20.500.12556/DKUM-39180 AKTIVNOSTI IN KOMPETENCE ZDRAVSTVENE NEGE PRI NADZORU PACIENTA V PREBUJEVALNICI ACTIVITIES AND COMPETENCIES OF NURSING CARE WITH SUPERVISION OF PACIENT IN RECOVERY ROOM Teoretično izhodišče. Prebujevalnica, zbujevalnica ali »recovery« je namenski prostor, kjer medicinska sestra pacienta nadzoruje vsaj eno uro po operativnem posegu oziroma dokler ne izzvenijo vsi učinki anestezije (Pungartnik in Bahč, 2009). Medicinske sestre brez ustreznih kompetenc v prebujevalnici ogrožajo sebe in varnost pacientov. Namen raziskave. V diplomskem delu želimo predstaviti frekvenco aktivnosti in kompetenc medicinskih sester v izbrani prebujevalnici in ugotoviti, ali je v skladu z nacionalnimi in evropskimi strokovnimi smernicami. Raziskovalna metodologija. Za potrditev raziskovalnih vprašanj smo uporabili kvantitativno metodologija z obdelavo statističnih podatkov realiziranih aktivnostih zdravstvene nege v prebujevalnici Oddelka za anesteziologijo in intenzivno medicino operativnih strok Splošne bolnišnice Slovenj Gradec, ki smo jih analizirali s statističnim programom MICROSOFT OFFICE Excel 2007 in jih interpretirali v obliki tabel in grafov. Rezultati. Najpogostejše aktivnosti zdravstvene nege v prebujevalnici so: ocena bolečine in i.v. aplikacija protibolečinske terapije (100 %), nadzor nad infuzijsko tekočino (100 %), izvajanje posebnih odvzemov (avtotransfuzija) (14,7 %) in nadzor delovanja PCA črpalk (8,6 %). Medicinske sestre s srednjo strokovno izobrazbo za izvajanje aktivnosti zdravstvene nege nimajo ustreznih kompetenc. Sklep. Podali smo odgovore na raziskovalna vprašanja in predloge za morebitne izboljšave v kliničnem okolju. V prebujevalnici je potrebno zagotoviti številčnejšo kadrovsko zasedbo z ustreznimi kompetencami, opozoriti na pomen izobraževanja in nadgrajevanja znanja medicinskih sester v ter sodelovanja na raziskovalno - izobraževalnem področju. Theoretical basis. PACU (Post Anesthesia Care Unit) or Recovery room is a specific department where a nurse is monitoring patient’s life functions after surgery for at least one hour, or until all the effects of anesthesia disappear (Pungartnik and Bahč, 2009). Purpose. The purpose of this research is to present the frequency of activities and competences of nurses in a selected recovery room, to determine whether it is in accordance with national and European professional PACU guidelines. Research methodology. In our research was used quantitative methodology. The statistics of recovery room shows nursing care activities from the General hospital in Slovenj Gradec, Anaesthesiology and Intensitive Care Unit. The collected data were analyzed with MICROSOFT OFFICE Excel 2007 and interpreted in forms of tables and graphs. Results. The research has showed that nurses from selected recovery room are not performing activities in accordance with »The guidelines of professional activities and skills in the health care« (2008). The most common activities are: pain assessment and IV application of pain relief therapy (100 %), control of fluid infusion (100 %), implementation of specific for features blood transfusion (14,7 %) and supervision of PCA pumps (8,6 %). Secondary educated nurses don´t have adequate competencies for nursing care activities. Conclusion. The results state the meaning of organization in recovery room and we tried to give possible suggestions. It is necessary to increase the number of nursing staff with competencies in recovery room. It is very important to ensure optimal perioperative health care which can only be performed by professional, experienced nurses and encourage them to cooperate more in the research and the educational area. prebujevalnica medicinska sestra pacient anestezija pooperativna zdravstvena nega. recovery room nurse patient anaesthesia postoperative nursing care. true true false [L. Nikolova] Slovenski jezik Angleški jezik Diplomsko delo 2012-12-06 20:30:01 2013-02-20 14:55:09 2022-05-04 14:10:08 2021-04-21 03:28:26 2012 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-083:617 1880228 URN:SI:UM:DK:ARXFQRCY VS_Nikolova_Lence_2012.pdf VS_Nikolova_Lence_2012.pdf 1 B41B8C36AA83C8D5F2A2BFD7D82AAD66 5d327bbff1e53483203b0fc185f4d4e38149d6b38301446aae6ed6fe3029c3d5 a348dd71-7c08-11eb-bb7a-00155d0001ca 20.500.12556/dkum/da6971d5-08cb-464c-9277-e2ca1481aba8 https://dk.um.si/Dokument.php?lang=slv&id=52776 Fakulteta za zdravstvene vede 0 0 0