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SOCIOMETRIC STATUS OF CHILDREN WITH SPECIAL NEEDS IN THE KINDERGARTEN GROUP
No full textCilj: Cilj istraživanja bio je utvrditi sociometrijski status djece s posebnim potrebama u predškolskoj
vrtićkoj skupini radi planiranja inkluzivnih programa i sustavnog poticanja njihove interakcije s vršnjacima
s tipičnim razvojem.
Metode: U provedeno retrospektivno kohortno istraživanje bilo je uključeno 68 predškolske vrtićke djece
s otoku Brača, grad Supetar od čega je 8 djece imalo poteškoće u razvoju. Djeca su smještena u 8 vrtićkih
skupina sa nejednakim brojem djece. Primijenjeni su anketni upitnik o djeci i strukturirani upitnik 5-15R
(Kadesio B, Janols L-O, Korkman M, Mickelsson K, i sur. Questionnaire for evaluation of development
and behaviour (QEDB), 2017.) koje su popunjavali odgajatelji. U radu je korištena deskriptivna analiza
podataka: izračunate su mjere apsolutne i relativne učestalosti smetnji koje su prezentirane tabelarno i
grafički. Korištene su apsolutne i relativne postotne frekvencije koje su prezentirane tabelarno i grafički.
Zadatak je bio na temelju anketnog upitnika razvrstati djecu u jednu od 6 kategorija: kategorija popularne
djece, kategorija djece koja imaju više pozitivnih nego negativnih biranja, kategorija djece koja imaju više
negativnih nego pozitivnih biranja, kategorija kontroverzne djece, kategorija odbačene djece i kategorija
izolirane djece.
Rezultati: Osmero djece sa teškoćama u razvoju čine skupinu djece slabo socijalizirane u vrtiću: dvoje
djece svrstano je u skupinu izoliranih, petero djece je u skupinu odbačenih, jedno dijete u skupinu
kontroverznih. 7 od 8 djece sa teškoćama u razvoju bila su odbačena ili izolirana.
Zaključak: Rezultati ovog istraživanja pokazali su da su djeca s teškoćama u razvoju najčešće odbačena
ili izolirana od svojih vršnjaka iako je riječ o manjim vrtićkim skupinama u otočkoj sredini s većom
mogućnosti interakcije. Interakcija djece s posebnim potrebama s vršnjacima nije spontan proces već mora
biti obuhvaćena unaprijed planiranim inkluzivnim predškolskim programom.Objective: The objective of the research is to determine the sociometric status of children with special
needs in kindergarten groups for the purpose of planning inclusive programs and systematic encouragement
of the interaction with their peers having typical development.
Methods and respondents: 68 kindergarten children were a part of this research, and 8 of them has
developmental disabilities. . The children were placed in 8 kindergarten groups with an unequal number of
children. Descriptive data analysis and a structured one 5-15 R Questionnaire for evaluation of
development and behaviour ( QEDB ), 2017.), which werwb filwd in by educators. ( Kadesio B, Janols LO, Korkman M, Mickelsson K, i sur. ) was used in the study : the absolute and relative frequency methods
were calculated and presented both tabulary and graphically. The task was based on the questionnaire for
mapping a group of children in one of the six categories: the category of popular children, the category of
children who have more positive then negative choices, the category of controversial children, the category
of rejected children, and the category of the isolated children. The questionnaire offers data about the
interactions children with special needs with their peers.
Results: 8 children with developmental disabilities were at a low level of socialization : two children were
in the category of isolated children , five children were in the category of rejected ones and one child was
in the category of controversial children. So, 7 about 8 children with developmental disabilities were either
rejected or isolated.
