychotherapeutic functions and powers of psychotherapists at present; showing how the competencies of psychiatrists, psychologists, psychoanalysts, medical psychotherapists and psychologists-psychotherapists differ, and what are the specific differences between them. The traditions and author’s understanding of training the future psychotherapists in medical and psychological institutions of higher education and retraining of specialists in the field of psychotherapy, as well as the role and importance of psycholinguistic knowledge, discursive skills, abilities and competencies in psychotherapeutic education are described. The results of monitoring the content of training the psychotherapists in medical and psychological institutions of higher education in the specialties: “clinical psychology”, “psychotherapy” are shown, the imperfection characteristic for the current psychotherapeutic education are described, and it is emphasized on existing of the problem of significant terminological disorder not only among the names of specialities acording to which the psychotherapists are trained, but also in the educational and professional qualifications received by future specialists. It is proved that regardless of the medical or psychological sphere in psychotherapy, it cannot exist and develop in a promising direction without applied psycholinguistics, which equips it with scientifically substatiated rational means, in particular speech-language psychotechnics, metamodels of psychological (discursive) influence, samples of psychotherapeutic discourses providing lapidary effective intervention in the subconscious and conscious layers of the psyche of clients / patients.


Crisis ◽  
2001 ◽  
Vol 22 (1) ◽  
pp. 15-19 ◽  
Author(s):  
Andrée Fortin ◽  
Sylvie Lapierre ◽  
Jacques Baillargeon ◽  
Réal Labelle ◽  
Micheline Dubé ◽  
...  

The right to self-determination is central to the current debate on rational suicide in old age. The goal of this exploratory study was to assess the presence of self-determination in suicidal institutionalized elderly persons. Eleven elderly persons with serious suicidal ideations were matched according to age, sex, and civil status with 11 nonsuicidal persons. The results indicated that suicidal persons did not differ from nonsuicidal persons in level of self-determination. There was, however, a significant difference between groups on the social subscale. Suicidal elderly persons did not seem to take others into account when making a decision or taking action. The results are discussed from a suicide-prevention perspective.


2020 ◽  
Vol 10 (4) ◽  
pp. 85-90
Author(s):  
VLADIMIR TROYAN ◽  

The relevance of the interpretation of constitutional and legal guarantees of the right to vote is mediated by isolated scientific research in this area, as well as the lack of a universal approach to legal guarantees. In this regard, the purpose of the article is to argue and disclose the author’s definitive aspect of the claimed guarantees. In the work, the author named and characterized the normative (based exclusively on legal means) with the perspective of a branch of legal and technical; regulatory and institutional (combines the formal aspect with the activities of authorized entities) and associated legal (including a set of legal and other aspects) approaches to the definition of legal guarantees. Based on the second approach, as well as combining the guarantees of the right to vote directly guarantees of the subjective right itself and guarantees of its implementation, the author offers a definition of constitutional and legal guarantees of the right to vote.


2019 ◽  
Vol 10 (12) ◽  
pp. 1183-1199
Author(s):  
Mohammed Alrouili ◽  

This study attempted to identify the impact of internal work environment on the retention of healthcare providers at Turaif General Hospital in the Kingdom of Saudi Arabia. In particular, the study aimed to identify the dimensions of work circumstances, compensation, and relationship with colleagues, professional growth, and the level of healthcare providers’ retention. In order to achieve the study goals, the researcher used the descriptive analytical approach. The researcher used the questionnaire as the study tool. The study population comprised all the healthcare providers at Turaif General Hospital. Questionnaires were distributed to the entire study sample that consisted of 220 individuals. The number of questionnaires valid for study was 183 questionnaires. The research findings were as follows: the participants’ estimate of the work circumstances dimension was high (3.64), the participants’ estimate of the compensation dimension was moderate (3.32), the participants’ estimate of the relationship with colleagues dimension was high (3.62), the participants’ estimate of the professional growth dimension was weak (2.39), and the participants’ estimate of healthcare providers’ retention level was intermediate (2.75). Accordingly, the researcher’s major recommendations are: the need to create the right atmosphere for personnel in hospitals, the interest of the hospital to provide the appropriate conditions for the staff in terms of the physical and moral aspects for building the work adjustment in the staff, and conducting training courses and educational lectures for personnel in hospitals on how to cope with the work pressures.


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