Determining the Readiness for Mobile Learning

The following presents the outcomes from the questionnaire given to Italian and Bulgarian university students and stuff in order to determine some parameters, like availability of devices; the ways of devices usage; attitude to technology; opinion about prices of hardware and telephone and internet services and etc. These parameters seem to be important in order to study students’ readiness for Mobile Learning

Nursing’s motives for work in pediatric care

The purpose of this study is to investigate the motives of the nurses for career choices in pediatric care. An analysis of literary sources, a documentary method and a questionnaire are attached. The opinion of 70 nurses working in children’s departments of Multiprofile Active Care Hospitals, Crèches and Individual Practices for Primary Care in Varna in the period November 2017 - August 2018 was studied. The results prove that the selection of careers in the field of pediatric nursing for a significant part of the respondents is considerable and purposeful. The majority of the nurses confirm that if they had the opportunity to repeat their choice, they would once again turn to work in the field of pediatric care, driven by love for children and the belief that this is vocation. Leading factors that motivate them to continue to care for the children are the nature of the work and the favorable working environment

RISK FACTORS IN PATIENTS WITH CARDIOVASCULAR DISEASES

Introduction: Cardiovascular diseases (CVD) are a socially significant problem and are theleading cause of death worldwide. A number of studies prove that lifestyle changes related to weightreduction, active physical activity, control of arterial hypertension can delay and possibly prevent thedevelopment of CVD.Objective: To investigate the presence of risk factors in patients with cardiovascular diseases.179Material and methods: Analysis of literary sources, documentary and survey method (directindividual anonymous survey) are applied. The opinion of 54 patients treated at "Sveta Marina" UMBALEAD - Varna - Department of Invasive Cardiology and Department of Non-Invasive Cardiology at theSecond Clinic of Cardiology was studied. The research was conducted in the period April - May 2022.Graphical analysis was applied to visualize the observed processes and phenomena. The Microsoft OfficeExcel software package was used to create the graphs.Results and discussion: The results of the study prove the presence of family burden in themajority of patients. A significant part of the respondents answered that they do not follow a dietaryregime with restriction of cooking salt and do not consume fruits and vegetables daily. The majority ofrespondents indicate that they do not have daily physical activity. Two-thirds of the study participantshad been under stress in the past year and the same number were smokers.Conclusion: The study of the presence of risk factors in patients with cardiovascular diseases isan important prerequisite for active work in the direction of overcoming them. Nurses can significantlycontribute in this direction, through prophylactic activities for the prevention of cardiovascular diseases

The X-Ray Laboratory Assistant `S Duty To Inform The Patients In Order To Get Informed Consent

Introduction: Nowadays, the X-ray laboratory assistant profession has a key role and it covers a large perimeter of the general medical activities. As a result, this leads to increase of the responsibility in professional decision-making; this requires a raising of standards for professional behavior and good knowledge, as well as for observation of the professional conduct rules along with the legal provisions regarding the patients’ rights. Aim: Research of the link between the professional conduct rules and the legal provisions regulating the patients’ rights, and more specifically research of the link between the rules that regulate the right to know and the informed consent related to the X-ray laboratory assistant`s activity.Materials and methods: Literature sources analysis and documentary methods were used. Results and discussion: The analysis results show that the ethical standards in the Professional Conduct for associated medical professionals in the healthcare of the Republic of Bulgaria, including the X-ray laboratory assistants, attain a significance of legal regulations with binding force which is affixed by claiming an administrative criminal liability under the Professional Organizations of Nurses, Midwives and Associated Medical Professionals Act.Summary and conclusions: The knowledge and observation of the professional conduct rules along with the legal provisions that regulate the right to know and the patients` informed consent, guarantee the ethical and legal practice of the X-ray laboratory assistant profession, as well as the high quality of the healthcare

Study of legal framework of involvement of nurses in the process of patient`s informed consent in the republic of Bulgaria and other countries

Introduction: Essential in providing medical assistance to patients is achieving clarity and legal certainty in the work of medical professionals. To this end, a clear and uniform approach in regulation of involvement of nurses in the process of patient`s informed consent, which is currently lacking in the legislation of the Republic of Bulgaria, is to be adopted.Objective: To examine the legal framework of the involvement of nurses in the process of patients` informed consent in the Republic of Bulgaria and other countries.Materials and methods: We have applied a documentary method. A comparative legal analysis of the legislation on the involvement of nurses in the process of patients` informed consent in the Republic of Bulgaria and other countries within the period January 2014 - May 2015 has been made.Deliverables: Based on the comparative legal analysis of the legislation of the Republic of Bulgaria and the countries studied, it was found that there is no single approach to the regulations of the involvement of nurses in the process of patients` informed consent in the country unlike the laws of other countries where it is clearly and systematically arranged.Discussion: In the laws that have been reviewed the liability to inform patients lies on all health professionals. According to the analyzed legal definitions in the legal sources compared, a nurse is a health professional and as such, she has certain obligations in the process of informed consent of patients.Conclusion: It is necessary the current Bulgarian legislation on the involvement of nurses in the process of patients` informed consent to be further developed and refined taking into account the experience of other countries

