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Title: Kakovost dela in zadovoljstvo diplomirane medicinske sestre v ambulanti družinske medicine Authors: Ahlin, Janja (Author) Zupančič, Vesna (Mentor) More about this co-author... Language: Slovenian Work type: Master's thesis/paper Organization: UNM FZV - University of Novo mesto - Faculty of Health Sciences Abstract: Izhodišča: Diplomirana medicinska sestra ima v ambulanti družinske medicine pomembno vlogo pri kontinuirani in holistični oskrbi pacientov na primarni ravni. Z zdravnikom družinske medicine in s srednjo medicinsko sestro skrbi za izboljšanje zdravja pacientov, odkrivanje dejavnikov tveganja in vodenje kroničnih pacientov. Pri svetovanju, vzgoji in učenju jim pomagajo še različni ostali strokovni profili, ki so zaposleni v zdravstvenovzgojnih centrih ali centrih za krepitev zdravja. V magistrskem delu smo pregledali kazalnike kakovosti dela v ambulanti družinske medicine in diplomirane medicinske sestre povprašali o zadovoljstvu dela v ambulantah družinske medicine. Zadovoljstvo zaposlenih je zelo pomembno za kakovostno, strokovno in pravočasno opravljeno delo. Metoda: Uporabili smo dve metodi dela. Za teoretični del smo uporabili metodo sistematičnega pregleda obstoječe strokovne in znanstvene literature kakovosti v zdravstvu in zadovoljstvu medicinskih sester. Pri empiričnem delu pa smo uporabili kvalitativni raziskovalni pristop s katerim smo analizirali kazalnike kakovosti dela, ki smo jih pridobili iz dokumentov spremljanja kazalnikov kakovosti dela v ambulantah družinske medicine od leta 2015 do leta 2020 in kvantitativni pristop, kjer smo z anketiranjem povprašali diplomirane medicinske sestre o zadovoljstvu pri delu. Rezultati: Kazalniki kakovosti v ambulantah družinske medicine se letno povečujejo. Rahel upad beležimo le v obdobju epidemije, ko je bilo delovanje ambulant družinske medicine močno okrnjeno. Zaradi pomanjkanja podatkov statistično tega nismo mogli dokazati, smo pa statistično dokazali, da ni razlik v stopnji zadovoljstva med DMS glede na to ali so zaposlene v javnem oziroma zasebnem sektorju. Ob primerjavi zadovoljstva diplomiranih medicinskih sester v letu 2017 in 2023 smo zaradi pomanjkanja podatkov lahko žal le opisno, potrdili, da je nezadovoljstvo pri delu v letu 2023 višje. Anketa je tudi s statistično obdelavo dokazala, da obstajajo statistično pomembne razlike v stopnji zadovoljstva glede na željo zaposlene ali si želijo zamenjati delovno mesto ali ne. Tiste, ki so pri delu nezadovoljne si želijo zamenjave delavnega mesta. Razprava: Naloge ambulante družinske medicine so ohranjanje in krepitev zdravja pacientov, odkrivanje dejavnikov tveganja, ki jih z različnimi storitvemi poskušajo zmanjšati ali odstraniti, ter kontinuirano in kakovostno vodenje bolnikov s kroničnimi nenalezljivimi boleznimi. Te naloge so uresničljive, če se redno spremljajo kazalniki kakovosti, ki nam prikazujejo, kako se delo na primarnem nivoju zdravstva opravlja. Spremljanje kazalnikov pa je potrebno redno analizirati, se o rezultatih pogovoriti, jih primerjati s prejšnjimi leti, ter pravočasno ukrepati ob odstopanjih in poslabšanjih. Za kakovostno opravljeno delo bi bilo potrebno letno spremljati tudi zadovoljstvo zaposlenih in pacientov. Če bodo zaposleni zadovoljni bodo delo opravili hitreje in boljše. Zadovoljni pacienti se počutijo bolj varne in bolje obravnavane, kar pa je cilj vsake ambulante. Keywords: kakovost, zadovoljstvo, diplomirana medicinska sestra, ambulanta družinske medicine. Year of publishing: 2024 COBISS_ID: 195254531   VisID: 18759 Views: 117 Downloads: 10 Files:  RAZ_Ahlin_Janja_i2024.pdf (10,35 MB)   Metadata:

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Secondary language

Language:	English
Title:	Quality of work and satisfaction nurse in clinic for general medicine
Abstract:	Introduction: The graduate nurse plays an important role in the continuous and holistic care of patients at the primary level in the family medicine clinic. Together with the family medicine physician and the primary care nurse, the graduate nurse is responsible for improving the health of patients, identifying risk factors and caring for chronic patients. They are also supported in counselling, education and teaching by various professional profiles working in health education or health promotion centres. In the master's thesis, we analysed the quality indicators of work in family medicine outpatient clinics and interviewed graduate nurses about job satisfaction in family medicine outpatient clinics. Employee satisfaction is very important for the quality, professionalism and punctuality at work. Method: We used two working methods. For the theoretical part, we used the method of systematic review of the existing professional and scientific literature on quality in healthcare and nurse satisfaction. For the empirical part, we used a qualitative research approach to analyse the quality indicators obtained from the monitoring documents of quality indicators in family medicine outpatient clinics from 2015 to 2020 and a quantitative approach, in which we interviewed graduate nurses about their job satisfaction using a questionnaire. Results: The quality indicators in family medicine outpatient clinics are increasing from year to year. Only during the epidemic period, when family medicine outpatient clinics were severely restricted, was there a slight decline. We were unable to prove this statistically due to a lack of data. However, we have statistically proven that there are no differences in the satisfaction of nurses depending on whether they are employed in the public or private sector. When comparing the job satisfaction of registered nurses in 2017 and 2023, we were unfortunately only able to confirm descriptively, due to a lack of data, that job dissatisfaction is higher in 2023. The survey also showed that there are statistically significant differences in the level of satisfaction depending on whether the graduate nurses want a job change or not. Those who are dissatisfied with their job want to change jobs. Discussion: The tasks of a family medicine clinic are to maintain and promote the health of patients, to identify risk factors which they try to reduce or eliminate through various services, and to provide continuous and high-quality care for chronic patients. These tasks can be fulfilled if quality indicators are regularly monitored to show how the work is being done at the primary level of healthcare. However, the monitoring of indicators needs to be regularly analysed, the results discussed, compared with previous years and timely action taken in the event of deviations and deterioration. Staff and patient satisfaction should also be reviewed annually to ensure the quality of services. If employees are satisfied, they will do their work faster and better. Satisfied patients feel safer and better treated, which is the goal of every clinic.
Keywords:	quality, satisfaction, graduated nurce, family medicine clinic.

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