Motivation in modern leadership

Ljudje smo si različni, zato ni enega in edinega načina, kako motivirati zaposlene. Naloga vodje oz. vodstva podjetja je, da zaposleni dobro opravijo svoje delo. Zato morajo ugotoviti, kaj je za zaposlene pri delu pomembno, kaj jih motivira k boljšem doseganju ciljev. Za dosego tega morajo vodilni v podjetju znati motivirati zaposlene, tako bodo ti opravljali svoje delo boljše, kakovostnejše ter z večjo prizadevnostjo. V diplomskem delu smo želeli predstaviti pogled na obstoječe motivacijske teorije, dejavnike motiviranja. Prikazali smo načine motiviranja medicinskih sester za delo in njihovo pomembnost pri vsakdanjem delu, kakor tudi vodenje, teorije vodenja, modele in stile vodenja. Predstavili smo nekatere elemente sodobne zdravstvene nege, ki jih morajo medicinske sestre vključevati v svoje delo za izboljšanje kakovosti zdravstvene nege in približevanje stroki. Prikazali smo načine vodenja v zdravstveni negi. Diplomska naloga je teoretična in temelji na deskriptivni metodi dela. Pregledali in analizirali smo številno aktualno domačo in tujo literaturo, vire smo črpali iz revije ˝Obzornik zdravstvene nege˝, iz različnih zbornikov predavanj, ter internetne vire na temo zdravstvene nege in motivacije medicinskih sester. Literaturo smo kritično analizirali.People are different, each of us is unique, therefore there is no single method how to motivate employees. It is the task of a leader or a management of the organization to ensure that employees will do their job well. That is why managing structures have to realize, what is important to employees at their work and what motivates them to strive towards better results at work. To achieve that, employers have to know how to motivate their employees so they can perform better and more efficient. In this diploma thesis we wanted to present existent theories of motivation and factors of motivation. We have shown different ways of motivating nurses for their work and their importance in everyday work. In the next chapter we have analyzed theories of leadership, their modes and styles. We have also presented some of the elements of contemporary health care that nurses have to implement in their work to improve the quality of health care. In the thesis presented we show modes of leadership in health care. The diploma will be theoretic, it will be based on a descriptive method. We will be analizing present national and foreign literature. The sources will be taken from ˝Review of Health Care˝, from diffrent miscellanies lectures and from internet based on health care

Pulmonary hypertension at admission predicts ICU mortality in elderly critically ill with severe COVID-19 pneumonia: retrospective cohort study

Abstract Background Point-of-care ultrasound (POCUS) is a useful diagnostic tool for non-invasive assessment of critically ill patients. Mortality of elderly patients with COVID-19 pneumonia is high and there is still scarcity of definitive predictors. Aim of our study was to assess the prediction value of combined lung and heart POCUS data on mortality of elderly critically ill patients with severe COVID-19 pneumonia. Methods This was a retrospective observational study. Data of patients older than 70 years, with severe COVID-19 pneumonia admitted to mixed 25-bed, level 3, intensive care unit (ICU) was analyzed retrospectively. POCUS was performed at admission; our parameters of interest were pulmonary artery systolic pressure (PASP) and presence of diffuse B-line pattern (B-pattern) on lung ultrasound. Results Between October 2020 and March 2021, 117 patients aged 70 years or more (average age 77 ± 5 years) were included. Average length of ICU stay was 10.7 ± 8.9 days. High-flow oxygenation, non-invasive ventilation and invasive mechanical ventilation were at some point used to support 36/117 (31%), 39/117 (33%) and 75/117 (64%) patients respectively. ICU mortality was 50.9%. ICU stay was shorter in survivors (8.8 ± 8.3 vs 12.6 ± 9.3 days, p = 0.02). PASP was lower in ICU survivors (32.5 ± 9.8 vs. 40.4 ± 14.3 mmHg, p = 0.024). B-pattern was more often detected in non-survivors (35/59 (59%) vs. 19/58 (33%), p = 0.005). PASP and B-pattern at admission, and also mechanical ventilation and development of VAP, were univariate predictors of mortality. PASP at admission was an independent predictor of ICU (OR 1.061, 95%CI 1.003–1.124, p = 0.039) and hospital (OR 1.073, 95%CI 1.003–1.146, p = 0.039) mortality. Conclusions Pulmonary artery systolic pressure at admission is an independent predictor of ICU and hospital mortality of elderly patients with severe COVID-19 pneumonia

Design of a single-chain polypeptide tetrahedron assembled from coiled-coil segments.

Protein structures evolved through a complex interplay of cooperative interactions, and it is still very challenging to design new protein folds de novo. Here we present a strategy to design self-assembling polypeptide nanostructured polyhedra based on modularization using orthogonal dimerizing segments. We designed and experimentally demonstrated the formation of the tetrahedron that self-assembles from a single polypeptide chain comprising 12 concatenated coiled coil-forming segments separated by flexible peptide hinges. The path of the polypeptide chain is guided by a defined order of segments that traverse each of the six edges of the tetrahedron exactly twice, forming coiled-coil dimers with their corresponding partners. The coincidence of the polypeptide termini in the same vertex is demonstrated by reconstituting a split fluorescent protein in the polypeptide with the correct tetrahedral topology. Polypeptides with a deleted or scrambled segment order fail to self-assemble correctly. This design platform provides a foundation for constructing new topological polypeptide folds based on the set of orthogonal interacting polypeptide segments