CONTINUOUS NURSING EDUCATION TO IMPROVE THE QUALITY OF HEALTH CARE

Zdravstvena njega, današnja medicinsko-tehnička dostignuća i priznati standardi liječenja omogućavaju sveobuhvatnu kvalitetu, sigurnost i sljedivost zdravstvenih postupaka poštujući načela u funkciji zaštite zdravlja. Kontinuiranom edukacijom unaprjeđuje se kvaliteta zdravstvene njege i povećava se učinkovitost u radu s bolesnicima te se time održava i povećava njihova sigurnost. zdravstveni problemi bolesnika stvaraju potrebu za adekvatnim i pravodobnim zbrinjavanjem, zdravstvenom njegom i liječenjem. prilikom pružanja kvalitetne zdravstvene njege pažnja je orijentirana prema bolesniku i njegovim potrebama, kako bi se održala i povećala njihova sigurnost, zadovoljstvo, osamostaljenje i ozdravljenje ili mirna smrt. Stoga zdravstveni postupci moraju biti sistematizirani, planirani te utemeljeni na znanju i iskustvu. zdravstvena njega bolesnika, koji predstavljaju rizičnu skupinu za razvoj kroničnih rana ili su već zadobili neki oblik kronične rane, očituje se preventivnim mjerama koje se provode edukacijom bolesnika, motiviranjem, praćenjem, ranim prepoznavanjem rizika i uzroka te njihovim smanjenjem ili uklanjanjem na način da se provedu potrebni propisani postupci liječenja koje određuje zdravstveno stanje bolesnika. osim preventivnih mjera, zdravstvena njega bolesnika koji imaju kroničnu ranu usmjerena je na zbrinjavanje oštećenog tkiva u provedbi adekvatne i pravodobne dijagnostike, uz pravodobnu i pravilnu procjenu rane i općeg stanja bolesnika. zato je potrebno poznavanje patofiziološkog procesa te primjena lokalne ili sistemske terapije. Cilj liječenja je spriječiti daljnju progresiju raspada rane, poboljšanje općeg stanja bolesnika, te smanjenje mogućnosti razvoja infekcije i drugih komplikacija osnovne bolesti. U cjelokupnom zbrinjavanju pacijenata kroz proces zdravstvene njege medicinska sestra/tehničar provode sistematizirane intervencije koje su usmjerene prema održavanju i optimaliziranju zdravstvenog stanja, sprječavanju nastanka komplikacija postojećih bolesti, ciljanoj skrbi o rani, smanjenju boli, povećanju pokretljivosti i zadovoljstva s ciljem postizanja zadovoljavajućih funkcionalnih i estetskih rezultata. U današnje vrijeme znanje i iskustvo uz kontinuiranu edukaciju omogućuju kako bi se u korak s liječenjem postigla, održala i povećala kvaliteta zdravstvene njege.Health care and today’s medical and technical achievements and approved standards of treatment provide comprehensive quality, safety and traceability of medical procedures respecting the principles of health protection. Continuous education improves the quality of nursing health care and increases the effectiveness of patient care, consequently maintaining and enhancing patient safety. Patient health problems impose the need of appropriate, planned and timely nursing care and treatment. In providing quality nursing care, attention is focused on the patient and his/her needs in order to maintain and increase their safety, satisfaction, independence and recovery or peaceful death, so the health and nursing practices must be systematized, planned and based on knowledge and experience. Health and nursing care of patients at risk of developing acute and chronic wounds or already suffering from some form of this imply preventive measures that are provided through patient education, motivation, monitoring, early recognition of risk factors and causes, and reducing or removing them through the prescribed necessary medical treatment which is safe depending on the patient health status. Except for preventive measures, nursing care of patients who already suffer from some form of acute or chronic wounds is focused on the care and treatment of damaged tissue by providing appropriate and timely diagnosis, timely and proper evaluation of the wound and patient general status, knowledge and understanding of the wide range of local, oral and parenteral therapy and treatment, aiming to increase patient safety by preventing progression of the patient general condition and local wound status and reducing the possibility of developing infection or other complications of the underlying disease. In the overall patient management, through nursing process, medical interventions are implemented and aimed to maintain and optimize health status, prevent complications of existing diseases and conditions, provide appropriate wound treatment, increase satisfaction, reduce pain, increase mobility, reduce and eliminate aggravating factors, and achieve a satisfactory functional and aesthetic outcome. Many scientific researches and knowledge about the pathophysiological processes of wound formation and healing are currently available. Modern achievements can accelerate independence, reduce pain and encourage faster wound healing, thus it is important to continuously develop awareness, knowledge and experience, along with the treatment to achieve, maintain and enhance the quality of health care and patient safety