Results of subjective evaluation of the satisfaction of parents of newborns with the attitude of medical staff

2020 ◽  
Vol 26 (2) ◽  
pp. 85-92
Author(s):  
K. E. Moiseeva ◽  
A. V. Alekseeva ◽  
E. N. Berezkina
Keyword(s):  
Medical Care ◽  
Nursing Staff ◽  
Subjective Evaluation ◽  
Obstetric Care ◽  
Medical Personnel ◽  
Average Score ◽  
Healthcare Facilities ◽  
Target Value ◽  
Specialty Hospitals ◽  
Level Of Satisfaction

Background. Under current conditions, when a reduction in the birth rate in the Russian Federation becomes a problem of national security of the state, improving the quality of medical care for newborns becomes an important strategic task facing the healthcare service. Aim.This study aimed to assess the satisfaction of parents of newborns with the attitude of medical personnel to children in healthcare facilities in St. Petersburg. Materials and methods. An anonymous survey of 4467 mothers of newborns, who received medical care within the compulsory medical insurance in healthcare facilities in St. Petersburg in 2019, was conducted using a random sampling technique. The samples representativeness was tested by the method of Professor A.M. Merkova, and the error in the study did not exceed 3.5% in obstetric care institutions, 4% in childrens multi-specialty hospitals, and 3% in childrens polyclinics (departments). Results. In general, 74.1% of mothers were completely satisfied with the attitude of doctors toward newborns in obstetric care organizations, 78.2% of mothers in multi-specialty hospitals, and 70.5% of mothers in childrens polyclinics (departments). The proportion of mothers who were completely satisfied with the attitude of the nursing staff to newborns was 51.7% in obstetric care organizations, 52.4% in multi-specialty hospitals, and 76.0% in childrens polyclinics (departments). When assessing the human and professional qualities of doctors in the obstetric care organizations, the average score was 4.45 0.09, which in childrens multi-specialty hospitals was 4.53 0.10, and that of the doctors of childrens polyclinics (departments) was 4.61 0.08 points. The average score determined by mothers of the human and professional qualities of the nursing staff in obstetric care organizations was 4.22 0.08 that in multi-specialty hospitals was 4.16 0.09, and that of the nursing staff in childrens polyclinics (departments) was 4.63 0.09 points. Conclusion. The level of satisfaction with the attitude of medical personnel toward newborns was within the target value established by the Territorial program of state guarantees (70%), and the level of satisfaction with the attitude of the nursing staff corresponded to the target value only in childrens polyclinics (departments).

Infectious safety of nursing staff in departments (offices) functional diagnostics in the context of the COVID-19 pandemic

2020 ◽  
pp. 30-33
Author(s):  
E. V. Panina ◽  
M. V. Pugachev ◽  
A. G. Shchesiu
Keyword(s):  
Medical Care ◽  
Nursing Staff ◽  
Personal Protective Equipment ◽  
Medical Personnel ◽  
Medical Waste ◽  
Daily Activities ◽  
Protective Equipment ◽  
Functional Diagnostics ◽  
Prevention Of Infections ◽  
Epidemiological Situation

The article shows that in the daily activities of nursing staff of functional diagnostics departments (offices), it is necessary to strictly observe the requirements and rules for the prevention of infections associated with medical care, especially during the COVID-19 pandemic. The types of personal protective equipment (PPE) of medical personnel (MP), as well as current effective methods of disinfection, rules for collecting medical waste in a complex epidemiological situation are presented.

scholarly journals Applicability of the Clinical Care Classification in the Electronic Document Management of Nursing Staff to Improve the Efficiency of Medical Services in the Health System of the Republic of Kazakhstan: Policy Brief

2021 ◽  
pp. 36-43
Author(s):  
Gulbanu Sarsembaikyzy ◽  
◽  
Zhanar Tyulyubayeva ◽  
Keyword(s):  
Health System ◽  
Medical Care ◽  
Nursing Care ◽  
Nursing Staff ◽  
Medical Personnel ◽  
Policy Options ◽  
Nursing Process ◽  
Nursing Service ◽  
Nursing Services ◽  
The Republic

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.

scholarly journals Organizational activity of S.V. Kurashov in establishing and developing of national medicine and health care (to the 110th anniversary of the birth of S.V. Kurashov)