Conclusion: The resul ts of this research have shown that the children with developmental disabilities have
most often been rejected or isolated by their peers, although in this instance they have been in smaller
kindergarten groups on the island with a greater possibility of interaction. The interaction of children having
special needs with their peers is not a spontaneous process and needs to be included in a pre-planned
inclusive preschool program
Mental health of nurses during the COVID-19 pandemic: a review paper
No full textCilj ovog rada je prema pregledanoj literaturi utvrditi promjene mentalnog zdravlja medicinskih sestara i čimbenike koji su utjecali na navedeno tijekom COVID-19 pandemije. Za izradu rada korištena je baza podataka MEDLINE putem PubMed-a, nakon filtriranja rezultata preostalo je 11, odnosno 19 istraživanja među kojima je odabrana jedna prospektivna studija i četiri meta-analize, odnosno sustavna pregleda. Utvrđeni su loši ishodi mentalnog zdravlja medicinskih sestara uslijed pandemije; gotovo polovina ispitanika (oko 40%) je bila izložena visokim razinama stresa što ima uzročno-posljedičnu vezu s poteškoćama sa spavanjem, oko jedne trećine ispitanika je patilo od anksioznosti i/ili depresije, a oko 19% ispitanika je pokazivalo simptome PTSP-a. Primijećen je i fenomen prilagodbe na novonastalu situaciju; dio ispitanika je nakon određenog vremena pokazao znakove poboljšanog mentalnog zdravlja što je detaljno prikazano kroz pet sintetiziranih nalaza. Zdravstvene službe bi trebale omogućiti psihološku pomoć svojim zaposlenicima; primjenom zdravih vještina suočavanja i terapijskih intervencija medicinske sestre će se moći osloboditi negativnih učinaka pandemije. Shodno tome, tijekom obrazovanja zdravstvenih radnika bi se trebao poticati naglasak na važnosti mentalnog zdravlja.The aim of this paper is to determine, according to the reviewed literature, the changes in the mental health of nurses and the factors that influenced the aforementioned during the COVID-19 pandemic. The MEDLINE database via PubMed was used to create this paper, after filtering the results 11, more precisely 19, studies remained, among which one prospective study and four meta-analyses, or systematic reviews, were selected. Poor mental health outcomes for nurses due to the pandemic have been identified; almost half of the respondents (about 40%) were exposed to high levels of stress, which has a cause-and-effect relationship with sleep difficulties, about one third of the respondents suffered from anxiety and/or depression, and about 19% of the respondents showed symptoms of PTSD. The phenomenon of adaptation to the newly created situation was also noticed; part of the respondents showed signs of improved mental health after a certain time, which is shown in detail through five synthesized findings. Health services should provide psychological help to their employees; by applying healthy coping skills and therapeutic interventions, nurses will be able to free themselves from the negative effects of the pandemic. Accordingly, emphasis on the importance of mental health should be encouraged during the education of health workers
Nursing problems after appendectomy in children
No full textŠećerna bolest jedan je od vodećih zdravstvenih problema u svijetu današnjice. U radu je prikazana etiologija, klinička slika, liječenje, zdravstvena njega te sestrinska dokumentacija koja je od iznimne važnosti. Sestrinska dokumentacija predstavlja vođenje evidencije o području zdravstvene njege pacijenta koju medicinska sestra/tehničar najprije planira, a zatim i provodi. U raspravi se predstavljaju specifičnosti u samoj procjeni dijabetološkog pacijenta, planiranju zdravstvene njege istoga, edukaciji, terapijskome planu, prehrani te tjelesnoj aktivnosti. Opisan je holistički pristup pri provođenju zdravstvene njege pacijenta te naglasak kako je sestrinska dokumentacija ključna za osiguranje kvalitetne sestrinske skrbi s obzirom da pruža iznimno točan odraz procjene i kvalitete pružene zdravstvene njege i svih relevantnih podataka o jednom pacijentu.Diabetes is one of the leading health problems in the world today. The work presents the etiology, clinical picture, treatment, health care and nursing documentation, which is extremely important. Nursing documentation is the keeping of records on the patient's health care area, which the nurse/technician first plans and then implements. The discussion presents the specifics of the assessment of the diabetic patient, the planning of the patient's health care, education, therapy plan, diet and physical activity. A holistic approach to patient care is described, emphasizing that nursing documentation is key to ensuring quality nursing care, given that it provides an extremely accurate reflection of the assessment and quality of the provided health care and all relevant data about a patient
Nursing care of pregnant women with Covid 19 infection on venovenous continuous extracorporeal membrane oxygenation - case report
No full textCILJ: Cilj završnog rada je kroz proces zdravstvene njege prikazati zbrinjavanje i skrb za trudnicu oboljelu od bolesti COVID-19. U teorijskom dijelu rada će se pomoću podataka iz literature prikazati građa i virulencija virusa uzročnika bolesti COVID-19, način prijenosa, dijagnostika, liječenje i komplikacije, dok će se u poglavlju Rasprave prikazati specifičnosti zdravstvene njege oboljele trudnice.
