17
Volume 04 Issue 03-2022
The American Journal of Medical Sciences and Pharmaceutical Research
(ISSN
–
2689-1026)
VOLUME
04
I
SSUE
03
Pages:
17-22
SJIF
I
MPACT
FACTOR
(2020:
5.
286
)
(2021:
5.
64
)
(2022:
6.
319
)
OCLC
–
1121105510
METADATA
IF
–
7.569
Publisher:
The USA Journals
ABSTRACT
With the development of medical science, the role of specialists with secondary medical education is constantly
improving and increasing. Now, in order to care for the sick, they must possess more complex medical, natural science,
as well as technical knowledge and skills. Therefore, the organization of pedagogical activity for the training of middle-
level medical workers should be focused on the introduction of innovative technologies.
KEYWORDS
Professional standards, pain, implementation, standard model, standard monitoring.
INTRODUCTION
Under these conditions, the role of professional
standards increases significantly. If we apply the
standards and protocols for the activities of nurses,
unify the accounting and reporting documentation for
working with patients, introduce uniform approaches
to performing manipulations, preparing for research,
maintaining patient monitoring protocols and
implementing the nursing process, this will
significantly improve the quality of medical care.
Research Article
IMPROVING THE QUALITY OF NURSE TRAINING THROUGH THE
INTRODUCTION OF MODERN NURSING CARE TECHNOLOGIES
Submission Date:
February 27, 2022,
Accepted Date:
March 17, 2022,
Published Date:
March 29, 2022 |
Crossref doi:
https://doi.org/10.37547/TAJMSPR/Volume04Issue03-04
Zafarjon Rakhmonov
Assistant at the department of Human Anatomy, Samarkand State Medical Institute, Uzbekistan
Khabiba Rakhmonova
Assistant at the department of histology, cytology and embryology Samarkand State Medical Institute,
(Samarkand, Uzbekistan)
Journal
Website:
https://theamericanjou
rnals.com/index.php/ta
jmspr
Copyright:
Original
content from this work
may be used under the
terms of the creative
commons
attributes
4.0 licence.
18
Volume 04 Issue 03-2022
The American Journal of Medical Sciences and Pharmaceutical Research
(ISSN
–
2689-1026)
VOLUME
04
I
SSUE
03
Pages:
17-22
SJIF
I
MPACT
FACTOR
(2020:
5.
286
)
(2021:
5.
64
)
(2022:
6.
319
)
OCLC
–
1121105510
METADATA
IF
–
7.569
Publisher:
The USA Journals
PURPOSE
To improve the quality of training of nurses through
the implementation of the nursing process with the
development and use of a standard model for pain
management in the postoperative period.
Tasks:
Develop a model for the standard of pain
management in the postoperative period.
Develop guidelines for nurses.
Develop a patient questionnaire for pain
assessment.
Develop a dynamic observation sheet for the
implementation of the pain problem.
Monitor the implementation of the proposed
standard.
Having studied the possible problems of the patient
after surgery for scoliosis and the elements of care in
the orthopedic and trauma hospital of the city of
Samarkand, using the accumulated materials for the
development of nursing in Samarkand, we offer a form
of organizing nursing care to solve the problem of pain
in the wound area using documents:
1.
Model of the standard for pain relief after surgery
for scoliosis in children. When compiling it, the
following were determined: the relevance of the
topic; indications; goal; nursing documentation
and equipment; actions in which the nurse is
guided by standards of care or algorithms for
nursing interventions.
Structural Criteria
Process Criteria
Result criterion
The care staff has modern
knowledge on
the occurrence of pain
quite competent in
determining their risk
occurrence.
The staff determines the
degree of risk of pain, degree of
activity and patient mobility.
Assesses the psychological the
patient's condition. Makes up
an individual nursing care card.
Conducts a conversation with
filling a patient observation
sheet, with an assessment of
the effectiveness of nursing
independent interventions.
Timely systematic assessment
of probabilityoccurrence of
pain.
The patient is informed about
upcoming events, will beagree
to carry them out.
The staff has the knowledge
and skills to reduce pain.
Necessary items of care.
The staff guaranteesperforming
nursing interventions to reduce
pain.
Reduces the risk of unbearable
pain.
19
Volume 04 Issue 03-2022
The American Journal of Medical Sciences and Pharmaceutical Research
(ISSN
–
2689-1026)
VOLUME
04
I
SSUE
03
Pages:
17-22
SJIF
I
MPACT
FACTOR
(2020:
5.
286
)
(2021:
5.
64
)
(2022:
6.
319
)
OCLC
–
1121105510
METADATA
IF
–
7.569
Publisher:
The USA Journals
Staff ownsknowledge on
giving a comfortable position
of the patient's div and
changing the position of the
div.
The staff performsnursing
action forgiving a comfortable
position to the patient, the
implementation of a change in
div position, and also
encourages the patient's own
activity.
The volume is increasingactive
movements.
The staff has special
knowledge of epidural
anesthesia, special training in
the care of the epidural
catheter.
Owns non-
pharmacologicalmethods of
non-pharmacological
methods of pain reduction.
Personnel supervise the
operation of the dispenser.
Uses wayspsychological impact.
Improves the psychological,
emotional state of the patient,
a sense of comfort.
The staff is competentowns
the technique, has the
necessary set of medicines for
anesthesia.
The staff is administering
painkillers.
Provides a significant
reduction in pain until it
disappears.
The staff ensures that pain
relief activities continue until
the patient is fully active.
