Repozitorij samostojnih visokošolskih in višješolskih izobraževalnih organizacij

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Naslov:ZDRAVSTVENA VZGOJA PRI VARNOSTNEM ODKLONU
Avtorji:ID Klemenčič, Nika (Avtor)
ID Rakuša Krašovec, Kristina (Mentor) Več o mentorju... Novo okno
Datoteke:.pdf DIP_Klemencic_Nika_2024.pdf (2,07 MB)
MD5: C978204965F31F71EE680B2AE32C3980
 
Jezik:Slovenski jezik
Vrsta gradiva:Diplomsko delo/naloga
Organizacija:UNM FZV - Univerza v Novem mestu - Fakulteta za zdravstvene vede
Opis:POVZETEK Teoretična izhodišča: Varnost pacientov je bistvo kakovostne zdravstvene oskrbe; zajema preprečevanje, poročanje in analizo varnostnih odklonov, ki lahko prizadenejo paciente in imajo resne posledice – zdravstvene zaplete, podaljšanje hospitalizacije, povečano smrtnost in dodatne stroške za zdravstveni sistem. Prijavljanje varnostnih odklonov in poročanje o njih je pomemben sestavni del sistema varnosti pacientov, saj zdravstvenim ustanovam omogoča prepoznavo šibkih točk v procesih, vodi v izboljšanje delovnih tokov ter vzpostavitev varnejšega okolja za paciente in ostale udeležence. Bistveno je ustvarjanje kulture brez krivde, kjer se poročilo o odklonih pojmuje kot priložnost za učenje in izboljšanje. Namen raziskave je preučiti zdravstveno vzgojo pri varnostnem odklonu. Metode: Raziskava je temeljila na kvantitativnem raziskovalnem pristopu in deskriptivni metodi dela. Za potrebe empiričnega dela smo zbrali, analizirali in sintetizirali primarne ter sekundarne vire. Primarni podatki za analizo so bili pridobljeni s tehniko anketiranja, z namensko oblikovanim anketnim vprašalnikom, ki so ga anketiranci zdravstvene stroke izpolnili na socialnih in spletnih omrežjih. Zbrane podatke smo računalniško obdelali v programu Excel, jih grafično prikazali v obliki tabel in jih analizirali. Sekundarni vir podatkov je bil pregled strokovne in znanstvene literature, pridobljene iz podatkovnih baz PubMed, Cobiss, Cinahl, Science Direct in Google učenjak. Rezultati: Izsledki raziskave so pokazali, da se zdravstveno osebje zaveda pomembnosti poročanja o varnostnih odklonih. Kot najpogostejši razlog za nastanek varnostnih odklonov so anketirani (57,1 %) izpostavili preobremenjenost. Kar 75,2 % anketirancev se je strinjalo, da je ukrepanje ob varnostnemu odklonu nujno zaradi preprečevanja ponovitve. 69 % anketirancev se je popolnoma strinjalo, da mora biti nadrejeni o varnostnem odklonu obveščen. Polovica anketirancev (49,1 %) pozna postopek prijave varnostnega odklona. Najpomembnejši razlog za izostanek prijave varnostnih odklonov je zapletena oziroma zamudna prijava (AS = 2,9; SO = 1,23). Dobra polovica anketirancev (57 %) je poudarila potrebo po jasnih smernicah in protokolih za prijavo varnostnih odklonov, ki bi omogočili bolj strukturirano in dosledno poročanje. Da je podpora sodelavcev in nadrejenih v primeru odklona zelo pomemben dejavnik, se je strinjalo kar 78,6 % anketiranih. Anketiranci so (53,1 %) izrazili potrebo po izobraževanju o varnosti pacientov in si (56,6 %) želeli več usposabljanja s področja varnega dela in razmer za delo. Poznavanje področja je ključno za ohranjanje visoke stopnje strokovnosti in zavesti o pomenu varnosti pacientov (AS = 4,5 %, SO = 0,90 %). Prav tako so se anketiranci večinoma (65,8 %) strinjali, da ustvarjanje kulture brez krivde, kjer se odklone obravnava kot priložnosti za učenje in izboljšanje, vodi v boljše obvladovanje varnostnih odklonov, 67 % pa jih je menilo, da to pripomore tudi k dolgoročnemu izboljšanju varnosti in kakovosti zdravstvene oskrbe. Razprava: Naša raziskava pomaga pri razumevanju odnosa zdravstvenega osebja do ukrepanja ob varnostnih odklonih in daje konkretne predloge za izboljšanje prakse v zdravstveni negi. Ugotovitve naše raziskave so lahko osnova za nadaljnje raziskave in razvoj politik, ki bodo prispevale k varnejšemu zdravstvenemu okolju za vse paciente. V prihodnje bi bilo smiselno raziskavo razširiti na več zdravstvenih ustanov po Sloveniji, kar bi omogočilo primerjavo kompetenc zdravstvenega osebja pri varnostnih odklonih na nacionalni ravni.
Ključne besede:zdravstveno osebje, varnostni odkloni, varnost pacienta, prijava, ukrepi
Leto izida:2024
PID:20.500.12556/ReVIS-10670 Novo okno
COBISS.SI-ID:202240259 Novo okno
Datum objave v ReVIS:19.07.2024
Število ogledov:347
Število prenosov:11
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Sekundarni jezik

