Profesionalni izazovi medicinskih sestara u jedinici za intenzivno neurološko liječenje

Scientific paper - Review paper

• Title (english): Professional challenges of nurses in the intensive neurological treatment unit
• Author: Željana Jurčević
• Author: Marjeta Majer
• Author's institution: University of Zagreb; School of Medicine; (Department of Social Medicine and Health Care Organization)
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Social Medicine

Abstract (croatian)

Medicinske sestre imaju ključnu ulogu u zdravstvenom sustavu zbog specifične skrbi koju pružaju pacijentima. Sestrinska profesija općenito je izazovna i zahtjevna, a posebno se to odnosi na rad u jedinicama intezivnog liječenja, uključujući jedinice intezivnog neurološkog liječenja. Profesionalni izazovi s kojima se medicinske sestre zaposlene u jedinici intenzivnog neurološkog liječenja suočavaju su mnogobrojni, a odnose se na specifična znanja i vještine povezane s monitoringom pacijenata i tehničkom opremom, umorom i smanjenom razinom budnosti, nezadovoljstvom poslom, stresom, bukom, moralnom osjetljivošću, emocionalnom inteligencijom, učinkovitom komunikacijom, organizacijskim aspektima sestrinske skrbi te lošim ergonomskim uvjetima. Većina osoba koja se pridruži sestrinstvu kao profesiji ima fizičku i mentalnu izdržljivost višu od prosjeka i sposobne su pronaći razne načine prilagodbe profesionalnim izazovima. Pacijenti liječeni u jedinici intenzivnog neurološkog liječenja mogu doživjeti negativne ishode nastale kao rezultat nekvalitetno učinjene njege kao što su pojava intrahospitalnih infekcija, duže vrijeme hospitalizacije te povećanje stope mortaliteta. Kako bi se smanjili i/ili spriječili negativni ishodi liječenja, potrebno je podići svijest javnosti o prisutnim problemima, provesti više istraživanja te uložiti više napora u pravilnu raspodjelu vještina sestrinstva na temelju dostupnih dokaza te zdravstvenih resursa.

Abstract (english)

Nurses play a key role in the healthcare system because of the specific care they provide to patients. The nursing profession is generally challenging and demanding, and this especially applies to work in intensive care units, including neurological intensive care units. The professional challenges faced by nurses employed in the intensive neurological treatment unit are numerous, and they relate to specific knowledge and skills related to patient monitoring and technical equipment, fatigue and reduced level of alertness, job dissatisfaction, stress, noise, moral sensitivity, emotional intelligence, effective communication, organizational aspects of nursing care and poor ergonomic conditions. Most people who join nursing as a profession have above average physical and mental endurance and are able to find a variety of ways to adapt to professional challenges. Until now, it is known that patients treated in the intensive neurological treatment unit can experience negative outcomes as a result of low-quality care, such as the occurrence of intrahospital infections, longer periods of hospitalization, and an increase in the mortality rate. In order to reduce and/or prevent such negative treatment outcomes, it is necessary to raise public awareness of the present problems, conduct more research, and put more effort into the proper distribution of nursing skills based on available evidence and health resources.

• Keywords (croatian): profesionalni izazovi; medicinske sestre; zdravstvena njega; jedinice intenzivnog liječenja; neurologija
• Keywords (english): professional challenges; nurses; health care; intensive care units; neurology
• Language: croatian
• Language: english
• Publication type: Scientific paper - Review paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Sigurnost : časopis za sigurnost u radnoj i životnoj okolini
• Numbering: vol. 66, no. 3, pp. 239-245
• p-ISSN: 0350-6886
• e-ISSN: 1848-6347
• DOI: https://doi.org/10.31306/s.66.3.5
• URN:NBN: urn:nbn:hr:105:984443
• Publication: 2024
• Document URL: https://hrcak.srce.hr/321098
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-11-28 09:20:42