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.

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 Analysis of Service Maintenance of Medical Equipment in State Organizations of the Republic of Kazakhstan. Policy Brief

2021 ◽  
Vol 2 (42) ◽  
pp. 76-85
Author(s):  
Ainara Tuleubaeva ◽  
◽  
Assem Kabykenova ◽  
Keyword(s):  
Medical Devices ◽  
Medical Equipment ◽  
Professional Training ◽  
Medical Personnel ◽  
Policy Options ◽  
Healthcare Organizations ◽  
Medical Organization ◽  
Computerized Maintenance Management System ◽  
The Republic ◽  
State Organizations

What are the problems? • Overestimation of the cost of service work at the "officials"; • Underpricing by unscrupulous suppliers who do not have the necessary knowledge and skills to service medical devices; • Deficit of financial resources between the actual need and the planned expenditures of budgetary funds for the maintenance of medical devices; • Lack of MI engineers in healthcare organizations; Lack of medical equipment on the basis of a medical organization on an ongoing basis. Quite often, medical technicians work in parallel in several medical organizations, which in turn leads to downtime of broken equipment that could be repaired immediately; • Insufficiently developed practice of training medical personnel on the basis of equipment manufacturers or an institution providing professional training in servicing relevant types of equipment; Policy options • Option 1. Amendments to the Normative legal acts of the Republic of Kazakhstan. • Option 2. Competent center, centrally dealing with the issues of medical equipment breakdowns. • Option 3. Implementation of a computerized maintenance management system for medical equipment. Key provisions Each of these policy options can contribute to the development of service provision for medical technology in the Republic of Kazakhstan. At the same time, in combination, they can lead to more effective changes. Key words: medical equipment, medical equipment, service, service of medical devices, Kazakhstan.

Nursing care of a child with acute lymphoblastic leukemia

2018 ◽  
Vol 8 (2) ◽  
pp. 168-173
Author(s):  
A Ślifirczyk ◽  
P. Piszcz ◽  
M. Ślifirczyk ◽  
T. Michalczuk ◽  
M. Urbańczuk ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Acute Lymphoblastic Leukemia ◽  
Nursing Care ◽  
Lymphoblastic Leukemia ◽  
Medical Personnel ◽  
Steady Increase ◽  
Nursing Process ◽  
Cancer Disease ◽  
Number Of Children ◽  
The World

Every year a very large number of children in the world suffer from acute lymphoblastic leukemia, and for years there has been a steady increase in the number of new cases. Acute lymphoblastic leukemia accounts for 75% of leukemia cases in the world. Lymphoblastic leukemia is a cancer disease that originates in B or T cell lymphocytes, which expansion takes place in blood and in the bone marrow. The etiology of the disease is not fully understood because it consists of several factors conditioning its formation. The most important element is the early detection and taking actions resulting in effective disease control through treatment and care of the patient. The nursing process should allow the patient to be involved in and accept the ongoing cancer process, and medical personnel, family and specialists in such fields as psychology and psychiatry should participate.

scholarly journals Griewe in Suid-Afrikaanse hospitale: ‘n Geskiedkundig-verpleegkundige perspektief

Curationis ◽  
1998 ◽  
Vol 21 (4) ◽  
Author(s):  
S. Potgieter ◽  
M. Muller
Keyword(s):  
Personnel Management ◽  
Nursing Staff ◽  
Historical Analysis ◽  
Time Frame ◽  
Paper Analysis ◽  
Nursing Service ◽  
Nursing Services ◽  
Management Function ◽  
Development And Management ◽  
Service Managers

The nursing service manager is accountable for adequate and efficient personnel management in the nursing service and the management of grievances is an important aspect of the personnel management function. The question arises, however, how and when grievances in nursing services arose and developed? The purpose of this article is to give a historical description of the development and management of grievances in nursing services for the time frame 1652-1990. An historical analysis was undertaken by means of news paper analysis, as well as other written resources. The results show that the development of grievances are related to the development of hospitals in South Africa and that grievances were poorly managed. The following conclusions are made: * grievances in nursing are related to the establishment of hospitals; * the first official grievance was lodged in 1824 by a surgeon; * grievance are mainly related to the working conditions, remuneration and management; * complaints with salaries and food were lodged by nurses as early as 1869; * it appears as if nursing service managers are not adequately skilled in the management of grievances experienced by nursing staff - the same mistakes are made leading to strike action by nurses/midwives; * unhappiness with the inappropriate manner in which grievances are managed lead to industrial action by nursing staff since 1889. Continuous empowerment of nursing services managers in the management of grievances is important and therefore the development of a model for grievance management in nursing services is also recommended.

