Darbo tikslas - įvertinti Kauno Raudonojo Kryžiaus slaugos ir palaikomojo gydymo ligoninės darbo organizavimo ypatumus ir jo gerinimo galimybes. Tyrimo metodika. Kauno Raudonojo Kryžiaus slaugos ir palaikomojo gydymo ligoninės 2005-2007 metų veiklos statistinių rodiklių analizė, anketinė pacientų (n = 102) ir personalo (n = 82) apklausa, bei jų vertinimų palyginimas. Duomenų analizė atlikta naudojant statistinę programą SPSS for Windows 12,0. Rezultatai. Palaikomojo gydymo ir slaugos ligoninių poreikis auga: 2007 metais Raudonojo Kryžiaus slaugos ir palaikomojo gydymo ligoninėje gydyta 18 proc. pacientų daugiau nei 2005 metais. Ligoninėje slaugomų ligonių daugumą sudaro asmenys sergantys širdies ir smegenų kraujotakos sutrikimais (70 proc.), po traumų (11 proc.) ir sergantys onkologiniais susirgimais (8 proc.). Lovos funkcionavimo rodiklis ir vidutinė ligonio gulėjimo ligoninėje trukmė aukšti (364,9 ir 74,9 dienos), lyginant su kitomis Lietuvos slaugos ligoninėmis (atitinkamai 345,2 ir 51,7), galimai dėl nemažo skaičiaus savivaldybės finansuojamų ligonių, laukiančių eilėje į globos įstaigas (2007 m. 1,2 proc. gydytų ligonių pateko į globos namus, 2008 m.sausio 1 d. - 34 laukiantys eilėje). Patekti į ligoninę galima greitai – 70 proc. pacientų pateko iš karto arba laukė eilėje iki 7 d. Didelė problema ligoninėje yra slaugos personalo kaita: per tris metus įsidarbino 82, o atleista 57 slaugytojų padėjėjos, priimta 11 ir atleista 8 bendrosios praktikos slaugytojos. Tiriant... [toliau žr. visą tekstą] / Aim of the study – to evaluate the management and potential for improvement at Kaunas Red Cross long-term care hospital. Material and methods. The study included analysis of statistical performance indicators at hospital setting during 2005–2007, the questionnaires for patients (n = 102) and staff (n = 82). Data analysis was conducted using statistical package „SPSS for Windows 12.0“. Results. The demand of long-term care institutions is increasing: in 2007 the number of patients was increased by more then 18% compare to 2005. The majority of patients had cardiovascular disorders (70%), post-traumatic conditions (11%), or cancer (8%). The bed occupancy and average length of stay were relatively high (364.9 and 74.9 days, respectively), compared to other hospital care settings in Lithuania (345.2 and 51.7, respectively), probably due to high number of patients waiting for municipality-financed nursing homes (in 2007 only 1.2% of patients got to nursing home, while on 1st January 2008 the waiting list contained 34 persons). On the other hand, the acceptance to long-term care is quite fast – 70% of patients were hospitalized immediately or were on the waiting list up to 7 days. However, a significant issue is the changing of staff: during 3 years, 82 nurse assistants were employed and 57 dismissed, while general practice nurses 11 and 8, respectively. Analysis of quality of care revealed, that lowest scores were for hospital signalization system (average scores 3.0 by staff and... [to full text]

SUMMARY Management of Public Health THE OPTIMIZATION OF ACTIVITIES FOR NURSING AND PALLIATIVE CARE HOSPITALS Viktoras Lebedžinskas Supervisor Donatas Bierontas, Dr., Assoc. Prof., Department of Social Medicine, Faculty of Public Health, Kaunas University of Medicine. – Kaunas, 2005. – P. 66. The aim of this study was to investigate the nursing activities in Marijampole region and to offer recommendations for optimization of nursing services. Methods of study – primary data were obtained from the databases of the institutions of personal health care of Marijampole region, also from information system “Sveidra” during 1999–2003 years was enrolled to the information database. Statistical analysis was performed using MS EXCEL 2000 standard statistical