2020 ◽  
Vol 101 (6) ◽  
pp. 930-936
Author(s):  
A N Galiullin ◽  
A V Shulaev ◽  
I M Burykin
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Rural Areas ◽  
Medical Personnel ◽  
World Health ◽  
Specialty Hospitals ◽  
Organizational Activity ◽  
Health Organization ◽  
National Programs

The article provides information about the organizational activities and role of S.V. Kurashov in establishing and developing of national medicine and health care in the USSR and his contribution to the organization of health resorts, medical industry, pharmacy. The data on the improvement of outpatient specialized medical care for the population, the dynamics of health care in the USSR in 19501965, and the implementation of national programs to eliminate especially dangerous infections in the country are detailed. The paper shows the role of S.V. Kurashov in the training of medical personnel, the construction of multi-specialty hospitals in rural areas, allowing to provide specialized outpatient and inpatient medical care, in the country's accession to the World Health Organization in Geneva, which increased the importance of the USSR health care in the international arena.

scholarly journals Obstetric and perinatal care units functioning during the COVID-19 pandemic

2020 ◽  
Vol 75 (1) ◽  
pp. 83-92 ◽  
Author(s):  
Gian Carlo Di Renzo ◽  
Alexander D. Makatsariya ◽  
Valentina I. Tsibizova ◽  
Federica Capanna ◽  
Bartha Rasero ◽  
...  
Keyword(s):  
Medical Care ◽  
Health Systems ◽  
Care Service ◽  
Personal Responsibility ◽  
Perinatal Care ◽  
Military Medicine ◽  
Obstetric Care ◽  
Medical Personnel ◽  
Global Scale ◽  
Developed Country

The rapid spread of COVID-19 and the large number of cases put a significant burden on the health systems of any developed country. Specialists in natural disasters and military medicine should be involved in the provision of medical care and observance of anti-epidemic measures. In some countries, including Italy, they were involved only after the situation was dramatically worsening with many clinical units and hospitals overloaded by infected patients. To curb the spread of COVID-19, most countries declared a state of emergency, and unprecedented measures have been taken to strengthen quarantine in suspected or positive symptomatic subjects. Nevertheless, the crisis associated with the unexpectedly global scale and tragedy of the pandemic and the inconsistency of actions of both society and individuals and specialized medical services, lead to insufficient effectiveness of the measures taken in a number of regions. In the present day, it is vital for every person to change its mindset ― relying on personal responsibility to comply with all recommendations of quarantine and anti-epidemic measures, and to reorganize departments and resources of medical institutions at all levels in order to withstand the spread of infection and at the same time provide all those in need with the necessary and appropriate medical care. Particular attention should be paid to the obstetric care service, given that even in normal times, the obstetric hospital is an area of increased responsibility for the life and health of mother and child and future mankind. Fulfillment of existing orders, instructions of national and regional committees, international and national protocols and clinical protocols should undoubtedly lead to a positive result, but this requires additional training of medical personnel at all levels. The purpose of this review is to propose quick key strategies for reassessing the maternity and neonatal wards/ hospitals based on the experience of health systems and organizations which faced the spread of this new coronavirus; this advice may be applied along with binding tight instructions in obstetric hospitals in order to proactively respond to a likely wave of growth in COVID-19.

scholarly journals Availability and quality of medical care to children according to estimates of their parents

2019 ◽  
Vol 19 (2) ◽  
pp. 97-102 ◽  
Author(s):  
I. A. Shmelyov ◽  
Oleg E. Konovalov
Keyword(s):  
Medical Care ◽  
Medical Personnel ◽  
Level Of Satisfaction ◽  
Positive Assessment ◽  
Free Care ◽  
Quality Of Medical Care ◽  
High Degree ◽  
Regional Programs ◽  
Monitoring Information

