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Title:Usmerjenost triažnega procesa na skrb za pacienta in njegovo varnost
Authors:ID Fekonja, Zvonka (Author)
ID Strnad, Matej (Mentor) More about this mentor... New window
ID Pajnkihar, Majda (Comentor)
Files:.pdf DOK_Fekonja_Zvonka_2024.pdf (4,65 MB)
MD5: C9443E99664AD965E041FF996AC294EB
 
Language:Slovenian
Work type:Dissertation
Typology:2.08 - Doctoral Dissertation
Organization:MF - Faculty of Medicine
Abstract:Izhodišča: Triaža na urgenci je dinamičen proces, kjer triažni zdravstveni strokovnjak analizira pacientovo zdravstveno stanje in določa stopnjo nujnosti obravnave, pri čemer se mora osredotočiti na skrbno ravnanje in zagotavljanje varnosti. Namen: Raziskati kulturo varnosti in skrb za pacienta v triažnem procesu ter njuno povezavo z izvajanjem triažnega procesa pri urgentnem pacientu. Metode: Izvedli smo dvostopenjski zaporedni pojasnjevalni načrt mešanih metod med zaposlenimi triažnimi zdravstvenimi strokovnjaki v 11 slovenskih urgentnih centrih med majem 2020 in julijem 2022. Kvantitativne podatke smo zbrali s pomočjo vprašalnikov ter analizirali z opisno in sklepno statistiko. V kvalitativnem delu smo uporabili metodo utemeljene teorije ter podatke pridobili z delno strukturiranimi intervjuji. Rezultate obeh faz smo povezali s pilarnim integracijskim procesom. Rezultati: Identificirali smo sedem ključnih elementov: (1) usposobljenost in znanje, (2) delovni pogoji in okolje, (3) timska dinamika in sodelovanje, (4) skrb za pacienta, (5) triažni proces in sistem triažiranja, (6) značaj triažnih zdravstvenih strokovnjakov in (7) sinergija skrbi in varnosti. Razprava in zaključki: Rezultati raziskave poudarjajo nujnost izboljšanja varnostne kulture v procesu triaže. Zaznavanja triažnih zdravstvenih strokovnjakov jasno kažejo, da je varnost pacientov neločljivo povezana z skrbnim ravnanjem med triažnim procesom in poudarjajo, da sta skrb za pacienta in njegovo varnost med procesom triaže prepletena.
Keywords:triaža, varnost pacientov, mešane metode, skrb, urgentna služba
Place of publishing:Maribor
Publisher:[Z. Fekonja]
Year of publishing:2024
PID:20.500.12556/DKUM-87166 New window
UDC:616-035.2.4-083.98(043.3)
COBISS.SI-ID:213655555 New window
Publication date in DKUM:22.11.2024
Views:215
Downloads:203
Metadata:XML DC-XML DC-RDF
Categories:MF
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Licences

License:CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Link:http://creativecommons.org/licenses/by-nc-nd/4.0/
Description:The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.
Licensing start date:27.02.2024

Secondary language

Language:English
Title:Centeredness of triage process on caring for patient and his safety
Abstract:Background: Triage in the emergency department is a dynamic process where the triage healthcare professional analyses the patient's health condition and determines their level of urgency for treatment, focusing on caring behaviour and patient safety. Aim: To explore the safety culture and caring for the patient during the triage process and their relationship to the implementation of the triage process. Methods: We conducted a two-stage sequential explanatory mixed methods design among triage health care professionals employed in 11 Slovenian emergency centres between May 2020 and July 2022. In the quantitative part, data were collected using questionnaires and analysed using descriptive and inferential statistics. In the qualitative part, we used the grounded theory method and obtained data through semi-structured interviews. The results obtained in the quantitative and qualitative phases were linked with the pilar integration process. Results: Seven key elements were identified: (1) Competence and knowledge, (2) Working conditions and environment, (3) Team dynamics and collaboration, (4) Patient care, (5) Triage process and triage system, (6) Character of triage health workers, and (7) Synergy of care and safety. Discussion and conclusions: The results of our study highlight the need to improve the safety culture in the triage process. The perceptions of triage health professionals clearly indicate that patient safety is inextricably linked to their caring behaviour during the triage process and highlight that caring for the patient and their safety are intertwined during the triage process.
Keywords:triage, patient safety, mixed methods, caring, emergency service


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