Organizacijski model zagotavljanja varnosti in kakovosti pri obravnavi psihiatričnega bolnika z vidika različnih deležnikov

doktorska disertacija

Branko Gabrovec (Author), Branko Lobnikar (Mentor), Ivan Eržen (Co-mentor)

Abstract

V doktorski disertaciji smo se lotili raziskovanja varnosti in kakovosti obravnave psihiatričnega bolnika z vidika različnih deležnikov, posebej pa smo se osredotočili na pojav izbruha agresije in različnih oblik nasilja. Od različnih deležnikov smo v ospredje postavili zdravstveno nego, ki je med deležniki v procesu obravnave najbolj izpostavljena, še posebej med zaposlenimi v zdravstveni negi v psihiatričnih bolnišnicah, psihiatričnih domovih in CUDV. Dosedanje raziskave in disertacije na tem področju so redke, hkrati pa se večinoma »dotikajo« le medikamentoznih ukrepov. V teoretičnem delu smo predstavili različne vire in znanja o: zagotavljanju varnosti, kakovosti storitev, kakovosti v zdravstvu, zadovoljstvu uporabnikov, psihiatričnih boleznih in stanjih, nasilju psihiatričnih bolnikov in empiričnih podatkih ter regulaciji področja in njenih prednostih ter slabostih. V nadaljevanju smo predstavili predlagan organizacijski model obravnave agresije in funkcionalnega izobraževanja, ki smo ga 3 leta izvajali v določenih javnih zavodih. Za pripravo empiričnega dela smo s študenti 2. letnika magistrskega študija zdravstvene nege izvedli fokusno skupino, s katero smo želeli pridobiti večjo širino mnenj in istočasno testirati anketni vprašalnik. V empiričnem delu smo opravili raziskavo najbolj izpostavljenega profila (zdravstvena nega) v psihiatričnih bolnišnicah, domovih in CUDV. V raziskavi smo želeli ugotoviti vrsto in pogostost različnih oblik agresije, s katerimi se soočajo anketirani, ter ugotoviti uspešnost predlaganega organizacijskega modela. Skupno so na anketo odgovorile 303 osebe. Ugotovili smo, da se je v celotni populaciji z verbalnim nasiljem s strani bolnika v zadnjem letu srečalo 85,5 % anketiranih, s fizičnem nasiljem 74,9 %, na delu pa jih je bilo kadarkoli poškodovanih 55,8 % anketiranih. Pri zaposlenih v psihiatričnih bolnišnicah (n=203) se je z verbalnim nasiljem s strani bolnika v zadnjem letu srečalo 92,6 % anketiranih s fizičnem nasiljem 84,2 %, na delu pa jih je bilo kadarkoli poškodovanih 63,5 % anketiranih. Z raziskavo smo tudi potrdili uspešnost predlaganega organizacijskega modela.

Keywords

varnost;kakovost;bolnik;nasilje;zdravstvena nega;doktorske disertacije;

Data

Language:	Slovenian
Year of publishing:	2014
Typology:	2.08 - Doctoral Dissertation
Organization:	UM FOV - Faculty of Organizational Sciences
Publisher:	B. Gabrovec]
UDC:	005.336.3
COBISS:	7321875
Views:	2504
Downloads:	430
Average score:	0 (0 votes)
Metadata:

Other data

Secondary language:	English
Secondary title:	Organizational Model of Safety and Quality Assurance in Psychiatric Patient Treatment in Terms of Diverse Participants
Secondary abstract:	The research focus of the doctoral dissertation was the safety and quality of psychiatric patients’ treatment from the point of view of various stakeholders, with a pronounced stress on the occurrence of aggressive outbursts and various forms of violence. Out of various stakeholders, health care (especially employees in psychiatric hospitals, psychiatric homes and special education, work and care centres - SEWCC) was put forward, as the one being the most exposed in the process of patients’ treatment. Previous research and dissertations in this field are rare, and mainly touch upon medicamental measures. The theoretical part comprises the introduction to various sources and knowledge about safety management, service quality, health care quality, users’ satisfaction, psychiatric illnesses and conditions, violence by psychiatric patients, empirical data and the regulation of the field with its advantages and drawbacks. This is followed by the presentation of a proposed organizational and functional model of in-service training, which was conducted in certain psychiatric institutions over the time period of three years. To prepare the empirical part, a focus group with the second-year students of health care master’s degree programme was conducted, with the aim of achieving a broader spectrum of opinion and test the questionnaire. In the empirical part a study of the most exposed profile (health care) in psychiatric hospitals, homes and SEWCCs was undertaken. The goal was to determine the type and frequency of aggression the interviewees had to face, and to ascertain the success of the proposed organizational model of in-service training. Altogether 303 individuals participated in the study. It was established that 85.5% of all interviewees faced verbal aggression by the patients in the last year, 74.9% physical violence and that 55.8% of them were injured at their workplace at any time during their work history. With the employees in psychiatric hospitals (n=203), 92.6% faced verbal aggression by the patient, 84.2% physical violence and 63.5% were injured at their workplace at any time during their work history. The study also confirmed the success of the proposed organizational model of in-service training.
Secondary keywords:	Safety;quality;psychiatric;patient;violence;aggression;health care;institutionalization;safety management;quality management;
URN:	URN:SI:UM:
Type (COBISS):	Dissertation
Thesis comment:	Univ. v Mariboru, Fak. za organizacijske vede
Pages:	305 str.
ID:	8728793