Quality of Abdominal Surgical Nursing Care

The study evaluates the quality of abdominal surgical nursing care. The data were collected from patients (n=1208) having undergone abdominal surgical operations on their last day of hospitalization and nurses (n=218) working in the same wards. Three instruments originally created in Finland and adapted to the Lithuanian context were used: (1) Good Nursing Care Scale for patients and nurses (GNCS-P, GNCS-N), (2) Nurse Competence Scale (NCS), and (3) Nurse Empowerment Scale (NES). Patient and nurses’ perceptions of the quality of nursing care were evaluated. In addition, nurses’ perceptions of their competence and empowerment were evaluated. The patient and nurses' perceptions of the quality of abdominal surgical nursing care were positive, with more criticism in the nurses’ perceptions. Both patients and nurses gave the lowest evaluation to the quality in the progress of nursing care and the co-operation with significant others. The nurses gave the highest evaluation to the self-assessed level of their competence and the frequency of using competences in practice, with the highest assessment given to situation management and their role at work and the lowest to teaching-coaching and ensuring quality. The nurse perceptions of their empowerment were positive in the qualities and performance of an empowered nurse and empowerment promoting factors, with the highest evaluation in moral principles and sociability and the lowest evaluation in the future-orientedness and expertise. The empowerment-impeding factors were evaluated as negative. The perceptions of the quality of nursing care of both patients and nurses had significant correlations with patient and nurse satisfaction and nurse job independence. The nurse perceptions of their competence and empowerment correlated with their education, the type of the nurse license, completed courses of development of their knowledge and skills, nurse job independence, and nurse satisfaction. The nurse perceptions of the quality of nursing care had a positive correlation with their perceptions of competence and empowerment. Generally, the quality of nursing care was evaluated as high and had correlations with the patients' demographic and satisfaction factors and with the nurse demographic, work-related, and satisfaction factors. The study produced the knowledge that the quality in co-operation with significant others and the progress of nursing process, surgical nurse competence in teaching-coaching, and future-orientedness of surgical nurse empowerment need to be improved in order to develop the quality of abdominal surgical nursing care. The knowledge may be used to offer better services for abdominal surgical patients and increase their satisfaction with nursing care, as well as to increase nurses' satisfaction with work and independence at work. The study suggests implications for clinical practice and management, nursing education, and nursing research.Siirretty Doriast

Retrieval of aerosol optical thickness over snow and ice surfaces in the Arctic using Advanced Along Track Scanning Radiometer

Aerosols in the Arctic cause radiative forcing and a variety of climatic feedbacks, which affect climate of both local and global scales. In order to assess the state of the Arctic climate, information on the aerosol type and amount is needed. Harsh conditions and remoteness of the Arctic region result in very few ground based measurements of aerosol optical thickness. Remote sensing has the potential to provide the necessary temporal and spatial coverage. A non-trivial task of aerosol retrieval over a very bright surface is being solved within the thesis; the developed retrieval consists of cloud screening over snow and two types of aerosol retrieval over snow - in the visible and infrared spectral regions. A number of validation and case studies has been performed to assess the quality of the retrieval. The developed algorithm applies to the data of Advanced Along Track Scanning Radiometer and produces maps of aerosol optical thickness over snow and ice