Jezik:Angleški jezik
Naslov:HEALTH EDUCATION IN SECURITY DEVEATION
Opis:ABSTRACT Theoretical background: Patient safety is the very essence of the healthcare quality, and it involves prevention, reporting and analysis of safety deviations. Safety deviations can affect patients and can lead to serious consequences for patients, including medical complications, prolonged hospitalisation, increased mortality and additional costs to the healthcare system. Whistleblowing is an important component of the patient safety system as it enables healthcare organisations to identify vulnerabilities in processes, leads to improved workflows and creates a safer environment for patients and others involved in the process. Creating a no blame culture, where the reporting of deviations is seen as an opportunity for learning and improvement, is essential. The purpose of this research is to examine health education when a safety deviance occurs. Methods: The research was based on a quantitative research approach and a descriptive method. For the empirical part of the diploma work, primary and secondary sources were collected, analysed and synthesised. Primary data for analysis were obtained through a survey technique, using a purpose-developed questionnaire, which was completed by health professional respondents using social and online networks. The collected data were analysed using Microsoft Office Excel, presented graphically in the form of tables and analysed. The secondary data source was a review of peer-reviewed and scientific literature obtained from PubMed, Cobiss, Cinahl, Science Direct and Google scholar databases. Results: The survey results showed that healthcare staff are aware of the importance of reporting safety deviations. The most common reason for the occurrence of safety deviations was overwork, cited by 57.1 % of respondents. More than 75% of the respondents agreed that taking action in the event of a safety deviation is necessary to prevent its recurrence. When it comes to informing the supervisor of a safety deviation, 69 % of respondents strongly agreed that the supervisor should be informed of a safety deviation. Almost half of respondents were aware of the procedure for reporting a security deviation. The most important reason for not reporting safety deviations is the complexity and delay of reporting (AS=2.9; SO=1.23). More than half of the respondents (57 %) highlighted the need for clear guidelines and protocols for reporting safety deviations, which would allow for more structured and consistent reporting. The support of colleagues and supervisors in the event of a deviation was agreed to be a very important reason for the decision to report or not to report by 78.6 % of respondents. Respondents expressed a need for patient safety education in 53.1 % and a desire for more training in safe work and working conditions in 56.6%. Knowledge of the field is key to maintaining a high level of professionalism and awareness of the importance of patient safety (AS=4.5%, SO= 0.90%). Creating a no blame culture, where 65.8 % of respondents agree that deviations are treated as opportunities for learning and improvement, leads to better management of safety issues. Discussion: Our research helps to understand the views of healthcare staff on the management of safety deviations and provides concrete suggestions for improving nursing practice. The findings of our survey can form the basis for further research and policy development that will contribute to a safer healthcare environment for all patients. In the future, it would be useful to extend the survey to more healthcare institutions across the country, which would allow a comparison of the competences of healthcare staff in dealing with safety deviations at national level.
Ključne besede:healthcare workers, safety deviations, patient safety, error reporting, safety measures


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