Ishodi kvalitete sestrinske skrbi ovisno o radnom opterećenju u hitnoj kirurškoj službi

master's thesis

• Title (english): Quality outcomes of nursing care and work load in emergency surgical services
• Author: Marica Sedlar
• Mentor: Jadranka Mustajbegović (mentor)
• Committee member: Milan Milošević (predsjednik povjerenstva)
• Committee member: Jagoda Doko Jelinić (član povjerenstva)
• Committee member: Jadranka Mustajbegović (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Environmental and Occupational Health); Zagreb
• Defense date and country: 2016-07-25, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Nursing

Abstract

Kvaliteta sestrinske skrbi pokazuje različite nedostatke u njenim očekivanim ishodima, a najčešće zbog neadekvatnog radnog okoliša, prevelikog radnog opterećenja, loše opreme i loših arhitektonskih rješenja. Cilj je bio ispitati povezanost i međusobno djelovanje radnog opterećenja medicinskih sestra/tehničara s ishodom i kvalitetom pružene sestrinske skrbi u hitnoj kirurškoj službi Opće bolnice Varaždin. Ispitanici i metode: Uključeno je svih 16 zaposlenika koji rade na poslovima medicinskih sestara/tehničara srednje stručne spreme i prvostupnika sestrinstva u hitnoj kirurškoj službi. Istraživanje se provodilo putem modificiranog Baselskog upitnika o mogućnostima provođenja sestrinske skrbi (Universität Basel, Version 1 MS 2004), te dijelovi modificiranog upitnika iz istraživanja Konzorcija RN4CAST o kvaliteti sestrinske skrbi i sigurnosti pacijenata. Rezultati su dobiveni na malom uzorku (N=15) te su samo orijentacijski. Međutim, znakoviti su i nedvosmisleni u ukazivanju na značajke same organizacije rada i njenih ishoda: jasno su pokazali da radno opterećenje zadaćama koje nisu izravno vezane uz skrb pacijenta, dovode medicinske sestre/tehničare u situaciju da nisu u mogućnosti obavljati svoje osnovne radne zadatke i pružiti pacijentima potebnu skrb. Određena količina poslova zdravstvene njege ostaje neobavljena, a bila je potrebna. Radna opterećenja izrazito prelaze navedena u dostupnoj literaturi. Svaki drugi ispitanik ima više od 50 godina, a niti jedan ispod 30. Korelacija između opterećenja ispitanika i broja njihovih godina pokazuje da stariji ispitanici imaju veće opterećenje na radnom mjestu. Zaključak: Neophodno je povećati broj zaposlenih medicinskih sestara i tehničara u hitnoj kirurškoj službi Opće bolnice Varaždin te reorganizirati njihove radne zadaće.

Abstract (english)

The quality of nursing care shows various shortcomings in its expected outcomes, this is most often due to an inadequate working environment, excessive workload, poor equipment and poor architectural solutions. The goal was to examine the connection and interaction between the workloads of nurses/technicians with the outcome and quality of nursing care provided in the emergency surgical department at the General Hospital in Varaždin. Subjects and Methods: All 16 employees who work as nurses/technicians with a secondary education or bachelors in nursing in the emergency surgical services were included. The survey was conducted by means of the modified Basel questionnaire on the possibilities of implementation of nursing care (Universität Basel, Version 1 MS 2004), and parts of the modified questionnaire from the RN4CAST research consortium on the quality of nursing care and patient safety. Results: were obtained on a small sample (N = 15) and are only an estimate. However, they are significant and unambiguous in pointing out the characteristics of the organization of work and its outcomes: they clearly showed that a load of tasks not directly related to patient care put nurses/technicians in a situation where they were unable to perform their basic tasks and provide patient care. A certain amount of health care tasks remained unfinished, even though there were necessary. The workloads markedly exceeded those listed in the available literature. Every second respondent was over 50 years old, and none was younger than 30. The correlation between the load of respondents and their age showed that older respondents had a greater load in the workplace. Conclusion: It is essential to increase the number of nurses and technicians in the emergency surgical department at the General Hospital Varaždin and reorganize their work tasks.

• Keywords: medicinske sestre/tehničari; radno opterećenje; ishodi kvalitete; sestrinska skrb
• Keywords (english): nurses/technicians; workload; quality outcomes; nursing care
• Language: croatian
• URN:NBN: urn:nbn:hr:105:112384
• Study programme: Title: Studies in Nursing; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2017-03-14 13:54:29