Varnost zdravstvene obravnave pacienta z agresivnim vedenjem v službi urgentne dejavnosti : diplomsko delo

Krulc, Barbara (author), Lapanja, Aljoša (mentor), Sotler, Robert (reviewer)

Uvod: Na urgenci so obravnavani pacienti z različnimi zdravstvenimi težavami. Poleg napotne diagnoze so zelo pomembni tudi drugi faktorji, ki vplivajo na dobrobit človeka. Različni faktorji vplivajo na človekovo počutje, vedenje, dojemanje ter spoprijemanje s situacijo. Urgenca je zaradi velikega števila pacientov v obravnavi podvržena težkim pogojem, ki predstavljajo izziv tako zaposlenim kot obravnavanim pacientom. Ti dejavniki lahko vplivajo na človekovo prevzemanje vloge pacienta. Neugodni vplivi lahko tako privedejo do nasilja nad zaposlenimi. Namen: Namen diplomskega dela je s pomočjo znanstvene in strokovne literature opredeliti varnost zdravstvene obravnave pacienta z agresivnim vedenjem v urgentni zdravstveni dejavnosti ter ugotoviti v kolikšni meri so zdravstveni delavci na urgenci izpostavljeni nasilju. Metode dela: Uporabili smo deskriptivno metodo dela s sistematičnim pregledom domače ter tuje literature, s časovnim okvirjem od leta 2012 dalje. Zaradi pomembnosti vsebine smo uporabili nekatere članke iz leta 1999. Literatura je obsegala rezultate o pojavnosti nasilja, dejavnikih tveganja in aktivnostih za preprečevanje nasilja. Rezultati: Ugotovili smo visoko pojavnost nasilja nad zdravstvenimi delavci v urgentni zdravstveni dejavnosti, več kot 50 % zdravstvenih delavcev je vsaj enkrat doživelo psihično nasilje, redkeje pa tudi fizično. Razprava in zaključek: Obravnava agresivnega pacienta predstavlja sodelovanje celotnega tima in zahteva veliko znanja ter fleksibilnosti. Na pojav agresije pri pacientu vpliva veliko dejavnikov. Med uspešnejše aktivnosti za preprečevanje agresije štejemo preventivo, usmerjeno k preprečevanjem neugodnih vplivov, prepoznavanje storilcev ter deeskalacijo. Pomembno je tudi izobraževanje zdravstvenih delavcev, da se znajo soočati s pojavom nasilja na delovnem mestu.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, nasilje, agresija, zdravstveni delavci, urgentna dejavnost, intervencije, nasilje na delovnem mestu
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [B. Krulc]
• Year: 2024
• Number of pages: 33 str.
• PID: 20.500.12556/RUL-154876
• UDC: 616-083
• COBISS.SI-ID: 187967747
• Publication date in RUL: 07.03.2024

KRULC, Barbara, 2024, Varnost zdravstvene obravnave pacienta z agresivnim vedenjem v službi urgentne dejavnosti : diplomsko delo [online]. Bachelor’s thesis. Ljubljana : B. Krulc. [Accessed 8 June 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=154876

Secondary language

• Language: English
• Title: Safety of health treatment of a patient with aggressive behavior in emergency services : diploma work

Abstract

Introduction: The emergency room treats patients with various health problems. In addition to the referral diagnosis, other factors that affect the well-being of a person are also very important. Various factors influence a person’s well-being, behaviour, perception and coping with a situation. Due to the large number of patients being treated, the emergency room is subject to difficult conditions, which pose a challenge to both employees and treated patients. These factors can affect a person’s assumption of the role of the patient. This can lead to violence against employees. Purpose: The aim of the diploma thesis is to use scientific and professional literature to determine the safety of medical treatment of patients with aggressive behaviour in emergency medical activities and to determine the extent to which health workers in the emergency room are exposed to violence. Methods: We used a descriptive method of work with a systematic review of domestic and foreign literature, with a time frame from 2012 onwards. Due to the importance of the content, we used some articles from 1999. The literature included results on the incidence of violence, risk factors and violence prevention activities. Results: We found a high incidence of violence against healthcare workers in emergency medical activities, with more than 50% of healthcare workers experiencing psychological violence at least once, and less often physical violence. Discussion and conclusion: The treatment of an aggressive patient involves the cooperation of the whole team and requires a lot of knowledge and flexibility. The appearance of aggression in the patient is influenced by many factors. The most successful activities to prevent aggression include prevention aimed at preventing adverse effects, identification of perpetrators and de-escalation. It is also important to educate health professionals to deal with the phenomenon of violence in the workplace.

• Keywords: diploma theses, nursing care, violence, aggression, health workers, emergency activity, interventions, violence in the workplace