The need to obtain written informed consent for invasive nursing procedures with a view of Bulgarian legislation

INTRODUCTION: The study on the need to obtain written informed consent for invasive nursing procedures has important scientific and practical importance in meeting the patients‘ rights and achieving professional nursing security.AIM: To examine the need to obtain written informed consent for invasive nursing manipulations with a view to the current Bulgarian legislation.MATERIALS AND METHODS: We have conducted an analysis of the literature and used a documentary method (due diligence). The legal regulation of public relations was analyzed and was linked to the nurse`s par­ticipation in the process of obtaining informed consent from the patient and in particular to the need to obtain written informed consent for invasive nursing procedures. The study is part of a complex, targeted and thor­ough study of the possibilities to optimize the participation of nurses in the process of obtaining informed con­sent from patients, conducted in the period January 2008 - September 2015.RESULTS: As result of the legal analysis of the primary and secondary legislation of the Republic of Bulgaria on the researched problem, it was found that an essential part of the medical activities performed by the nurses belong to the so-called invasive methods. At the same time the law requires informing and obtaining consent for the aforementioned medical activities to be carried out in writing. Moreover, it is a condition regarding the reality and validity of the consent. In this case, we performed a detailed analysis on issues concerning the indi­vidual that is obliged to provide the consent when performing the invasive procedures that are written above.CONCLUSIONS: Based on a thorough analysis of the primary and secondary legislation of the Republic of Bulgaria and also an analysis of the available scientific literature on the issue, the conclusion is that not the doctor, but the nurse is the one to inform and to obtain written consent from the patient before performing the invasive procedures for which the nurse is responsible

Expert assessment of practical approaches to optimize the participation of nurses in obtaining informed consent from the patient

INTRODUCTION: Nurses are an important resource to the health system and occupy a significant place in providing effective and quality healthcare. At the same time, obtaining informed consent is an important aspect in the nurses` work. Therefore, the opinion survey and the evaluation of experts on developing practical approaches aim to optimize the participation of nurses in the process of informed consent and have a great scientific and practical significance.AIM: To study the opinion and evaluation of experts on developing practical approaches to optimize the participation of nurses in the process of obtaining informed consent.MATERIALS AND METHODS: We have attached an analysis of the literature and used a documentary and an expert assessment method. An expert assessment of our own developed practical approaches was performed in the period March-September, 2015. It involved 50 experts - chief and senior nurses at the St. Marina University Hospital and used a questionnaire method of interviewing. Its aim was to optimize the participation of nurses in the process of informed consent of the patient.RESULTS: The majority of the experts approved the presented algorithm for obtaining informed consent from the patient and confirmed that the algorithm can be applied in the working process of the nurses. With regard to the presented data sheet for obtaining informed consent for intravenous injection (invasive nursing manipulation) the experts expressed concerns about the possible difficulties in putting it into practice, citing the shortage of nursing staff and time. A significant majority of experts, however, approved the technical sheet and evaluated it as applicable in nursing practice.CONCLUSIONS: The results of the expert assessment lead to the conclusion that the proposed practical approaches are applicable in nursing practice and will help to optimize the process of informed consent, respect the patient‘s right to informed consent, the professional comfort and safety of nurses

Knowledge of nurse students about the proper behavior during a terrorist act

Introduction: The issues related to adequate medical actions during a terrorist act in recent years emerged as particularly relevant. In the terrorist organizations that continually increase, a lot of money is invested and therefore combating the consequences of their attacks is particularly difficult. In this regard it is necessary that healthcare professionals possess knowledge and skills for proper behavior during a terrorist act.Objective: To investigate nurse students‘ knowledge of the proper behavior during a terrorist act.Material and Methods: Attached is the questionnaire method (direct group anonymous survey) and analysis of the literature. The opinion of 50 third-year nurse students at the Medical University of Varna was explored in January 2016.Results: The results reflect the opinions of the respondents, future nurses, on their holdings of knowledge concerning proper behavior during a terrorist act. The majority of respondents demonstrate knowledge related to key actions in assistance. They know the basic categories of victims and the rules for sorting.Conclusion: The data from the study show that despite the demonstrated knowledge, students are self-critical to their preparation. This necessitates a study of their attitudes on advanced training on the issue

Factors influencing upon the patient satisfaction during the hospitalization period

More often the patient estimates the medical activity and the relationships, in which he enters with the doctor and the nurse during the hospitalization period. The purpose of the investigation is to identify and analyse the factors, which influence upon the patient satisfaction during his stay in the department. The investigation is executed among 1054 patients, hospitalised in multiprofile hospitals for active treatment, situated in eight cities. The estimate of the different factors showed that with the increase of the hospitalisations number (up to the third hospitalisation) the patient satisfaction of the attitude of the doctor and nurse, the servicing and the nursing cares still increases, but the satisfaction regarding the necessary equipment, the obtained information and the medical supervision decreases. The patients, who live in villages, remain more satisfied unlike the people, who live in bigger cities. Regarding the education the patients, who have a higher educational degree and are younger, are more satisfied by the servicing and the cares in the department unlike the respect of their patient rights and the obtaining of regular information