20.500.12556/ReVIS-12315 Preprečevanje bolnišničnih okužb v oftalmologiji Prevention of hospital-acquired infections in ophthalmology Izhodišča: Bolnišnične okužbe predstavljajo resno grožnjo tako za varnost pacientov kot za učinkovitost zdravstvenega sistema, saj podaljšujejo hospitalizacijo in povečujejo stroške zdravljenja. V oftalmologiji, kjer delo pogosto vključuje stik z zelo občutljivim očesnim tkivom, so tudi vse okoliščine in razmere še posebej občutljive. Namen raziskave je bil ugotoviti, kako medicinske sestre zaznavajo svojo vlogo pri preprečevanju bolnišničnih okužb, katere ukrepe izvajajo, s kakšnimi težavami se soočajo in katere izboljšave predlagajo. Metode: Izvedena je bila kvalitativna raziskava na osnovi polstrukturiranih intervjujev s šestimi medicinskimi sestrami, zaposlenimi v oftalmologiji. Vzorec je bil namenski. Podatki so bili analizirani s tematskim kodiranjem, pri čemer so bile oblikovane ključne vsebinske teme: vrste okužb v oftalmologiji, vloga in odgovornost medicinskih sester, preventivni ukrepi, najbolj tvegani postopki, pomanjkljivosti pri izvajanju protokolov, izzivi in ovire pri preprečevanju okužb, predlogi in izboljšave. Rezultati: Intervjuvanke so kot najpogostejše bolnišnične okužbe izpostavile konjunktivitis, keratitis, endoftalmitis in blefaritis. Poudarile so pomen higiene rok, razkuževanja pripomočkov in prostorov, pravilne uporabe zaščitne opreme ter izobraževanje pacientov. Med največje izzive so uvrstile pomanjkanje kadra, časovno stisko, utrujenost ter slabo opremo. Kljub temu so bile soglasne, da imajo medicinske sestre ključno vlogo pri preprečevanju bolnišničnih okužb. Razprava: Rezultati kažejo, da so medicinske sestre visoko ozaveščene o pomenu preventive, vendar njihova prizadevanja pogosto omejujejo sistemske težave. Potrebna so vlaganja v dodatno usposabljanje, v izboljšanje organizacije dela, v nadgradnjo opreme ter v večje vključevanje pacientov v higienske ukrepe. Background: Nosocomial infections pose a serious threat to patient safety and the efficiency of healthcare systems, as they prolong hospitalization and increase treatment costs. In ophthalmology, where procedures often involve direct contact with delicate ocular tissue, the risk is particularly high. The aim of this study was to examine how nurses perceive their role in preventing nosocomial infections, which preventive measures they apply, what challenges they face, and what improvements they suggest. Methods: A qualitative research study was conducted based on semi-structured interviews with six nurses employed in ophthalmology. The sample was purposive. Data were analysed using thematic coding, which resulted in the identification of key content themes: types of infections in ophthalmology, the role and responsibility of nurses, preventive measures, high-risk procedures, shortcomings in protocol implementation, challenges and obstacles in infection prevention, and suggestions for improvements. Results: Participants identified conjunctivitis, keratitis, endophthalmitis, and blepharitis as the most common nosocomial infections. They emphasized the importance of hand hygiene, disinfection of equipment and surfaces, proper use of protective equipment, and patient education. The main challenges included staff shortages, time constraints, fatigue, and outdated equipment. Nevertheless, all nurses agreed that they play a crucial role in the prevention of nosocomial infections. Discussion: The findings show that nurses are highly aware of the importance of infection prevention, but their efforts are often limited by systemic issues. Investment is needed in additional training, better organization of work, equipment upgrades, and increased patient involvement in hygiene practices. Ključne besede: bolnišnične okužbe oftalmologija medicinske sestre higiena zaščitni ukrepi zdravstvena nega Keywords: nosocomial infections ophthalmology nurses hygiene protective measures healthcare. true false false Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-09-27 18:59:08 2025-09-27 18:59:08 2025-11-12 10:19:07 0000-00-00 00:00:00 2025 0 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 23541 255710979 DIP_Livnjak_Dragana_2025.pdf DIP_Livnjak_Dragana_2025.pdf 1 9A54176AA9AB1F48531ED60DDB43D578 197199afcb193b189c3b8098ae015809cdbce500459bf4b1c1252fbbbd9b22fc 49143e1c-9bc3-11f0-9bb7-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=14412 Univerza v Novem mestu - Fakulteta za zdravstvene vede 0 0 0