Croatian Nursing Journal最新文献

{"title":"Needs and Difficulties of Parents with Children Suffering from Malignant Diseases","authors":"Jelena Slijepčević","doi":"10.24141/2/6/1/7","DOIUrl":"https://doi.org/10.24141/2/6/1/7","url":null,"abstract":"Malignant diseases are one of the leading causes of death in children in developed countries, although constant progress in therapy is continuously decreasing mortality. The diagnosis of malignant disease is a significant stressor in the life of a child and its family, significantly affecting the quality of life for the entire family. it constitutes the prototype of a stressful situation and a disease with a potentially devastating effect on the child and its family. This paper discusses 50 professional and scientific papers published between 1993 and 2022 that explore the needs and difficulties of parents of children with malignant diseases. To provide adequate help and care, a correct evaluation of the problem and parents’ needs is required. for the parents, the diagnosis of a malignant disease for their child constitutes a psy- chological and existential challenge. To meet the par- ents’ needs, as well as to ease their problems, further research – in most cases also supported by the parents themselves – is needed to help them cope with this extremely stressful and hard part of their lives.","PeriodicalId":293897,"journal":{"name":"Croatian Nursing Journal","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123357361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes In Intracranial Pressure in Patients with External Ventricular Drainage of CSF During Nursing Interventions","authors":"Nives Črnila","doi":"10.24141/2/5/2/1","DOIUrl":"https://doi.org/10.24141/2/5/2/1","url":null,"abstract":"Introduction. When managing intracranial pressure (ICP)\u0000disorders, that is, deviations from the normal value (5 - 15 mmHg), it helps to\u0000understand the variability of cerebral blood volume and cerebrospinal fluid. \u0000 \u0000 Aim. To explore from a series of cases the impact of nursing\u0000interventions on the increase of intracranial pressure and the possibility of\u0000preventive action on possible oscillations of measured pressure values by modifying\u0000sedation and analgesia in order to avoid potentially negative effects on brain\u0000injury. \u0000\u0000 \u0000 Methods. The study included six patients, with the average\u0000age of 59 years, hospitalized between December 2018 and May 2019, on whom\u0000measurements were performed before, immediately after and 30 minutes after the\u0000end of a particular intervention using an external drainage and monitoring\u0000system. Intracranial pressures of patients in an induced coma were compared\u0000with those who were in a natural coma. \u0000\u0000 \u0000 Results. During morning nursing care and aspiration of\u0000secretions, an increase in the mean value of ICP was observed immediately after\u0000the intervention, but the t-test for dependent samples showed that it was not\u0000statistically significant, while in massaging patients with turning it to the side\u0000it was statistically significant. Combining all interventions into one, without\u0000categorization, there was also a statistically significant increase in\u0000intracranial pressure immediately upon completion of morning nursing care.\u0000After 30 minutes, the pressure values in all interventions approach the initial\u0000value and remain within the deviation of 1 mmHg. \u0000\u0000 \u0000 Conclusion. Most nursing interventions are associated with a\u0000slight increase in ICP that is not statistically significant. Greater\u0000oscillations were observed in patients in an induced coma than in those in a\u0000natural coma, which could probably have been avoided by even stricter titration\u0000of analgosedation immediately before and during nursing interventions.","PeriodicalId":293897,"journal":{"name":"Croatian Nursing Journal","volume":"14 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123798288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Guidelines In the Work of Operating Room Nurses","authors":"Marin Repustić","doi":"10.24141/2/5/2/7","DOIUrl":"https://doi.org/10.24141/2/5/2/7","url":null,"abstract":"Introduction. The use of guidelines in the work of operating room nurses\u0000makes daily tasks easier and enables treatment in accordance with set\u0000procedures based on scientific evidence. Additionally, the use of set\u0000guidelines in the work of operating room nurses enables traceability of healthcare\u0000and the best care for the patient, which also increases the safety of the\u0000patient in the operating room during the perioperative period. \u0000\u0000 \u0000 Aim. The\u0000goal of this article is to investigate and determine if operating room nurses\u0000are aware of the guidelines, if they use them in their daily work, and if the\u0000guidelines are available at their workplace. The goal is also to determine the\u0000opinion of operating room nurses about legal protection that the guidelines\u0000provide in case of unforeseen events, as well as the necessary level of\u0000education of the personnel setting the guidelines, and the effect of the guidelines\u0000on the patient's safety in the operating room. Additionally, it is to determine\u0000if the use of the guidelines reduces inconsistencies in the work of operating room\u0000nurses in different hospitals, and which institutions are in charge of setting\u0000them. \u0000\u0000 \u0000 Methods. The\u0000survey for this research was conducted by the author of this paper and was distributed\u0000at the Congress of Operating Room Nurses in October of 2019. 