{"id":1219,"date":"2020-10-06T10:25:27","date_gmt":"2020-10-06T08:25:27","guid":{"rendered":"http:\/\/jahs.eu\/?page_id=1219"},"modified":"2020-10-06T11:38:08","modified_gmt":"2020-10-06T09:38:08","slug":"hrvatski-health-care-documentation-management-in-hospital-conditions","status":"publish","type":"page","link":"https:\/\/jahs.eu\/hr\/hrvatski-volume-6-number-2-october-2020\/hrvatski-health-care-documentation-management-in-hospital-conditions\/","title":{"rendered":"Health Care Documentation Management in Hospital Conditions"},"content":{"rendered":"

Health Care Documentation Management in Hospital Conditions<\/strong><\/p>\n

\"\"<\/a><\/p>\n

\n1,2 Amer Ov\u010dina
\n1 Selveta Mu\u0161anovi\u0107
\n1 Ernela Eminovi\u0107
\n2 Nada Spasojevi\u0107
\n3 Amela Hajdarevi\u0107
\n2 Jasmina Maru\u0161i\u0107<\/p>\n

1 Clinical Center of the University of Sarajevo
\n2 University \u201eVitez\u201d in Vitez, Faculty Health studies
\n3 Regional Medical Center \u201eDr. Safet Muji\u0107\u201d Mostar<\/p>\n

\n

Summary<\/strong><\/p>\n

Healthcare documentation or nursing documentation as often used in practice is the name of an indispensable part of a patient\u2019s medical documentation, and documenta\u00adtion is an integral part of a nurse\u2019s daily work. Document\u00ading health care in the hospital means recording data on all procedures performed, during the entire health care process for the individual, all for the purpose of system\u00adatic monitoring, planning and evaluation of the quality of health care. Nursing documentation serves as a means of communication between the team and is of great impor\u00adtance for the quality and continuity of health care.<\/p>\n

\nAIMS<\/strong>: 1 – To determine the existence of health care docu\u00admentation in hospital health care institutions; 2 – Exam\u00adine the importance and purpose of documenting health care among nurses-medical technicians; 3 – Examine the practice of nurses-medical technicians in the process of administering health care; 4 – Present quality indicators that are monitored and analyzed through health care documentation; 5 – Compare the obtained results in two examined areas.<\/p>\n

\nMETHODS<\/strong>: This research was conducted in two geographi\u00adcally separate areas of Sarajevo and Travnik. The study in\u00advolved 210 respondents, 147 nurses-technicians employed at the Clinical Center of the University of Sarajevo and 63 nurses-technicians employed at the General Hospital in Travnik. Data collection for research was carried out by exploratory and descriptive method. An original author\u00adized questionnaire was used for the descriptive research. The questionnaire was made available to respondents in the electronic form trough Google Forms. The anonymity of the respondents was fully guaranteed. The survey was conducted in the period from July 15- August 15, 2019.<\/p>\n

\nRESULTS<\/strong>: At the Clinical Center of the University of Sa\u00adrajevo (CCU), 98% of respondents use health care docu\u00admentation forms on a daily basis, and at the General Hospital Travnik 77.8% of respondents. In CCU Sarajevo, respondents use more standardized forms of health care documentation, 97.6%, compared to respondents in the General Hospital Travnik, where the documenting is car\u00adries out in nursing records, 74.6%. 68% of respondents at CCU Sarajevo believe that documentation contributes to the evaluation of nursing services, while only 19% of re\u00adspondents at General Hospital Travnik believe the same. As the most common shortcomings, the respondents state the lack of computer technology in the department in 74.3%, then adequate premises for document adminis\u00adtration in 37.6%, the lack of forms in printed form in 32.1% and 6 or 2.3% respondents did not answer this question.
\nIn both institutions, the biggest shortcoming is the prob\u00adlem of computer equipment in the department, in 70.7% in CCU Sarajevo and 82.5% in General Hospital Travnik.<\/p>\n

\nCONCLUSIONS<\/strong>: The research found that over 95% of re\u00adspondents use standardized health care processes in their daily practice, document health care, know the basic pur\u00adpose and monitor health care indicators. More than 90% of respondents in both study groups use health care docu\u00admentation to plan health care and monitor its outcomes. More than half of respondents in both study groups stated that documenting health care is a problem because it consumes a lot of time. A larger number of respondents from both groups, as many as 30%, state that they do not use the data from the health care documentation for any purpose. The lack of workers in the health care process, insufficient knowledge of information technologies, and the lack of an information system represent an aggravat\u00ading circumstance in documenting the health care process.<\/p>\n

Keywords<\/strong>: documentation, health care, nursing, practice, team\u00adwork, autonomy, laws.<\/p>\n

https:\/\/doi.org\/10.24141\/1\/6\/2\/3 <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Health Care Documentation Management in Hospital Conditions 1,2 Amer Ov\u010dina 1 Selveta Mu\u0161anovi\u0107 1 Ernela Eminovi\u0107 2 Nada Spasojevi\u0107 3 Amela Hajdarevi\u0107 2 Jasmina Maru\u0161i\u0107 1 Clinical Center of the University of Sarajevo 2 University \u201eVitez\u201d in Vitez, Faculty Health studies 3 Regional Medical Center \u201eDr. Safet Muji\u0107\u201d Mostar Summary Healthcare documentation or nursing documentation […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1197,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1219","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/jahs.eu\/hr\/wp-json\/wp\/v2\/pages\/1219","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jahs.eu\/hr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/jahs.eu\/hr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/jahs.eu\/hr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/jahs.eu\/hr\/wp-json\/wp\/v2\/comments?post=1219"}],"version-history":[{"count":2,"href":"https:\/\/jahs.eu\/hr\/wp-json\/wp\/v2\/pages\/1219\/revisions"}],"predecessor-version":[{"id":1255,"href":"https:\/\/jahs.eu\/hr\/wp-json\/wp\/v2\/pages\/1219\/revisions\/1255"}],"up":[{"embeddable":true,"href":"https:\/\/jahs.eu\/hr\/wp-json\/wp\/v2\/pages\/1197"}],"wp:attachment":[{"href":"https:\/\/jahs.eu\/hr\/wp-json\/wp\/v2\/media?parent=1219"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}