RASPRAVA: Bolesnica K.V., u dobi 30 godina i 33. tjednu gestacije se zbog potrebe za nastavkom liječenja premješta s Klinike za infektologiju u Jedinicu intenzivnog liječenja COVID JIL-a Kliničkog bolničkog centra Split. Dva tjedna prije hospitalizacije, bolesnica je razvila simptome COVID-19 infekcije uz pozitivan PCR nalaz dok je u 33. tjednu gestacije uredne i redovito kontrolirane trudnoće. Zbog pogoršanja respiratornog statusa i razvoja ARDS-a bolesnica je zahtijevala potporu V-V izvantjelesne membranske oksigenacije. Nakon završenog razdoblja infektivnosti, premješta se u JIL Firule kardiokirurških bolesnika KBC-a Split zbog nastavka liječenja. Sestrinska skrb za bolesnicu nakon provođenja VV ECMO potpore uključivala je praćenje vitalnih funkcija, znakova krvarenja i infekcije, primjenu terapije prema odredbi liječnika, provođenje osobne higijene, sprječavanje nastanka dekubitusa i primjenu nutritivne potpore.
ZAKLJUČAK: Izvantjelesna membranska oksigenacija je strategija liječenja za pružanje podrške bolesnicima s akutnim respiracijskim zatajenjem i uspješno se koristi u liječenju ARDS-a povezanog s bolesti COVID-19. Kroz proces zdravstvene njege prikazane su sestrinske dijagnoze i skrb za bolesnicu.COVID-19 through the health care process. In the theoretical part of the paper, the structure and virulence of the virus that causes the disease COVID-19, the mode of transmission, diagnosis, treatment and complications will be presented using data from the literature, while the specifics of the health care of a sick pregnant woman will be presented in the Discussion chapter.
DISCUSSION: Patient K.V., aged 30 years and 33 weeks pregnant, is being transferred from the Infectious Diseases Clinic to the Intensive Care Unit of the COVID ICU of the Split Clinical Hospital Center due to the need for continued treatment. Two weeks before hospitalization, the patient developed symptoms of a COVID-19 infection with a positive PCR result, while she is in the 33rd week of gestation with an orderly and regularly controlled pregnancy. Due to worsening respiratory status and the development of ARDS, the patient required the support of V-V extracorporeal membrane oxygenation. After the end of the infectious period, he was transferred to the ICU Firule for cardiac surgery patients of KBC Split for the continuation of treatment. Nursing care for the patient after the implementation of VV ECMO support included monitoring of vital functions, signs of bleeding and infection, application of therapy as prescribed by the doctor, implementation of personal hygiene, prevention of pressure ulcers and application of nutritional support.
CONCLUSION: Extracorporeal membrane oxygenation is a treatment strategy to support patients with acute respiratory failure and has been successfully used in the treatment of ARDS associated with COVID-19. Through the process of health care, nursing diagnoses and patient care are presented
Neurological dysphagia in patients with Parkinson's disease
No full textParkinsonova bolest predstavlja drugi najčešći neurodegenerativni poremećaj, poslije Alzhaimerove bolesti, a uzrokovana je degeneracijom dopaminergičkih neurona u crnoj tvari. Temeljni simptomi podrazumijevaju pojavu tremora pri mirovanju, rigor odnosno ukočenost mišića koja se može pojaviti u bilo kojem dijelu tijela te bradikineziju odnosno usporene kretnje. Uz prethodno nabrojane simptome tijekom razvoja bolesti dolazi do posturalne nestabilnosti, poremećaja spavanja, depresije, ali isto tako i poteškoća s gutanjem. Disfagija predstavlja teškoću gutanja, odnosno hranjenja, a javlja se kod čak 80% pacijenata s Parkinsonovom bolesti. Temeljni cilj ovog rada usmjeren je prema prikazu sestrinske skrbi za pacijenta s poremećajem gutanja pri primarnoj Parkinsonovoj bolesti.Parkinson's disease is the second most common neurodegenerative disorder, after Alzheimer's disease, and is caused by the degeneration of dopaminergic neurons in the substantia nigra. The basic symptoms include the appearance of tremors at rest, rigor or stiffness of muscles that can appear in any part of the body, and bradykinesia or slowed movements. In addition to the previously listed symptoms, during the development of the disease, postural instability, sleep disorders, depression, but also difficulties with swallowing occur. Dysphagia is a difficulty in swallowing or feeding, and occurs in as many as 80% of patients with Parkinson's disease. The main goal of this paper is directed towards the presentation of nursing care for a patient with a swallowing disorder in primary Parkinson's disease
