Prednosti in slabosti kongruentnega negovalnega modela

(magistrsko delo)

Darja Ramšak-Tešić (Author), Marija Ovsenik (Mentor)

Abstract

Izhodišča: V socialnovarstvenih ustanovah se v večini primerov poslužujemo konvencionalnih metod dela. V Sloveniji smo leta 2014 pričeli z izobraževanjem o kongruentnem negovalnem modelu (KNM). Osnovna ideja modela je nega, ki namesto »obravnave« simptomov in naravnanosti na diagnozo temelji na skladnem odnosu. Namen: Namen raziskave je bil ugotoviti, kakšno je poznavanje modela med zaposlenimi v institucijah socialnega varstva, njihov odnos do uvajanja KNM v delovni proces in kakšni so po mnenju zaposlenih učinki uvajanja modela v omenjene institucije ter ali se ugotovljene spremembe ujemajo z ugotovitvami v raziskavah. Raziskovalna metodologija in metode: Raziskava je temeljila na kvantitativni in kavzalni neeksperimentalni metodi raziskovanja. Podatki so bili zbrani z anketiranjem dveh institucij, ki izvajata storitve socialnega varstva. V raziskavo je bilo vključenih 114 oseb. Zbrane podatke smo statistično obdelali z Mann-Whitneyjevim in Wilcoxonovim preizkusom in hipoteze interpretirali z deskriptivno statistiko spremenljivk. Rezultati: Rezultati so pokazali, da se je v ustanovi, ki ima uveden model, izboljšalo sodelovanje med zaposlenimi in stanovalci (63,6 %). Kot prednosti so izpostavljeni stalnost kadra, boljše medsebojno zaupanje in organizacija dela, kot pomanjkljivosti pa pomanjkanje kadra, slabše poznavanje ostalih stanovalcev v primeru nočnega dela in neustrezne arhitekture domov. Prav tako so rezultati pokazali, da je kakovost delovnega okolja nekoliko boljša v ustanovi, kjer ne izvajajo KNM, vendar razlike med skupinama niso statistično značilne (p > 0,05). Diskusija in zaključek: zaposleni opisujejo KNM kot dober, saj omogoča več individualnega pristopa stanovalcu, stalnost kadra in pozitivno vpliva na organizacijo dela. Ob tem prihaja do nesoglasij zaradi velikih pričakovanj vodij, neustrezne arhitekture domov in pomanjkanja kadra.

Keywords

osebnost;osebnostne motnje;medosebni odnos;motivacija;empatija;psihiatrična zdravstvena nega;

Data

Language:	Slovenian
Year of publishing:	2018
Typology:	2.09 - Master's Thesis
Organization:	UM FZV - Faculty of Health Sciences
Publisher:	[D. Ramšak Tešić]
UDC:	616.89-083(043.2)
COBISS:	2437284
Views:	1322
Downloads:	147
Average score:	0 (0 votes)
Metadata:

Other data

Secondary language:	English
Secondary title:	Advantages and disadvantages of the congruent nursing model
Secondary abstract:	Background: Conventional working methods are mostly used in social care organisations. In Slovenia, education on a congruent nursing care model was first introduced in 2014. The basic idea behind the model is care that favours coherent relationships rather than treating symptoms or focusing on diagnosis. Purpose: The purpose of the survey was to determine how much the employees of social care organisations know about the model, their attitude towards introducing the congruent nursing care model in the work process, their opinion on implementing the model in these institutions, and whether the observed changes match those determined in the research. Research methodology and methods: The survey was based on a quantitative and causal non experimental method of research. The data was collected using interviews conducted at two institutions providing social care services and 114 persons participated in the survey. The data collected was statistically processed with Mann-Whitney U and Wilcoxon test and the hypotheses were interpreted through descriptive statistics of variables. Results: The results have shown that the cooperation between the employees and the residents has improved in the institution that introduced the model (63,6%). Some of the advantages they experience are staff continuity, improved mutual trust and work organisation, whereas they perceive staff shortage, the fact that they do not know the other residents very well in case of night work, and inadequate architecture design of the buildings as disadvantages. The results have also shown that working environment quality is slightly better in the organisation where the congruent nursing care model is not implemented; however, the differences between the two groups are not significant (p > 0,05). Discussion and conclusion: The employees describe the congruent nursing care model as good because it allows for a more individual approach to the resident and staff continuity, but also has a positive impact on work organisation. Nevertheless, some disagreements are present due to high expectations of the management, inadequate architecture design of the buildings and staff shortage.
Secondary keywords:	personality;personality disorders;interpersonal relationship;motivation;empathy;psychiatric health care;Nursing;Psychotherapy;Health personnel;Zdravstvena nega;Psihoterapija;Zdavstveno osebje;
URN:	URN:SI:UM:
Type (COBISS):	Master's thesis/paper
Thesis comment:	Univ. v Mariboru, Fak. za zdravstvene vede
Pages:	VII, 40 f.,4 f. pril.
ID:	10942782