210 operating room\u0000nurses completed the survey, being of different levels of formal education, and\u0000are employees of various Clinical Hospital Centres, Clinical Hospitals and\u0000General Hospitals in the Republic of Croatia. \u0000\u0000 \u0000 Results. According\u0000to the results of the survey, 90 respondents were Bachelors of Nursing, 60 respondents\u0000had a university degree, and 60 respondents had a high school diploma. The\u0000length of work experience of the operating room nurses who participated in the\u0000survey was between 1 and 30 years. The results of the research showed that the\u0000majority of operating room nurses were familiar with the existence of the\u0000guidelines and recommendations, and they used them in their work. Results show\u0000that most respondents are aware of the need to use the guidelines, and that they\u0000are available at their work place. Results also show that operating room nurses\u0000feel that the use of the guidelines has a very strong influence on the level of\u0000patient safety. Operating room nurses know that the guidelines provide legal protection\u0000and that the level of the nurses' education is important for setting the\u0000guidelines. \u0000\u0000 \u0000 Conclusion. Operating room nurses use the guidelines in daily work\u0000whenever they are applicable. Respondents have also developed an awareness of the\u0000obligation to use the guidelines, as well as their benefits in improving\u0000patient safety. They also provide legal protection in the event of unforeseen\u0000circumstances.","PeriodicalId":293897,"journal":{"name":"Croatian Nursing Journal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117090770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Croatian Use of The Hospital Survey on Patient Safety Culture","authors":"Adriano Friganović, S. Krupa, Cecilija Rotim, Biljana Kurtović, Kristian Civka, Slađana Režić","doi":"10.24141/2/5/2/3","DOIUrl":"https://doi.org/10.24141/2/5/2/3","url":null,"abstract":"Introduction. Patient safety during hospitalisation is one of the biggest\u0000concerns for hospitals worldwide and one obligation of all medical\u0000professionals is to create a safe environment for patients and prevent accidents.\u0000Approximately 50% of adverse events can be prevented with a systematic\u0000approach. \u0000\u0000 \u0000 Aim. This\u0000study aimed to examine the underlying dimensions and psychometric properties of\u0000the Hospital Survey on Patient Safety Culture questionnaire in Croatian\u0000hospital settings, and to compare the results with the original questionnaire\u0000from the United States of America. \u0000 \u0000 Methods. The\u0000sample consisted of 438 nurses from four Croatian university hospitals. All participants\u0000signed an informed consent document, and the questionnaires were provided to\u0000the nurses in their units by the head nurses of their departments. Data\u0000analysis was performed using IBM SPSS 25.0. Bartlett's test of sphericity and\u0000the Kaiser-Meyer-Olkin (KMO) indicator were performed with Cronbach’s alpha test and sample standard deviation. \u0000\u0000 \u0000 Results. All\u0000factors explain the total of 59% of variance of the measured questionnaire. Additionally,\u0000the reliability of the entire questionnaire was determined by using the\u0000internal consistency coefficient (Cronbach’s alpha) on\u0000the Hospital Survey on Patient Safety Culture with 12 of 0.88 particles, which\u0000is high internal consistency reliability. Our results show that the particles\u0000that make up the questionnaire are very homogeneous according to their object\u0000of measurement. \u0000 \u0000 Conclusion. The results of our study found that the survey can be applied\u0000to Croatian settings and used in hospitals. We also believe that more research\u0000on this topic is needed and is crucial for improving patient safety in\u0000hospitals. It is necessary to emphasize continuous education of nurses regarding\u0000patient safety in hospitals.","PeriodicalId":293897,"journal":{"name":"Croatian Nursing Journal","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130372154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nutritional Habits of Preschool Children","authors":"Petra Gazec, Kristian Civka, Adriano Friganović","doi":"10.24141/2/5/2/4","DOIUrl":"https://doi.org/10.24141/2/5/2/4","url":null,"abstract":"Introduction. Proper nutrition is crucial for maintaining good health and\u0000provides the basis for proper growth and development of children and\u0000adolescents. Insufficient physical activity and inadequate nutrition are among\u0000the leading causes of mortality and morbidity. \u0000\u0000 \u0000 Aim. The\u0000aim of this research paper was to examine the nutritional habits of preschool\u0000children. \u0000 \u0000 Methods. The\u0000study was conducted in April 2018 and included a survey of kindergarten\u0000children and their parents. A questionnaire consisting of 24 questions was\u0000created for the purposes of the study. The survey was conducted entirely\u0000anonymously and voluntarily. Of the 100 respondents included in the study, 52%\u0000(52) were boys and 48% (48) were girls. The average age of the respondents was\u00005.12 years. \u0000 \u0000 Results. Out\u0000of a total of 100 children, 98% (98) have a hot meal every day, while 2% (2) do\u0000not. Cereals and cereal products are consumed by 97% of children, while 3%\u0000stated that they do not consume cereals. As with cereals, 97% of children use\u0000milk and dairy products, while only 3% do not consume them. 29 (76%) boys have\u0000normal body weight. Four (5%) were malnourished and 3 (8%) boys were\u0000overweight. 