20.500.12556/DKUM-98336 Pristop zdravstvenega osebja pri obravnavi alkoholno opitih pacientov na urgenci Approach of healthcare professionals toward the care of alcohol-intoxicated patients in the emergency department Uvod: Alkoholno opiti pacienti predstavljajo pomemben klinični, varnostni in etični izziv za osebje urgence. Namen pregleda literature je bil sintetizirati ugotovitve o stališčih, znanju in veščinah zdravstvenega oseba ter vplivu opitih pacientov na delo in dobrobit pacientov. Metode: Vključene so bile kvantitativne in kvalitativne raziskave izvedene med zdravniki in medicinskimi sestrami na urgentnih oddelkih, pri čemer so bili uporabljeni anketni vprašalniki o samoocenjevanju veščin, pisni eseji in polstrukturirani intervjuji. Rezultati: Zdravstveno osebje poroča o visokih stopnjah predvsem verbalnih napadov ter povečani delovni obremenitvi in slabšem razpoloženju. Zdravniki so manj zadovoljni in oskrbo doživljajo kot težjo v primerjavi z medicinskimi sestrami. Medicinske sestre najbolje obvladajo varnostne zaščitne veščine, najslabše pa veščine nadaljnjega zdravljenja. Vsebinska analiza je pokazala pomanjkanje zavezanosti pri oskrbi ter intervencijske veščine kot ključne kategorije. Razprava in zaključek: Pristop osebja k alkoholno opitim pacientom oblikujejo obremenjenost, izpostavljenost nasilju, deljena stališča ter neenakomerno razvite kompetence. Rezultati podpirajo potrebo po ciljanem izobraževanju o alkoholu, krepitvi varnostnih ukrepov in jasnih organizacijskih protokolih za izboljšanje kakovosti in etičnosti obravnave. Introduction: Patients under the influence of alcohol pose a significant clinical, safety, and ethical challenge for emergency department staff. The purpose of this literature review was to synthesize findings regarding the attitudes, knowledge, and skills of healthcare personnel, as well as the impact of intoxicated patients on work and patient well-being. Methods: The study included quantitative surveys and qualitative content analyses among physicians and nurses in emergency departments, using self-assessment skills questionnaires, written essays, and semi-structured interviews. Results: Staff report high levels of primarily verbal aggression, as well as increased workloads and poorer mood. Physicians are less satisfied and perceive care as more difficult compared to nurses. Nurses demonstrate the strongest mastery of safety and protective skills, but the weakest in skills related to further treatment. Content analysis identified a lack of commitment to care and intervention skills as key categories. Discussion and conclusion: Staff approaches to intoxicated patients are shaped by stress, exposure to violence, differing perspectives, and unevenly developed competencies. The results support the need for targeted alcohol education, strengthened safety measures, and clear organizational protocols to improve the quality and ethics of care. Zdravstveno osebje alkoholna opitost urgentni oddelek pristop Healthcare professionals alcohol intoxication emergency department approach true true false [A. Hasičić] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-06-05 15:09:46 2026-08-28 15:12:19 2026-08-29 03:10:17 0000-00-00 00:00:00 2026 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-083.98:616-052:613.81(043.2) 285620227 VS_Hasicic_Ajna_2026.pdf VS_Hasicic_Ajna_2026.pdf 1 63924CD418BA47C0AC78EF29612030B2 219627ed3af5ef4ef5261e64acdc9e92537e4f01a259e60e833a990e548487d6 59f40548-61dd-11f1-ac0e-00155d580e34 https://dk.um.si/Dokument.php?lang=slv&id=206823 Fakulteta za zdravstvene vede 0 0 0