Menthor: prof.dr. Vladislav Rajkovič
Comenhtor: prof.dr. Miroljub Kljajić
The thesis discusses a unified organisational-information model within the community nursing process. Community nursing care is presented as an integral part of the comprehensive health care. Further described is the development and the testing of the information system together with the hierarchical decision-making model which supports the organisation and the implementation of the community nursing care. The basis of the information system is the adequate organisational-information model. In the development of the system for the assessment of the client’s/patient’s condition and needs a multiple-criteria decision-making theory and the shell of the expert system DEX were used. The latter enables an overview of the prerequisite knowledge for decision-making including the criteria structure and the ways of interpreting the results. The community nursing is thus presented as a cybernetic unified system of aggregation which makes it possible for the comprehensive treatment of subject on the basis of transparent information support together with a selective approach to dealing with the crucial factors as well as the so-called “what…if” analysis. The hierarchical structure of indicators of the comprehensive evaluation and the 14 basic living activities of the clients/patients includes also the measuring scales of five descriptive values and the aggregational functions. Thus the community nursing process is complemented with the additional and viable cybernetic solution with the possibility of the feed-back information. The development and testing of the hierarchical model with the computerised information system was performed in the Health Centre of Ljubljana, the Unit of the Primary Health Care Bežigrad and the Health Centre of Radovljica. The introduction of the presented model into the nursing practice will facilitate a better organisation of work within community nursing itself, it will enhance creativity and higher quality of nursing care. It will allow for the introduction of information technology and other communication facilities into the community nursing and serve as a link between the professional, financial and statistical segments of the overall health care.
KEY WORDS: organisation system, community nursing care, nursing process, information system, multiple-criteria evaluation, basic living activities