Human resources development and performance measurement - Possibilities at a hospital locomotor rehabilitation service
A. Vachter

In the rapidly chaning healthcare scene, health care managers need to exert positive influence on both staff and the entire organisation. According to Amstrong (1992), the organisation's objectives must be attained via its most valuable asset, i.e. the human resource. In order to attain both individual and organisational objectives, the staff must be committed to the organisation's success. A significant proportion (60%) of the expenditures of any healthcare provider is made up by staff salaries. At the rehabilitation service, general staffing level is high, with a high number of nurses. Is it possible to show that the staffing level is appropriate for delivering the tasks of the service? Or, is there a need to modify the organisational structure to allow more efficient work? This article tries to answer these questions by using human resources management tools.

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Skilled nursing care at home of an ALS patient requiring mechanical ventilation
O. Lovasi

The problems associated with delivering skilled nursing care at home to a patient suffering fom amyotrophic lateral sclerosis (ALS). The conditions, its incidence, treatment and the tasks of the nurse are described. The case study also deals with the problems related to setting up the diagnosis and to ensuring all the necessary conditions and activities for providing nursing care at home. Problems encountered in the course of delivering skilled nursing care are also outlined, e.g. problems related to sterilisation, infection control, changing the oxygen supply. A cost-efficiency analysis comparing home nursing costs with hospital-based care is also provided.

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Acute abdomen: Incidence and clinical nursing care
K. Zelencz Bekéné

Objective: To study the incidence of acute abdominal and to analyse the care delivered to patient admitted with a diagnosis of an acute intraabdominal condition. Sample and method: The study population has been selected from patients admitted with acute abdomen to the Central ICU, Erzsébet Municipal Hospital, Sátoraljaújhely, Hungary. Analysis was based on a review of patient documentation stored at the unit. The period under ivestigation spanned from January 2000 to October 2002.
Findings: Of the total patient population treated at this service, 42, 43 and 47% respectively had been admitted due to acute abdominal complaints. The most frequently seen acute abdominal conditions included acute abdomen due to biliary disease and ileus.
Conclusions: As acute abdomen was the most frequently seen diagnosis at the service and in the period under study, it is maintained that the nursing staff needs to be prepared for delivering clinical nursing care for this patient group in 50% of the cases.

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