Aim To determine the presence of the pathophysiological forms of cardiac arrest at the beginning and at the end of the reanimation procedures and survival of the patients. Methods This retrospective-descriptive-analytic research involved 41 patients admitted to the Department for urgent and regular admission at the Canton Hospital Zenica during the period 01 September 2008 to 31 May 2009. The data (number of patients before treatment, number of survivors and deaths, ECG forms of the cardiac arrest) were extracted from the Protocols. Chi-square test was used for the comparision of the data and calculation of statistical significance at the level of 0.005. Results The most common pathophysiological form of cardiac arrest at the beginning of the reanimation procedures was asystole (AS), 27 patients (65.9%). Five patients survived cardiac arrest (12.2%). The most common pathophysiological form of the cardiac arrest, which was registered in the surviving patients immediately before the establishment of the normal cardiac rhythm was ventricular fibrillation (VF), four (80.0%) patients. One (3.7%) patient survived AS, four (66.7%) patients survived VF. Frequency of all forms of cardiac arrest was statistically significantly different (frequency of AS and EMD was higher and VT and VF was lower) in this study, than the expected frequency (p>0.005). Conclusion There is need for the improvement of the efficiency of pre-hospital treatment by improving the cooperation with institutions that provide first aid training (Red Cross).
Aim To investigate the attitudes of nurses, physicians, nursing postgraduate students, patients towards the method and level of nursing education in the Zenica-Doboj Canton, Bosnia and Herzegovina. Methods Descriptive analytical study was conducted among nurses and physicians employed in three public health institutions, as well as among students of nursing master study and among the in-patients and outpatients. An anonymous questionnaire was designed for the research. Block random sampling method was used, and subjects were divided into four groups: nurses, physicians, patients, nursing postgraduate students. Respondents were selected by simple random sampling. The study included 180 subjects, 50 of each nurses, physicians, patients, and 30 nursing postgraduate students. Results There were 67 (37.2%) males; 76 (42.2%) respondents were from the age group 41-60 years. Only 21 (42%) patients had heard about the process of health care (p=0.005), and only 34 (64%) of them had heard about the nursing university education (p=0.005). In the group of physicians, 27 (54%) respondents found that knowledge was not required for nurses (p=0.90). Differences in attitudes between the groups were statistically significant relating to the progress of nurses to highest education level, e.g. Master’s and PhD (p=0.01), and allowing nurses to manage nursing education (p=0.005). Conclusion In contrary to the physicians and patients opinion, nurse postgraduate students declared they were competent to manage university education and progress to highest education and scientific level. A compromise between nursing competence and responsibility in multidisciplinary teams, where the nurse should be an equal member, needs to be reached.
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