20.500.12556/DKUM-81800 Izmensko delo in zagotavljanje pacientove varnosti Shift work and ensuring patient safety Uvod: Izmensko delo je v zdravstvenem sektorju nepogrešljivo. Pacienti, ki potrebujejo kontinuirano zdravstveno oskrbo, so v obravnavi tudi ponoči, kar pomeni, da zdravstveno osebje dela v tri ali dvoizmenskem delovnem času. Zaradi izmenskega dela in sprememb v bioritmu lahko pri zaposlenih posledično nastanejo motnje cirkadianega ritma, kar vodi do utrujenosti, to pa predstavlja tveganje za pojav napak. Namen zaključnega dela je raziskati kako izmensko delo vpliva na zvišano pojavnost napak pri delu s pacientom. Metode: V zaključnem delu je bila uporabljena deskriptivna metoda dela. Opravili smo sistematični pregled znanstvene in strokovne literature po mednarodnih podatkovnih bazah (Medline, CINAHL, PubMed, Cochrane Library, IOS Press). Upoštevali smo vključitvene in izključitvene kriterije ter zajeli članke, objavljene med letoma 2011 in 2021. Rezultati: Ugotavljamo, da izmensko delo prispeva k motnjam cirkadianega ritma posameznika. Pri osebi se pojavi pomanjkanje spanca, kar vodi k motnjam kognitivnih sposobnosti. To se odrazi v zvišani frekvenci storjenih napak v procesu zdravstvene obravnave pacienta in ogroža pacientovo varnost. Razprava in sklep: Ker se izmenskemu in nočnemu delu v zdravstvu ne moremo izogniti je pomembna zdravstvena vzgoja zaposlenih, glede tveganja za nastanek napak zaradi utrujenosti. Prav tako je treba promovirati kulturo varnosti na delovnem mestu. Introduction: Shift work is indispensable in the health sector. Patients who need continuous acute care are also treated at night, which means that healthcare professionals work three- or two-shift shifts. Shift work and changes in biorhythms can lead to circadian rhythm disturbances, leading to fatigue, leading to errors. This thesis investigates how shift work influences the increased incidence of patient errors. Methods: In the final part, the descriptive method of work was used. A systematic review of the scientific and professional literature was conducted using international databases (Medline, CINAHL, PubMed, Cochrane Library, IOS Press). We have considered the inclusion and exclusion criteria and included articles published between 2011 and 2021. Results: Shift work has been found to contribute to circadian rhythm disturbances in individuals. As a result, the person suffers from sleep deprivation, leading to cognitive impairment. This leads to an increased frequency of errors in the patient care process and compromises patient safety. Discussion and conclusion: As shift and night work in healthcare is unavoidable, health education of employees about the risk of fatigue-related errors is important. We also need to promote a culture of safety in the workplace. izmensko delo medicinske sestre pomanjkanje spanca utrujenost napaka shift work nurse sleep deprivation fatigue error true true false [M. Krajnc] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2022-06-01 09:35:39 2022-12-19 13:57:16 2023-02-07 15:25:05 0000-00-00 00:00:00 2022 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 331.312.64-051:614.253.8(043.2) 129311491 VS_Krajnc_Melisa_2022.pdf VS_Krajnc_Melisa_2022.pdf 1 79F281E20BBAE167A8D2C19CA319C8C7 ce7223a6824ed313116f9179bfb2110b4a29c686d9bc6c363655ca9cab89cabe fbae49cb-f57e-11ec-b243-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=158942 Fakulteta za zdravstvene vede 0 0 0