The objective of nursing care is to maintain and improve the health, quality of life, and subsistence of patients and to provide treatment to and reduce the discomfort of stable patients. Nursing services are provided to patients who cannot cope independently due to various health problems and disabilities resulting from chronic illnesses. Nursing services are provided to patients in hospitals, care institutions or at home according to their needs. School health services are provided to school pupils.
A proper letter of referral is necessary to refer a patient to an independent stationary nursing service or home nursing service. In addition to nursing services, a person may be in need of social and welfare services.
Independent stationary nursing care (formerly known as nursing care)
Independent stationary nursing service or the provision of nursing mainly to patients staying in nursing hospitals who do not require continuous medical care but who do need nursing in a greater capacity than the home nursing service could provide. Referral to the service takes place by way of a letter of referral, which is prepared by a family doctor or a medical specialist, either alone or together with a nurse. The time of stay at the hospital and the services provided are determined by the doctor, depending on the state of health of the patient.
Content of the service: various nursing practices, treatment procedures prescribed by the doctor, counselling of patients and their relatives on health issues, etc.
Home nursing service (including the home care of cancer patients)
Home nursing is intended for patients who do not need hospital care but whose state of health still requires nursing (such as wound care patients, patients with reduced mobility, etc.). The service is provided both at home and in a care facility, where a patient is referred to by way of a letter of referral, which is prepared by a medical specialist or a family doctor together with a nurse. The patient’s health problems, treatment, and need for nursing care are indicated on the letter of referral.
Content of the service: various nursing practices, including the compilation of nursing plans, counselling of patients and their relatives on health issues, recommendation of preventative measures, carrying out nursing practices and treatment procedures.
School health service
School health service is a service aimed at promoting the health of pupils and preventing diseases.
Content of the service: monitoring the state of health of pupils (including the health of pupils with special educational needs), promoting health, preventing diseases, shaping a healthy lifestyle and school environment, providing first aid and primary aid, if necessary (including in crisis situations). In the framework of school health services, preventive health checks are conducted for pupils in accordance with the preventive health check programme for children aged 0–18 years.
Nurse’s appointment service
Nurse’s appointment service is an outpatient service aimed at the promotion of health and the prevention of diseases, especially for patients with chronic illnesses, which is provided at a specialist care level.
The content of the service: activities related to health awareness, self-care, and monitoring the state of health of patients for maintaining and promoting health and preventing diseases, and the instructions to cope with long-term and chronic illnesses during the recovery period of acute illnesses together with nursing care supporting the treatment prescribed by a doctor
In the modern sense, a midwife is an independent specialist who provides care throughout the entire fertile period of a woman. In midwifery, the midwife supervises, monitors, cares for, and advises women during pregnancy, childbirth, the postpartum period, and when solving gynaecological problems.
Midwives have a limited prescription right – the right to prescribe prescription medicines covers a limited range of medicines that have been agreed upon.