22 research outputs found
Zadovoljstvo pacijenata uslugama bolniÄke ishrane
Introduction:
Satisfaction of patients has been frequently used as an indicator of quality in the healthcare sector. The analysis of patient satisfaction or experience in respect of hospital food is an important segment influencing the overall satisfaction with hospital services provided, and the study results should serve for the purpose of improving the service quality.
Aim:
To analyse patient satisfaction with hospital food services, evaluate the level of satisfaction in respect of food distribution, and give recommendations for improvement of hospital food quality.
Materials and methods:
The study included 300 patients hospitalized in the Clinical Centre of the University of Sarajevo (CCSU). The study used an anonymous,
purposely designed questionnaire. The study was conducted in the period from 1 May to 31 August 2017.
Results:
The study related to patient satisfaction with hospital food services showed that the respondents were satisfied with hospital food in the majority of cases. Few respondents were unsatisfied with food provided from the central kitchen, specifically 5% of them; 25% of the respondents were unsatisfied with the nutritive value of the food, 6% of them were unsatisfied with the menu, and 10% of the respondents were unsatisfied with the dietary treatment.
Conclusion:
Nutrition of patients during their hospital treatment has significant influence on the overall recovery and it significantly affects the overall satisfaction regarding patientsā treatment in hospital. Small number of the tested patients showed subjective perception in respect of nutritive value of the food and prescribed dietary regime.Uvod:
Zadovoljstvo pacijenata sve se viÅ”e upotrebljava kao indikator kvalitete u zdravstvenom sektoru. Ispitivanje zadovoljstva ili iskustava pacijenata s prehranom u bolnici predstavlja važan segment koji utjeÄe na opÄe zadovoljstvo pruženim zdravstvenim uslugama u bolnici, a rezultati ispitivanja moraju služiti u svrhu poboljÅ”anja kvaliteta usluga.
Cilj rada:
Ispitati zadovoljstvo pacijenata uslugama bolniÄke prehrane, ocijeniti stupanj zadovoljstva distribucijom hrane te prikazati preporuke za unaprjeÄenje kvalitete bolniÄke prehrane.
Metode istraživanja:
Istraživanje je provedeno meÄu 300 hospitaliziranih pacijenata u KliniÄkom centru Univerziteta u Sarajevu. Za istraživanje je primijenjen namjenski konstruiran anonimni anketni upitnik. Istraživanje je provedeno u periodu od 1. svibnja do 31. kolovoza 2017.
Rezultati istraživanja:
NaÅ”e je istraživanje pokazalo da su ispitanici u najveÄem broju sluÄajeva zadovoljni bolniÄkom prehranom. Manji je broj ispitanika nezadovoljan hranom iz centralne kuhinje, i to 5%, 25% ispitanika nije zadovoljno nutritivnom vrijednoÅ”Äu obroka, 6% jelovnikom, a 10% provoÄenjem dijetetskog tretmana.
ZakljuÄak:
Prehrana pacijenata za vrijeme bolniÄkog tretmana ima važan utjecaj na cjelokupni oporavak od bolesti i znatno utjeÄe na opÄe zadovoljstvo pacijenta tretmanom u bolnici. Manji broj ispitanika subjektivno percipira nezadovoljstvo nutritivnom vrijednoÅ”Äu obroka i provoÄenjem propisane dijete
The department of construction management: A historical overview
Historical data are presented dating from the foundation of the
Department of Construction Management, Faculty of Civil Engineering,
University of Zagreb up to the present day. The work of the
department is presented through teaching and scientific activities, international cooperation, publishing work, the organization of teaching
for undergraduate, post-graduate and PhD studies, and work by scientists at international congresses and publication of articles
Application and development of information technology in the civil engineering sector in Croatia
Prikazuju se rezultati rada na dva znanstvena projekta o primjeni i razvoju informatiÄke tehnologije u hrvatskom graditeljstvu. Opisuju se istraživanja koja se nastavljaju na ona opisana u prethodno objavljenim radovima. Ovdje su prikazani rezultati ankete provedene u 2002., na koju se od 105 pozvanih tvrtki odazvalo 58. Istaknuto je da se u odnosu na prethodno razdoblje primjeÄuje napredak, ali da joÅ” nije stanje zadovoljavajuÄe te se daju prijedlozi za poboljÅ”anje stanja.Results obtained on two research projects focusing on the use and development of information technology in construction industry in Croatia are presented. The research following that presented in previous papers is described. Results obtained during survey conducted in 2002, when 58 out of 105 companies responded to the survey, are presented. It is emphasized that, compared to the previous period, the situation has improved although it can still not be considered satisfactory. Proposals are given for making improvements in this field
Applying a Combined Chronometric- Simulation Method for Optimizing Operation Management in Construction
This paper describes a Croatian educational experience about
the possibility of implementing a combination of the famous method
of āwork studyā and the most modern simulation software to improve
construction production. For the first time the students observed the
capital technological construction processes āon siteā and then measured the necessary time for their execution by the well known āchronometricā method. During the second exercise they analyzed the real observed processes and the sample of collected data. After that, they made a āgraphic-simulationā model using the best-known software āStroboscopeā for simulating ājustā the construction technological processes. At the end of their training exercise, the students concluded about the possibilities of improving technological construction processes on a āreal siteā. The main goal of this paper was to describe the āreal processā of real education for some regular Croatian students.
