Title Sigurnost osoba starije dobi u zdravstvenim ustanovama iz perspektive medicinskih sestara Title (english) Patient safety in healthcare facilities from the perspective of nurses Author Veronika Pudmej Ešegović Mentor Marijana Neuberg (mentor)Committee member Tomislav Meštrović (predsjednik povjerenstva)Committee member Marijana Neuberg (član povjerenstva)Committee member Duško Kardum (član povjerenstva)Granter University North Defense date and country 2020-10-12, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract UVOD: Zanemarivanje i zlostavljanje osoba starije dobi u Hrvatskoj, kao i u svijetu je prisutno, iako je rijetko istraživano. Cilj ovog rada je utvrditi percepciju medicinskih sestara i tehničara zanemarivanja i zlostavljanja osoba starije dobi u zdravstvenim ustanovama.
METODE: Provedena je retrospektivno istraživačka studija o percepciji medicinskih sestara/tehničara o zanemarivanju i zlostavljanju starijih osoba u razdoblju od 26.03.2020. godine do 26.04.2020. godine. U istraživanju su sudjelovale 632 med sestre i tehničari Kliničke bolnice Dubrava, Grupe medicinskih sestara i tehničara te Grupe inicijative medicinskih sestara koji su dobrovoljno pristali ispuniti Upitnik o zanemarivanju i zlostavljanju za pružatelje skrbi.
REZULTATI: Većina sudionika (52,5%) je na svom radnom mjestu bila jako zadovoljna. Prosječna ocjena kvalitete iznosila je 3,73 ± 1,095. Većini sudionika bile su poznate tjelesne, psihičke, kognitivne promjene u starijoj životnoj dobi te važnost odijevanja u privatno rublje. Najlošije bile su bodovane tvrdnje vezane uz edukaciju pružatelja sestrinske skrbi, a među njima i tvrdnja o etičnosti postupanja sa starijim osobama. Svi promatrani oblici zanemarivanja i zlostavljanja percipirani su u 13,8 do 57,4% sudionika. Najveći broj sudionika percipirao je ignoriranje poziva osobe starije dobi (57,4%); vikanje na stariju osobu u bijesu i ljutnji (41,1%); ne donošenje osobi starije dobi noćne posude ili sanitarnih kolica kada ona to traži (34,5%); hrani osobu starije dobi na silu: kad ona ne želi otvoriti usta gura joj hranu u usta (34,5%). Muškarci su sve promatrane elemente zanemarivanja i zlostavljanja češće percipirali od žena. Percepcija zanemarivanja i zlostavljanja starijih osoba bila je značajno veća u sudionika zaposlenih u domovima za odrasle, na radnim mjestima gdje je kontinuirano prevelik broj korisnika s obzirom na broj zaposlenih medicinskih sestara i tehničara te u onih koji rade u jutarnjim i popodnevnim smjenama.
ZAKLJUČAK: Potrebno je provoditi sustavno educiranje medicinskih sestara i tehničara o zanemarivanju i zlostavljanju osoba starije životne dobi, čime bi se pridonijelo kvalitetnijem i dostojanstvenijem životu ove vulnerabilne skupine.
Abstract (english) INTRODUCTION: Neglect and abuse of the elderly in Croatia, as well as in the world, is present, although it has rarely been researched. The aim of this paper is to determine the perception of nurses and technicians of neglect and abuse of the elderly in health care institutions.
METHODS: A retrospective research study on the perception of nurses / technicians on neglect and abuse of the elderly was conducted in the period from March 26, 2020. years until 26.04.2020. years. The study involved 632 nurses and technicians from the Dubrava Clinical Hospital, the Nurses and Technicians Group and the Nurses Initiative Group who voluntarily agreed to complete the Neglect and Abuse Questionnaire for caregivers.
RESULTS: The majority of participants (52.5%) were very satisfied at their workplace. The average quality score was 3.73 ± 1.095. Most of the participants were familiar with physical, mental, cognitive changes in old age and the importance of dressing in private underwear. The worst points were claims related to the education of nursing care providers, and among them was the claim about the ethics of treatment of the elderly. All observed forms of neglect and abuse were perceived in 13.8 to 57.4% of participants. The largest number of participants perceived ignoring the call of an elderly person (57.4%); shouting at an elderly person in anger and rage (41.1%); not bringing an elderly person a bedpan or sanitary cart when he asks for it (34.5%); feeds an elderly person by force: when she does not want to open her mouth she pushes food into her mouth (34.5%). Men perceived all the observed elements of neglect and abuse more often than women. The perception of neglect and abuse of the elderly was significantly higher among participants employed in adult homes, in workplaces where there is a continuous oversupply of users given the number of employed nurses and technicians, and in those working in the morning and afternoon shifts.
CONCLUSION: It is necessary to conduct systematic education of nurses and technicians on the neglect and abuse of the elderly, which would contribute to a better and more dignified life of this vulnerable group.
Keywords
osobe starije dobi
zanemarivanje
zlostavljanje
medicinske sestre
zdravstvene ustanove
kvaliteta sestrinske skrbi
Keywords (english)
the elderly
neglect
abuse
nurses
health facilities
quality of nursing care
Language croatian URN:NBN urn:nbn:hr:122:297600 Study programme Title: Nursing Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2021-02-11 18:48:19
