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Naslov: VLOGA MEDICINSKE SESTRE PRI OBRAVNAVI OTROKA V URGENTNI INFEKCIJSKI AMBULANTI Avtorji: ID Zdešar, Lena (Avtor) ID Draginc, Andreja (Mentor) Več o mentorju... Datoteke: DIP_Zdesar_Lena_2024.pdf (1,37 MB) MD5: FFF4462D2517EA5D92FEC5753AFD3B4C   Jezik: Slovenski jezik Vrsta gradiva: Diplomsko delo/naloga Organizacija: UNM FZV - Univerza v Novem mestu - Fakulteta za zdravstvene vede Opis: Teoretična izhodišča: Medicinska sestra se pri delu v urgentni infekcijski ambulanti sreča s kompleksnimi stanji, kot so akutni bronhiolitis, vročinski krči, oslovski kašelj, klopni meningoencefalitis in lymska borelioza. Medicinska sestra izvaja številne negovalne intervencije in tehnično diagnostične posege, kot so odvzem kužnin, vzpostavitev intravenske poti ter aplikacija zdravil, aplikacija kisika itd. Pomembno vlogo opravlja tudi pri sprejemu otroka v bolnišnico in pri preprečevanju prenosa nalezljivih bolezni. Pri svojem delu uporablja načela atravmatske komunikacije z otrokom in starši. Namen raziskave je bil preučiti vlogo medicinske sestre pri obravnavi otroka v urgentni infekcijski ambulanti. Metode: V raziskavi sta bila uporabljena kvalitativni raziskovalni pristop in deskriptivna metoda dela. Za zbiranje podatkov je bila uporabljena predloga za polstrukturiran intervju. Raziskava je potekala od junija do avgusta 2024. Vzorec je bil namenski in vključuje šest diplomiranih medicinskih sester, ki sodelujejo pri obravnavi otroka v urgentni infekcijski ambulanti. Pri zbiranju in obdelavi podatkov smo upoštevali vsa etična načela raziskovanja. Rezultati: Pet od šestih intervjuvank je pri obravnavi otroka v urgentni infekcijski ambulanti pozornih na razpoloženje in obnašanje otroka ter na prisotnost izpuščajev na koži, vse intervjuvane pa so pozorne na odstopanja pri merjenju vitalnih funkcij. Ena izmed njih poleg vsega naštetega pozornost posveča tudi stanju zavesti otroka, opazovanju bolečine, ki se lahko kaže z neutolažljivim jokom, ter opazuje mikcije. Vse intervjuvanke ob pojavu dihalne stiske pri otroku dvignejo vzglavje, aplicirajo kisik, izmerijo vitalne funkcije in naredijo toaleto nosu. Vse intervjuvanke navajajo, da starši otrok z vročinskimi krči tekom hospitalizacije (24-urno opazovanje) in tik pred odpustom prejmejo natančna ustna in pisna navodila, ki so opremljena tudi s slikovnim gradivom. Prav tako navajajo, da starši prejmejo recept za rektiolo Stesolida, ki ga aplicirajo v primeru ponovitve vročinskih krčev, ki so daljši od dveh minut. Staršem otroka, ki je bil nenačrtovano sprejet v bolnišnico, nudijo podporo s pravočasnim podajanjem informacij in z odgovarjanjem na zastavljena vprašanja. Ena izmed njih izpostavlja, da delajo po ustaljenem protokolu o sprejemu otroka na bolnišnični oddelek. Vse intervjuvanke se ob sprejemu otroka na oddelek soočajo s številnimi izzivi, izpostavile so nesodelovanje otrok, kar je verjetno posledica strahu tako staršev kot otrok. Ena od njih je navedla tudi izzive s pomanjkanjem kadra in prostora ter težave s sporazumevanjem, ki nastanejo pri starših in pacientih, ki ne govorijo slovenskega jezika. Razprava: Z raziskavo smo ugotovili, da intervjuvane medicinske sestre dihalno stisko pri otroku, ki preboleva akutni bronhiolitis, prepoznajo z uporabo pomožne dihalne muskulature, tahipnejo, zavračanjem hrane in pijače, utrujenostjo oz. apatičnostjo otroka, pa tudi z nizko saturacijo, cianozo ter stokanjem ob izdihu. Ob pojavu vročinskih krčev pri otroku ga dajo v stabilni bočni položaj, aplicirajo antipiretik in otroka fizikalno hladijo. Če se vročinski krč po dveh minutah ne prekine spontano, aplicirajo rektiolo diazepama. Primarna naloga medicinske sestre v urgentni infekcijski ambulanti je triaža oz. začetna ocena stanja otroka, nato pa merjenje vitalnih funkcij, odvzem različnih kužnin, opazovanje otrokovega obnašanja, odziv na dražljaje iz okolice, opazovanje kože in sluznice, stanja zavesti ter ocenjevanje bolečine. Za lajšanje stiske pri otrocih uporabljajo komunikacijo, ki je prilagojena njihovi starosti in razvojni stopnji, vse postopke natančno razložijo ter razbremenijo otroka z uporabo igrač, štampiljk, bombonov in pobarvank. Ključne besede: Medicinska sestra, urgentna infekcijska ambulanta, otrok. Leto izida: 2024 Datum objave v ReVIS: 08.12.2024 Število ogledov: 126 Število prenosov: 4 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:	THE ROLE OF A NURSE IN TREATING A CHILD IN AN URGENT INFECTION CLINIC
