Pravilna uporaba urgentnih zdravil s strani izvajalcev zdravstvene nege v predbolnišnični nujni medicinski pomoči : diplomsko delo

Bernot, Valentina (author), Kvas, Andreja (mentor), Posavec, Anton (co-mentor), Sotler, Robert (reviewer)

Uvod: Zdravstvena oskrba pacienta v predbolnišnični nujni medicinski pomoči zajema zdravljenje z zdravili. Zdravila v urgentni medicini so večinoma hitro delujoča in potentna, zato je pomembno, da vsi izvajalci zdravstvene nege v reševalni dejavnosti dobro poznajo zdravila, s katerimi rokujejo. Namen: Namen diplomskega dela je ugotoviti, ali izvajalci zdravstvene nege v predbolnišnični nujni medicinski pomoči dovolj dobro poznajo zdravila, s katerimi rokujejo v najpogostejših internističnih stanjih, kot so hipoglikemija, pljučni edem in akutni koronarni sindrom. Metoda dela: Uporabljena je deskriptivna metoda dela. Kot merski instrument je bil uporabljen anketni vprašalnik, ki smo ga izdelali za potrebe te raziskave. V raziskavi je sodelovalo 43 anketirancev manjših enot nujne medicinske pomoči v Sloveniji. Rezultati: V raziskavi je sodelovalo 41 moških in 2 ženski. Povprečna starost anketirancev je bila 34 let, povprečna delovna doba v nujni medicinski pomoči pa 8 let. Enega strokovnega izobraževanja na temo urgentnih stanj se je udeležilo 34 izvajalcev zdravstvene nege. Od teh se jih je le 9 udeležilo izobraževanja, ki je vsebovalo tematiko pravilne uporabe zdravil v nujni medicinski pomoči. Izvajalci zdravstvene nege v predbolnišnični nujni medicinski pomoči so izpostavili, da si želijo pri svojem delu več kompetenc, kot jih opravljajo, vendar rezultati raziskave kažejo, da premalo poznajo uporabo zdravil. Razprava in zaključek: Izvajalci zdravstvene nege v predbolnišnični nujni medicinski pomoči v zdravstvu se ne glede na stopnjo izobrazbe vsakodnevno srečujejo s problematiko kompetenc. Svoje znanje pridobivajo in nadgrajujejo na raznih izobraževanjih in tečajih, vendar je znanje o uporabi zdravil občutno premajhno. Zdravila so mejnik, ki ločuje kompleksnejšo oskrbo pacienta od vseh ostalih postopkov, ki jih lahko opravljajo samostojno. Smiselno bi bilo uvesti izobraževanja v nujni medicinski pomoči s programi za izvajalce zdravstvene nege, kjer bi se ti naučili varne uporabe zdravil in oblikovati nove smernice, ki so v predbolnišnični nujni medicinski pomoči nujno potrebne

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, reševalci v zdravstvu, internistična stanja, kompetence na področju nujne medicinske pomoči, znanje in veščine, nenehna neformalna izobraževanja
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [V. Bernot]
• Year: 2023
• Number of pages: 40 str.
• PID: 20.500.12556/RUL-152063
• UDC: 616-083
• COBISS.SI-ID: 170491907
• Publication date in RUL: 29.10.2023

Secondary language

• Language: English
• Title: The correct use of emergency medications among nursing staff in prehospital emergency medical care : diploma work

Abstract

Introduction: Health care of a patient in prehospital emergency medical care includes drug treatment with drugs. Medicines in emergency medicine are mostly fast-acting and powerful, so it is important all nursing staff in emergency activities are well acquainted with used medicines. Purpose: The purpose of the thesis was to determine whethet nursing staff in prehospital care facilites have a sufficiently good knowledge of medications that are administered in the most frequent internal medicine conditions such as hypoglycemia, pulmonary edema and acute coronary syndrome. Methods: A descriptive method of work is used. A survey questionnaire developed for this research was used as a measurement element. 43 respondents from smaller emergency medical care units in Slovenia participated in research. Results: 41 men an 2 women participated in the study. The average age of the respondents was 34 years, and the avarage length of work in emergency medical care was 8 years. 34 emergency nursing staff attendet at least one professional training on the topic of emergencies, but only 9 of them attended training on the topic of use of correct use medicines in emergency care. Nursing staff in prehospital emergency medical care want more competencies in their work that they have now. They are very well convinced in their knowledge, but the results of research show that is a lack of knowledge about the uses of medicines. Discussion and conclusions: Nursing staff in prehospital emergency medical care, regardless of their education, face the issue of competencies on a daily basis. They expanded their knowledge in various education courses, but the knowledge about the use of medicines is significantly insufficient. The use of medications is an important milestone in more complex treatment of pacient care, more than any other procedure that they can perform on their own. It makes sense to start education in emergency medical care with programs of use of medicines and developed new quideines that would be urgently needed in prehospital emergency medical care.

• Keywords: diploma theses, nursing care, paramedics in healthcare, internal medical conditions, competencies in the field of emergency assistance, knowledge and skills, continuous informal education