| Abstract | Izmjenama i dopunama Zakona o društvenoj brizi o djeci predškolskog uzrasta iz 1979. godine uvedene su nove programske obveze kojima je jasnije precizirana zdravstvena zaštita djece u predškolskim ustanovama. Izmjene i dopune navode kako predškolske odgojno-zaštitne organizacije udruženog rada zbog ostvarivanja primarnih programa djece obavezno udružuju i rad medicinske sestre s višim obrazovanjem koja ostvaruje zadatke stručnog zdravstvenog nadzora koji proizlazi iz mjera posredne i neposredne zdravstvene zaštite djece, prema zadacima i u suradnji s liječnikom primarne zdravstvene zaštite. U suradnji sa Zavodom sustavno se počinje pratiti primjena stanja uhranjenosti djece o kojoj skrbe vrtići i novih prehrambenih normativa koje je Zavod za zaštitu majki i djece izradio 1986. godine. Važno je u duhu regularnosti tadašnjih naputaka napomenuti kako je Skupština Saveza zajednica usvojila Mjere zdravstvene zaštite djece u predškolskoj organizaciji s uputama za provedbu, što je znatno olakšalo regulaciju provedbe. Pojavljuje se i potreba za izradom jedinstvene zdravstvene dokumentacije koja će omogućiti preciznije praćenje provedbe zdravstvene zaštite djece te poduzimanje određenih mjera i postupaka. Radna skupina viših medicinskih sestara dječjih vrtića izrađuje zdravstvenu dokumentaciju za dječje vrtiće, prema područjima djelovanja, koja je i službeno verificirana i na taj način postaje obveznom u primjeni u svim dječjim vrtićima. Njome se omogućuje jedinstven način uvida u područje zdravstvene zaštite djece i provedbu preventivno-zaštitnih programa u dječjim vrtićima.[1] Tih je godina radna skupina viših medicinskih sestara dječjih vrtića zajedno s predstavnicima Zavoda za zaštitu majki i djece izradila i stručni materijal ‘Elementi higijenskog standarda’ kao pomoć u kvalitetnijem obavljanju zadaća na području higijensko-sanitarnih uvjeta u vrtiću. Istovremeno Zavod postaje i mjesto kontinuirane edukacije, usavršavanja i razmjene iskustava dobre prakse medicinskih sestara dječjih vrtića. Samim time mijenja se i uloga i zadaće više medicinske sestre – zdravstvene voditeljice u dječjem vrtiću. Medicinska sestra uz jasno definirane zadaće koje ostvaruje prema dogovorenim smjernicama, svoja stečena znanja i vještine prenosi i na odgajatelje, suradnike i širu zajednicu, sve više preuzima i ulogu edukatora i promotora zdravlja i zdravih stilova života. Ravnopravno sudjeluje i radi u djelovanju stručnog tima vrtića i svojim stručnim znanjem participira u multidisciplinarnom pristupu radu. 2000. godine više medicinske sestre dječjih vrtića osnivaju svoju podružnicu pri Hrvatskoj udruzi medicinskih sestara (HUMS). [2] |
| Abstract (english) | Amendments of the Law of social care of preschool children from 1979. have introduced new program responsibilities that clearly clarify the health care of children in pre-school institutions. Amendments state that pre-school educational-care organizations of associated labor, because of the implementation of primary programs of children, must also associate the work of a nurse with higher education who performs the tasks of professional medical supervision which results from the measures of direct and indirect health care of children, according to the tasks and in cooperation with the primary health care practitioner. In cooperation with the Institute, application of the nutritional status of children, who are being taken care of by kindergartens, is being systematically monitored, as well as new nutritional regulations that the Institute for the Protection of Mother and Child made in 1986. In the spirit of the regularity of the former instructions, it is important to note that the Assembly of the Union of Communities has adopted measures for the health care of children in the pre-school organization with instructions for implementation, which greatly facilitated the regulation of implementation. There is also a need to develop a unique healthcare documentation that will enable more accurate monitoring of the implementation of child health care and taking certain measures and procedures. A working group of professional nurses is creating health documentation for kindergartens, according to areas of activity, which is officially verified and thus becomes mandatory for use in all kindergartens. It provides a unique way of insight into the area of child health care and the implementation of preventive and protective programs in kindergartens. [1] During those years, a working group of professional nurses, along with representatives of the Institute for the Protection of Mothers and Children, also produced an expert material, 'Elements of Hygiene Standards' as an aid to better performing tasks in the field of hygiene and sanitary conditions in kindergarten. At the same time, the Institute becomes a place of continuous education, training and exchange of good practice for professional nurses in kindergartens. Therefore, the role and tasks of professional nurse – a health care provider in a kindergarten – is changing. The nurse, with clearly defined tasks which she accomplishes in accordance with the agreed guidelines, transmits her knowledge and skills to educators, associates and wider community, and takes the role of educator and promotor of health and healthy life styles. Nurse equally participates and works in the activities of a professional team of the kindergarten and participates in the multidisciplinary approach to work with her professional knowledge. In the year 2000. professional nurses founded their own branch office at the Croatian Association of Nurses (CAN). |