scholarly journals Perception of nursing staff towards the application of Professional Nursing Care Model and job satisfaction at Sanjiwani Hospital, Gianyar

2018 ◽  
Vol 6 (1) ◽  
pp. 68
Author(s):  
Gusti Ayu Krisma Yuntari ◽  
Pande Putu Januraga ◽  
I Ketut Suarjana
Keyword(s):  
Job Satisfaction ◽  
Nursing Care ◽  
Nursing Staff ◽  
Care Model ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Inpatient Ward ◽  
Professional Nursing ◽  
Nursing Services ◽  
Education And Employment

AbstractBackground and purpose: Several hospitals in Indonesia have developed a model of nursing care known as MAKP (Professional Nursing Care Model) to improve the quality of nursing services. Sanjiwani Hospital, Gianyar has applied this model. The aim of this study is to explore the perception of nurses towards this approach and assess its association with job satisfaction.  Methods: A cross-sectional survey was conducted with 92 nurses working at the inpatient ward at Sanjiwani Hospital, Gianyar. Data were collected from July-August 2017 by interview using questionnaires. Data collected included  the characteristics of respondents (age, gender, education, and employment status), nurses’ perception towards the application of MAKP, and nurses’ job satisfaction.Results: Nursing staff demonstrated perception score of ≥15 on leadership elements (68.5%), communication (72.2%), coordination (84.8%), delegation (80.4%), and supervision (66, 3%). Nursing staff with a score of ≥15 in coordination perception (AOR=4.48; 95%CI: 1.14-17.54), delegation (AOR=4.00; 95%CI: 1.21-13.23) and supervision (AOR=3.35; 95%CI: 1.25-8.88) expressed higher job satisfaction. While aspects of leadership (AOR=0.98; 95%CI: 0.29-3.79) and communication (AOR=0.76; 95%CI: 0.19-3.05) were not significantly associated with job satisfaction.Conclusions: The majority of nurses have a positive perception towards the MAKP approach. The better perception on coordination, supervision and delegation are found to increase job satisfaction. The results imply that coordination, supervision and delegation should be considered in order to increase job satisfaction in other hospitals.

scholarly journals Perception of nursing staff towards the application of Professional Nursing Care Model and job satisfaction at Sanjiwani Hospital, Gianyar

2018 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Gusti Ayu Krisma Yuntari ◽  
Pande Putu Januraga ◽  
I Ketut Suarjana
Keyword(s):  
Job Satisfaction ◽  
Nursing Care ◽  
Nursing Staff ◽  
Care Model ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Inpatient Ward ◽  
Professional Nursing ◽  
Nursing Services ◽  
Education And Employment

AbstractBackground and purpose: Several hospitals in Indonesia have developed a model of nursing care known as MAKP (Professional Nursing Care Model) to improve the quality of nursing services. Sanjiwani Hospital, Gianyar has applied this model. The aim of this study is to explore the perception of nurses towards this approach and assess its association with job satisfaction.  Methods: A cross-sectional survey was conducted with 92 nurses working at the inpatient ward at Sanjiwani Hospital, Gianyar. Data were collected from July-August 2017 by interview using questionnaires. Data collected included  the characteristics of respondents (age, gender, education, and employment status), nurses’ perception towards the application of MAKP, and nurses’ job satisfaction.Results: Nursing staff demonstrated perception score of ≥15 on leadership elements (68.5%), communication (72.2%), coordination (84.8%), delegation (80.4%), and supervision (66, 3%). Nursing staff with a score of ≥15 in coordination perception (AOR=4.48; 95%CI: 1.14-17.54), delegation (AOR=4.00; 95%CI: 1.21-13.23) and supervision (AOR=3.35; 95%CI: 1.25-8.88) expressed higher job satisfaction. While aspects of leadership (AOR=0.98; 95%CI: 0.29-3.79) and communication (AOR=0.76; 95%CI: 0.19-3.05) were not significantly associated with job satisfaction.Conclusions: The majority of nurses have a positive perception towards the MAKP approach. The better perception on coordination, supervision and delegation are found to increase job satisfaction. The results imply that coordination, supervision and delegation should be considered in order to increase job satisfaction in other hospitals.