Nursing care in the treatment of infantile hemangiomas
No full text: Hemangiomi su dobroćudne vaskularne neoplazme koje se najčešće javljaju kod novorođenčadi i dojenčadi u prvih nekoliko tjedana ili mjeseci života. Većina ih ima benigni tijek i spontano se povlače tijekom vremena. Klinička slika dojenačkih hemangioma može varirati, ovisno o tipu, podtipu i lokalizaciji hemangioma. Dijagnoza se postavlja na osnovu anamneze i kliničkog pregleda. U većini slučajeva, dojenački hemangiomi ne zahtijevaju posebno liječenje i dovoljno je praćenje. Međutim, u nekim slučajevima, posebno kod većih, brzo rastućih ili kompliciranih hemangioma, koriste se različiti modaliteti liječenja: farmakoterapija (propranolol, timolol), skleroterapija, laserska terapija i kirurški zahvati. Sestrinska skrb za djecu oboljelu od dojenačkih hemangioma igra važnu ulogu u pružanju podrške roditeljima i njege djeteta. To uključuje edukaciju obitelji o hemangiomima, praćenje hemangioma, provođenje liječenja, prevenciju i liječenje komplikacija. Uz rano prepoznavanje, pravilno praćenje i podršku obitelji, većina dojenačkih hemangioma ima dobar ishod. Uloga medicinske sestre u praćenju uključuje redovite procjene veličine, lokalizacije, boje, teksture i eventualnih komplikacija (zahvaćanje vitalnih struktura, ulceracije). Medicinske sestre su uključene u uvođenje i provođenje terapije betablokatorom tijekom hospitalizacije te u ambulantno praćenje u mjesečnim intervalima gdje se prati uspješnost liječenja i korekcija doze lijeka. U slučaju nastanka trajnih ožiljaka i estetskog nagrđivanja, hemangiomi mogu imati značajan emocionalni i psihološki utjecaj na pacijente u kasnijoj životnoj dobi i njihove obitelji. Medicinske sestre su važan dio tima u liječenju i praćenju terapijskih ishoda djece s hemangiomima.Hemangiomas are benign vascular neoplasms that most often occur in newborns and infants in the first few weeks or months of life. Most of them have a benign course and resolve spontaneously over time. The clinical picture of infant hemangiomas can vary, depending on the type, subtype and localization of the hemangioma. The diagnosis is made on the basis of history and clinical examination. In most cases, infantile hemangiomas do not require special treatment and monitoring is sufficient. However, in some cases, especially with larger, fast-growing or complicated hemangiomas, different treatment modalities are used: pharmacotherapy (propranolol, timolol), sclerotherapy, laser therapy and surgery. Nursing care for children with infantile hemangiomas plays an important role in providing support to parents and care of the child. This includes family education about hemangiomas, monitoring of hemangiomas, implementation of treatment, prevention and treatment of complications. With early recognition, proper follow-up and family support, most infantile hemangiomas have a good outcome. The nurse's role in follow-up includes regular assessments of size, localization, color, texture and possible complications (involvement of vital structures, ulceration). Nurses are involved in the introduction and implementation of beta-blocker therapy during hospitalization and in outpatient follow-up at monthly intervals, where the success of the treatment and the correction of the drug dose are monitored. In the case of permanent scarring and aesthetic disfigurement, hemangiomas can have a significant emotional and psychological impact on patients and their families later in life. Nurses are an important part of the team in the treatment and monitoring of therapeutic outcomes of children with hemangiomas
Nursing care of children with Hirschsprung's desease - case report
No full textHirschsprungovu bolest (HSCR) karakterizira nedostatak ganglija u određenom dijelu debelog
crijeva. Najčešće se dijagnosticira u neonatalnoj i dojenačkoj dobi, obično zbog simptoma poput
opstipacije, nadutosti i povraćanja. U radu se ističe važnost znanja, stručnosti i vještina medicinskih sestara
u procesu skrbi djece s ovom kongenitalnom malformacijom. U prijeoperacijskoj pripremi djeteta s HSCR-
om, medicinske sestre igraju ključnu ulogu u osiguranju stabilnosti pred operaciju te provode pripremne
mjere kao što su klizme, režimi prehrane i pražnjenje crijeva. Postoperacijska skrb uključuje praćenje
djeteta, brigu o ranama, kontrolu stome (ako je prisutna) te obuku roditelja o njezi stome i prepoznavanju
znakova komplikacija. U radu se naglašava važnost podrške roditeljima tijekom ovog zahtjevnog
razdoblja. Također donosimo i prikaz konkretnog slučaja djeteta s HSCR-om, opisujući postupke koji su
