2 research outputs found
Upravljanje dokumentacijom zdravstvene njege u bolniÄkim uvjetima
Healthcare documentation or nursing documentation as often used in practice is the name of an indispensable part of a patientās medical documentation, and documentation is an integral part of a nurseās daily work. Documenting health care in the hospital means recording data on all procedures performed, during the entire health care process for the individual, all for the purpose of systematic monitoring, planning and evaluation of the quality of health care. Nursing documentation serves as a means of communication between the team and is of great importance for the quality and continuity of health care.
AIMS: 1 - To determine the existence of health care documentation in hospital health care institutions; 2 - Examine the importance and purpose of documenting health care among nurses-medical technicians; 3 - Examine the practice of nurses-medical technicians in the process of administering health care; 4 - Present quality indicators that are monitored and analyzed through health care documentation; 5 - Compare the obtained results in two examined areas.
METHODS: This research was conducted in two geographically separate areas of Sarajevo and Travnik. The study involved 210 respondents, 147 nurses-technicians employed at the Clinical Center of the University of Sarajevo and 63 nurses-technicians employed at the General Hospital in Travnik. Data collection for research was carried out by exploratory and descriptive method. An original authorized questionnaire was used for the descriptive research. The questionnaire was made available to respondents in the electronic form trough Google Forms. The anonymity of the respondents was fully guaranteed. The survey was conducted in the period from July 15- August 15, 2019.
RESULTS: At the Clinical Center of the University of Sarajevo (CCU), 98% of respondents use health care documentation forms on a daily basis, and at the General Hospital Travnik 77.8% of respondents. In CCU Sarajevo, respondents use more standardized forms of health care documentation, 97.6%, compared to respondents in the General Hospital Travnik, where the documenting is carries out in nursing records, 74.6%. 68% of respondents at CCU Sarajevo believe that documentation contributes to the evaluation of nursing services, while only 19% of re-spondents at General Hospital Travnik believe the same. As the most common shortcomings, the respondents state the lack of computer technology in the department in 74.3%, then adequate premises for document administration in 37.6%, the lack of forms in printed form in 32.1% and 6 or 2.3% respondents did not answer this question.
In both institutions, the biggest shortcoming is the problem of computer equipment in the department, in 70.7% in CCU Sarajevo and 82.5% in General Hospital Travnik.
CONCLUSIONS: The research found that over 95% of respondents use standardized health care processes in their daily practice, document health care, know the basic purpose and monitor health care indicators. More than 90% of respondents in both study groups use health care documentation to plan health care and monitor its outcomes. More than half of respondents in both study groups stated that documenting health care is a problem because it consumes a lot of time. A larger number of respondents from both groups, as many as 30%, state that they do not use the data from the health care documentation for any purpose. The lack of workers in the health care process, insufficient knowledge of information technologies, and the lack of an information system represent an aggravating circumstance in documenting the health care process.Dokumentacija zdravstvene njege ili sestrinska dokumentacija, kako se Äesto naziva u praksi, neizostavan je dio medicinske dokumentacije pacijenta, a dokumentiranje je sastavni dio svakodnevnoga sestrinskog posla. Dokumentiranje zdravstvene njege u bolnici podrazumijeva zapisivanje podataka o svim provedenim postupcima tijekom cjelokupnog procesa zdravstvene njege za pojedinca, a sve u svrhu sustavnog praÄenja stanja te planiranja i vrednovanja kvaliteta zdravstvene njege. Sestrinska dokumentacija služi kao sredstvo komunikacije izmeÄu tima i od velike je važnosti za kvalitetu i kontinuitet zdravstvene njege.
CILJEVI RADA: 1. Utvrditi postojanje dokumentacije zdravstvene njege u bolniÄkim zdravstvenim ustanovama. 2. Ispitati praksu medicinskih sestara/tehniÄara u procesu administriranja zdravstvene njege. 3. Prikazati indikatore kvalitete koji se prate i analiziraju putem dokumentacije zdravstvene njege. 4. Komparirati dobivene rezultate u dva ispitivana podruÄja.
METODE RADA: Ovo istraživanje provedeno je na dva geografski odvojena podruÄja, u Sarajevu i Travniku. U istraživanju je sudjelovalo 210 ispitanika, i to 147 medicinskih sestara/tehniÄara zaposlenih u KliniÄkom centru Univerziteta u Sarajevu i 63 medicinske sestre / medicinska tehniÄara zaposlena u OpÄoj bolnici u Travniku. Prikupljanje podataka za istraživanje provedeno je deskriptivnom metodom. Za deskriptivno istraživanje primijenjen je originalni autorski upitnik. Upitnik je ispitanicima bio dostupan u elektroniÄkom obliku u internetskoj aplikaciji Google Forms. Anonimnost ispitanika bila je u potpunosti zajamÄena. Istraživanje je provedeno u periodu od 15. srpnja do 15. kolovoza 2019.