EFFECTIVENESS OF COMPUTER-BASED NURSING DOCUMENTATION IN NURSING CARE IN HOSPITAL – A LITERATURE REVIEW

2021 ◽  
Vol 2 (1) ◽  
pp. 16-24
Author(s):  
Brajakson Siokal
Keyword(s):  
Nursing Care ◽  
Health Workers ◽  
Professional Service ◽  
Patient Comfort ◽  
Nursing Documentation ◽  
Eligibility Criteria ◽  
Nursing Service ◽  
Nursing Services ◽  
Computer Based

Background: Nurse population in hospitals has a greater proportion than other health workers. Nearly 60-70% of the total human resources available, occupied by nurses. In fact, 90% of the health services provided are a form of nursing service. Therefore, nursing service is a form of professional service that is the biggest indicator in realizing the quality of hospital services. One of the duties of nurses in providing nursing services in accordance with standards is to document all nursing care provided. Objective: To review journals about documenting computer-based nursing care in hospitals for the effectiveness of the preparation of nursing care. Methods: Quantitative, mixed-methods, and qualitative reviews that aim to evaluate the influence of computerized nursing documentation (eg, management, computerized decision support systems and information systems) on nursing care were included. We used the nursing care performance framework as an extraction grid and analytical tool. This model illustrates how the interplay between nursing resources and nursing services can produce changes in patient conditions. The primary outcomes included nurses' practice environment, nursing processes, professional satisfaction, and nursing-sensitive outcomes. The secondary outcomes included satisfaction or dissatisfaction with computerized nursing documentation according to nurses 'and patients' perspectives. Reviews published in English, French, or Spanish from January 1, 2000 to December 15, 2019, were considered. Results: A total of 5515 titles or abstracts were assessed for eligibility and full-text papers of 72 articles were retrieved for detailed evaluation. It was found that 22 reviews published between 2002 and 2015 met the eligibility criteria. Many nursing care themes (ie, indicators) were influenced by the use of computerized nursing documentation, including time management; time spent on patient care; documentation time; information quality and access; quality of documentation; knowledge updating and utilization; nurse autonomy; intra and interprofessional collaboration; nurses' competencies and skills; nurse-patient relationship; assessment, care planning, and evaluation; teaching of patients and families; communication and care coordination; perspectives of the quality of care provided; nurses and patients satisfaction or dissatisfaction with computerized nursing documentation; patient comfort and quality of life related to care; empowerment; and functional status.

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).

scholarly journals STUDYING THE HISTORY OF THE DEVELOPMENT OF THE HEALTHCARE SYSTEM IN UZBEKISTAN DURING THE YEARS OF INDEPENDENCE

2021 ◽  
Vol 02 (05) ◽  
pp. 31-36
Author(s):  
Mukhabbat Madirimovna Makhmudova ◽  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Medical Personnel ◽  
Congenital Defects ◽  
Advanced Training ◽  
Upper Respiratory Tract ◽  
Dissertation Research ◽  
History Of ◽  
The Republic ◽  
Paratyphoid Fever

The article briefly highlights the history of the study of the health problem by Uzbek scientists in a certain period of time. The works of the authors are divided into groups based on their quality, nature and focus. Monographic and dissertation research is especially highlighted. Used methods of chronological and comparative analysis, particular attention is paid to the study of orientalists of Uzbekistan and publications of foreign authors. It is recognized that as a result of the implementation of the results of dissertation research by individual authors, there is an optimization of the structure of health care authorities and a decrease in the level of disease in the population. Over the years of independence, a health care reform program has been implemented. Much has been done to improve its quality and culture of timeliness and efficiency. A network of urgent emergency care, rural medical outpatient clinics and city polyclinics, multidisciplinary specialized clinics, scientific centers has been created. Medical care for women and children of the country is provided at the level of world standards, personnel training is carried out in 14 medical universities and one pharmaceutical institute, in 85 medical colleges. Advanced training and retraining of medical personnel is carried out in universities and an advanced training institute. At present, it is one of the most important branches of the country’s national economy. As a result of socio-economic and medical measures in Uzbekistan, medical care has become universal and publicly available, such dangerous diseases as cholera, plague, smallpox, parasitic typhus, trachoma have been eliminated, and the incidence of many others has been reduced. Over the past 10 years, the incidence of the population with such socially dangerous ailments as congenital defects by 32.4%, infectious diseases by 40%, the incidence of the upper respiratory tract has decreased by 4.2 times. The incidence of diphtheria, paratyphoid fever, poliomyelitis, malaria has been completely eradicated [1]. The health care system employs about 650 thousand people (this is almost 10 percent of the able-bodied population of the republic), including more than 84 thousand doctors and 500 thousand paramedical workers. An extensive network of medical institutions in Uzbekistan is capable of providing the necessary medical and preventive care to the entire population.

Sign in / Sign up

Export Citation Format

Share Document