Smurtas ir jo prevencija asmens sveikatos priežiūros įstaigose

Smurtas darbe laikomas visuomenės sveikatos problema [1]. Nustatyta, kad kas trečias asmens sveikatos priežiūros (toliau – ASP) darbuotojas yra susidūręs su pacientų, jų artimųjų ar kolegų grasinimu smurtu, psichologiniu ar fiziniu smurtu arba seksualiniu priekabiavimu [6]. Apskaičiuota, kad rizika sveikatos priežiūros darbuotojams tapti smurto darbe aukomis yra iki 16 kartų didesnė, palyginti su kitomis profesinėmis grupėmis [7]. Daugeliu atvejų smurtas profesinėje aplinkoje susijęs su fiziniais išpuoliais, žodine prievarta ir psichinės įtampos inicijavimu. Ataskaitose apie smurtą profesinėje aplinkoje kalbama apie kelias sveikatos priežiūros darbuotojų grupes, patiriančias smurtą: slaugytojus [3, 8, 9, 10], greitosios medicinos pagalbos darbuotojus [11] ir gydytojus [1, 2, 12].Smurtas darbe laikomas visuomenės sveikatos problema [1]. Nustatyta, kad kas trečias asmens sveikatos priežiūros (toliau – ASP) darbuotojas yra susidūręs su pacientų, jų artimųjų ar kolegų grasinimu smurtu, psichologiniu ar fiziniu smurtu arba seksualiniu priekabiavimu [6]. Apskaičiuota, kad rizika sveikatos priežiūros darbuotojams tapti smurto darbe aukomis yra iki 16 kartų didesnė, palyginti su kitomis profesinėmis grupėmis [7]. Daugeliu atvejų smurtas profesinėje aplinkoje susijęs su fiziniais išpuoliais, žodine prievarta ir psichinės įtampos inicijavimu. Ataskaitose apie smurtą profesinėje aplinkoje kalbama apie kelias sveikatos priežiūros darbuotojų grupes, patiriančias smurtą: slaugytojus [3, 8, 9, 10], greitosios medicinos pagalbos darbuotojus [11] ir gydytojus [1, 2, 12]

Using the lichen Parmelia sulcata Taylor in the urban environment monitoring

The article presents the results of the long-term research of the lichen species population in urban environment. The tolerant species Parmelia sulcata Taylor was chosen as an indicator of urban conditions. The study was conducted in different parts of the city of Pskov (Russia) varying in degree of air pollution. The analyses of species’ urban habitats, substrate diversity, thalli location in relation to the points of the compass, abundance and projective cover are discussed. Attention is also focused on the morphological parameters of the lichen’s thalli (thalli size, presence or absence of apothecia, vegetative propagules, thalli color and presence of necro spots on the lichen individuals etc.) in different environmental conditions. Received data will serve as a base for monitoring Parmelia sulcata population change continuously

Lichens as Indicators of the Urban Environment Quality

The ranging of lichens among classes of poleotolerance were made. The most widely spread species from each class are mentioned. The estimation of the ecological state of air environment of the city of Pskov with lichens was held

Quest in vocational education

The article discusses the concept of "a quest", its types, methods of implementation of the cycle of mixed quest in extracurricular timeВ статье рассматривается понятие «квест», его виды, методика реализации циклового смешанного квеста во внеаудиторное врем

GORIKLAUSTMONITOGRAMMES OF BIFURCATIONS

Goriklaustmonitogrammes – are bio-locational hermeneutic apparels of energy-informational plesio-anthropometric regulartory consortiums of pangeotic and cosmosidereal gravitational system-apophycations. Mechanisms of regulation include anabiotic and gravi-phlegmatic accommodations of the selective auto-somatic apologist: auto-gemareconic extrapolations; bifurcation extrephylogemaes; anthropogenesis; auto-segregation of topographical locuses; transcontinental autogenesis; passionate reducts; heraldic metamorphosis; catasonic policortums; auto-gearctic polisoms; democytosic recital apotheosis; partnergenesis