provedeni u vezi s njegovom skrbi i operacijom te kako je medicinsko osoblje komuniciralo s roditeljima.Hirschsprung's disease (HSCR) is characterized by the absence of ganglia in a specific part of
the large intestine. It is most commonly diagnosed in neonates and infants, typically due to symptoms such
as constipation, bloating, and vomiting. This paper highlights the importance of knowledge, expertise, and
skills of pediatric nurses in caring for children with this congenital malformation. In the preoperative
preparation of a child with HSCR, nurses play a key role in ensuring stability before surgery and carry out
preparatory measures such as enemas, dietary regimens, and bowel emptying. Postoperative care involves
monitoring the child, wound care, stoma management (if present), and educating parents on stoma care
and recognizing signs of complications. The paper emphasizes the significance of providing support to
parents during this challenging period. Additionally, it presents a case study of a child with HSCR,
describing the procedures related to their care and surgery, as well as how the medical staff communicated
with the parents
Perioperative Nursing Care of Patients with Malignant Esophageal Disease
No full textMaligna bolest jednjaka je zahtjevna bolest sa višesistemskim utjecajem. Najčešće je asimptomatska pa se kasno dijagnosticira. Stopa smrtnosti iznosi čak 82% unutar prvih pet godina od dijagnosticiranja. Najčešći oblici karcinoma su adenokarcinom te karcinom skvamoznih stanica. Liječenje ovisi o stadiju bolesti. Glavna metoda liječenja jest ezofagektmoija, a kod uznapredovale bolesti uvodi se kemoterapija i/ili radiokemoterapija. Zdravstvena skrb kod maligne bolesti jednjaka je kompleksan proces. Medicinska sestra prati bolesnike od samog početka, a to uključuje preoperativnu, intraoperativnu te postoperativnu zdravstvenu skrb. Svrha zdravstvene skrbi jest sprječavanje nastanka komplikacija, smanjenje nastalih komplikacija, edukacija te podrška bolesniku i obitelji.Malignant disease of the esophagus is a demanding disease with a multisystem impact. It is most often asymptomatic, so it is diagnosed late. The mortality rate is as high as 82% within the first five years of diagnosis. The most common forms of cancer are adenocarcinoma and squamous cell carcinoma. Treatment depends on the stage of the disease. The main method of treatment is esophagectomy, and in advanced disease chemotherapy and/or radiochemotherapy is introduced. Healthcare for malignant esophageal diseases is a complex process. The nurse follows the patients from the very beginning, and this includes preoperative, intraoperative and postoperative health care. The purpose of health care is to plan complications, reduce the number of complications, provide education and supporting patient and family
Determination of paraprotein in serum and urine of patients with multiple myeloma
No full textUvod: Multipli mijelom je maligna hematološka bolest koja se javlja kao posljedica nekontrolirane klonalne proliferacije plazma stanica. Najčešće se javlja kod starijih pacijenata i karakterizira je prisutnost paraproteina odnosno monoklonskog imunoglobulina ili njegovih fragmenata slobodnih lakih lanaca u serumu i/ili urinu. Bence Jones proteini su monoklonski slobodni laki lanci imunoglobulina, kapa i lambda koji se koriste kao važan biljeg u dijagnostici multiplog mijeloma. Laboratorijska dijagnostika multiplog mijeloma obuhvaća razne laboratorijske pretrage, uključujući elektroforezu proteina seruma, imunofiksaciju seruma, imunofiksaciju urina i određivanje koncentracije slobodnih lakih lanaca imunoglobulina u serumu.
Cilj rada: Svrha ovog rada bila je odrediti paraprotein u serumu i mokraći odabranih pacijenata s uputnom dijagnozom multiplog mijeloma koristeći različite laboratorijske metode i tehnike.
Materijali i metode: Izabrani su uzorci seruma i 24-satnog urina četiri pacijenata s uputnom dijagnozom multiplog mijeloma upućena u Zavod za medicinsko laboratorijsku dijagnostiku KBC-a Split na laboratorijsku obradu koja je uključivala elektroforezu proteina u serumu, imunofiksaciju seruma i urina te određivanje koncentracije slobodnih lakih lanaca u serumu.
Rezultati: Kod trojice pacijenata uočen je suspektan monoklonski vršak na elferogramu serumskih proteina te je metodom imunofiksacije seruma dokazan monoklonski proteina IgG kapa tipa Imunofiksacijom urina dokazana je prisutnost Bence Jones proteina u jednom od četiri uzorka. Povišena koncentracija slobodnih lakih lanaca dokazana je u jednom od četiri uzoraka, a povišeni omjer koncentracija slobodnih lakih lanaca kapa/lambda u dva od četiri uzoraka.
