Pravni in etični vidiki nujne medicinske pomoči

(magistrsko delo)

Dorijan Zabukovšek (Author), Suzana Kraljić (Mentor), Gregor Štiglic (Co-mentor)

Abstract

Teoretično izhodišče. V magistrskem delu smo predstavili vse pravne in etične osnove za izvajanje službe nujne medicinske pomoči. Prav tako smo predstavili najpogostejša pravna in etična vprašanja, s katerimi se soočajo zdravstveni delavci (reševalci) pri svojem delu, ter mnenje zdravstvenih delavcev v nujni medicinski pomoči o posameznih etičnih dilemah. Metodologija raziskovanja. Uporabljena je bila kvalitativna metodologija raziskovanja, in sicer delno strukturiran anketni vprašalnik, ki je vseboval 20 vprašanj. V raziskavo je bilo vključenih 80 zaposlenih (zdravniki, diplomirani zdravstveniki, zdravstveni tehniki) s treh reševalnih postaj nujne medicinske pomoči. Rezultati raziskave so obdelani s pomočjo računalniških programov Microsoft Office Word 2010 in Microsoft Office Excel 2010 ter IBM SPSS Statistics 20. Rezultati raziskave. Zdravstveni delavci (reševalci) niso dovolj osveščeni (46 %) o pravnih in etičnih dilemah nujne medicinske pomoči in so le delno (62 %) seznanjeni s kazenskopravno zakonodajo s področja nujne medicinske pomoči. Zdravstveni delavci (reševalci) se pogosto ne vprašajo, ali so določeno intervencijo pri pacientu izvedli v skladu z etičnimi in pravnimi pravili (46 %). Zdravstveni delavci (reševalci) tudi ne bi pristopili (45 %) k oživljanju pacienta, ki je pred tem jasno pisno izrazil, da ne želi biti oživljan. Sklep. Iz raziskave je razvidno, da imajo reševalci premalo znanja s področja pravnih in etičnih vprašanj. Pogosta vprašanja se jim porajajo predvsem pri oskrbi alkoholiziranega pacienta oz. pacienta pod vplivom psihoaktivnih substanc, ki je agresiven, ter pri pacientih, ki odklanjajo potrebno pomoč. Z uvedbo smernic pri različnih obravnavah pacientov bi se lahko izognili marsikateri dilemi. Ta problematika se ne more rešiti kmalu, zato bo potrebno veliko več formalnega izobraževanja, kot ga je sedaj na voljo, in več osveščanja zdravstvenih delavcev

Keywords

nujna medicinska pomoč;zakoni;etika;dileme;kodeks;reševalci;

Data

Language:	Slovenian
Year of publishing:	2013
Source:	Maribor
Typology:	2.09 - Master's Thesis
Organization:	UM FZV - Faculty of Health Sciences
Publisher:	[D. Zabukovšek]
UDC:	616-083.98(043.2)
COBISS:	1917860
Views:	2251
Downloads:	635
Average score:	0 (0 votes)
Metadata:

Other data

Secondary language:	English
Secondary title:	LEGAL AND ETHICAL ASPECTS OF MEDICAL EMERGENCY ASSISTANCE
Secondary abstract:	Theoretical basis. In the Master’s thesis we presented all legal and ethical bases for the implementation of medical emergency assistance services. We also presented the most common legal and ethical questions, faced by health practitioners (rescuers) at their work, and the opinion of medical emergency assistance providers on individual ethical dilemmas. Research methodology. We used qualitative research methodology, namely a partially structured questionnaire, consisting of 20 questions. The research included 80 employees (doctors, graduated nurses, health technicians) from three rescue stations with medical emergency assistance. The results are processed with the help of computer programs Microsoft Office Word 2010, Microsoft Office Excel 2010 and IBM SPSS Statistics 20. Results. Health practitioners (rescuers) are not sufficiently aware (46 %) of legal and ethical dilemmas of medical emergency assistance and are only partially (62 %) familiar with criminal law in the field of emergency medical assistance. Health practitioners (rescuers) do not often ask themselves, if they have carried out a particular intervention in a patient according to ethical and legal regulations (46 %). They (45 %) also would not try to revive a patient, who had previously expressed a clear written request that he does not want to be revived. Conclusion. From the research it is evident that rescuers have not enough knowledge from the legal and ethical field of their work. They have mostly questions regarding the care of an alcoholised patient or patient under the influence of psychoactive substances, who is aggressive, or patients, who are declining the needed help. With the introduction of guidelines for different treatments of patients we could avoid many dilemmas. This issue cannot be resolved quickly; therefore a lot more education then currently present will be necessary along with more awareness of health practitioners.
Secondary keywords:	emergency medical assistance;law;ethics;dilemma;code;rescuers;
URN:	URN:SI:UM:
Type (COBISS):	Master's thesis/paper
Thesis comment:	Univ. v Mariboru, Fak. za zdravstvene vede
Pages:	VIII, 69 f., 10 f. pril.
Keywords (UDC):	applied sciences;medicine;technology;uporabne znanosti;medicina;tehnika;medical sciences;medicina;pathology;clinical medicine;patologija;klinična medicina;treatment;zdravljenje;
ID:	81014