Slaugos ypatumai vaikų reabilitacijoje

Reabilitacija – tai gydymo priemonių kompleksas, skirtas atgauti dėl patirtų traumų, ligų ar kitų priežasčių prarastas funkcijas. Pasaulio sveikatos organizacijos (PSO) teigimu, pagrindinis reabilitacijos tikslas yra pasiekti maksimalų asmens funkcinio nepriklausomumo lygį. Ji apima fizinių, sensorinių, kognityvinių, psichologinių ir socialinių funkcijų lavinimą [1]. Vaikų reabilitacijai svarbi yra abilitacija – medicininių, pedagoginių, socialinių priemonių ir metodų kompleksas, skirtas ugdyti maksimalų savarankiškumą vaikams, turintiems įgimtą ar ankstyvoje vaikystėje įgytą funkcijos sutrikimą. Ir reabilitacijos, ir abilitacijos tikslas – pažeistų organizmo funkcijų atkūrimas, adaptacijos vystymas bei aktyvumo skatinimas.Reabilitacija – tai gydymo priemonių kompleksas, skirtas atgauti dėl patirtų traumų, ligų ar kitų priežasčių prarastas funkcijas. Pasaulio sveikatos organizacijos (PSO) teigimu, pagrindinis reabilitacijos tikslas yra pasiekti maksimalų asmens funkcinio nepriklausomumo lygį. Ji apima fizinių, sensorinių, kognityvinių, psichologinių ir socialinių funkcijų lavinimą [1]. Vaikų reabilitacijai svarbi yra abilitacija – medicininių, pedagoginių, socialinių priemonių ir metodų kompleksas, skirtas ugdyti maksimalų savarankiškumą vaikams, turintiems įgimtą ar ankstyvoje vaikystėje įgytą funkcijos sutrikimą. Ir reabilitacijos, ir abilitacijos tikslas – pažeistų organizmo funkcijų atkūrimas, adaptacijos vystymas bei aktyvumo skatinimas

COMPARATIVE ANALYSIS OF RELATED SEQUENCES AND THEIR INCREMENTS ON THE BASIS OF DISCRIMINANT ANALYSIS

The article is devoted to the study of the relationship between the lengths of orthologous proteins of four organisms, one of which is taken as the basic one ( more than 1200 proteins in total). The methods of multivariate statistical analysis are used, it is applied to pairs, triples and fours (strings) composed of lengths of orthologous proteins. The number of such lines is from 200 to 400. The analysis of pair correlations, orthogonal transformation and cluster analysis allowed us to distinguish two homogeneous clusters of four-lengths. At the same time, we studied the increments of the length of the orthologous protein relative to the basic organism. We showed that the lines form a non-uniform sample, and the increments form a homogeneous sample. Then the task was to expand the clusters with rows with incomplete data. It was shown that cluster analysis is not applicable for this task, so we used discriminant analysis with a training sample — clustering with complete data. A 100 percent separation of all incomplete rows by clusters was obtained; with the following description of the length dependences of clusters on the base. The adequacy of the resulting regression equations was tested. As a result of statistical analysis, the following conclusions were made. For a set of lengths of orthologous series, a generalizing factor was obtained, let's call it the size of an orthologic object from 4 lengths of orthologous proteins. For the given task such sizes of objects were obtained, and their average group values differ, they form two separate ranges of values, one for each group of the values obtained by other methods. For series of increments of the lengths of orthologous proteins from objects of four, an analysis performed by all methods showed homogeneity of the set. It was shown that the lengths of orthologous proteins have significant autocorrelation, as is the case with rows associated with the same basic series

INFORMATION NEEDS OF DIGESTIVE TRACT SURGERY PATIENTS BEFORE AND AFTER THE SURGERY: AN EXPLORATORY STUDY OF WESTERN LITHUANIA

The aim of this study was to describe the information needs of patients undergoing gastrointestinal surgery in Western Lithuania. Methods. This data were collected from patients of three Klaipeda city hospitals performing digestive tract surgeries in January – March 2015. The interview responses (n = 86) were analyzed inductively with thematic content analysis. Results. The interview revealed lack of information about disease, treatment and nursing care. The participants expressed fear and worries about their forthcoming surgery, anesthesia, pain, the ways of pain management, possible complications and their prevention as well as the future concerning their disease in general. Conclusions. The results show that the participants had not got enough information about treatment, nursing, anesthesia, rehabilitation, wound care or about post-surgery period. Instead they felt fear and anxiety. The participants were not included into treatment and nursing processes. According to the participants’ responses, the information needs were different before and after the surgery. Lack of information prevents patients from acting self-dependently in their care. Practice implications. Patient oriented approach to patient education and innovative ways of information delivery are needed in Lithuanian nursing care of patient’s having a gastrointestinal surgery.