20.500.12556/DKUM-45130 DOŽIVLJANJE SAMOMORA IN ZADNJEGA STIKA S PACIENTOM, KI JE UMRL ZARADI SAMOMORA, PRI MEDICINSKIH TEHNIKIH SUICIDE AND THE LAST CONTACT WITH A PATIENT WHO DIED BY SUICIDE AS EXPERIENCED BY MEDICAL TEHNICIANS Samomor v Sloveniji in svetu predstavlja pomemben javno-zdravstveni problem. Večina ljudi, ki so umrli zaradi samomora, je nekaj mesecev ali tednov pred smrtjo obiskalo splošnega zdravnika. Osrednja tema naše naloge je doživljanje samomora pacienta pri medicinskih tehnikih. V raziskavi smo uporabili kvalitativno metodo raziskovanja. Po načelih utemeljene teorije smo analizirali enajst intervjujev z medicinskimi sestrami, ki se spomnijo, da so tekom svoje delovne kariere imele izkušnjo samomora pacienta. Povprečen intervju je trajal 35 minut. Po analizi podatkov smo 121 kod z 1131 navedki in 3 superkodami povezali v dva osrednja koncepta in štiri podkoncepte: Doživljanje samomora pacienta in pojasnjevanje sprožilcev za samomor (s podkonceptoma: Doživljanje samomora pacienta in Delo s samomorilnim pacientom) ter Delo medicinske sestre (s podkonceptoma Delo s pacienti in ''Jaz kot medicinska sestra''). Iz konceptov smo oblikovali Model doživljanja samomora pacienta. Model pojasnjuje vsebine doživljanja samomora pacienta ter mediatorje, ki posredno ali neposredno vplivajo na doživljanje. (Ne)fleksibilnost sistema ter identiteta medicinske sestre dajeta osnovo delu s pacienti. Način dela s pacienti in vzpostavljen odnos med medicinsko sestro in pacientom pa vplivata na doživljanje samomora pacienta. Kadar se medicinske sestre spomnijo zadnjega stika s pacientom, takrat se vsebine doživljanja razširijo (pojavi se več občutij in miselnih odzivov). Od tega, kako si medicinska sestra pojasni izkušnjo samomora pacienta, je odvisno ali bo izkušnja imela vpliv na nadaljnjo obravnavo pacientov. Model doživljanja samomora pacienta pojasnjuje vsebine, ki se pojavljajo ob samomoru pacienta in omogoča razumevanje kompleksne teme. Suicides present a significant public-health issue on a global scale and in Slovenia as well. Most people who have died by suicide visited their general practitioner months or weeks before death. Presenting how nurses deal with suicides of patients is the main topic of this thesis. The study is based on qualitative research principles. Based on the grounded theory method we analyzed eleven in-depth interviews with nurses who remember having dealt with a suicide patient during their career. The average interview lasted approximately 35 minutes. After the analysis of data we merged 121 codes with 1131 quotations and 3 supercodes into two main concepts and four sub-concepts: Experiencing patient suicide and explaining the triggers for it (with sub-concepts Experiencing patient suicide and Dealing with suicidal patients) and The work of nurses (with sub-concepts Work with patients and “Me as a nurse”). From these concepts we created the Experiencing patient suicide model. The model explains the contents of experiencing patient suicide and mediators who directly or indirectly influence the experience process. The system (non) flexibility and identity of the nurse help shape the basis of work with patients. The means of working with patients and established relationship between the nurse and the patient influence the process of experience patient suicide. When nurses recollect the last encounter with a patient the contents of experiencing patient suicide expand (more feelings and mental responses occur). How a nurse reads and explains a patient suicide experience results in whether or not the experience will have an influence on further patient treatment. Experiencing patient suicide model explains the contents which occur with patient suicides and ease the comprehension of a very complex topic. samomor medicinske sestre doživljanje samomora pacienta zadnji stik Model doživljanja samomora pacienta suicide nurses experiencing patient suicide last contact Experiencing patient suicide model true true false [A. Čuš] Slovenski jezik Angleški jezik Magistrsko delo/naloga 2014-08-11 09:37:09 2014-10-09 13:06:39 2022-05-14 03:07:40 2021-05-02 03:18:55 2014 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 159.942.5-616-051:616.89-008.441.44(043.2) 20781320 URN:SI:UM:DK:7BQEU9FA MAG_Cus_Anja_2014.pdf MAG_Cus_Anja_2014.pdf 1 98854524C116FBC66EC90B9E73F1D8B3 5613a2b48f3deab342cd8a7ee9d7b23499758b4dc118a19e7602774318224224 05493a09-7c0b-11eb-bb7a-00155d0001ca https://dk.um.si/Dokument.php?lang=slv&id=65180 Filozofska fakulteta 0 0 0