Hemşirelikte dünün mirası, bugünün devrimi

medikritik Cu, 01/05/2020 - 10:04

Uzman Hemşire Orhan Çakır, Medikritik için yazdı...

Covid-19 pandemisiyle beraber sağlık bakım süreci, yeniden kamuoyu önünde değerlendirmeye çıktı. Bu sürecin en temel ana ögesi olan, hastalarla en çok zamanı geçiren, bakım sürecinin yükünü tamamen omuzlarında bulunduran hemşirelerimizin bugün itibariyle birçok sorunları vardır ve bu sorunlar çeşitli araştırmalara konu olacak derecede ciddi sorunlardır. Bu sorunları kısaca belirtirsek;  mesleki doyum eksikliği, olumsuz çalışma koşulları, iş yükü, yetersiz ücret, mezuniyet sonrası eğitim yetersizliği, meslekte ilerleme olasılığının düşük olması ve yönetim politikaları gibi birçok sorun hemşirelerimizi olumsuz etkilemektedir.

Bu sorunları incelediğimiz zaman ortaya şu çıkmaktadır. Bu sorunlar bugün yeni oluşan sorunlar değildir, çok öncelerden beri süre gelen tabiri caizse mesleksel olarak bize kalan mirastır. Bu miras bugün çözüm beklemektedir ve günümüz hemşire jenerasyonu düne göre kendini ifade etme ve mesleğe sahip çıkma konusunda daha hevesli ve daha ciddi durumdadır. Evrensel olarak modern hemşirelik sürecinde, ulusal olarak ta ülkemizde ki hemşirelik ile ilgili uygulanan eğitim ve yönetim politikalarında birçok eksik veya yanlış söz konusudur. Modern hemşirelik sürecinden bugüne gelirken başlarda hemşirelerin eğitim kitaplarının hekimler ya da rahipler tarafından hazırlanıyor olmasından tutalım da ülkemizde ki hemşirelik duruşunda, hemşirenin bir hekim yardımcısı olarak kabullenilmesi sürecinin etkileri hala tam olarak kırılabilmiş değildir. Halbuki her zaman dile getirdiğimiz bir slogan vardır; ‘Sağlık bir ekip işidir.’ Sağlık hizmeti verirken hizmet veren meslek üyelerini ekip anlayışından çıkarıp yerine otoriter hiyerarşik bir sistem kurmak, hem ekibin tüm üyelerine hem de hastalarımıza olumsuz yansımaktadır.

Özellikle ‘’Sağlıkta Dönüşüm’’ sürecinde geçtiğimiz yıllarda belirlenen fakat uygulamaya sokulamayan bir sorun vardır. Sağlık bakım hizmetleri müdürlüğünün(hemşirelik hizmetleri müdürlüğü) yönetsel süreçte bağımsızlığını sağlamak açısından, hastanelerimizde ki sağlık bakım hizmetlerinin başhekimliğe bağlılıktan ayrılıp hastane yöneticiliğine bağlanması maalesef uygulanamamıştır. Bu durumla ilgili düzenlemelerin ivedi şekilde yapılması gerekmektedir.

Eğitim sürecinde ki tablo her ne kadar günden güne daha iyiye gidiyor olsa da bu konuyla ilgili en temel sorun; hemşirelik eğiticilerinin hastane sürecinde yeteri kadar etkin olmayışıdır. Hemşireliğin de bu bağlamda, hekimlik eğitimi sürecinde ki gibi eğiticilerinin aynı zaman da hastalara sağlık hizmeti de sunuyor olması örnek alınarak kendine özgü yeni bir model inşa etmesi gerekmektedir.  

