20.500.12556/DKUM-21952 PRISTOJNOSTI ZDRAVSTVENE NEGE V LUČI SLOVENSKE ZAKONODAJE HEALTH CARE JURISDICTIONS IN THE ASPECT OF THE SLOVENIAN LAW Zaposleni v zdravstveni negi se pri delu srečujejo z vedno bolj osveščenimi uporabniki zdravstvenih storitev, ki se sklicujejo na pravice, ki jih nudi obstoječa zakonodaja. Medicinske sestre želijo pri delu najprej ustreči pacientu, mu zagotoviti varnost in zadovoljiti njegove potrebe. Da pri tem marsikdaj presegajo svoje kompetence in pooblastila, se niti ne zavedajo ali pa to zavestno prezrejo. Vsekakor pa premalo poznajo zakonodajo in vse pravne pasti, ki jih dobro ozaveščeni uporabniki lahko uporabijo, kadar menijo, da so kršene njihove pravice. Zato smo v nalogi opredelili občutljiva področja zdravstvene nege, zlasti na področju delegiranih nalog, kjer obstaja velika možnost prekoračitve pooblastil in s tem povezanih posledic pravne odgovornosti medicinske sestre. Raziskovalna metodologija: Uporabljena je bila deskriptivna metoda pregleda in analize literature s področja slovenske zakonodaje in kvantitativna metoda zbiranja podatkov s pomočjo vprašalnika. Rezultati so bili obdelani s pomočjo programa Excel in SPSS, s katerim smo izvedli statistično analizo podatkov. Vprašalnik smo razdelili v 5 bolnišnic. Sodelovanje je bilo prostovoljno in anonimno, na vprašanja so odgovarjali medicinske sestre in zdravstveni tehniki, ki neposredno delajo v praksi. Rezultati: Z analizo podatkov, pridobljenih s pomočjo vprašalnika, smo ugotovili, da se zaposleni v zdravstveni negi v veliki meri zavedajo, da pri delu presegajo pooblastila. Velika večina (92 %) se je že srečala s primerom, ko so se zavedali, da so pri delu presegli pooblastila. Področja, kjer najpogosteje prihaja do preseganja pooblastil, so zdravstvena nega bolnika na kirurškem (53,7 %) in internističnem področju (36,3 %) ter področju zdravstvene nege otrok (10,0 %). Ugotovili smo tudi, da velika večina medicinskih sester (85,2 %) pozna vsaj kakšen primer kazenskega postopka proti medicinski sestri in da se jih 95,1% zaveda, da se v primeru zapletov ob prekoračitvi pooblastil ugotavlja tudi odgovornost medicinske sestre, vendar jih kljub temu zakonodajo s tega področja pozna le dobra polovica (52,8 %). Sklep: Medicinske sestre v želji čim prej in čim bolj pomagati pacientu, kljub zavedanju o odgovornosti, ki jo s tem prevzemajo, pogosto presegajo svoja pooblastila, ob tem pa sorazmerno slabo poznajo zdravstveno zakonodajo, ki posega na področje zdravstvene nege. Employees in health care are in contact with increasingly conscious users of health services, which refer to the rights offered to them by existing legislation. Nurses want their work to please the patients first, ensure them the security and serve their needs. They are not even aware of that their actions are often beyond their competence and powers or they knowingly ignore that. However, lack of knowledge of law and the legal traps that well -informed user can use when they consider that their rights have been violated, is big problem among the nurses. Therefore, in this paper we reviewed the Slovenian legislation, which addresses the field of health care and tried to figure out how much Slovenian nurses know the legislation and their powers. Research Methodology: The descriptive method of literature review of the Slovenian legislation and quantitative method of data collection through questionnaire. The results were processed using Excel and SPSS, with which we performed a statistical analysis of data. The questionnaire was distributed in five hospitals. Participation was voluntary and anonymous; the questions were answered by employees with secondary and higher or university education, which directly working in practice. Results: The analysis of data obtained through the questionnaire we found that workers in health care are largely aware that they are working beyond their powers. The vast majority (92 %) has already met with the case when they knew that they work beyond their powers. Area that mostly exceed their powers is nursing at surgery (53,7 %), internistics (36,3 %) and pediatrics (10,0 %) department. It was also found that the vast majority of nurses (85,2 %) know at least one case of criminal proceedings against a nurse. About the same percent are aware that in case of complications that occure by exceeding their powers are responsible for their actions. Despite this only the half of them know the law of this area (52, 8 %). Conclusion: Slovenian nurses desire as quickly and as much as possible to help the patient, despite the awareness of the responsibilities assumed by this, often going beyond their powers, despite relatively poor knowledge of health legislation affecting the field of nursing. Ključne besede: zdravstvena nega medicinska sestra slovenska zakonodaja pristojnosti zdravstvene nege preseganje pooblastil health care nurse Slovenian law competence of health care excess of powers true true false [M. Jug] Slovenski jezik Angleški jezik Magistrsko delo/naloga 2012-01-25 09:18:13 2012-02-01 11:49:03 2022-04-14 11:01:54 2023-12-28 03:07:16 2012 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 614.253.5:34 1772708 URN:SI:UM:DK:UGIOP80A MAG_Jug_Marta_2012.pdf MAG_Jug_Marta_2012.pdf 1 5E07824381B7DCDD9F1C666A626A6995 5c6c780c20cbca1682bd15e892ffe747fd5b1a4bca00b0fe87373d4b16febbf4 f478417d-7c05-11eb-bb7a-00155d0001ca 20.500.12556/dkum/ccd13682-42de-4f60-834e-c43099968456 https://dk.um.si/Dokument.php?lang=slv&id=28091 Fakulteta za zdravstvene vede 0 0 0