diplomsko delo
Mark Majcen (Author), Darja Thaler (Reviewer), Jože Prestor (Mentor), Aljoša Lapanja (Co-mentor)

Abstract

Uvod: Samomor je velik javnozdravstveni problem in je vzrok smrti za več kot 700 000 ljudi letno. Zahteva celovito obravnavo, katere ključni del je kontinuiteta. Ta je bistvenega pomena za zagotavljanje optimalne zdravstvene oskrbe na vseh nivojih zdravstvenega varstva. Je proces, v katerem zdravstveni tim in pacient sodelujejo pri krepitvi zdravja in preprečevanju bolezni. Pri obravnavi pacientov, hospitaliziranih zaradi samomorilnega vedenja, je sodelovanje in grajenje zaupanja še toliko bolj pomembno. Izvajalci zdravstvene nege morajo biti vešči pri prepoznavanju znakov samomorilnosti, znati pa morajo nuditi tudi terapevtsko podporo. Namen: Namen diplomskega dela je izpostaviti vlogo izvajalcev zdravstvene nege pri zagotavljanju kontinuitete zdravstvene oskrbe pacientov s samomorilnim vedenjem ter poudariti aktivnosti, s katerimi lahko izboljšajo kakovost in varnost oskrbe. Metode dela: Uporabljena je bila deskriptivna metoda dela s kvalitativnim pristopom pregleda domače in tuje strokovne literature v obdobju od 2013 do 2023. Zaradi relevantnosti smo izjemoma izbrali en članek iz leta 1995 in en članek iz leta 2012. Rezultati: Pri obravnavi pacientov, hospitaliziranih zaradi poskusa samomora, morajo izvajalci zdravstvene nege pričakovati motnje obnašanja, dojemanja, komuniciranja in funkcioniranja, ki so lahko posledice zlorabe substanc, psihične stiske ali fizičnih motenj. Pomembno je, da se vsakega pacienta obravnava individualno, ta pa se mora počutiti sprejetega in spoštovanega, saj bo šele takrat pripravljen deliti svojo zgodbo, to pa bo izvajalcem zdravstvene nege omogočilo pripravo individualiziranega načrta zdravstvene nege. Kontaktiranje pacientov 6–12 mesecev po odpustu iz zdravstvenih institucij se je izkazalo kot učinkovito pri spremljanju boljšanja ali slabšanja stanja mentalnega zdravja pri pacientih. Mnogi adolescenčni pacienti so bili veseli tudi vzpodbudnih SMS sporočil in so izrazili željo po tem, da bi jih dobivali do preklica po njihovi volji. Razprava in Zaključek: Za zagotavljanje kontinuitete je najbolj pomembno opazovanje izražanja čustev, vedenja in mišljenja ter zagotavljanje varnosti pacienta. Ključnega pomena pa je tudi sprotno ocenjevanje in dokumentiranje boljšanja ali slabšanja stanja. Z neposesivno bližino, dejanskim zanimanjem in skrbjo za pacienta ta dobi občutek pripadnosti in vrednosti.

Keywords

diplomska dela;zdravstvena nega;samomor;medicinske sestre;kontinuiteta zdravstvene oskrbe;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [M. Majcen]
UDC: 616-083
COBISS: 164241923 Link will open in a new window
Views: 8
Downloads: 3
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Other data

Secondary language: English
Secondary title: ǂThe ǂrole of nursing providers in ensuring continuity of care for patients with suicidal behavior
Secondary abstract: Introduction: Suicide is a major public health concern and accounts for more than 700,000 deaths annually. It requires a comprehensive approach, with continuity of care being a crucial element in ensuring optimal healthcare at all levels of health services. It is a process in which the healthcare team and the patient collaborate to promote health and prevent illnesses. When dealing with patients hospitalized due to suicidal behavior, collaboration and trust-building become even more critical. Healthcare providers must be skilled in recognizing signs of suicidality and be able to provide therapeutic support. Purpose: The aim of this diploma work is to highlight the role of healthcare providers in ensuring the continuity of care for patients with suicidal behavior and to emphasize activities that can improve the quality and safety of care. Methods: A descriptive method with a qualitative approach was used, involving a review of domestic and foreign professional literature from 2013 to 2023. Due to their relevance, one article from 1995 and one from 2012 were exceptionally selected. Results: When dealing with patients hospitalized due to suicide attempts, healthcare providers should anticipate behavioral, perceptual, communicative, and functional disturbances that may result from substance abuse, psychological distress or physical disorders. It is crucial to approach each patient individually, making them feel accepted and respected, as this will enable healthcare providers to prepare an individualized care plan. Contacting patients 6–12 months after discharge from healthcare institutions has proven effective in monitoring improvements or deteriorations in mental health conditions. Many adolescent patients also welcomed encouraging text messages and expressed a desire to receive them until they choose to stop. Discussion and Conclusion: Observing the expression of emotions, behavior and thoughts, and ensuring patient safety are crucial in providing continuity of care. Regular assessment and documentation of improvements or deteriorations in the patient's condition are also essential. By offering non-possessive closeness, genuine interest, and care for the patient, they develop a sense of belonging and worth.
Secondary keywords: diploma theses;nursing care;suicide;nurses;continuity of care;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Pages: 23 str.
ID: 19929357