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Naslov: Kakovost in varnost obravnave pacienta s kronično rano v patronažnem zdravstvenem varstvu Avtorji: ID Kozmus, Nuša (Avtor) ID Zupančič, Vesna (Mentor) Več o mentorju... Datoteke: MAG_Kozmus_Nusa_2025.pdf (2,26 MB) MD5: 486F15041F73B1EB382DCC7D835F89E5   Jezik: Slovenski jezik Vrsta gradiva: Magistrsko delo/naloga Organizacija: UNM FZV - Univerza v Novem mestu - Fakulteta za zdravstvene vede Opis: Teoretična izhodišča: Kakovost in varnost pri zdravstveni obravnavi pacienta v domačem okolju sta v današnjem času sestavni del dela s pacienti. Kronične rane vse bolj predstavljajo tegobo današnjega časa, ki se je pojavila ob vse večjem staranju prebivalstva. Dolgotrajno celjenje kroničnih ran posega v kakovost posameznikovega življenja. Danes so nam na voljo številni pristopi, materiali in sodobne obloge, ki zahtevajo njihovo dobro poznavanje. Obravnava kronične rane na pacientovem domu predstavlja posebne izzive za patronažne medicinske sestre, saj poteka pod drugačnimi pogoji kot v zdravstvenih ustanovah na primarni, sekundarni in terciarni ravni. V veliki meri je pacient pri oskrbi kronične rane odvisen od storitev s strani patronažne medicinske sestre, samooskrbe in pomoči svojcev. Pri strokovni oskrbi kronične rane je zelo pomembno tudi stalno strokovno sodelovanje med člani zdravstvenega tima. Metode: Uporabili smo kvantitativni raziskovalni pristop z deskriptivno in kavzalno – neeksperimentalno metodo dela. Zbiranje primarnih podatkov je potekalo s tehniko anketiranja med patronažnimi medicinskimi sestrami Slovenije. Ankete so bile poslane preko Patronažne sekcije po elektronski pošti do vseh koordinatorjev Patronažnega varstva in nato ostalim patronažnim sestram v lečečem patronažnem varstvu, katerih se je na sodelovanje v anketi odzvalo (201). Rezultati: Z raziskavo smo ugotovili, da patronažne medicinske sestre, ki so sodelovale v naši raziskavi pri svojem delu, pri pacientu s kronično rano uporabljajo sodobne obloge za rane. Patronažne medicinske sestre, ko govorimo o sodelovanju z drugimi službami v zdravstvenem sistemu, najpogosteje sodelujejo z ambulanto družinske medicine. Ugotovili smo, da patronažne medicinske sestre ocenjujejo svojo stopnjo strokovnega znanja o pravilni izbiri sodobnih oblog pri celjenju kronične rane kot zelo dobro, na kar ne vplivajo leta delovnih izkušenj v patronažnem zdravstvenem varstvu. Med vsemi oblogami patronažne medicinske sestre, ki so sodelovale v naši raziskavi najpogosteje uporabljajo kontaktne mrežice, medtem ko ocenjujejo, da so alginatne obloge učinkovitejše od teh. Razprava: Za kakovostno in varno delo v patronažni zdravstveni negi je veliko dejavnikov, ki vplivajo na potek obravnave pacienta s kronično rano. Potrebna je lastna presoja dela, kontinuirano izpopolnjevanje, dobro medsebojno komuniciranje in povezovanje z drugimi strokovnjaki. Sodobne obloge za kronične rane zagotavljajo ustrezne pogoje za učinkovito celjenje kroničnih ran. Z raziskavo smo potrdili, da patronažne medicinske sestre z namenom kakovosti in varnosti obravnave pacienta s kronično rano najpogosteje sodelujejo z ambulanto družinske medicine. Ključne besede: patronažna medicinska sestra, kronična rana, sodobne obloge za celjenje kronične rane, kakovost in varnost. Leto izida: 2025 PID: 20.500.12556/ReVIS-11491  COBISS.SI-ID: 227972867  Datum objave v ReVIS: 05.03.2025 Število ogledov: 324 Število prenosov: 21 Metapodatki:    Citiraj gradivo Navadno besedilo BibTeX EndNote XML EndNote/Refer RIS ABNT ACM Ref AMA APA Chicago 17th Author-Date Harvard IEEE ISO 690 MLA Vancouver : Kopiraj citat

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Sekundarni jezik

Jezik:	Angleški jezik
Naslov:	Quality and Safety of Cronic Wound Care in Patronage Healthcare
Opis:	Theoretical background: Quality and safety in patient care in the home environment are integral to working with patients. Chronic wounds are increasingly a contemporary affliction that has emerged with the aging of the population. The prolonged healing of chronic wounds interferes with an individual's life quality. Today, many approaches, materials, and advanced dressings are available to us, which require a good knowledge of them. The management of chronic wounds in the patient's home poses particular challenges for patronage nurses, as it takes place under conditions different from those in primary, secondary, and tertiary care settings. To a large extent, chronic wound care depends on the patronage nurse's services, self-care, and assistance from relatives. Continuous professional collaboration between healthcare team members is important for treating chronic wounds. Methods: We used a quantitative research approach with a descriptive and causal - non-experimental work method. Primary data was collected using surveys of outpatient nurses in Slovenia. Surveys were sent via the Patronage Section by e-mail to all Patronage Care coordinators and then to other resident nurses in the patient's outpatient care, whose participation in the survey was answered by 201 respondents. Results: Our study found that the patronage nurses who participated in our study use advanced wound dressings to work with patients with chronic wounds. Regarding collaboration with other services in the health system, patronage nurses most often collaborate with the family medicine clinic. We found that patronage nurses rate their level of expertise in the correct choice of advanced wound dressings for chronic wound healing as very good, which is not influenced by years of experience working in allied health care. Of all the dressings, patronage nurses who participated in our survey use contact meshes most frequently, while they consider alginate dressings to be more effective than these. Discussion: Many factors influence the management of a patient with a chronic wound to provide quality and safe care. Self-assessment, continuous improvement, good communication, and networking with other professionals are necessary. Advanced chronic wound dressings offer the appropriate conditions for effectively healing chronic wounds. Our survey confirmed that chronic wound care patronage nurses often work with a family medicine clinic to ensure the quality and safety of care for patients with chronic wounds.
Ključne besede:	: patronage nurse, chronic wound, advanced dressings for chronic wound healing, quality and safety.

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