programming packages. Results. The average length of stay in all institutions of nursing and palliative care in Marijampole region differed. The levels of bed occupancy and bed turnover had a tendency to decrease, while the levels of hospital lethality statistically significantly increased. Analysis of the trends of Kudirkos Naumiestis primary health care hospital of nursing and palliative care during 1999-2003 suggested, that the number of bed-days significantly increased in average by 7.2%per year, (p=0.01), the bed turnover decreased from 11.3 events in 1999 to 6.8 events in 2003 (in average by 13.1% per year, p=0.001). Throughout the period of investigation, despite of increasing average length of stay (in average by 9.1%/yrs... [to full text]

Darbo tikslas. Įvertinti Kauno miesto bei rajono Slaugos ir palaikomojo gydymo ligoninių slaugos darbuotojų pasitenkinimą darbu. Tyrimo metodika: tyrimas buvo vykdomas penkiose Kauno miesto bei rajono Slaugos ir palaikomojo gydymo ligoninėse 2012 m. liepos – rugsėjo mėnesiais, apklausiant bendrosios praktikos slaugytojus ir slaugytojų padėjėjus. Tyrimui buvo naudojama anoniminė anketa, kurią sudarė 21 klausimas. Gautos 126 pilnai užpildytos anketos ir tai sudarė 72,4 proc. visų išdalintų anketų. Taip pat buvo naudojamas kokybis tyrimas, užduodant 5 interviu klausimus, 4 slaugos administartorėms. Statistinė duomenų analizė buvo atlikta naudojantis programiniu statistinių duomenų analizės paketu ,,SPSS Statistics 20.0“. Rezultatai. Tyrimo metu nustatyta, kad slaugos darbuotojai yra vidutiniškai patenkinti savo profesine veikla (vid. 5,14 balo). Nustatyta, kad statitiškai reikšmingai savo profesinę veiklą palankiau vertina bendrosios praktikos slaugytojai, nei slaugytojų padėjėjai (p=0,001). Slaugos darbuotojai nėra patenkinti gaunamu atlyginimu (vid. 3,58 balo), darbo krūviu (vid. 3,45 balo), karjeros galimybėmis (vid. 3,93 balo). Palankiausiai buvo vertinamas atostogų (vid. 5,73 balo) ir darbo grafikas (vid. 5,63 balo). Darbo pasitenkinimui didžiausią įtaką turi: geri santykiai su bendradarbiais (71,4 proc.), geros darbo sąlygos (59,5 proc.), gaunamas atlyginimas (53,2 proc.), komplimentai iš pacientų ir jų artimųjų (52,4 proc.). Respondentų nuomone, optimalus aptarnaujamų... [toliau žr. visą tekstą] / Aim of the study. To evaluate the job satisfaction by the nursing staff of the nursing and supportive treatment hospitals in Kaunas city and Kaunas district. Methods: The survey was carried out in 5 nursing and supportive treatment hospitals in Kaunas and its district from July to September, 2012. An anonymous questionnaire, consisting of 21 questions, was used for the survey and its respondents were nurses and nurse‘s assistants. The total number of 126 nurses and nurses‘assistants took part in the study, which was 72.4% of all distributed questionnaires. Furthermore, the qualitative study was done by asking four nursing administrators 5 interview questions. The statistical analysis of data was performed by the application of statistical package SPSS Statistics 20.0. Results. The study showed that the nurses and their assistants are approximately satisfied with their professional activity (average 5.14 score). It was found out that the nurses were more satisfied with their job than the nurses’ assistants (p=0.001). The nursing staff are not satisfied with the payment (average 3.58 score), workload (average 3.45 score), career opportunities (average 3.93. score) whereas holidays (average 5.73 score) and work schedule (average 5.63 score) were assessed sympathetically. The study showed that the main reasons affecting the job satisfaction should be good relations with colleagues (71.4%), good working conditions (59.5%), payment (53.2%), compliments from patients (52.4%)... [to full text]