20.500.12556/ReVIS-13956 Paliativna oskrba starejših v institucionalnem varstvu: perspektive diplomiranih in srednji medicinskih sester v Dolenjski in Posavski regiji Paliative Care for the Elderly in Insitutional Care: Perspectives of Registered and Practical Nurses in the Dolenjska and Posavje Regions Paliativna oskrba predstavlja pomemben del celostne obravnave starejših v domovih za starejše, kjer se medicinske sestre pri svojem delu soočajo s številnimi strokovnimi, organizacijskimi in čustvenimi izzivi. Namen raziskave je bil ugotoviti raven znanja, stališča, zaznano pripravljenost ter zaznane ovire pri izvajanju paliativne oskrbe ter preveriti, ali med diplomiranimi in srednjimi medicinskimi sestrami obstajajo razlike na teh področjih. Raziskava je temeljila na mešanem raziskovalnem pristopu. Kvantitativni del raziskave je vključeval anketiranje 98 srednjih medicinskih sester in zdravstvenih tehnikov ter diplomiranih medicinskih sester in zdravstvenikov, zaposlenih v devetih domovih za starejše na območju Dolenjske in Posavja. Podatke smo analizirali z uporabo opisne in inferencialne statistike. Kvalitativni del raziskave je obsegal 18 polstrukturiranih intervjujev, ki so omogočili poglobljen vpogled v izkušnje in stališča udeležencev. Intervjuje smo analizirali z metodo analize vsebine, pri čemer smo s pomočjo kodiranja oblikovali tematske sklope in kategorije. Rezultati kažejo, da dokončana izobrazba pomembno vpliva na samooceno znanja, stališča ter zaznano pripravljenost za izvajanje paliativne oskrbe. Ugotovljena je bila statistično značilna povezanost med višjo samooceno znanja in bolj pozitivnimi stališči do paliativne oskrbe. Razlike v zaznavanju ovir med skupinama niso bile potrjene, kar kaže, da so najpogostejše ovire verjetno povezane z organizacijskimi in sistemskimi dejavniki v delovnem okolju. Kvalitativni rezultati so pokazali, da srednje medicinske sestre pogosteje izpostavljajo čustveno obremenjenost neposredne oskrbe, diplomirane medicinske sestre pa poudarjajo predvsem strokovne in organizacijske vidike paliativne obravnave. Ugotovitve raziskave poudarjajo pomen kontinuiranega izobraževanja ter krepitve organizacijske in psihosocialne podpore zaposlenim, saj lahko le ustrezno usposobljeni in podprti zdravstveni delavci zagotavljajo kakovostno paliativno oskrbo v domovih za starejše. Palliative care is an important part of comprehensive care for the elderly in nursing homes, where nurses face numerous professional, organizational, and emotional challenges in their work. The purpose of the study was to determine the level of knowledge, attitudes, perceived readiness, and perceived barriers to the implementation of palliative care and to examine whether there are differences between registered nurses and licensed practical nurses in these areas. The study was based on a mixed research approach. The quantitative part of the study included a survey of 98 registered nurses and healthcare technicians and graduate nurses and healthcare professionals employed in nine nursing homes in the Dolenjska and Posavje regions. The data were analysed using descriptive and inferential statistics. The qualitative part of the study consisted of 18 semi-structured interviews, which provided an in-depth insight into the experiences and views of the participants. The interviews were analyzed using content analysis, whereby thematic clusters and categories were formed using coding. The results show that completed education has a significant impact on self-assessment of knowledge, attitudes, and perceived readiness to provide palliative care. A statistically significant correlation was found between higher self-assessment of knowledge and more positive attitudes toward palliative care. Differences in the perception of barriers between the groups were not confirmed, indicating that the most common barriers are likely related to organizational and systemic factors in the work environment. Qualitative results showed that registered nurses more often highlight the emotional strain of direct care, while graduate nurses emphasize mainly the professional and organizational aspects of palliative care. The findings of the study emphasize the importance of continuing education and strengthening organizational and psychosocial support for employees, as only adequately trained and supported healthcare workers can provide quality palliative care in nursing homes. paliativna oskrba domovi za starejše medicinske sestre znanje stališča zaznane ovire. palliative care nursing homes nurses knowledge attitudes perceived barriers. true false false Slovenski jezik Angleški jezik Magistrsko delo/naloga 2026-06-02 19:48:20 2026-06-02 19:48:20 2026-06-03 03:27:29 0000-00-00 00:00:00 2026 0 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 1970-01-01 24952 4263$$alenka_tratar_magistrsko_delo.pdf 4263$$alenka_tratar_magistrsko_delo.pdf 1 55A727F6DB853CB55D8098007E5233E0 6a9cfc742598bbed455b8465dc3942025e79e9d0e40dc8b01dc611f8d007bff9 3e67b4a6-5eab-11f1-8e51-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=16922 Univerza v Novem mestu - Fakulteta za zdravstvene vede 0 0 0