Burada ki çözüm önerileri bana ait olan önerilerdir, bunlar pek tabi ki olarak tartışılabilir, çoğaltılabilir ve değiştirilebilir. Kanaatim gereği yönetsel ve eğitsel konuları öne çıkarmamın sebebini ise şöyle ilişkilendirebiliriz. Bütün bu bahsettiğim mesleksel devrim süreci; bağımsızlık ve güç ile entegre bir haldedir. Biz bu süreçleri başardığımızda, sağlık politikası belirleme ve karar alma sürecinde artan etkinliğimiz, hemşirelik mesleğinin iş yükünün azaltılması, olumsuz çalışma koşulları vs. gibi sorunları doğrudan çözer hale gelecektir. Bu sorunları kendi kendimize çözebilecek hale geleceğimizin çok yakın olduğu düşüncesindeyim. Çünkü düne göre bugün çok daha fazla güçlü konumdayız, dün bir elin parmağını geçmeyen dernek sayılarımız bugün onlarla ifade edilmekte, örgütlü gücümüz git gide çoğalmakta, kendini geliştirmek isteyen hemşire sayımız ve buna bağlı olarak üniversitelerimizin lisansüstü eğitimleri de günden güne artmaktadır. Sonuç olarak dünden bize kalan miras bugün mesleğimizde bir devrimin eşiğine gelmiştir.  

UZMAN HEMŞİRE ORHAN ÇAKIR

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PhilipRer (doğrulanmamış) Ct, 14/09/2024 - 01:17

The world’s best pizza for 2024 isn’t in Naples – or even in Italy. Here’s where it is …
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Many New Yorkers will gladly tell anyone who’ll listen – and even those who won’t – about how they have the best pizza. And now they’ve got some mouth-watering new back-up for their long-standing culinary claims.

This week, the Italy-based 50 Top Pizza Awards came out with its 2024 worldwide list, and a Lower East Side restaurant came out on top.

Una Pizza Napoletana, opened by pizza maestro Anthony Mangieri in March 2022, not only beat out US competitors but also global ones. That includes pizzerias in Naples, Italy, the holy land for pizza aficionados and foodies in general.

“It’s inspiring to be recognized for this 30 years into my career, especially in Naples where pizza originated,” Mangieri said in an email to CNN Travel on Thursday.
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Adding to their bragging rights, New Yorkers saw three other pizzerias make the 2024 list, which included 101 restaurants in total (despite the “50” in the name of the awards). The rankings for the other New York pizzerias were Ribalta at No. 19, Don Antonio at No. 30 and L’industrie Pizzeria at No. 80.

Italy still managed to dominate the overall list with 41 eateries while the United States got a total of 15 places recognized. And Naples managed to best New York with five entries on the list, including a tie for the No. 2 spot with Diego Vigtaliano Pizzeria.

Showing how truly global the awards are, nations not exactly known for their pizza scenes –South Korea, Bolivia and India, to name three ­– were represented on the list.

HaroldWix (doğrulanmamış) Ct, 14/09/2024 - 01:37

Scientists who discovered mammals can breathe through their anuses receive Ig Nobel prize
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The world still holds many unanswered questions. But thanks to the efforts of the research teams awarded the IG Nobel Prize on Thursday, some of these questions – which you might not even have thought existed – now have answers.

We now know that many mammals can breathe through their anuses, that there isn’t an equal probability that a coin will land on head or tails, that some real plants somehow imitate the shapes of neighboring fake plastic plants, that fake medicine which causes painful side-effects can be more effective than fake medicine without side-effects, and that many of the people famous for reaching lofty old ages lived in places that had bad record-keeping.
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The awards – which have no affiliation to the Nobel Prizes – aim to “celebrate the unusual, honor the imaginative – and spur people’s interest in science, medicine, and technology” by making “people laugh, then think.”

In a two-hour ceremony as quirky as the scientific achievements it was celebrating, audience members were welcomed to their seats by accordion music, before a safety briefing warned them not to “sit on anyone, unless you are a child,” not to “feed, chase or eat ducks” and to throw their paper airplane safely. There were two “paper airplane deluges” during the ceremony in which the audience attempted to throw their creations – safely – at a target in the middle of the stage.
Among those collecting their prizes was a Japanese research team led by Ryo Okabe and Takanori Takebe who discovered that mammals can breathe through their anuses. They say in their paper that this potentially offers an alternative way of getting oxygen into critically ill patients if ventilator and artificial lung supplies run low, like they did during the Covid-19 pandemic.

American psychologist B.F Skinner was posthumously awarded the peace prize for his work attempting to use pigeons to guide the flight path of missiles, while a European-wide research team was awarded the probability prize for conducting 350,757 experiments to demonstrate that a coin tends to land on the same side it started when it is flipped.

Robertpow (doğrulanmamış) Ct, 14/09/2024 - 01:38

Hyundai and GM to work together on developing new cars
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Hyundai and General Motors (GM) have agreed to look for ways to work together on developing new vehicles, supply chains and technologies in an effort to cut costs and move more quickly.