Introduction. Process of reforming of health care causes the need of the use of medico-sociological methods for the analysis of efficiency of medical care and search of ways of its improvement. There are presented data of Estimation of Parental Valuation of the quality and availability of the out-patient and polyclinic care for children. Materials and methods. The questionnaire survey of 478 lawful representatives of minor patients (residents of the samara region) was performed. Results. Respondents in general were established to give a positive assessment to the assurance of the quality of medical care for their children: relationships with the doctor were characterized by high degree of trust, attentive and respect, full understanding of problems of the patient from the medical personnel. Among the positive aspects the survey participants pointed out the possibility of obtaining expert assistance, free care, and certain availability, the possibility of the contact with a doctor as needed. The lack of a variety of specialists, safeguarding the confidentiality of the information, scarcity of medicines, and poor organization of rehabilitation are negatively perceived by parents. Parents see the achieving high quality of care in the improvement in working conditions for medical staff (including financial stimulation of employees) and increasing of the professionalism of doctors. Conclusion. Primary out-patient and polyclinic care for the children’s population in general is highly appreciated by parents enough as quite corresponds to individual needs of patients and in most cases helps to cope with their problems. Inconstancy of the level of satisfaction characterizing the quality of medical care determines the need of its regular monitoring. Information on the quality and availability of the out-patient and polyclinic care can be used in forming regional programs of the prevention of noninfectious diseases among the children’s population.

Centralization of pathoanatomical service, standardization of intravital pathoanatomical studies in oncology

2019 ◽  
Vol 2019 (4) ◽  
pp. 38-42
Author(s):  
Олег Кит ◽  
Oleg Kit ◽  
Алексей Максимов ◽  
Aleksey Maksimov ◽  
Инна Новикова ◽  
...  
Keyword(s):  
Nursing Staff ◽  
Medical Personnel ◽  
Material Testing ◽  
Manual Labor ◽  
Biopsy Material ◽  
Rational Use ◽  
Resource Support ◽  
Anatomical Research

Poor resource support of the pathoanatomical service, a lack of training of medical and nursing staff, poor results of pathological and anatomical research, and personnel shortage in some territories and republics of the country have been observed for more than 30 years. The reference centers organized in 2019 will contribute to the centralization of the pathoanatomical service and improve its work in general, which will lead to more efficient use of medical personnel due to the load streamlining, interchangeability, automation of manual labor, and complete and rational use of equipment, as well as will shorten the time for surgical and biopsy material testing.

The development of health care in Siberia in the 18th — first half of the 19th century

2019 ◽  
Vol 5 (2) ◽  
pp. 121-132
Author(s):  
Ekaterina V. Shulyak
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Political Development ◽  
Medical Personnel ◽  
Military Hospital ◽  
Genetic Method ◽  
Industrial Enterprises ◽  
Medical Institutions ◽  
Russian State ◽  
Folk Remedies

Development of health care of Siberia in the 18<sup>th</sup>&nbsp;— first half of the 19<sup>th</sup> century was closely connected with economic and political development of the Russian state. Before the medical personnel emergence in Siberia its population received medication only in the form of folk remedies. Development of its territory, insanitary conditions of life of Siberians, constant contingent of exiled to the indigenous people, and severe climate contributed to the spread of such diseases as smallpox, syphilis, and others.<br> The first medical institutions of Siberia were military hospital and infirmaries. In the days of reign of the Empress Anna Ioannovna, the city medical care started developing, and thanks to an initiative of the industrial enterprises owners&nbsp;— medical care for miners. After the establishment of the Public Charity Orders in Siberia, hospitals under their jurisdiction began to function in Tobolsk, Irkutsk, and Tomsk. A worthy contribution to the development of local medical institutions was made by donators Tolstopyatov, Bednyagin, Chupalov, and others. However, deficiency of financing, hospitals, and the medical personnel couldn’t adequately satisfy the needs of Siberian inhabitants in medical care.<br> The purpose of the article is to analyse the condition of public health, causes of morbidity and mortality of the population, as well as the process of medical care development in Siberia the turn of the 18<sup>th</sup> century by means of a historical and genetic method.

scholarly journals Medical support in children's camp: problems and solutions

2021 ◽  
Vol 65 (4) ◽  
pp. 310-317
Author(s):  
Anna S. Sedova ◽  
Leonid M. Protsenko
Keyword(s):  
Medical Care ◽  
Rest Period ◽  
Medical Personnel ◽  
Legal Regulation ◽  
The State ◽  
State Of Health ◽  
Medical Support ◽  
Medical Problems ◽  
Additional Information ◽  
Problems And Solutions

