Vloga managementa pri ergonomskih pristopih kadra zdravstvene nege v enotah intezivne terapije

Agović, Amar

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Title:	Vloga managementa pri ergonomskih pristopih kadra zdravstvene nege v enotah intezivne terapije
Authors:	ID Agović, Amar (Author) ID Stričević, Jadranka (Mentor) More about this mentor...
Files:	MAG_Agovic_Amar_2025.pdf (2,56 MB) MD5: 09A9971491FFF90F544147853CA9E6EC
Language:	Slovenian
Work type:	Master's thesis/paper
Typology:	2.09 - Master's Thesis
Organization:	FOV - Faculty of Organizational Sciences in Kranj
Abstract:	Negovalni kader intenzivnega okolja je pogosto izpostavljen ergonomskim tveganjem bodisi zaradi okoljskih pritiskov bodisi zaradi števila obremenitev. Strokovne vodje intenzivnega oddelka morajo prepoznati vlogo pri uvajanju ustreznih ergonomskih pristopov ter tako pri razbremenjevanju negovalnega kadra v procesu dela. Zato smo v raziskovalnem delu želeli ugotoviti ter preučiti pomen managementa za uveljavljanje ergonomskih pristopih negovalnega kadra v okolju intenzivne terapije. V raziskavi smo se osredotočali na dva različna vzorca, zato smo rezultate pridobili s pomočjo dveh raziskovalnih metod, ti sta kvantitativnega tin kvalitativnega tipa. V vzorcu negovalnega kadra smo podatke pridobili z anketnim vprašalnikom. Uporabili smo namensko naključno vzorčenje. Realizirali smo (n = 89) vzorcev. Za vzorec vodilnih medicinskih sester smo izbrali (n = 5) strokovnih vodij enot intenzivne terapije (prav tistih, katerih negovalni kader je vključen v raziskavo). Vzorec vodilnega negovalnega kadra smo raziskovali s pomočjo pol strukturiranega intervjuja, uporabili smo namensko in tarčno vzorčenje. Ugotovili smo, da je 62 % anektiranih medicinskih sester tekom dela v intenzivni terapiji razvilo kostno-mišično obolenje. 25 % od teh pa je koristilo bolniški stalež ter zato bilo odsotnih od dela v zadnjih 12 mesecih. Vse vodje so ocenile, da je kultura ergonomije v intenzivni terapiji slaba, vendar da je stopnja absentizma kadra zaradi kostno-mišičnih obolenj nizka. V UKCLJ so okolja intenzivne terapije dobro ergonomsko zasnovana in opremljena z ergonomskimi pripomočki. Vendar se formalna izobraževanja delavcev o ergonomiji pri delu medicinskih sester nikakor ne izvajajo, prav tako ne ocenjevanje ergonomskih tveganj v intenzivnim kliničnem okolju. Zato je potrebna večja vključenost primernih podporno-izobraževalnih služb v razvoj ergonomske kulture. Absentizem je kazalec obolevnosti delovne populacije, vendar se zaradi raznolikosti razlogov odsotnosti dela ne more uporabiti kot celoviti kazalnik dobre varnostne ergonomske kulture delovnega okolja.
Keywords:	strategije ergonomskih pristopov, absentizem, kostno-mišična obolenja, obremenitve medicinskih sester
Place of publishing:	Maribor
Year of publishing:	2024
PID:	20.500.12556/DKUM-90995
COBISS.SI-ID:	235757059
Publication date in DKUM:	13.05.2025
Views:	202
Downloads:	34
Metadata:
Categories:	FOV
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Licences

License:	CC BY 4.0, Creative Commons Attribution 4.0 International

Link:	http://creativecommons.org/licenses/by/4.0/
Description:	This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.
Licensing start date:	17.10.2024

Secondary language

Language:	English
Title:	The purpose of management at ergonomical approahes in nursing staff at inensive care units
Abstract:	Nursing staff in intensive care are often exposed to ergonomic risks either due to environmental pressures or the number of work loads. The nursing managers of the intensive care unit must recognize their role in the introduction of appropriate ergonomic approaches and thus relieve the nursing staff in the work process. Therefore, in the research work, we wanted to find out and examine the importance of management to the implementation of ergonomic approaches of the nursing staff in the environment of intensive therapy. In the research, we focused on two different samples, so we obtained the results with the help of two research methods of quantitative and qualitative type. In the sample of nursing staff, we obtained data using a questionnaire. We used purposive random sampling. We realized (n=89) samples. As for the sample of nurse managers, we selected (n=5) heads of intensive care units (the very ones whose nursing staff is included in the research). The sample of leading nursing staff was investigated using a semi-structured interview, purposive and targeted sampling was used. We found that 62% of the annexed nurses developed skeletal muscle disease during their work in intensive care. 25% of these benefited from sick leave and were therefore absent from work in the last 12 months. All managers assessed that the culture of ergonomics in intensive care is poor. However, the rate of staff absenteeism due to musculoskeletal diseases is low. In UKCLJ, intensive therapy environments are well ergonomically designed and equipped with ergonomic aids. However, formal training of workers on ergonomics in the work of nurses is by no means carried out, as is the assessment of ergonomic risks in an intensive clinical environment. Therefore, greater involvement of appropriate support and educational services in the development of an ergonomic culture is necessary. Absenteeism is an indicator of the morbidity of the working population, but due to the variety of reasons for absence from work, it cannot be used as a comprehensive indicator of a good safety ergonomic culture of the work environment.
Keywords:	strategies of ergonomic approaches, absenteeism, skeletal muscle diseases, workload of nurses

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