Global carmakers are under intense pressure to come up with new electric vehicle (EV) and battery technology because they face vehicle emissions regulations around the world. Those research and development efforts could cost tens of billions of dollars.

They’re also facing an onslaught of potential competition from Chinese automakers, particularly EV producers, trying to export their lower-cost models overseas in order to escape a huge oversupply problem at home.
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South Korea’s Hyundai and America’s GM (GM) said on Thursday they would collaborate on joint product development, manufacturing and future clean energy technologies. They plan to work together on internal combustion, clean-energy, electric and hydrogen vehicles.

The non-binding framework agreement was signed by Hyundai Motor Executive Chair Euisun Chung and GM Chair and CEO Mary Barra.

“Our goal is to unlock the scale and creativity of both companies to deliver even more competitive vehicles to customers faster and more efficiently,” Barra said in the statement.

Including its affiliate Kia, Hyundai Motor is the world’s third-largest automaker by sales, according to Reuters, while GM is currently America’s largest carmaker, having retaken that title from Toyota (TM) in 2022.

“This partnership will enable Hyundai Motor and GM to evaluate opportunities to enhance competitiveness in key markets and vehicle segments, as well as drive cost efficiencies and provide stronger customer value,” Chung said in the statement.

Carmakers are increasingly sealing partnerships as a way of becoming more competitive in a cut-throat industry driven by price wars.

Last year, Nissan and Renault finalized the terms of their revamped alliance, which will focus on developing EVs. GM and Honda (HMC), along with Cruise — GM’s autonomous driving subsidiary — have agreed to create a driverless ride-hailing company in Japan.

HaroldSmela (doğrulanmamış) Ct, 14/09/2024 - 01:47

Hyundai and GM to work together on developing new cars
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Hyundai and General Motors (GM) have agreed to look for ways to work together on developing new vehicles, supply chains and technologies in an effort to cut costs and move more quickly.

Global carmakers are under intense pressure to come up with new electric vehicle (EV) and battery technology because they face vehicle emissions regulations around the world. Those research and development efforts could cost tens of billions of dollars.

They’re also facing an onslaught of potential competition from Chinese automakers, particularly EV producers, trying to export their lower-cost models overseas in order to escape a huge oversupply problem at home.
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https://kraken3yvbvzmhytnrnuhsy772i6dfobofu652e27f5hx6y5cpj7rgyd.cc
South Korea’s Hyundai and America’s GM (GM) said on Thursday they would collaborate on joint product development, manufacturing and future clean energy technologies. They plan to work together on internal combustion, clean-energy, electric and hydrogen vehicles.

The non-binding framework agreement was signed by Hyundai Motor Executive Chair Euisun Chung and GM Chair and CEO Mary Barra.

“Our goal is to unlock the scale and creativity of both companies to deliver even more competitive vehicles to customers faster and more efficiently,” Barra said in the statement.

Including its affiliate Kia, Hyundai Motor is the world’s third-largest automaker by sales, according to Reuters, while GM is currently America’s largest carmaker, having retaken that title from Toyota (TM) in 2022.

“This partnership will enable Hyundai Motor and GM to evaluate opportunities to enhance competitiveness in key markets and vehicle segments, as well as drive cost efficiencies and provide stronger customer value,” Chung said in the statement.

Carmakers are increasingly sealing partnerships as a way of becoming more competitive in a cut-throat industry driven by price wars.

Last year, Nissan and Renault finalized the terms of their revamped alliance, which will focus on developing EVs. GM and Honda (HMC), along with Cruise — GM’s autonomous driving subsidiary — have agreed to create a driverless ride-hailing company in Japan.

ThomasBeply (doğrulanmamış) Ct, 14/09/2024 - 02:59

Scientists have solved the mystery of a 650-foot mega-tsunami that made the Earth vibrate for 9 days
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It started with a melting glacier that set off a huge landslide, which triggered a 650-foot high mega-tsunami in Greenland last September. Then came something inexplicable: a mysterious vibration that shook the planet for nine days.

Over the past year, dozens of scientists across the world have been trying to figure out what this signal was.

