HANDBOOK: Standard Operating Procedures: Nursing in Primary Health Care (Part I)
The first handbook on standard operating procedures (SOP) for PHC level nurses, was developed within ProSes by a working group appointed by the Federal Minister of Health. The handbook encompasses 46 SOPs, 12 algorithms and 6 addendums based on technical literature, knowledge, experience and best practice.
Standardized and clearly defined operational procedures are one of basic tools for practice standardization and ensurance of high-quality and safe nursing care. Thanks to the handbook, all the nurses in the FBiH will have assembled information on procedures relevant for their work available.
PUBLICATION: Report on best practices in the field of standards, guidelines and protocols for health care in Bosnia and Herzegovina
As part of project activities supporting nursing care standardization, a study was conducted in 2014 that included four BiH health facilities selected on the assumption that they are „positive deviants“,that would have developed effective strategies to elevate nursing quality and safety management through standardisation.The objective was to explore how the selected health facilities approach the process of the development, adaptation, implementation, monitoring and evaluation of nursing-related standard operating procedures. The certification and accreditation processes proved to be crucial. They enabled necessary changes in institutions’ organizational cultures, empowering nurses to take on advanced roles in improving the safety and quality of nursing care. At the macro-, meso- and micro-levels of BiH healthcare system, key players are responsible for improving the safety and quality of nursing care, not only by standardizing nursing procedures, but also by ‘spreading the message’.
The report was prepared by Dr Dietmar Ausserhofer from the Institute of Nursing Science, University of Basel. Overall direction and coordination was provided by Dr Ahmed Novo from the Agency for Quality Improvement and Accreditation in Healthcare of the Federation of Bosnia and Herzegovina (AKAZ) and Dr. Severin Rakić from the Health Management Centre of the Public Health Institute of Republika Srpska (HMC).
Project support to the development, implementation and evaluation of nursing-related standard operating procedures followed in 26 BiH healthcare facilities in 2014 and 2015, in collaboration with AKAZ and HMC.
It is our intention to continue collaborating with all the institutions of the system involved in the training, development, implementation and evaluation of nursing-related standard operating procedures in the coming years. In the current context of BiH healthcare facilities, particularly their limited resources, the ProSes project can help such players develop a systematic and sustainable approach to the continuous improvement of patient nursing care quality. In the current context of BiH healthcare facilities, particularly their limited resources, ProSes project can help such players develop a systematic and sustainable approach to the continuous improvement of patient nursing care quality.
Publication is available in eBook format (only BHS) Link
Publication is available in PDF format (only BHS) PDF document
PUBLICATION: Management of Diabetic Foot: practical guide of the International Committee of the Red Cross (ICRC)
Diabetes and its complications represent an increasing global challenge. „Management of Diabetic Foot: ICRC Implementation Plan“ has been created to help clinical teams in the field to organize care for diabetic patients at primary health care/hospital and or physical rehabilitation level. This guidance document provides both clinical and technical information aiming at strengthening a interprofessional approach and the continuum of care. It includes tools and illustrations that will help medical and paramedical staff to test and categorize diabetic patients with foot complications and elaborate an efficient treatment plan.
The document covers the topics such as patient education, foot examination with risk stratification, footwear, insole and offloading to prevent and heal diabetic foot ulcerations.
Publication is available in PDF document