The simulation of construction processes, with real collection of data,
may train the students about what to do in real situations. Of course,
this paper presents only the general approach without greater detail
MENADŽMENT RIZIKA U PROCESU KLINIÄKE ZDRAVSTVENE NJEGE
Risk management in the process of nursing clinical practice is a systematic process that requires expertise and skills in risk prevention. Patient safety at the hospital is the primary goal of every individual providing health care service, and at the same time of the organizations. Accordingly, it is necessary to develop strategies that minimize the risks in the hospital and successfully address adverse events in practice. The main hypothesis was that risk management in the healthcare process has a positive impact on the quality and safety of healthcare service. The following goals were set: 1) to identify the most common risks reported in the healthcare process; 2) to examine the ways and models of risk prevention in the healthcare process in hospitals; and 3) to examine the practice and attitude of nurses in the process of managing risks and adverse events. The survey was conducted among 115 nurses/medical technicians employed at the public health institutions-hospitals in the Federation of Bosnia and Herzegovina. The survey used the original questionnaire prepared
by the authors in the electronic Google forms, which was available to the respondents via personal e-mail address, and they responded completely independently without the infl uence of another person. Comparison of risk events in practice showed a statistically signifi cant decrease with advancing age of the respondents (rho=-0.274; p=0.003), longer work experience of the respondents (rho=-0.334; p=0.0001), higher education of the respondents (rho=-0.198; p=0.034), conducting patient categorization (rho=-0.289; p=0.002), and policies and procedures adopted (rho=-0.408; p=0.0001). A statistically signifi cant effect on reducing the number of adverse events per patient was shown for the frequency of examination of patient skin and mucous membranes during hospital stay (rho=-0.200; p=0.032), use of scales to assess the risk of falls (rho=-0.422; p=0.0001), use of risk assessment scales for pressure ulcers (rho=-0.375; p=0.0001), frequency of intravenous cannula replacement (rho=-0.204; p=0.029), frequency of patient bathing (rho=-0.355; p= 0. 0001) and the method of performing nutritional evaluation of artifi cially fed patients (rho=-0.327; p=0.0001). In conclusion, patient safety in the hospital should be considered a paramount issue, and nurses who spend most time with patients are expected to provide conditions for secure hospital stay, conditions for safe and quality service in the health care process, and implementation of standardized procedures based on scientifi c and practical evidence. Continuous reporting of quality indicators in the health care process contributes to strengthening of the organizational culture, prevention of risks and adverse events, and planning of personnel and equipment necessary for the quality of the health care process.Upravljanje rizicima u procesu sestrinske kliniÄke prakse je sistematiÄan proces koji zahtijeva struÄnost i vjeÅ”tine u prevenciji nastanka rizika. Sigurnost bolesnika u bolnici je primarni cilj svakog pojedinca koji pruža zdravstvenu uslugu, a istodobno i same organizacije. U skladu s time neophodno je razviti strategije kojima Äe rizici u bolnici biti svedeni na minimum i kojima Äe se uspjeÅ”no rijeÅ”iti neželjeni dogaÄaji u praksi. Glavna hipoteza rada bila je da upravljanje rizicima u procesu zdravstvene njege ima pozitivan utjecaj na kvalitetu i sigurnost zdravstvenih usluga. Ciljevi rada bili su: 1. Utvrditi najÄeÅ”Äe rizike koji se prijavljuju u procesu zdravstvene njege; 2. Ispitati naÄine i modele prevencije rizika u procesu zdravstvene njege u bolnicama; 3. Ispitati praksu i stav medicinskih sestara u procesu upravljanja rizicima i neželjenim dogaÄajima. Istraživanje je provedeno meÄu 115 medicinskih sestara-tehniÄara zaposlenih u javnim zdravstvenim ustanovama, bolnicama u FBiH. U istraživanju