Now they have an answer, according to a new study in the journal Science, and it provides yet another warning that the Arctic is entering “uncharted waters” as humans push global temperatures ever upwards.
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Some seismologists thought their instruments were broken when they started picking up vibrations through the ground back in September, said Stephen Hicks, a study co-author and a seismologist at University College London.

It wasn’t the rich orchestra of high pitches and rumbles you might expect with an earthquake, but more of a monotonous hum, he told CNN. Earthquake signals tend to last for minutes; this one lasted for nine days.

He was baffled, it was “completely unprecedented,” he said.
Seismologists traced the signal to eastern Greenland, but couldn’t pin down a specific location. So they contacted colleagues in Denmark, who had received reports of a landslide-triggered tsunami in a remote part of the region called Dickson Fjord.

The result was a nearly year-long collaboration between 68 scientists across 15 countries, who combed through seismic, satellite and on-the-ground data, as well as simulations of tsunami waves to solve the puzzle.

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PhilipRer (doğrulanmamış) Ct, 14/09/2024 - 07:26

The world’s best pizza for 2024 isn’t in Naples – or even in Italy. Here’s where it is …
<a href=https://kraken2trfqodidvlh4aa337cpzfrhdlfldhve5nf7njhumwr7insta.cc>krak… onion</a>
Many New Yorkers will gladly tell anyone who’ll listen – and even those who won’t – about how they have the best pizza. And now they’ve got some mouth-watering new back-up for their long-standing culinary claims.

This week, the Italy-based 50 Top Pizza Awards came out with its 2024 worldwide list, and a Lower East Side restaurant came out on top.

Una Pizza Napoletana, opened by pizza maestro Anthony Mangieri in March 2022, not only beat out US competitors but also global ones. That includes pizzerias in Naples, Italy, the holy land for pizza aficionados and foodies in general.

“It’s inspiring to be recognized for this 30 years into my career, especially in Naples where pizza originated,” Mangieri said in an email to CNN Travel on Thursday.
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Adding to their bragging rights, New Yorkers saw three other pizzerias make the 2024 list, which included 101 restaurants in total (despite the “50” in the name of the awards). The rankings for the other New York pizzerias were Ribalta at No. 19, Don Antonio at No. 30 and L’industrie Pizzeria at No. 80.

Italy still managed to dominate the overall list with 41 eateries while the United States got a total of 15 places recognized. And Naples managed to best New York with five entries on the list, including a tie for the No. 2 spot with Diego Vigtaliano Pizzeria.

Showing how truly global the awards are, nations not exactly known for their pizza scenes –South Korea, Bolivia and India, to name three ­– were represented on the list.

DavidTuh (doğrulanmamış) Ct, 14/09/2024 - 07:26

The world’s best pizza for 2024 isn’t in Naples – or even in Italy. Here’s where it is …
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Many New Yorkers will gladly tell anyone who’ll listen – and even those who won’t – about how they have the best pizza. And now they’ve got some mouth-watering new back-up for their long-standing culinary claims.

This week, the Italy-based 50 Top Pizza Awards came out with its 2024 worldwide list, and a Lower East Side restaurant came out on top.

Una Pizza Napoletana, opened by pizza maestro Anthony Mangieri in March 2022, not only beat out US competitors but also global ones. That includes pizzerias in Naples, Italy, the holy land for pizza aficionados and foodies in general.

“It’s inspiring to be recognized for this 30 years into my career, especially in Naples where pizza originated,” Mangieri said in an email to CNN Travel on Thursday.
https://kraken2trfqodidvlh4aa337cpzfrhdlfldhve5nf7njhumwr7insta.cc
kraken4qzqnoi7ogpzpzwrxk7mw53n5i56loydwiyonu4owxsh4g67yd onion
Adding to their bragging rights, New Yorkers saw three other pizzerias make the 2024 list, which included 101 restaurants in total (despite the “50” in the name of the awards). The rankings for the other New York pizzerias were Ribalta at No. 19, Don Antonio at No. 30 and L’industrie Pizzeria at No. 80.

Italy still managed to dominate the overall list with 41 eateries while the United States got a total of 15 places recognized. And Naples managed to best New York with five entries on the list, including a tie for the No. 2 spot with Diego Vigtaliano Pizzeria.

Showing how truly global the awards are, nations not exactly known for their pizza scenes –South Korea, Bolivia and India, to name three ­– were represented on the list.

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