Introduction. High-quality medical support is an essential component of effective and safe recreation of children in the camp. Aim is a scientific substantiation of improving the system of medical care in the camps. Material and methods. A survey of 353 directors of day and stationary camps was conducted in the fall of 2020. Results. The most pressing medical problems of the system of medical care of children in the camp were identified: lack of medical personnel (in 46.3% of camps); difficulties with licensing medical activities in the camp (in 15.8% of camps); low qualifications of medical personnel and medical literacy of pedagogical personnel in matters of medical support for camps (in 7.1% and 10.7% of camps, respectively); the inaccuracy of information available in the camp about the state of health of children in the medical certificates of children (in 22.6% of camps). 74.6% of directors pointed to the problems of interaction with the parents of children (unwillingness to provide children with medical certificates or necessary additional information about the state of health of children, refusal to receive treatment prescribed in the camp, etc.). Conclusion. It is necessary to improve the legal regulation in the field of children’s recreation; provision of camps with qualified medical personnel; educational programs on medical care for children in the camp for teachers; increasing the responsibility for the health of children during their rest period of medical organizations that draw up medical documents for children in front of the camp, as well as parents of children.

scholarly journals Assesment of nurses knowledge about non – Hodgkin’s lymphomas

2018 ◽  
Vol 17 (1) ◽  
pp. 24-29
Author(s):  
Magdalena Kurek ◽  
Tomasz Tatara
Keyword(s):  
Cancer Registry ◽  
Nursing Staff ◽  
Lymphatic System ◽  
Therapeutic Process ◽  
Medical Personnel ◽  
National Cancer Registry ◽  
Level Of Knowledge ◽  
Health Complications ◽  
Hodgkin's Lymphomas ◽  
Measuring Tool

Abstract Introduction. Non-Hodgkin lymphomas (NHL) are among the most frequent types of cancer linked with the lymphatic system. The disease, if not diagnosed or treated, may lead to serious health complications and/or death. Aim. The purpose of the work is to evaluate the level of knowledge of nursing staff about NHL. Material and methods. There were 100 members of nursing staff aged from 24 to 56 participating in the study. The research method was a diagnostic survey but the measuring tool was an anonymous author’s questionnaire which comprised 25 closed, single-choice questions and 2 filtering questions. Results. Among the respondents, 48% work at the Clinical Haematology/Oncology Ward, while the remaining 52% work in other wards. The question: “Is it possible for the NHL to be located outside the lymphatic system?”, 55% of respondents responded with an affirmative, 23% with a negative, 22% did not know the answer. Among the respondents, 100% stated that their employers do not designate any financial assets to train medical personnel with respect to expanding their knowledge about non-Hodgkin lymphomas. As many as 46% of respondents expand their knowledge through self-study using their own means. According to the National Cancer Registry, in 2014 there were 874 incidents and 236 deaths noted among men and 862 incidents and 235 deaths among women, linked with the diffused NHL. Comparing the data of the National Cancer Registry with the previous years, we can observe an increasing trend of morbidity and mortality, linked with the NHL. For example, in 2006 there were a total 1207 cases and 315 deaths linked with the diffused NHL. Conclusions. Results show that the respondents’ awareness with regard to NHL is limited. Employers do not finance NHL training, which may affect the low level of knowledge. NHL patient hospitalization is a long-term process requiring expenses and effort on the side of medical personnel. Nursing and health education are necessary elements of the therapeutic process of an NHL patient.

scholarly journals On the Concept of Criminological Ratios of Unintentional Crime in Medical Assistance Rendering

2020 ◽  
Vol 11 ◽  
pp. 31-34
Author(s):  
Polina G. Gabay ◽  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Workers ◽  
Medical Personnel ◽  
Practical Significance ◽  
Healthcare Sector ◽  
Legal Analysis ◽  
Medical Assistance ◽  
Personal Relations

Purpose. To study the indices of carelessness in the provision of medical care from a criminological standpoint. Methodology: it includes the following methods: historical and legal, comparative legal, analysis and forecasting. Conclusions. 1. Elements of everyday carelessness in health care can be distinguished only conditionally and only in the sphere of relations that are within the framework of personal relations between medical personnel and patients. 2. The structure of health crime includes three groups of crimes: professional crimes of health workers; malfeasance of employees of the studied area; crimes, the responsibility for which arises for these subjects along with other persons. Scientific and practical significance. The conclusions presented in the article are aimed at increasing the effectiveness of counteracting careless criminality in the healthcare sector in the provision of medical care.

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