je primijenjen originalni autorski anketni upitnik pripremljen u elektroniÄkom programu Google forms koji je ispitanicima bio dostupan putem osobne adrese e-poÅ”te, a na njega su odgovarali potpuno samostalno bez utjecaja druge osobe. Usporedba riziÄnih dogaÄaja u praksi pokazuje statistiÄki znaÄajno smanjenje u odnosu na stariju dob ispitanika (rho=-0,274; p=0,003), duži radni staž ispitanika (rho=-0,334; p=0,0001), viÅ”u struÄnu spremu ispitanika (rho=-0,198; p=0,034), provoÄenje kategorizacije bolesnika (ro=-0,289; p=0,002), usvojene politike i postupke (rho=-0,408; p=0,0001). Na smanjenje broja neželjenih dogaÄaja za bolesnika statistiÄki znaÄajan utjecaj pokazali su: uÄestalost pregleda kože i sluznica bolesnika za vrijeme hospitalizacije (rho=-0,200; p=0,032), uporaba ljestvica za procjenu rizika od pada (rho=-0,422; p=0,0001), uporaba ljestvica za procjenu rizika za nastanak dekubitusa (rho=-0,375; p=0,0001), uÄestalost promjene intravenske kanile (ro=-0,204; p=0,029), uÄestalost kupanja bolesnika (rho=-0,355; p=0,0001) i naÄin nutritivne procjene bolesnika koji se hrane umjetnim putem (rho=-0,327; p=0,0001). U zakljuÄku, sigurnost bolesnika u bolnici treba biti na prvom mjestu, a od medicinskih sestara koje najviÅ”e vremena provode uz bolesnike oÄekuje se osiguranje uvjeta za siguran smjeÅ”taj u bolniÄkom prostoru, uvjeta za sigurnu i kvalitetnu uslugu u procesu zdravstvene njege te primjenu standardiziranih postupaka osnovanih na znanstvenim dokazima i dokazima iz prakse. Kontinuirano izvjeÅ”tavanje o indikatorima kvalitete u procesu zdravstvene njege doprinosi jaÄanju organizacijske kulture, prevenciji rizika i neželjenih dogaÄaja te planiranju kadrova i opreme neophodne za kvalitetu procesa zdravstvene njege
PRIMJENA MODELA KATEGORIZACIJE BOLESNIKA PREMA POTREBAMA ZA ZDRAVSTVENOM SKRBI KAO POKAZATELJ EFIKASNOSTI I EFEKTIVNOSTI SESTRINSKE KLINIÄKE PRAKSE
Introduction: Evaluation and categorization of patients enable us to determine the number of hours required for their medical treatment, to calculate the number of required nursing staff, to monitor and evaluate results, and to determine financing of services. Standardized forms are used for appropriate assessment of patient condition and need for medical care. Categorization of patients contains comprehensive data related to patient condition based on 16 risk factors. Objective of the study: to determine the number of hospitalized patients categorized in the group of patients in high demand for progressive care; to show care evaluation and treatment outcome of highly categorized patients; and to examine the ratio of medical care providers in relation to the number of highly categorized patients. Methods: the study was conducted among patients hospitalized at the Sarajevo University Clinical Center in the period from January 1 to December 31, 2017. The research used standardized nursing documentation, patient categorization forms, monthly evaluation reports and other relevant documentation. The study included 25 organizational units. Analysis of highly categorized patients requiring progressive medical care was conducted in 15 organizational units of the Sarajevo University Clinical Center. In the course of the study, identity and other personal data of patients were protected. This was a retrospective study. Study results and discussion: patients were categorized in one of four categories, in accordance with the methodology described. Most of the total of 28097 patients were category 1 patients where self care sufficed (40.7%), while there were 22.4% of patients in category 4, the majority of them hospitalized at the Department of Neurology (n=1300). Based on the number of patients from different categories and the time required for their treatment, we gave an estimate of the number of nurses required for providing quality medical care. Their number was by 50% lower than their actual number. The percentage of cured patients at the Sarajevo University Clinical Center was 75%. Conclusions: categorization of patients should have its purpose and final objective directed at strategic planning of human resource in the field