scholarly journals Insertion of nursing in diagnostic technologies: innovations in secondary health care

Author(s):  
Nathália da Silva Pimentel Reis ◽  
Camilla da Silva Dias ◽  
Valéria de Oliveira Monteiro ◽  
Carla Tatiana Garcia Barreto ◽  
Raíla de Souza Santos ◽  
...  

Objectives: The study’s purpose has been to build Standard Operating Procedures (SOPs) for nursing care while performing diagnostic exams in secondary health care. Methods: A committee for Nursing Care Systematization (NCS) was then established, which assessed the sectors in which new diagnostic technologies were being implemented and raised the need for training of the technical team that performed these tests to standardize procedures, then reducing errors and failures in its realization. The SOPs were described through tables comprised by the following: definition of the diagnostic procedure, necessary material, nursing interventions and special care. Results: Four SOPs were elaborated, related to the exams of spirometry, polysomnography, retinography and hydrogen breath test. Conclusion: It was possible not only to know the execution of the exams, but also to understand the applicability of NCS with a focus on diagnostic technologies, besides providing subsidies for future implementation of NCS in the study institution.

Author(s):  
Nathália da Silva Pimentel Reis ◽  
Camilla da Silva Dias ◽  
Valéria de Oliveira Monteiro ◽  
Carla Tatiana Garcia Barreto ◽  
Raíla de Souza Santos ◽  
...  

Objectives: The study’s purpose has been to build Standard Operating Procedures (SOPs) for nursing care while performing diagnostic exams in secondary health care. Methods: A committee for Nursing Care Systematization (NCS) was then established, which assessed the sectors in which new diagnostic technologies were being implemented and raised the need for training of the technical team that performed these tests to standardize procedures, then reducing errors and failures in its realization. The SOPs were described through tables comprised by the following: definition of the diagnostic procedure, necessary material, nursing interventions and special care. Results: Four SOPs were elaborated, related to the exams of spirometry, polysomnography, retinography and hydrogen breath test. Conclusion: It was possible not only to know the execution of the exams, but also to understand the applicability of NCS with a focus on diagnostic technologies, besides providing subsidies for future implementation of NCS in the study institution.


2020 ◽  
Vol 13 (1) ◽  
pp. 35-40
Author(s):  
Meglena M. Balaburova ◽  
Makreta T. Draganova

Summary Morbidity and mortality rate for stroke and ischemic stroke (IS), in particular, have ranked Bulgaria at a top place in the European Union. In the acute recovery stage of the disease, patients need continuous and personalized health care. The assessment of individual needs and adequate planning for nursing interventions, known as nursing process stages, are the basis of effective care management for patients, surviving ischemic stroke (PSIS). Therefore, the study and application of the nursing process in practice have proved to be an objective prerequisite for improving the quality and development of nursing care for PSIS. The objective of the study was to analyze the opinion of nurses working in clinics/departments of Neurology and Physiotherapy and Rehabilitation in three towns in Northern Bulgaria, on health care (HC) planning for PSIS and the required documentation. A direct anonymous inquiry was carried out, using specially designed questions to investigate the opinion of the respondents on the problems studied. Of the 81 individuals approached, 75 (93%) responded. Of these, 52 (69%) were familiar with the main points of the nursing plan concept, and 34 (65%) had heard about the concept during their basic training in the speciality. According to 67 (89%) of the respondents, a care plan was necessary to increase the health care (HC) efficiency in IS patients. Our results showed that healthcare professionals considered care planning an important tool to ensure continuity, evaluation and control of the care provided. According to the respondents, documenting health care and evaluating the activities performed will contribute to improve the quality of nursing care and promote research into nursing care.


2014 ◽  
Vol 155 (21) ◽  
pp. 822-827
Author(s):  
Ágnes Váradi

The question of electronic solutions in public health care has become a contemporary issue at the European Union level since the action plan of the Commission on the e-health developments of the period between 2012 and 2020 has been published. In Hungary this issue has been placed into the centre of attention after a draft on modifications of regulations in health-care has been released for public discourse, which – if accepted – would lay down the basics of an electronic heath-service system. The aim of this paper is to review the basic features of e-health solutions in Hungary and the European Union with the help of the most important pieces of legislation, documents of the European Union institutions and sources from secondary literature. When examining the definition of the basic goals and instruments of the development, differences between the European Union and national approaches can be detected. Examination of recent developmental programs and existing models seem to reveal difficulties in creating interoperability and financing such projects. Finally, the review is completed by the aspects of jurisdiction and fundamental rights. It is concluded that these issues are mandatory to delineate the legislative, economic and technological framework for the development of the e-health systems. Orv. Hetil., 2014, 155(21), 822–827.


2020 ◽  
Vol 11 (9) ◽  
pp. 426-431
Author(s):  
Emily Hooper

The patient was presented to a veterinary hospital with acute progressive onset of non-ambulatory tetraparesis. An appropriate diagnosis of acute idiopathic polyradiculoneuritis was made and suitable supportive nursing care implemented. The patient was later diagnosed with pneumonia as a consequence of prolonged recumbency, requiring further nursing interventions. Treatment with intravenous human immunoglobulin therapy was subsequently initiated and the patient improved but was sadly later euthanased.


2021 ◽  
pp. 097206342110115
Author(s):  
Feryad A. Hussain

Integrative models of health care have garnered increasing attention over the years and are currently being employed within acute and secondary health care services to support medical treatments in a range of specialities. Clinical hypnosis has a history of working in partnership with medical treatments quite apart from its psychiatric associations. It aims to mobilise the mind–body connection in order to identify and overcome obstacles to managing symptoms of ill health, resulting in overall improved emotional and physical well-being. This article aims to encourage the use of hypnotherapy in physical health care by highlighting the effectiveness of hypnosis as an adjunct to medical treatment and identifying barriers preventing further integrative treatments.


2021 ◽  
pp. 135581962199749
Author(s):  
Veronica Toffolutti ◽  
David Stuckler ◽  
Martin McKee ◽  
Ineke Wolsey ◽  
Judith Chapman ◽  
...  

Objective Patients with a combination of long-term physical health problems can face barriers in obtaining appropriate treatment for co-existing mental health problems. This paper evaluates the impact of integrating the improving access to psychological therapies services (IAPT) model with services addressing physical health problems. We ask whether such services can reduce secondary health care utilization costs and improve the employment prospects of those so affected. Methods We used a stepped-wedge design of two cohorts of a total of 1,096 patients with depression and/or anxiety and comorbid long-term physical health conditions from three counties within the Thames Valley from March to August 2017. Panels were balanced. Difference-in-difference models were employed in an intention-to-treat analysis. Results The new Integrated-IAPT was associated with a decrease of 6.15 (95% CI: −6.84 to −5.45) [4.83 (95% CI: −5.47 to −4.19]) points in the Patient Health Questionnaire-9 [generalized anxiety disorder-7] and £360 (95% CI: –£559 to –£162) in terms of secondary health care utilization costs per person in the first three months of treatment. The Integrated-IAPT was also associated with an 8.44% (95% CI: 1.93% to 14.9%) increased probability that those who were unemployed transitioned to employment. Conclusions Mental health treatment in care model with Integrated-IAPT seems to have significantly reduced secondary health care utilization costs among persons with long-term physical health conditions and increased their probability of employment.


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