Ämmaemandusabi kvaliteediindikaatorid: integreeriv kirjanduse ülevaade

https://www.ester.ee/record=b5186179https://www.ester.ee/record=b518617

Kognitiivse seisundi hindamine neuropsühholoogias

Kognitiivse seisundi hindamine pakub olulist lisainfot paljude neuroloogiliste ja psühhiaatriliste häiretega patsientide seisundi käsitlemisel. Hindamisel kasutatakse erinevaid teste ja katseid, analüüsides nii kvantitatiivseid tulemusi kui ka kvalitatiivset sooritust testide lahendamisel. See aitab täpsustada patsiendi vaimsete võimete taset, kognitiivsete kaebuste olemust ja neid tingivaid põhjusi ning seeläbi hõlbustab ravi planeerimist. Neuropsühholoogilised uuringud on olulised patsiendi funktsionaalse toimetuleku kindlaksmääramisel.Eesti Arst 2014; 93(5):276–28

Instruments for measuring patient safety competencies in nursing: a scoping review

Background Patient safety competencies in nursing are essential for the quality of healthcare. To develop practices and collaboration in nursing care, valid instruments that measure competencies in patient safety are needed.Objective To identify instruments that measure the patient safety competencies of nurses.Design A scoping review.Data sources The Cochran Library, Epistemonikos, Eric, Ovid Medline, CINAHL, Embase and Web of Science databases were searched for articles reporting on instruments measuring patient safety competence in nursing. The search was limited to English peer-reviewed scientific papers published from January 2010 to April 2021.Review method A blinded selection of articles fulfilling the inclusion criteria was performed by two researchers based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. Data were then extracted, synthesised and presented in tables and text.Results Our search identified 1,426 papers, of which 32 met the inclusion criteria. The selected papers described nine instruments, of which the 'Health Professional Education in Patient Safety Survey' was the most used instrument. The identified instruments comprised domains for patient safety skills, attitudes, knowledge, communication, teamwork and errors. The instruments had been tested for content (face) and construct validity as well as for reliability. However, sensitivity and responsiveness were rarely assessed.Conclusions Over the last decade, there has been a growing body of instruments aimed at measuring patient safety competencies among nurses. The future development of new instruments should consider including the important dimension of ethics in patient safety as well as evaluating the instrument's responsiveness to be able to track changes over time.</p

Developing the University of Tartu in Estonia into a wellnetworked Patient Safety Research Centre (PATSAFE): A study protocol

Background: Patient safety (PS) is a serious global public health problem affecting all countries. Estimates show that around 10 percent of the patients are harmed during hospital care, resulting in 23 million disability-adjusted life years lost per year. Experts emphasize research advancements as a key precondition for safer care. Aim: The Patient Safety Research Centre (PATSAFE) project enhances the Institute of Clinical Medicine of the University of Tartu’s (ICM-UT) research potential and capacities in PS in order to improve and strengthen knowledge and skills in methods, techniques and experience for PS research. Methods: A strategic partnership with Avedis Donabedian Research Institute in Spain, and IQ Healthcare in the Netherlands, both international leaders in PS research, enables the development of a long-lasting knowledge exchange, allowing the ICM-UT to capitalise on its current achievements and to overcome gaps in scientific excellence in the field of PS research. These twining activities will strengthen and raise the research profile of the ICM-UT academic staff and early-stage researchers (ESRs), by implementing the hands-on training on methods, techniques, and experience in PS research. The project also encourages the active participation of early stage researchers in PS research by increasing their soft skills, to ensure the continuity and sustainability of PS research in ICM-UT. Finally, development of the research strategy on PS contributes to the long-term sustainability of PS research in Estonia. To implement these activities, PATSAFE foresees a comprehensive strategy consisting of knowledge exchange, soft research skills capacity building, strategic planning, and strong dissemination and exploitation efforts. Expected results: As a result of the project, ICM-UT will have the capacity to carry out PS research using the appropriate methodology and the competences to apply state-of-the-art evidence-based strategies for PS research