magistrsko delo Management v zdravstvu in socialnem varstvu
Oti Mertelj (Author), Suzana Kraljić (Mentor), Jadranka Stričević (Co-mentor)

Abstract

Teoretična izhodišča: Razjeda zaradi pritiska (RZP) kljub kakovostnejši in varnejši oskrbi ter izboljšanju in nadgradnji pripomočkov za zmanjševanje in razbremenitev pritiska še vedno predstavlja problem. Medicinske sestre z izvedbo preventivnih ukrepov vplivajo na varnost pacienta in skušajo do največje možne mere zmanjšati tveganje za nastanek RZP. Obenem pa za svoje delo prevzemajo tudi etično, strokovno, moralno in kazensko odgovornost. Cilj: Raziskati mnenje, ali se z ustrezno preventivo lahko prepreči nastanek RZP, ali je poznavanje odgovornosti in zakonodaje, ki posega na področje zdravstvene nege s strani medicinskih sester, zadostno. Želeli smo ugotoviti, kako anketirani rešujejo etične dileme, s katerimi se srečujejo pri svojem delu na področju preventive. Raziskovalna metodologija: Uporabljena je bila deskriptivna metoda pregleda in analize literature s področja slovenske zakonodaje in kvantitativna metoda zbiranja podatkov s pomočjo vprašalnika. Rezultati so bili obdelani s pomočjo programa Excel in SPSS. Rezultati: Z analizo podatkov, pridobljenih s pomočjo vprašalnika, smo ugotovili, da 72,5 % vprašanih meni, da z ustrezno preventivo lahko preprečimo 80 % RZP. Večina vprašanih (71,7 %) se zaveda kazenske odgovornosti v primeru neustreznega izvajanja preventive, kar 26,7 % pa jih o tem nikoli ni razmišljalo, ker vedno delajo v dobro pacienta, 1,7 % jih meni, da niso odgovorni. Zakonodaja, ki ureja področje zdravstvene nege, je med anketiranimi slabo poznana s PV (2,76). Zakon o pacientovih pravicah (2008) anketirani poznajo dobro PV (3,61) in Kodeks etike s PV (3,91). Največ anketiranih — 66 (22,1 %) je mnenja, da v primeru neizvedenih preventivnih aktivnosti nosijo etično in moralno odgovornost, 55 (19,93 %) jih meni, da so odgovorni za poslabšanje zdravstvenega stanja, 50 (18,12 %) da prevzemajo strokovno odgovornost. Pri reševanju etičnih dilem v večini primerov vključijo koordinatorja za oskrbo ran in ne zdravnika, kot smo predvidevali. Sklep: Člani negovalnega tima se zavedajo pomembnosti ukrepov preventive RZP, kot tudi odgovornosti v primeru neizvajanja le-teh. Kljub uvajanju pravične kulture v zdravstvene organizacije je še vedno potrebno poznavanje slovenske zakonodaje, predvsem pa Zakona o pacientovih pravicah.

Keywords

razjeda zaradi pritiska;etične dileme;razlike;

Data

Language: Slovenian
Year of publishing:
Typology: 2.09 - Master's Thesis
Organization: UM FOV - Faculty of Organizational Sciences
Publisher: [O. Mertelj]
UDC: 616-001
COBISS: 7652371 Link will open in a new window
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Other data

Secondary language: English
Secondary title: NURSES'S RESPONSIBILITY FOR DEVELOPMENT PRESSURE ULCER
Secondary abstract: Background: Despite a better and safer care and huge improvement and upgrade of the equipment to reduce and alleviate the pressure, pressure ulcers still remain a major issue in patients'care. Nurses use preventive measures to improve patients' safety and do their best to reduce the risk for pressure ulcer development. They are of course ethically, professionally, morally and criminally responsible for their work. Goal: The research aims to analyse the nurses' opinion if suitable preventive measures can prevent pressure ulcers. The second goal is to find out if the nurses are familiar with the responsibility and legislation in nursing. It was desired to find out, how do nurses approach to ethical dilemmas which are encountered in the daily routine work. Methodology: A descriptive method for checking and analysing the Slovenian legislative literature and a quantative method for data collection with the help of the questionnaires were used. The results were analysed using the EXCEL and SPSS programmes. Results: Analysed data show that 72.5 % of the participants think that a suitable preventive measures can prevent about 80 % of pressure ulcers. The majority of participants, 71.7 % are aware of the responsibility in the case of unproper prevention, 26.7 % have never given a thought about legislation because they always work in the best interest of the patient.1.7 % believe that they are not responsible. The legislation is not well known PV (2.76). The Law on Patient's Rights (2008) is well known PV (3.61) and the Code of Ethics PV (3.91). The majority of participants 66 (22.1 %) believe that it is their ethical and moral responsibility for not following the guidelines for pressure ulcers prevention. 55 (19.93 %) believe they are to be blamed for deterioration of the patient's health condition, 50 (18.12 %) are aware of the professional resposibility. When encountering an ethical dillema a coordinator for chronic wounds would be included and not the doctor, as it was hypothesised. Conclusions. Nursing team is well aware of the pressure ulcers preventive measures along with the resposibility in the case of neglecting them. Despite of the introduction of safety culture in health organisations, an improvement in knowing Slovenian legislastion, especially the Law on Patient's Rights, is needed.
Secondary keywords: Pressure ulcer;resposibility;ethical dillema;patient's rights;safe care;
URN: URN:SI:UM:
Type (COBISS): Master's thesis
Thesis comment: Univ. v Mariboru, Fak. za organizacijske vede
Pages: 139 f.
ID: 9140340