20.500.12556/DKUM-90884 Pristopi medicinske sestre - manager pri obvladovanju odklonov in krepitvi kulture varnosti v sistemu kakovosti v zdravstveni dejavnosti Approaches of the nurse-manager in managing deviations and strengthening the safety culture in health care quality system Odkloni v zdravstvu predstavljajo velik problem, ki lahko pri bolnikih vodijo v pojav zdravstvenih komplikacij, invalidnosti ali smrti in pomembno vplivajo na kakovost zdravstvene obravnave. Namen zaključnega dela je bil raziskati pristope MS – manager pri obvladovanju odklonov v zdravstveni dejavnosti in njihovo vlogo pri gradnji kulture varnosti. Metode: Izvedli smo pregled literature, ki smo jo iskali v podatkovnih bazah PubMed, CINAHL, ScienceDirect, Cochrane Library in dodatno z Google Scholar. Uporabili smo deskriptivno in komparativno metodo ter metode kompilacije, analize in sinteze. Z JBI in MMAT ocenjevalnima lestvicama smo podali kritično oceno člankov. Za prikaz sistematičnega pregleda literature smo uporabili PRISMA diagram. Rezultati: V pregled in analizo smo vključili 8 člankov - glede na hierarhijo dokazov smo 1 članek umestili v prvi nivo, 2 članka v četrti nivo, 3 v peti nivo in 2 v sedmi nivo. Vsi članki potrjujejo, da je MS – manager, poleg organiziranja ZN in neposrednega dela z bolniki, vpeta v številne aktivnosti, katerih skupni imenovalec je varna in kakovostna oskrba bolnikov, usmerjena k minimiziranju odklonov in njihovih negativnih posledic. Razprava in zaključek: Ugotovili smo, da MS – manager z zagotavljanjem zadovoljivih delovnih pogojev, organiziranjem ZN, standardizacijo dela, odpravljanjem odstopanj, vzpodbujanjem izobraževanja, nudenjem podpore zaposlenim, idr., deluje v vsakodnevni praksi ZN, pri čemer se nenehno sooča z varnostnimi vprašanji in vprašanji, povezanimi s kakovostjo zdravstvene obravnave bolnikov. Deviations in healthcare represent a major problem, which can lead to the occurrence of medical complications, disability or death in patients and have a significant impact on the quality of healthcare. The purpose of the final work was to investigate MS - manager approaches in managing deviations in healthcare activities and their role in building a culture of safety. Methods: We performed a literature review, which was searched in PubMed, CINAHL, ScienceDirect, Cochrane Library and additionally Google Scholar databases. We used descriptive and comparative methods as well as compilation, analysis and synthesis methods. We provided a critical assessment of the articles using the JBI and MMAT rating scales. A PRISMA diagram was used to show the systematic literature review. Results: We included 8 articles in the review and analysis - according to the hierarchy of evidence, we placed 1 article in the first level, 2 articles in the fourth level, 3 in the fifth level and 2 in the seventh level. All articles confirm that, in addition to organizing UN and working directly with patients, the MS manager is involved in many activities, the common denominator of which is safe and quality patient care, aimed at minimizing deviations and their negative consequences. Discussion and conclusion: We found that the MS - manager by ensuring satisfactory working conditions, organizing the UN, standardizing work, eliminating deviations, promoting education, offering support to employees, etc., works in the daily practice of the UN, while constantly facing safety issues and issues related to the quality of patient care. Medicinska sestra – manager varnostni odklon kultura varnosti kakovost v zdravstvu management Nurse - manager safety deviation safety culture quality in healthcare management true true false [T. Zagernik] Slovenski jezik Angleški jezik Magistrsko delo/naloga 2024-10-01 19:25:52 2025-01-21 16:39:35 2025-01-29 14:50:52 0000-00-00 00:00:00 2024 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 614.253.5:005.7:614.2(043.2) 223294979 MAG_Zagernik_Tia_2024.pdf MAG_Zagernik_Tia_2024.pdf 1 2B70C83320BFCA8C147C57BCFE79121C b23e778d1a4ee3628aa4d4f2866bc3d6b13fa130ea6a6f09c33c51ab756fbfa2 9eb020d4-d4ee-11ef-8b55-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=187939 Fakulteta za zdravstvene vede 0 0 0