20.500.12556/RUL-186822 Kadrovska stiska v domovih za stare ljudi skozi oči stanovalcev Staff shortages in nursing homes from the residents´ perspective Staranje prebivalstva in naraščajoče potrebe po dolgotrajni oskrbi povečujejo pomen kakovostnega, dostopnega in uporabnikom prilagojenega institucionalnega varstva starih. Domovi za stare ljudi niso le ustanove, v katerih se zagotavljata zdravstvena in socialna oskrba, temveč tudi življenjsko okolje stanovalcev. Kakovost njihovega življenja je odvisna od dostopnosti pomoči, odnosov z zaposlenimi in drugimi stanovalci, možnosti ohranjanja samostojnosti, zasebnosti in dostojanstva ter njihovega vključevanja v odločitve o vsakdanjem življenju. Kadrovske razmere lahko pomembno vplivajo na organizacijo dela, časovno razpoložljivost zaposlenih in možnosti za individualizirano obravnavo. V diplomskem delu raziskujem, kako stanovalci doma za stare ljudi doživljajo kadrovske razmere in njihov pomen za vsakdanje življenje. Osredotočam se na njihove ocene kakovosti oskrbe, odnose z zaposlenimi in drugimi stanovalci, doživljanje varnosti, dostojanstva in samostojnosti ter možnosti sodelovanja pri oblikovanju pogojev bivanja in oskrbe. V teoretičnem delu obravnavam staranje prebivalstva, socialno pravičnost in družbeno vključenost starih, institucionalno varstvo in sistem dolgotrajne oskrbe ter kadrovske izzive v domovih za stare ljudi. Posebno pozornost namenjam pomenu odnosne in individualizirane oskrbe, participacije stanovalcev ter vlogi socialnega dela pri varovanju njihovih pravic. Raziskava je kvalitativna, empirična in eksplorativna. Vključevala je pet stanovalk in enega stanovalca Doma starejših občanov Ljubljana – Šiška, ki so v domu bivali najmanj pet let. Uporabljen je bil neslučajnostni priložnostni vzorec. Podatke sem zbral z individualnimi delno standardiziranimi intervjuji in jih obdelal s kvalitativno analizo, ki je vključevala odprto in osno kodiranje. Rezultati kažejo, da sogovorniki svoje vsakdanje življenje v domu večinoma doživljajo kot strukturirano, smiselno in zadovoljivo. Pomembne so jim organizirane dejavnosti, samostojno preživljanje časa, družinski stiki in odnosi z drugimi stanovalci. Bivalne pogoje in osnovno oskrbo večinoma ocenjujejo pozitivno, medtem ko so njihova mnenja o prehrani bolj raznolika. Večina zaznava pomanjkanje zaposlenih, pogosto menjavanje osebja in večjo obremenjenost obstoječega kadra. Kadrovska stiska se praviloma ne kaže kot odsotnost osnovne pomoči, temveč predvsem kot daljše čakanje, hitrejše opravljanje nalog ter manj časa za pogovor in osebni stik. Njene posledice so izrazitejše pri stanovalcih, ki so zaradi zdravstvenega stanja in zmanjšane samostojnosti bolj odvisni od pomoči zaposlenih. Odnose z zaposlenimi sogovorniki večinoma opisujejo kot prijazne, spoštljive in skrbne. V domu se praviloma počutijo varne, ohranjajo določeno stopnjo samostojnosti in imajo možnost izraziti svoje mnenje, vendar njihove pobude niso vedno dejansko upoštevane. Ugotovitve kažejo, da zadostno število zaposlenih ni pomembno le za izvajanje osnovne oskrbe, temveč tudi za zagotavljanje kakovostnih odnosov, individualizirane podpore, dostojanstva, avtonomije in dejanske participacije stanovalcev. Population ageing and the increasing need for long-term care are heightening the importance of high-quality, accessible, and person-centred institutional care for older people. Residential care homes are not merely institutions providing health and social care; they also constitute the living environment of their residents. Residents’ quality of life therefore depends on the accessibility of support, their relationships with staff and other residents, opportunities to maintain independence, privacy and dignity, and their involvement in decisions concerning everyday life. Staffing conditions can significantly affect work organisation, staff availability, and opportunities to provide individualised care. This graduation thesis examines how residents of a residential care home perceive staffing conditions and their significance for everyday life. It focuses on residents’ assessments of the quality of care, their relationships with staff and other residents, their experiences of safety, dignity and independence, and their opportunities to participate in shaping living conditions and care provision. The theoretical part discusses population ageing, social justice and the social inclusion of older people, institutional care, the long-term care system, and staffing challenges in residential care homes. Particular attention is given to the importance of relational and individualised care, residents’ participation, and the role of social work in protecting their rights. The study is based on a qualitative, empirical, and exploratory research approach. It included five female residents and one male resident of the Ljubljana–Šiška Residential Care Home for Older People, all of whom had lived in the institution for at least five years. A non-probability convenience sample was used. Data were collected through individual semi-structured interviews and analysed using qualitative analysis, including open and axial coding. The findings show that participants generally perceive their everyday life in the residential care home as structured, meaningful, and satisfactory. Organised activities, independent leisure activities, family contacts, and relationships with other residents are important to them. They generally assess their living conditions and basic care positively, while their opinions regarding food are more varied. Most participants perceive staff shortages, frequent staff turnover, and an increased workload among existing staff. Staffing shortages are generally not reflected in the absence of essential support, but primarily in longer waiting times, tasks being performed more quickly, and less time being available for conversation and personal contact. The consequences are more pronounced for residents who are more dependent on staff support because of their health conditions or reduced independence. Participants generally describe their relationships with staff as friendly, respectful, and caring. They usually feel safe in the residential care home, retain a certain degree of independence, and have opportunities to express their opinions, although their suggestions are not always taken into account in practice. The findings indicate that adequate staffing levels are important not only for the provision of basic care but also for ensuring high-quality relationships, individualised support, dignity, autonomy, and meaningful resident participation. stari ljudje institucionalno varstvo kadrovska stiska kakovost oskrbe dostojanstvo samostojnost participacija older people institutional care staffing shortage quality of care dignity independence participation true false false Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-09-05 09:00:39 2026-09-05 09:00:45 2026-09-07 03:38:38 0000-00-00 00:00:00 2026 0 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 1970-01-01 58357 20855.pdf 20855.pdf 1 F93FBBC5DD739BD20885617B570F8CB6 bfdb48ce44fd7ff13b2774f5d1e2db1fe7ec40ac079170903ca72b491db64c11 863b4068-a8f7-11f1-8bc5-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=246198 Fakulteta za socialno delo 0 0 0