20.500.12556/ReVIS-13954 Zdravstvena nega pacienta z osebnostno motnjo Nursing Care of a Patient with a Personality Disorder Teoretična izhodišča: V diplomskem delu obravnavamo zdravstveno nego pacienta z osebnostno motnjo, pri čemer izhajamo iz potrebe po boljšem razumevanju osebnostnih značilnosti, etioloških dejavnikov ter profesionalne vloge zdravstvene nege, katere nosilka je diplomirana medicinska sestra. Osebnostne motnje predstavljajo kompleksno področje dela, ki zahteva specifična strokovna znanja ter učinkovito komunikacijo. Namen raziskave v naši diplomski nalogi je bil preučiti, kako medicinske sestre razumejo koncept osebnosti in osebnostnih motenj, katere dejavnike tveganja prepoznavajo pri njihovem razvoju, kako doživljajo svojo profesionalno vlogo ter katere intervencije se po njihovem mnenju izkažejo za najučinkovitejše. Prav tako smo želeli raziskati, s katerimi izzivi se srečujejo pri delu s pacienti z osebnostnimi motnjami ter na kakšen način se z njimi soočajo v kliničnem okolju. Ugotovitve raziskave predstavljajo pomemben prispevek k razumevanju kompleksnosti zdravstvene nege na področju osebnostnih motenj ter ponujajo izhodišča za izboljšanje strokovne prakse. Metode: Raziskava temelji na kvalitativnem raziskovalnem pristopu. Podatke smo zbrali s polstrukturiranimi intervjuji, ki so bili izvedeni oktobra 2025. Teoretični del je oblikovan na podlagi pregleda domače in tuje literature ter virov iz podatkovnih baz PubMed, COBISS, Google Učenjak in knjižnice Univerze v Novem mestu. V intervjuje je bilo vključenih 8 medicinskih sester. Rezultati: Naša raziskava je pokazala, da medicinske sestre osebnost razumejo kot celoto psiholoških in vedenjskih značilnosti posameznika, osebnostne motnje pa kot odstopanja, ki ovirajo čustveno regulacijo pri posamezniku ter njegovo funkcioniranje v interakciji z drugimi. Med najpogostejšimi dejavniki tveganja za nastanek osebnostne motnje navajajo družinsko okolje, zgodnje travme, genetske vplive in socialne razmere. Za učinkovito obravnavo pacienta z osebnostno motnjo so pomembni terapevtski odnos, asertivna komunikacija, postavljanja meja ter kakovostno timsko sodelovanje. Med izzivi pri obravnavi pacienta z osebnostno motnjo medicinske sestre omenjajo manipulativno vedenje, komunikacijske težave, čustveno izčrpanost in težave pri ohranjanju profesionalnih meja. Razprava: Na podlagi raziskave smo ugotovili, da kakovostna obravnava pacienta z osebnostno motnjo zahteva poglobljeno strokovno znanje, kontinuirano izobraževanje, supervizijo in ustrezno organizacijsko podporo. Eden osrednjih poudarkov raziskave je bila vloga medicinske sestre pri obravnavi pacienta z osebnostno motnjo. Medicinske sestre so poudarile, da njihova vloga presega izvajanje osnovnih negovalnih postopkov in vključuje vzpostavljanje terapevtskega odnosa, uporabo asertivne in empatične komunikacije, postavljanje jasnih in doslednih meja ter sodelovanje v interdisciplinarnem timu. Medicinske sestre so terapevtski odnos opredelile kot temelj uspešne obravnave, saj omogoča občutek varnosti, zaupanja in stabilnosti pri pacientu. Introduction: This bachelor’s thesis addresses nursing care for patients with personality disorders, based on the need for a deeper understanding of personality characteristics, etiological factors, and the professional role of nursing, carried out by registered nurses. Personality disorders represent a complex field of healthcare practice that requires specific professional knowledge and effective communication. The aim of the study was to examine how nurses understand the concept of personality and personality disorders, which risk factors they identify in their development, how they perceive their professional role, and which interventions they consider to be the most effective. In addition, the study sought to explore the challenges nurses encounter when working with patients with personality disorders and the ways in which they cope with these challenges in the clinical setting. The findings of this study contribute significantly to a better understanding of the complexity of nursing care in the field of personality disorders and provide valuable insights for the improvement of professional nursing practice. Methods: The study was based on a qualitative research approach. Data were collected through semi-structured interviews conducted in October 2025. The theoretical part of the thesis was developed through a review of national and international literature and sources from the databases PubMed, COBISS, Google Scholar, and the library of the University of Novo Mesto. Eight nurses participated in the interviews. Results: The study showed that nurses understand personality as a set of psychological and behavioral characteristics of an individual, while personality disorders are perceived as deviations that impair emotional regulation and interpersonal functioning. The most commonly identified risk factors for the development of personality disorders include family environment, early trauma, genetic influences, and social conditions. Effective care for patients with personality disorders requires a therapeutic relationship, assertive communication, clear boundary setting, and high-quality teamwork. Among the main challenges in caring for patients with personality disorders, nurses highlighted manipulative behavior, communication difficulties, emotional exhaustion, and difficulties in maintaining professional boundaries. Discussion: Based on the findings, it was concluded that high-quality care for patients with personality disorders requires advanced professional knowledge, continuous education, supervision, and adequate organizational support. One of the central focuses of the study was the role of the nurse in caring for patients with personality disorders. Nurses emphasized that their role extends beyond performing basic nursing tasks and includes establishing a therapeutic relationship, using assertive and empathetic communication, setting clear and consistent boundaries, and collaborating within an interdisciplinary team. Nurses identified the therapeutic relationship as the foundation of effective care, as it provides patients with a sense of safety, trust, and stability. Osebnostna motnja zdravstvena nega komunikacija terapevtski odnos dejavniki tveganja. personality disorders nursing care communication therapeutic relationship risk factors. true false false Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-06-02 16:20:29 2026-06-02 16:20:29 2026-06-10 14:21:38 0000-00-00 00:00:00 2026 0 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 24948 280341763 DIP_Jusic_Lejla_2026.pdf DIP_Jusic_Lejla_2026.pdf 1 D4F6A1845065D27EC5C06C4B2614B344 027223fc85d5a0d906d0fc6131c0d3a0bffd74e84d05293b563e6a1d2191b8a6 34ed8c48-5e8e-11f1-8e51-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=16920 Univerza v Novem mestu - Fakulteta za zdravstvene vede 0 0 0