30 (70%) girls have normal body weight, 3 (7%) are malnourished,\u0000and one (2%) girl is overweight. 8 (21%) girls were obese. \u0000 \u0000 Conclusion. According to the obtained research results, it can be\u0000concluded that most of the examined children ate properly and had normal body\u0000weight. It is a worrying fact that most of the children consume sweets/snacks\u0000on a daily basis, while on the other hand a large number of surveyed children\u0000do not consume vegetables and fruits on a daily basis. Nurses in preschools\u0000face the challenging task of integrating their professional knowledge into the\u0000educational process.","PeriodicalId":293897,"journal":{"name":"Croatian Nursing Journal","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116908675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational Therapists on The Front Line","authors":"Iva Ričko, Joya John, edel mcmanus, Ellen McAulife, Jessie Basra","doi":"10.24141/2/5/2/6","DOIUrl":"https://doi.org/10.24141/2/5/2/6","url":null,"abstract":"Introduction. There is a growing focus on the need for an increased number\u0000of allied health professionals to reduce the pressure on acute hospitals\u0000through admission avoidance. There is little in the way of guidelines on how\u0000services should be delivered and a lack of evidence base demonstrating\u0000effectiveness. \u0000 \u0000 Methods. An\u0000audit has been carried out by the occupational therapy team in the Emergency Department\u0000to capture the total number of referrals to the occupational therapy service in\u0000the Emergency Department at Royal Berkshire Hospital and to capture discharge\u0000decisions made following occupational therapy input. \u0000\u0000 \u0000 Results. The\u0000occupational therapy team in the Emergency Department focuses particularly on admission\u0000avoidance using a home first approach to prevent patients from being admitted\u0000to acute wards. The results showed that the service was beneficial regarding both\u0000the number of referrals and the utilisation of various discharge destinations\u0000from the Emergency Department. \u0000 \u0000 Conclusion. The report has identified several areas for further research\u0000by the same team and implications for the wider literature base. The hope is\u0000that this report would highlight the role of occupational therapists working in\u0000the emergency department at Royal Berkshire Hospital and encourage the\u0000completion of further research in this area of practice.","PeriodicalId":293897,"journal":{"name":"Croatian Nursing Journal","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133483686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses’ Knowledge About Wound Care","authors":"Anamarija Šepl Plentaj, M. Žulec","doi":"10.24141/2/5/2/2","DOIUrl":"https://doi.org/10.24141/2/5/2/2","url":null,"abstract":"Introduction. Nurses’ knowledge can directly lead to\u0000treatment outcomes. \u0000\u0000 \u0000 Aim. To\u0000investigate the knowledge and attitudes of nurses regarding chronic wounds and\u0000to compare the nurses who participated in the study according to their level of\u0000education, years of experience, and place of work. \u0000 \u0000 Methods. Anonymous\u0000questionnaire about wound care knowledge was completed by 193 nurses with different\u0000educational backgrounds in three counties from central Croatia. The study was conducted\u0000during lectures organized through plans for continued education. \u0000\u0000 \u0000 Results. Most\u0000respondents had >5 years of experience, are employed in a hospital and have secondary\u0000education in nursing. Nurses with secondary education and less than five years\u0000of experience had better knowledge regarding leg ulcers. Hospital nurses state\u0000that they have insufficient knowledge about wound healing; however, doctors are\u0000more accessible to them. \u0000\u0000 \u0000 Conclusion. This study examined nurses’ knowledge and\u0000attitudes regarding wound care. Mixed results indicate the need for further and\u0000more detailed research.","PeriodicalId":293897,"journal":{"name":"Croatian Nursing Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131685879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing and Ethics","authors":"Damjan Abou Aldan","doi":"10.24141/2/5/2/5","DOIUrl":"https://doi.org/10.24141/2/5/2/5","url":null,"abstract":"Introduction. Emmanuel Levinas' ethics had an impact on Jean Watson's 1979 Theory of Human caring. Watson suggests that nursing ethics may be closest to the\u0000ethics of care as determined by Levinas. \u0000 \u0000 Aim. To\u0000establish arguments for and against abovementioned thinking. \u0000 \u0000 Methods. After\u0000an initial comparison of the statements made by Watson and the statements made by\u0000Levinas, a review of scientific articles was made to establish the link between\u0000nursing ethics and the ethics of Levinas. \u0000\u0000 \u0000 Results. About\u000020 articles and books were analyzed. A dozen references have been singled out\u0000to establish a link in argumentation, one paper presented a partial critique,\u0000while one suggested that nursing ethics should be based on some other ethical\u0000theory. \u0000\u0000 \u0000 Conclusion. Watson suggested that nursing ethics could be based on the\u0000ethics of Levinas. Since the 1990s some authors have made affirmative claims to\u0000this proposal, while others question the real possibility of its application in\u0000practice. Most authors agree that nursing ethics should not be based on the\u0000virtues of Christian charity, nor on deontological foundations or bioethical principlism.