of nursing, monitoring the course and outcome of health care processes, and analysis of nursing clinical practice efficiency and effectiveness. Study results showed realistic need for medical care providers at different departments where patients were categorized for progressive care. Analysis of the results confirmed that the percentage of cured patients was higher at departments with a higher number of nurses in respect to their estimated number.Uvod: Procjena trijažiranja bolesnika u kategorije omoguÄava nam utvrditi broj sati potrebnih za zdravstvenu skrb bolesnika, proraÄun potrebnog sestrinskog osoblja, praÄenje i evaluiranje ishoda i financiranje usluga. Za odgovarajuÄu procjenu stanja bolesnika i potreba za zdravstvenom skrbi koriste se standardizirani obrasci. Kategorizacija bolesnika sadrži sveobuhvatne podatke o stanju bolesnika sagledanom u 16 Äimbenika rizika u zdravstvenoj njezi. Cilj rada: Utvrditi broj hospitaliziranih bolesnika kategoriziranih visokom ocjenom za progresivnu zdravstvenu skrb; prikazati evaluaciju zdravstvene skrbi i ishod lijeÄenja visoko kategoriziranih bolesnika; ispitati omjer izvrÅ”itelja zdravstvene skrbi u odnosu na broj visoko kategoriziranih bolesnika. Metode: Istraživanje je provedeno meÄu hospitaliziranim bolesnicima u KliniÄkom centru SveuÄiliÅ”ta u Sarajevu od 1. sijeÄnja do 31. prosinca 2017. godine. Za istraživanje je koriÅ”tena standardizirana sestrinska dokumentacija, obrasci kategorizacije bolesnika, mjeseÄna izvjeÅ”Äa i druga relevantna dokumentacija. Istraživanje je provedeno u 25 organizacijskih jedinica ustanove. Analizirani su visoko kategorizirani bolesnici za potrebe progresivne zdravstvene skrbi u 15 organizacijskih jedinica KliniÄkoga centra SveuÄiliÅ”ta u Sarajevu. Za vrijeme provoÄenja istraživanja identitet i drugi osobni podatci o bolesnicima bili su zaÅ”tiÄeni. Istraživanje je retrospektivno. Rezultati i rasprava: Bolesnici su svrstani u jednu od Äetiri kategorije sukladno metodi opisanoj u radu. Od 28.097 bolesnika najviÅ”e ih je bilo 1. kategorije za koje je samoskrb dovoljna (40,7%), dok je bolesnika 4. kategorije bilo 22,4%, od Äega najviÅ”e u NeuroloÅ”koj klinici (1300). Na osnovi broja bolesnika razliÄitih kategorija i vremena koje je potrebno za njihovo lijeÄenje procijenjen je broj medicinskih sestara neophodan za kvalitetnu skrb. Njihov broj je za 50% manji od stvarnog broja zaposlenih. Postotak izlijeÄenih bolesnika u KliniÄkom centru Univerziteta u Sarajevu je 75%. ZakljuÄci: Razvrstavanje bolesnika u kategorije trebalo bi imati svoju svrhu i konaÄan cilj usmjeren na strateÅ”ko planiranje ljudskih resursa u podruÄju sestrinstva, praÄenje tijeka i ishoda procesa zdravstvene skrbi te analizu uÄinkovitosti i sposobnosti sestrinske kliniÄke prakse. Rezultati istraživanja pokazali su stvarne potrebe za izvrÅ”iteljima zdravstvene skrbi na odjelima klinika gdje su bolesnici kategorizirani ocjenom za progresivnu skrb. Analizom rezultata je potvrÄeno da je postotak izlijeÄenosti veÄi na klinikama koje imaju broj sestara veÄi u odnosu na procijenjeni
Information technology in Croatia\u27s construction industry
Prikazani su zbirni rezultati istraživanja za znanstveni projekt āRazvoj primjene informatiÄke tehnologije u hrvatskom graditeljstvuā. Rezultati se temelje na obraÄenim podacima iz dobivenih odgovora na pitanja postavljena u anketnom ispitivanju glavnih menadžera iz 49 graditeljskih tvrtki. Autori istiÄu bitne razloge zaostajanja hrvatskog graditeljstva u primjeni suvremene informatiÄke tehnologije u odnosu na razvijeni svijet i predlažu smjernice za njezin uÄinkovitiji razvoj.Summarized results as obtained in the scope of the research project called "Developments in the use of information technology in Croatia\u27s construction industry", are presented. The results are based on the analysis of answers obtained during survey involving general managers from 49 construction companies. Authors present main reasons why Croatia\u27s construction industry is lagging behind developed countries in the use of modern information technology, and provide guidelines aimed at fostering more efficient advances in this field