20.500.12556/DKUM-98263 Delovni pogoji, blagostanje pri delu in storilnost zdravnikov v službi nujne medicinske pomoči magistrsko delo Working conditions, well-being at work and work performance among emergency medical service doctors Služba nujne medicinske pomoči predstavlja enega najpomembnejših delov javnega zdravstva, saj zagotavlja neprekinjeno, 24-urno izvajanje nujnih zdravstvenih storitev, katerih opustitev lahko povzroči hudo okvaro zdravja ali celo smrt pacienta. Zdravniki, zaposleni v urgentnih centrih, se soočajo z visokim časovnim pritiskom, čustvenimi delovnimi zahtevami ter izmenskim delom, ki lahko neprekinjeno traja tudi do 32 ur. Takšni zahtevni delovni pogoji prispevajo k izčrpanosti, kognitivnim težavam na delovnem mestu in neoptimalni oskrbi pacientov. Kljub obsežni reorganizaciji sistema nujne medicinske pomoči v Sloveniji v skladu s Strategijo razvoja zdravstvene dejavnosti do leta 2031 pa primanjkuje empiričnih raziskav, ki bi te procese proučevale na dnevni ravni. Namen magistrske naloge je bil ugotoviti, kako so subjektivna kakovost spanja, čustvene delovne zahteve, pričakovane delovne obremenitve in miselni odklop od dela povezani z izčrpanostjo po delu, kognitivnimi težavami na delovnem mestu in subjektivno ocenjeno neoptimalno oskrbo pacientov na dnevni ravni, pri čemer smo uporabili metodo dnevniške študije. V raziskavi je sodelovalo 27 zdravnikov iz urgentnih centrov v Sloveniji, ki so poleg splošnega vprašalnika vsak dan pred začetkom in po koncu izmene izpolnjevali tudi kratke vprašalnike. Rezultati večnivojskega linearnega modeliranja so pokazali, da je bila subjektivna kakovost spanja pred izmeno statistično značilno povezana z izčrpanostjo po delu, kognitivnimi težavami na delovnem mestu in subjektivno ocenjeno neoptimalno oskrbo pacientov. Tudi pričakovanje visokih delovnih obremenitev pred izmeno se je statistično značilno povezovalo z izčrpanostjo po delu. Nasprotno pa se čustvene delovne zahteve in miselni odklop od dela v tej študiji niso statistično značilno povezovali z izčrpanostjo po delu. Emergency medical services represent one of the most important components of the public healthcare system, as they provide continuous, 24-hour emergency medical care, the omission of which may result in severe health impairment or patient death. Doctors working in emergency centres face high time pressure, emotionally demanding work conditions, and shift work that can last continuously for up to 32 hours. Such demanding working conditions contribute to work-related exhaustion, cognitive difficulties at work and suboptimal patient care. Despite the extensive reorganisation of the emergency medical care system in Slovenia in accordance with the Healthcare Development Strategy until 2031, there is still a lack of empirical research examining these processes on a day-to-day basis. This master's thesis aimed to investigate how subjective sleep quality, emotional work demands, expected workload and psychological detachment from work are associated with post-work exhaustion, cognitive difficulties in the workplace and subjectively assessed suboptimal patient care at the daily level, using a diary study method. The study involved 27 physicians from emergency departments in Slovenia, who, in addition to completing a general questionnaire, completed short questionnaires each day before the beginning and after the end of their shifts. The results of multilevel linear modelling showed that subjective sleep quality before shift was statistically significantly associated with post-work exhaustion, cognitive difficulties at work, and subjectively assessed suboptimal patient care. Anticipating a high workload before the shift was also statistically significantly associated with post-work exhaustion. In contrast, emotional job demands and psychological detachment from work were not statistically significantly associated with post-work exhaustion in this study. nujna medicinska pomoč delovni pogoji blagostanje pri delu storilnost emergency medical service working conditions well-being at work work performance true true false Š. Brezočnik Slovenski jezik Angleški jezik Magistrsko delo/naloga 2026-05-31 16:15:45 2026-07-27 13:28:14 2026-07-28 03:08:37 0000-00-00 00:00:00 2026 0 Maribor 0 Maribor 1 spletni vir (1 datoteka PDF (VIII, 74 str.)) 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 159.944:616-083.98-051(043.2) 286122499 MAG_Brezocnik_Spela_2026.pdf MAG_Brezocnik_Spela_2026.pdf 1 BD215714EE95C934412C15BE9F75FD73 98944582d1c4d9adb53379ac70090bc607af2bc9929ea2ce8cba848d0857f63d d843518b-7961-11f1-80c7-00155d580e34 https://dk.um.si/Dokument.php?lang=slv&id=207969 Filozofska fakulteta 0 0 0