\u0000No other theory invokes that level of responsibility to another human being as\u0000Levinas does. Critics say his ethics are extremely abstract and as such are\u0000difficult to apply in a practical discipline such as nursing.","PeriodicalId":293897,"journal":{"name":"Croatian Nursing Journal","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115176633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk for Falls in Patients\u0000with Limb Amputations in the Clinical Institute for Rehabilitation and\u0000Orthopedic Aids of the University Hospital Centre Zagreb","authors":"Danijela Golub, Slađana Režić","doi":"10.24141/2/5/1/6","DOIUrl":"https://doi.org/10.24141/2/5/1/6","url":null,"abstract":"Introduction. Patient falls are a significant clinical problem, as the fall can result in disability and, in some cases, death. The fall affects the patients’ quality of life, prolongs hospitalization, and increases the cost of treatment. Falls are the result of interaction between various factors. In the hospital setting, falls are considered adverse events.\u0000Aim. To determine the number of patients’ falls at the Clinical Institute for Rehabilitation and Orthopedic Aids of the University Hospital Centre Zagreb (UHC Zagreb) between September 1, 2019, and February 29, 2020.\u0000Methods. The data was extracted after the event from the Hospital Information System (Nursing records) and then processed. The study included 212 patients with limb amputations (both sexes) who were hospitalized in the Clinical Institute for Rehabilitation and Orthopedic Aids.\u0000Results. The results showed that patients with limb amputations have a risk for falls when doing rehabilitation for their primary diagnosis. Of the 212 patients admitted, 209 were at risk of falling according to the Morse Falls Scale, but of the total number of patients, only 2 fell.\u0000 Conclusion. Patients with limb amputations have a higher risk of falls. The retrospective study shows that despite the increased risk of falls, the actual number of falls is very small. This shows that the medical staff are doing excellent work.","PeriodicalId":293897,"journal":{"name":"Croatian Nursing Journal","volume":"351 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115971369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Job Satisfaction","authors":"Sajma Ajhenberger, Jelena Hodak, Ivana Vadlja, Dunja Anić","doi":"10.1049/tpe.1975.0282","DOIUrl":"https://doi.org/10.1049/tpe.1975.0282","url":null,"abstract":"Introduction. We consider job satisfaction through the prism of the work\u0000we do, the working conditions, the relationships with colleagues and superiors,\u0000and the opportunity to advance and earn. Nurses make up 50% of the total\u0000workforce in the healthcare system and it is beyond question that their number\u0000in the system directly affects the quality of nursing care. The most common\u0000dissatisfaction at work is insufficient staff, poor working conditions, poor\u0000relationship with colleagues and superiors, and impossibility to advance.\u0000 Aim.\u0000The objectives of the study were to examine the satisfaction of nurses in the\u0000job and to assess whether they were considering leaving their current job and\u0000how they were assessing their health and working productivity.\u0000Methods. The\u0000study involved 155 nurses from three Clinical Hospital Centers in Croatia\u0000(Osijek, Rijeka and Zagreb). The study was designed as a cross-sectional study.\u0000It started on January 1, and ended on June 30, 2018. The first part refers to\u0000the demographic dana of the respondents, while the second part contains questions\u0000related to the intention of leaving the present job, self-assessment of health\u0000status and working productivity and job satisfaction.\u0000Results.\u0000In the answers to job satisfaction claims, the respondents with the bachelor’s and\u0000master’s degree in nursing compared to the respondents who completed secondary\u0000education, responded with a higher percentage that they were dissatisfied with the\u0000working conditions and the possibility of promotion (46.2%). They are dissatisfied\u0000with the relationship with their superiors (70%), as well as with the\u0000work they do (54%). Respondents at all\u0000levels of education are equally satisfied with their relationships with\u0000colleagues and with their earnings.\u0000Conclusion.\u0000Most of the respondents are satisfied with the relationship with their superiors,\u0000colleagues and work, and dissatisfied with the possibility of advancement and\u0000salary. Most of them answered that they rarely think about leaving their job,\u0000and they assess their health as good and work productivity as normal.","PeriodicalId":293897,"journal":{"name":"Croatian Nursing Journal","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115267605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}