Zaključak: Paraprotein ili M-protein je dokazan trojici od četiri pacijenta s uputnom dijagnozom multiplog mijeloma.Introduction: Multiple myeloma is a malignant hematological disease that occurs as a result of uncontrolled clonal proliferation of plasma cells. It occurs most often in elderly patients and is characterized by the presence of monoclonal immunoglobulin and free light chains in serum and/or urine. Bence Jones proteins are monoclonal free immunoglobulin light chains, kappa and lambda, which are used as an important marker in the diagnosis of multiple myeloma. Laboratory diagnosis of multiple myeloma includes various laboratory tests, including serum protein electrophoresis, serum immunofixation, urine immunofixation, and measurement of serum free light chain concentration.
Objective: The purpose of the study was to examine paraprotein in the serum and urine of selected patients with a referral diagnosis of multiple myeloma using different laboratory methods and techniques.
Materials and methods: Serum and 24-hour urine samples of four patients with a referral diagnosis of multiple myeloma received at the Department of Medical Laboratory Diagnostics of UHC Split were selected for laboratory testing, which included serum protein electrophoresis, serum and urine immunofixation, and measurement of the concentration of free light chains in serum.
Results: A suspected monoclonal peak was observed in serum protein electrophoresis for three of four patients, and using the serum immunofixation method, a monoclonal IgG kappa type protein was identified. Urine immunofixation proved the presence of Bence Jones protein in one of the four samples. An elevated concentration of free light chains was demonstrated in one of four samples, and an elevated concentration ratio of free light chains kappa/lambda was observed for two of the four samples.
Conclusion: Paraprotein or M-protein was demonstrated for three out of four patients with a referral diagnosis of multiple myeloma
Work methods and competencies of the perfusionist nurse: review paper
No full textCilj ovog rada je prema pregledanoj literaturi istražiti načine rada i kompetencije medicinskih sestara/tehničara perfuzionista. Za izradu preglednog rada korištena je baza podataka MEDLINE putem PubMed-a gdje smo nakon filtriranja dobili 14, odnosno 9 istraživanja među kojima je odabrano 5 istraživanja pogodnih za ovaj pregledni rad. U istraživanjima se razmatraju pitanja vezana za rad i kompetencije medicinskih sestara/tehničara perfuzionista iz različitih perspektiva. Proučava se edukacija, kompetencije, i uloga medicinskih sestara/tehničara u situacijama kao što su izvantjelesna membranska oksigenacija (ECMO) i operacijske dvorane. Ispitivanja pokazuju da su educirane medicinske sestre sposobne skrbiti za pacijente na ECMO-u bez lošijih ishoda u usporedbi s perfuzionistima. Ispiti za ECMO specijaliste su važni za napredak skrbi za pacijente, a medicinske sestre/tehničari educirani za ECMO igraju ključnu ulogu u timu za izvantjelesnu cirkulaciju. Istraživanja također ukazuju na izazove s kojima se suočavaju medicinske sestre/tehničari u operacijskim dvoranama, uključujući probleme s opremom i komunikacijom. Edukacija, podrška i kontinuirano obrazovanje su ključni za unapređenje njihovog rada. Medicinske sestre/tehničari perfuzionisti su neizostavni članovi zdravstvenih timova, ključni za osiguravanje kvalitetne skrbi i najboljih ishoda za pacijente.The aim of this paper is to explore the work methods and competencies of nurses/perfusion technicians based on the reviewed literature. For the compilation of this review, the MEDLINE database through PubMed was utilized, resulting in 14 initially filtered studies, from which 5 studies suitable for this review were selected. These studies address questions related to the practices and competencies of nurses/technicians from various perspectives. The education, competencies, and roles of these professionals are examined in scenarios such as Extracorporeal Membrane Oxygenation (ECMO) and operating rooms. Research indicates that educated nurses are capable of caring for ECMO patients without inferior outcomes compared to perfusionists. Examinations for ECMO specialists are crucial for advancing patient care, and nurses/technicians educated in ECMO play a pivotal role in the extracorporeal circulation team. Research also highlights challenges confronted by these professionals in operating rooms, including equipment and communication issues. Education, support, and continuous training are essential for enhancing their performance. Nurses/perfusion technicians are integral members of healthcare teams, vital for ensuring quality care and optimal outcomes for patients