Pokazatelji kvaliteta bolničke zdravstvene nege

Abstract

Good-quality care is a right of all patients/users and the responsibility of all nurses who deliver it. The quality of nursing care is defined as care that has been provided according to the hospital's standard and job requirements. According to Donabedian, the quality of nursing care can be observed from the aspect of quality structure, quality process and quality outcome. Several authors have reported the importance of the evaluation of nurses' opinions of important aspects of nursing care that might have an impact on quality of care and treatment. In conclusion of the qualitative study which was conducted with the aim to find out important aspects of nursing care that might have an impact on quality of care in surgical wards, indicate two dimensions, here called 'prerequisites' and 'elements of performance'. Interest to examine/evaluate the quality of care escalates when American Nurses' Association designed a Nursing Quality Report Care. This association identified several nursing-sensitive indicators in hospital settings: patient's satisfaction with nursing care, pain management and provision of educational information, although, nursing cannot accept responsibility for failings they are professional group which is 24 hours with the patient. Nursing-sensitive indicator of care quality is number of patients with pressure ulcers and number of patient's falls, whereby emanate necessity to evaluate and provide documentation risk for the development of these undesirable events. Frequency of nosocomial infections, primarily urinary tract infection in catheterized patients, qualification structure of nurses taking direct part in patient's care, in addition to nursing hours per patient and nurse staff satisfaction are important determinants of hospital nursing care in the greater number of countries. Defining and using nursing-sensitive indicators should be of utmost importance for the managers of the health institutions.