REZULTATI ISTRAŽIVANJA:U KliniÄkom centru Univerziteta u Sarajevu 98 % ispitanika svakodnevno upotrebljava obrasce dokumentacije zdravstvene njege, a u OpÄoj bolnici Travnik 77,8 % ispitanika. U KCU-u Sarajevo ispitanici viÅ”e upotrebljavaju standardizirane obrasce dokumentacije zdravstvene njege, i to 97,6 %, u odnosu na ispitanike u OpÄoj bolnici u Travniku, gdje se dokumentiranje vrÅ”i u sestrinske evidencijske bilježnice, i to 74,6 %. 68 % ispitanika u KCU-u Sarajevo smatra da dokumentiranje pridonosi vrednovanju sestrinskih usluga, dok to smatra samo 19 % ispitanika iz OpÄe bolnice Travnik. Kao najÄeÅ”Äe nedostatke ispitanici navode nedostatak raÄunalne tehnike na odjelu (74,3 %), zatim neadekvatne prostorije za administriranje dokumentacije (37,6 %) te nedostatak obrazaca u tiskanom obliku (32,1 %), a na ovo pitanje nije odgovorilo Å”est ili 2,3 % ispitanika.U obje ustanove kao najveÄi nedostatak navode problem raÄunalne opreme na odjelu, i to 70,7 % u KCU-u Sarajevo i 82,5 % u OB-u Travnik.
ZAKLJUÄCI: Istraživanjem je utvrÄeno da viÅ”e od 95 % ispitanika u svakodnevnoj praksi primjenjuje standardizirane procese zdravstvene njege, dokumentira zdravstvenu njegu, poznaje osnovnu svrhu i prati indikatore zdravstvene njege. ViÅ”e od 90 % ispitanika u obje ispitivane skupine dokumentacijom zdravstvene njege kori-sti se za planiranje zdravstvene njege i praÄenje njezinih ishoda.ViÅ”e od polovine ispitanika u obje ispitivane skupine navelo je da im dokumentiranje zdravstvene njege predstavlja problem jer im oduzima mnogo vremena u radu. VeÄi broj ispitanika obje ispitivane skupine, Äak 30 %, navodi da se podacima iz dokumentacije zdravstvene njege ne koriste ni u kakve svrhe. Nedostatak izvrÅ”itelja procesa zdravstvene njege, nedovoljno znanje o informacijskim tehnologijama te nepostojanje informacijskog sustava predstavlja otežavajuÄu okolnost u dokumentiranju procesa zdravstvene njege
LEAN concept ā possibilities of implementation and improvement of business processes in public healthcare organizations
Uvod: Osnovni je postulat lean koncepta da se veÄa efikasnost procesa rada može postiÄi kroz proces kontinuiranog poboljÅ”anja. To znaÄi eliminiranje otpada i maksimiziranje aktivnosti koje dodaju vrijednost. Zdravstveni sustavi u Nizozemskoj, Velikoj Britaniji, Italiji i Sjedinjenim AmeriÄkim Državama implementirali su lean koncept.
Cilj rada: Ispitati miÅ”ljenje zdravstvenih radnika javne bolnice na podruÄju Sarajeva o moguÄnostima unaprjeÄenja poslovnih procesa implementacijom lean koncepta.
Metoda: Istraživanje je provedeno kao presjeÄna studija u javnoj bolnici na podruÄju Sarajeva. Upitnik je poslane-poÅ”tom zdravstvenim radnicima. ObuhvaÄen je 91 ispitanik oba spola (doktori medicine, specijalizanti, diplomirane medicinske sestre, medicinske sestre i administrativno osoblje).
Rezultati: UtvrÄena je pozitivna korelacija stavova o efektivnosti i efikasnosti poslovnih procesa. Prema miÅ”ljenju ispitanika, veÄa efektivnost poslovnih procesa pridonosi veÄoj efikasnosti (r = 0,846; p < 0,05). Spearmanov koeficijent rs = 0,81 pokazuje jaku povezanost efektivnosti i efikasnosti poslovnih procesa.
ZakljuÄak: Istraživanje je pokazalo da postoji pozitivan stav o utjecaju lean koncepta na poboljÅ”anje uÄinkovitosti poslovnih procesa. OÄekivani pozitivni uÄinciimplementacije lean koncepta manifestiraju se kroz: brže pružanje usluge pacijentima, smanjivanje vremena Äekanja usluge i generalno poboljÅ”anje poslovnih procesa.Introduction: The basic postulate of the lean concept is that greater efficiency of the work process can be achieved through a process of continuous improvement, which aims to eliminate waste and maximize activities that add value.The Netherlands, Great Britain, Italy and the United States were examples of healthcare systems that implemented the lean concept.
Aim: To examine the opinion of health workers of a public hospitals in the Sarajevo area about the possibilities of improving business processes by implementing the lean concept.
Method: The cross-sectional study was conducted using a questionnaire. The questionnaire was sent to the e-mail addresses of health workers of public health organizations. 91 respondents of both sexes (doctors of medicine, residents, registered nurses, nurses and administrative staff) were included.
Results: A positive correlation was establishedin the attitude toward the effectiveness and efficiency of business processes. According to the participantās opinion, the greater effectiveness of business processes contributes to greater efficiency (r=0.846; p<0,05). Spearmanās coefficient rs=0.81 shows a strong connection between the effectiveness and efficiency of business processes.
Conclusion: The study showed that there is a positive attitude towards the impact of the lean concept on improving the efficiency of business processes. The reducexpected positive effects of the implementation of the lean concept are manifested through faster provision of services to patients, reduction of service waiting times and general improvement of business processes