Opis:	Introduction: While working in an emergency infectious disease clinic, a nurse encounters complex conditions such as acute bronchiolitis, febrile convulsions, pertussis, tick-borne meningoencephalitis and Lyme disease. The nurse performs numerous nursing interventions such as taking samples for the tests, establishing an intravenous canal and administering medications, administering oxygen, etc. It also plays an important role in the admission of children to the hospital and in the prevention of the transmission of infectious diseases. In her work, she uses the principles of atraumatic communication with the child and parents. The purpose of the research was to examine the role of the nurse in the treatment of a child in the emergency infectious diseases clinic. Methods: We used a qualitative research approach and a descriptive method of work. On the basis of a pre-prepared template with questions, we conducted a semi-structured interview, taking into account all ethical principles of research. The survey was conducted from June to August 2024. It involved six registered nurses who are involved in treating a child in an emergency infectious disease clinic.In the collection and processing of data, we have taken into account all ethical principles of research. Results: Five out of six interviewees pay attention to the child’s mood and behaviour as well as the presence of rashes on the skin, while all interviewees pay attention to deviations in the measurement of vital functions. One of them also pays attention to the state of consciousness of the child, observing the pain, which can manifest itself in an uncomfortable crying, and observing urination. All interviewees raise the headboard when the child has respiratory distress, apply oxygen, measure vital functions and make a toilet to the nose. All interviewees report that parents of children with febrile convulsions receive precise verbal and written instructions during hospitalization (24-hour observation) and shortly before discharge, which are also accompanied by visual material. They also state that parents receive a prescription for rectiola Stesolid, which is administered in the event of a recurrence of fever spasms lasting more than two minutes. Parents of a child who has been unplannedly admitted to hospital are supported by providing timely information and answering questions. One of them points out that they work according to the established protocol of admitting the child to the hospital ward. All interviewees face many challenges when accepting a child to the department, they pointed out the lack of cooperation of children, which is probably due to the fear of both parents and children. One of them also mentioned the challenges of lack of staff and space and communication problems that arise in parents and patients who do not speak Slovenian. Discussion: The study found that the interviewed nurses recognize respiratory distress in a child suffering from acute bronchiolitis through the use of auxiliary respiratory musculature, tachypnea, refusal of food and drink, fatigue or apathy of the child, as well as low saturation, cyanosis and moaning on exhalation. At the appearance of febrile convulsions in the child, they put him in a stable lateral position, apply an antipyretic and physically cool the child. If the febrile convulsion does not stop spontaneously after two minutes, a rectiola of Diazepam is administered. The primary task of the nurse in the emergency infectious disease clinic is triage or initial assessment of the condition of the child, then measurement of vital functions, collection of body fluids and samples, observation of the child’s behaviour, response to stimuli from the environment, observation of the skin and mucous membranes, state of consciousness and assessment of pain. To alleviate distress in children, they use communication adapted to their age and stage of development, explain all procedures in detail and relieve the child with the use of toys, stamps, sweets and coloring pages.
Ključne besede:	Nurse, emergency infectious disease clinic, child.

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