Vloga medicinske sestre pri nujnem medbolnišničnem transportu vitalno ogroženega novorojenčka : diplomsko delo

Jazbec, Julija (avtor), Sotler, Robert (mentor), Prestor, Jože (komentor)

Uvod: Medbolnišnični transport je pomembna zdravstvena dejavnost v pediatriji in učinkovita metoda, ki novorojenčkom omogoči dostop do najvišje stopnje zdravstvene oskrbe, posledično pa vpliva na zmanjševanje njihove umrljivosti in obolevnosti. S pomočjo visoko usposobljenih transportnih ekip se lahko vsakemu kritično bolnemu novorojenčku omogoči premestitev iz regionalnih bolnišnic in porodnišnic na zdravljenje v ustanovo z najvišjo stopnjo zdravstvene oskrbe. Namen: Namen diplomskega dela je s pomočjo pregleda literature ugotoviti in predstaviti vlogo medicinske sestre pri medbolnišničnem transportu kritično bolnega novorojenčka. Cilji diplomskega dela so: raziskati vzroke za aktivacijo transportne ekipe; iz literature razbrati vplive prevoza na vitalne funkcije, splošno zdravstveno stanje ter počutje kritično bolnega novorojenčka; predstaviti potrebno opremo za transport in opisati naloge medicinske sestre pri pripravi in transportu kritično bolnega novorojenčka. Metode dela: V diplomskem delu je uporabljena deskriptivna metoda. Opravljen je bil kritični pregled domače in tuje ter strokovne in znanstvene literature s področja neonatologije, pediatrije, urgentne medicine in zdravstvene nege. Tuji članki so bili najdeni v spletnih podatkovnih bazah CINAHL, Medline, PubMed, Science Direct itd., slovenski pa v strokovno-znanstvenih revijah in zbornikih s področja zdravstvene nege in medicine. Uporabljena je bila literatura, izdana med letoma 2007 in 2018. Rezultati: Ugotovili smo, da je razlog za napotitev novorojenčkov na zdravljenje v terciarne centre pomanjkanje ustrezno usposobljenega kadra in opreme v regionalnih bolnišnicah in porodnišnicah. Novorojenčki običajno potrebujejo prevoz na terciarno raven zaradi potrebe po natančnejši diagnostiki, operativnih posegih ali zdravljenju v neonatalni enoti intenzivne terapije. Transport novorojenčkom, še posebno nedonošenim, predstavlja stres in lahko vpliva na poslabšanje njihovega osnovnega zdravstvenega problema. Medicinska sestra ima pri pripravi in transportu pacienta veliko pomembnih nalog, katerih namen je premestitev opraviti čim hitreje in varneje ter otroka pripeljati na cilj brez poslabšanja zdravstvenega stanja. Razprava in zaključek: Dobro teoretično in praktično znanje medicinske sestre je ključnega pomena za prepoznavo morebitnih nevarnosti prevoza ter za kakovostno zdravstveno nego v času priprave in transporta življenjsko ogroženega novorojenčka.

• Jezik: Slovenski jezik
• Ključne besede: medicinska sestra, transport, kritično bolan novorojenček
• Vrsta gradiva: Diplomsko delo/naloga
• Organizacija: ZF - Zdravstvena fakulteta
• Leto izida: 2018
• PID: 20.500.12556/RUL-101967
• COBISS.SI-ID: 5463915
• Datum objave v RUL: 15.07.2018

JAZBEC, Julija, 2018, Vloga medicinske sestre pri nujnem medbolnišničnem transportu vitalno ogroženega novorojenčka : diplomsko delo [na spletu]. Diplomsko delo. [Dostopano 2 maj 2025]. Pridobljeno s: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=slv&id=101967

Sekundarni jezik

• Jezik: Angleški jezik
• Naslov: The role of a nurse in the interhospital transport of a critically ill newborn : diploma work

Izvleček

Introduction: Interhospital transport is an important healthcare activity in pediatrics and an effective way that gives newborns access to the highest level of health care, and consequently reduces their mortality and morbidity. With the help of highly trained transport teams, each critically ill newborn can be relocated from regional and maternity hospitals to an institution with the highest level of medical care. Purpose: The purpose of the diploma thesis is to identify and present the role of a nurse in the interhospital transport of a critically ill newborn through a literature review. The aims of the diploma thesis are: to examine the reasons for activating the transport team; to determine the effects of the transport on the vital signs, the health status and the feeling of the newborn; to present the necessary equipment for the transport and to describe the role of a nurse in the preparation and transport of a critically ill newborn. Methods: In the diploma thesis we used a descriptive method of research. We made a critical review of domestic and forgeign literature in the field of neonatology, pediatrics, emergency medicine and nursing care. Foreign articles were found in the online databases CINAHL, Medline, PubMed, Science Direct etc., while the Slovenian ones were found the journals and in the conference proceedings in the field of nursing and medicine. The literature used was published between the years 2007 and 2018. Results: We found that the reason for referring newborns to treatment in tertiary centres is the lack of adequately trained personnel and equipment in regional and maternity hospitals. Neonates usually need transfer to a tertiary level due to the need for diagnostics, surgery or treatment in the neonatal intensive care unit. The transport of newborns, especially prematurely born, presents stress for them and may be the reason for deterioration of health status. The nurse has many important tasks in preparing and transporting the patient, the purpose of which is to bring the newborn as quickly and safley as possible to the final destination without any deterioration in the state of health. Discussion and conclusion: A good theoretical and practical knowledge of a nurse is important for identifying potential risks of transport and for quality health care at the time of preparing and transporting a newborn with the life-threatening condition.

• Ključne besede: nurse, transport, critically ill newborn, neonate, infant