20.500.12556/DKUM-69769 Zagotavljanje kakovosti in varnosti pacienta z omejenimi kadrovskimi in materialnimi resursi v bolnišničnem okolju Ensuring quality and patient safety with limited human and material resources in the hospital environment Teoretična izhodišča: Pomanjkanje ustreznih kadrovskih normativov v zdravstveni negi je pereč problem, ki je v slovenskem prostoru prisoten že nekaj časa. Svetovna gospodarska kriza pa je razmera še zaostrila. Posledica je bilo sprejetje Zakona o uravnoteženju javnih financ, ki je posegel tudi na področje zaposlovanja v zdravstvu in zdravstveni negi. Zdravstvena nega je s tem bila postavljena pred velik izziv. Na eni strani so posamezni zavodi začeli uvajati sistem vodenja kakovosti in varnosti, na drugi strani pa so se soočali s pomanjkanjem ustreznega kadra. Namen: V magistrskem delu smo skušali prikazati ali je sploh možno in na kakšen način je možno zagotoviti kakovostno in varno obravnavo pacientov ob pomanjkanju kadrovskih in materialnih virov. Teoretični del magistrskega dela kratko povzema načine doseganja kakovosti in varnosti, v empiričnem delu pa skušamo ugotoviti, kako zdravstveni delavci vidijo pomanjkanje kadra in materiala potrebnega za delo, obenem pa želimo ugotoviti ali sistem vodenja kakovosti dejansko omogoča kakovostno in varno obravnavo uporabnikov zdravstvenih storitev. Raziskovalna metodologija: Uporabili smo kvantitatvno raziskovalno metodo. Anketni vprašalnik smo razdelili na več vsebinskih sklopov. S pomočjo Likertkve lestvice smo preverili stopnjo strinjanja respondetov s posameznimi trditvami. Podatke smo obdelali z opisnimi in inferenčnimi statističnimi metodami, uporabili smo osnovne opisne statistike. Na posamezne oddelke v Splošni bolnišnici Murska Sobota, smo razdelili anketne vprašalnike med zaposlene v zdravstveni negi. Razdeljenih je bilo 150 vprašalnikov, od tega jih je bilo izpolnjenih in vrnjenih 125. Rezultati: Rezultati raziskave kažejo, da zaposleni poznajo sistem vodenja kakovosti v bolnišnici, tako, da smo prvo hipotezo lahko potrdili. Respondenti niso enotni v mnenju, da imajo na razpolago vse potrebne pripomočke za izvajanje kakovostne in varne zdravstvene nege, zato druge hipoteze v celoti ne moremo potrditi. Diskusija: Iz rezultatov raziskave sledi, da je sistem vodenja kakovosti v bolnišnici zastavljen tako, da zaposleni dobijo informacije potrebne za kakovostno in varno obravnavo pacientov, vendar pa bo potrebno z dodatnimi ukrepi doseči, da bodo zaposleni izvajali zdravstveno nego s sodobnimi materiali, ki bodo stalno na razpolago. Theoretical basis: The lack of appropriate personnel standards in health care has been a pressing problem in Slovenia for quite some time. The global economic crisis has only intensified the situation. The consequence was passing the Law of balancing public finances, which refers also to employment in health care. Health care in result was presented with a challenge. On one hand some institutions started implementing the quality and safety management system and on the other hand they faced the lack of qualified personnel. Purpose: The thesis presents whether or not it is possible and the ways that make it possible to ensure high quality and safe treatment of patients while facing the lack of personnel and materials. The theoretical part of the thesis shortly summarizes the ways of meeting quality and safety standards and the empirical part presents how the health care workers perceive the lack of personnel and necessary materials, but also tries to establish whether or not the quality management allows high quality and safe treatment of health care users. Research methodology: Quantitative research method was used. The questionnaire was separated in several thematic parts. With the use of Likert scale we checked the level of agreement of respondents with a certain statement. The data was processed using descriptive and inferential statistic methods, basic descriptive statistics were used. To individual departments of General Hospital Murska Sobota we distributed 150 questionnaires to health care employees, of which 125 were filled in and returned. Results: The results of the research show, that the employees are familiar with the quality management system of the hospital, so the first hypothesis was confirmed. The respondents are however not unified in opinion, that they have all necessary accessories to disposal for implementation of high quality and safe health care, this is why the second hypothesis cannot be entirely confirmed. Discussion: From the results of the research can be concluded that the quality management system in the hospital is set so, that the employees receive information for high quality and save treatment of patients, but certain measures should be taken in order for the employees to implement health care with modern materials, which are to be permanently to their disposal. Kakovost varnost standardi zdravstvene nege kategorizacija dokumentacija klinične poti kazalci kakovosti sodobni materiali kader quality safety health care standards categorization documentation clinical treatments quality indicators modern materials personnel true false false [A. Vogrinčič Černezel] Slovenski jezik Angleški jezik Magistrsko delo/naloga 2018-02-23 07:26:44 2018-07-13 10:49:37 2022-08-01 18:08:44 2019-07-11 17:43:33 2018 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 614.2(043.2) 2418340 URN:SI:UM:DK:RMZ8DRST MAG_Vogrincic_Cernezel_Anita_2018.pdf MAG_Vogrincic_Cernezel_Anita_2018.pdf 1 A06DFE948B559D8E409F6231590FD46C 7fab88742a5b4c90c4104ff67aaf3b0938a13a386f0f2c4219d73ae2fe5dd8b4 eaeedd93-7c0f-11eb-bb7a-00155d0001ca 20.500.12556/dkum/cc42141e-db41-4cb5-a754-a0c6a0f66e48 https://dk.um.si/Dokument.php?lang=slv&id=124228 Fakulteta za zdravstvene vede 0 0 0