Sends information to the
doctor.
The staff performsindividual
patient care plan.
The staff allocates time to
educate the patient and his
relatives in the methodspain
reduction.
The risk of pain and the
necessary measures to reduce
it are known.
The patient will notice an
improvement in the quality of
life.
The staff is knowledgeable in
teaching the patient the
elements of pain reduction.
The staff conducts a
conversation with the patient
The patient is aware andwill
perform elements of pain
reduction.
20
Volume 04 Issue 03-2022
The American Journal of Medical Sciences and Pharmaceutical Research
(ISSN
–
2689-1026)
VOLUME
04
I
SSUE
03
Pages:
17-22
SJIF
I
MPACT
FACTOR
(2020:
5.
286
)
(2021:
5.
64
)
(2022:
6.
319
)
OCLC
–
1121105510
METADATA
IF
–
7.569
Publisher:
The USA Journals
and his relatives on the issues
of pain reduction.
2.
Guidelines for a nurse, which explains the concept
of "pain", the characteristics of pain in children,
assesses the degree of pain using various scales;
nursing interventions to achieve the goal.
0 1 2 3 4 5 6 7 8 9 10
NoMildModerateStrong Very Intolerable
painstrong
10-point scale for assessing the intensity of pain
Scale of subjective assessment of pain
(D.Sh.Bikkulova, 2005)
Indicators
Баллы
0
1
2
3
4
Skin
0
pink
1
hyperemia
2
pale
3
gray
4
white
This scale also takes into account indicators - position,
mood, facial expression, look, appetite, interest in
toys, contact with the environment, sleep, and the sum
of points indicates the severity of pain.
3.
Questionnaire of the patient, which allows you to
evaluate his feelings of pain.
4.
The follow-up sheet allows you to monitor and
evaluate the results of nursing interventions.
21
Volume 04 Issue 03-2022
The American Journal of Medical Sciences and Pharmaceutical Research
(ISSN
–
2689-1026)
VOLUME
04
I
SSUE
03
Pages:
17-22
SJIF
I
MPACT
FACTOR
(2020:
5.
286
)
(2021:
5.
64
)
(2022:
6.
319
)
OCLC
–
1121105510
METADATA
IF
–
7.569
Publisher:
The USA Journals
Indicator
Observation time
8.00-12.00
12.00-16.00
16.00-
20.00
20.00-
24.00
24.00-4.00
4.00-8.00
Mental
condition
calm
restless
calm
restless
calm
restless
calm
restless
calm
restless
calm
restless
Other non-verbal signs of pain are also identified
and evaluated: position in bed, skin, pulse,
respiratory rate, pupil size, speech, emotions,
sleep, appetite.
5.
Nursing card of the patient after surgery for
scoliosis allows you to document and analyze the
elements of care. It reflects the problems of the
patient, the goals and objectives of care, planning
(short-term and long-term) taking into account
the
frequency
of
nursing
interventions,
implementation (independent, dependent and
interdependent) and evaluates the results.
Theoretically analyzed the benefits of nursing care
using evaluation criteria, where the goal is justified,
control tools are developed, actions are described step
by step, focusing on the standard; documentation,
assessment of the quality of care.
The monitoring of the standard was carried out in the
postoperative wards of the Orthopedic Traumatology
Clinic of the Institute of Restorative Medicine and
confirmed that the use of the new technology makes it
possible to start providing medical care (pain relief) at
an earlier time, preventing an increase in pain intensity.
The dynamic observation sheet makes it possible to
systematically monitor and document the patient's
condition, which ultimately contributes to improving
the quality of patient care in the postoperative period.
CONCLUSIONS
Training future nurses in the standards of their practice
will improve the quality of nursing care in the modern
conditions of high-tech equipment of clinics and will
provide an opportunity to combine the concept of
continuous quality improvement with an increase in
professional responsibility and compliance with the
rules of nursing practice.
REFERENCES
1.
Boxer O.Ya.,Grigoriev K.I. The Science of Pain:
Pathophysiological
and
Medico-Psychological
Aspects // Nurse. - Moscow, 2005. - No. 8. - from. 2-
5.
2.
Grigoriev K.I. The role of a nurse in the prevention
of pain in children // Nurse. - Moscow, 2005. - No. 8.
- from. 5-10.
3.
Kamynina N.N., BrazhnikovA.Yu. et al. Protocols
for performing simple medical manipulations as a
means of improving the quality of nurses' activities
// Medical sister. - Moscow, 2005. - No. 8. - from. 35-
39.
4.
Ostrovskaya I.V. Pain: two approaches to problem
solving // Nurse. - Moscow, 2005. - No. 8. - from. 40-
42.
5.
Shkatova E.Yu., Salimova R.Kh. and others.
Dynamic observation map - a means of improving
22
Volume 04 Issue 03-2022
The American Journal of Medical Sciences and Pharmaceutical Research
(ISSN
–
2689-1026)
VOLUME
04
I
SSUE
03
Pages:
17-22
SJIF
I
MPACT
FACTOR
(2020:
5.
286
)
(2021:
5.
64
)
(2022:
6.
319
)
OCLC
–
1121105510
METADATA
IF
–
7.569
Publisher:
The USA Journals
the efficiency of the nursing process // Medical
sister. - Moscow, 2003. - No. 4. - from. 17-19.
6.
Thomas R., Nash T. Pain. The latest methods of
overcoming.Per. from English. – M.: Mir knigi, 2003.
– 196 p.
