The stroke is characterized by multivarious symptoms, causing a number of patients 'problems which require nursing interventions as dependent (i.e. carried out according to a doctor order and independent (carried out independently). Their complete qualitative performance is one of the conditions for the subsequent successful rehabilitation. The aim of the study was the determination of the amount of nursing interventions in stroke patients on the base of established nursing diagnoses (patient problems). This study was carried out on the basis of a specially developed Card of the study. There was performed an investigation of the character ofproblems and the rate of various nursing interventions in patients treated in a specialized department for stroke patients (the sample size - 50 persons.). The study showed that the main types of independent nursing interventions were: interviews with patients and their relatives about the disease, its course and outcome (frequency of the performance - 97.5% in the first day of hospitalization); assisting in the implementation ofpersonal hygiene (90.0%); training of relatives and patients in care and self-care techniques, elements of massage and self-massage, training in the use of bandages and compression hosiery (87.5% and 85.0%); early verticalization (60.0%), changing diapers (52.5%), frequent changes in body position ofpatients (47.5%), respiratory gymnastics classes (45.0%); the using of anti-decubitus mattresses (35.0%); help with feeding (42.5%). In this, the regulation of nursing auxiliary employment (including a clear classifier of services, their documentation, the existence of standards, the ability to assess the quality and so on) is practically absent. The establishment of appropriate regulations will contribute to the objectification of the activities of specialists in nursing care, to the assurance of the consistency in their work at all stages of the rehabilitation of patients.
Objectives - to assess the level of doctors' qualification by means of sociological survey. Material and methods. The study was conducted in a large city out-patient hospital, where 105 doctors of different specialities were interviewed. The respondents' average age was 44.7+1.9 years; average period of work -16.4+1.8 years. A special questionnaire comprised of 35 questions. The respondents were asked to assess, using a five-point scale, their skills and knowledge of various topics, including special clinical knowledge, prevention, sanitary-epidemiological regimen, psychology, healthcare organization and economics, legal regulation of medical activity. The statistical processing of collected data was performed with the Microsoft Office 2016 programs: Microsoft Word, Microsoft Excel. Results. The average self-assessment score for various aspects ranged from 3.1 to 4.4. The lowest score was registered in the knowledge of public health organization, regulations and healthcare economics. Among the respondents, the maximum self-assessment scores were given by emergency doctors, and the lowest - by therapeutists (general practitioners). Conclusion. The revealed deficit of knowledge in some aspects (especially in matters of healthcare organization) is a factor that may impede the implementation of one of the basic principles of total quality management - the principle of staff involvement. This requires not only a review of educational programs in medical universities, but also the appropriate adjustment of the programs of postgraduate training, as well as tasks (tests, OSCE stations) performed by doctors of different specialities in the process of their accreditation.
The article presents the analysis of complaints in 75 patients obstetric hospital. It is established that in the structure of reduced complaints proportion of complaints about the organization of medical care and sanitary conditions and increased the quality of medical care. Of the total number of complaints 30.7% of substantiated. The highest percentage of complaints is necessary to work the receiving Department (33,3% of the total complaints) and women’s consultations (25.4%).
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