Pomen zagotavljanja kakovosti v zdravstveni negi in orodja spodbujanja želene higiene rok v domu starejših občanov : študija primera

Mlakar, Tjaša (avtor), Jevšnik, Mojca (mentor), Mihelič Zajec, Andreja (komentor)

Uvod: Preprečevanje okužb povezanih z zdravstvom je eden od pomembnih kazalnikov kakovosti dela zdravstvenih delavcev ter zdravstvenih in socialno-varstvenih zavodov. V ta namen si strokovnjaki na tem področju prizadevajo za izboljšave in ena izmed teh, so tudi orodja higienskega spodbujanja. Namen: Namen diplomskega dela je predstaviti pomen zagotavljanja kakovosti higiene rok zaposlenih v zdravstveni negi in orodij spodbujanja higienske prakse, ter na študiji primera preizkusiti eno izmed teh orodij. Metode dela: Uporabili smo deskriptivno metodo dela z empiričnim pristopom. Za zbiranje podatkov smo naredili opazovalno listo, na podlagi katere smo ocenjevali zaposlene v zdravstveni negi, v domu starejših občanov. Na podlagi analize podatkov opazovanega dela, smo v praksi preizkusili sliko moških oči, kot orodje higienskega spodbujanja, kako vpliva na spremembo higienskega vedenja zaposlenih. Nato je ponovno potekalo opazovanje po enaki metodologiji. Sledila je ponovna analiza podatkov in primerjava rezultatov. Pridobljeni podatki so bili obdelani s pomočjo računalniškega programa Excel. Izračunali smo frekvence in deleže po enačbi osnovnega izračuna doslednosti izvajanja higiene rok. Rezultati: S prvim delom opazovanja smo ugotovili, da zaposleni ne upoštevajo vseh higienskih predpisov pri izvajanju intervencij osebne higiene. Po vpeljavi elementa spodbujanja, se je doslednost higiene rok izboljšala, in sicer najbolj pred samo pripravo pripomočkov za osebno higieno, pred začetkom postopka, po umivanju pacientovega obraza, telesa, hrbta, rok, po umivanju nog ter po zaključenem postopku. Po uporabi rokavic, ki so bile umazane s krvjo, izločki, slino in umivanju anogenitalnega predela, kjer so si že pred uvedbo elementa spodbujanja opazovani dobro razkuževali roke, ni bilo razlike. Razprava in zaključek: Z uporabo tehnik za spreminjanje vedenja zaposlenih, lahko dosežemo večjo skladnost higiene rok. Rezultati kažejo, da lahko orodja spodbujanja želenega higienskega vedenja pripomorejo k izboljšanju higiene rok zaposlenih. Sklepamo, da z orodjem higienskega spodbujanja, lahko pripomoremo k preprečevanju in obvladovanju okužb povezanih z zdravstvom in zagotovimo višjo kakovost bivanja stanovalcev.

• Jezik: Slovenski jezik
• Ključne besede: medicinska sestra, higiena rok, starostnik, vedenje zaposlenih
• Vrsta gradiva: Diplomsko delo/naloga
• Organizacija: ZF - Zdravstvena fakulteta
• Leto izida: 2017
• PID: 20.500.12556/RUL-93062
• COBISS.SI-ID: 5294187
• Datum objave v RUL: 18.07.2017

Sekundarni jezik

• Jezik: Angleški jezik
• Naslov: The importance of quality assurance in nursing care and use of nudging for improving hand hygiene in home for elderly : case study

Izvleček

Introduction: Prevention and control of healthcare-associated infections is one of the most important indicators of the quality in healthcare institutions and their employees. For this purpose, the experts in this field of work are trying hard to find improvements and one of them is nudging. Purpose: Purpose of this case study is to present the importance of providing hand hygien quality of helth workers and nudging. We also tried one of the nudging approach in this particular study. Methods: In this diploma work we used descriptive and empirical methods of work. For data collection, we have made the observation form on which we evaluated the healthcare providers in retirement homes. On the basis of data analysis we tested in practice picture of male eye as hygiene promotion and how it affects the change in hygien compliance of the healtcare providers. Then we made the same observation with the observation form. This was followed by another analysis and comparing of the results. We processed statistical data with Excel. We calculated the frequencies and proportions according to the formula of the basic consistency in implementation of hand hygiene. Results: With the first part of the observation, we found out that employees do not follow hand hygiene compliance in the whole process of personal hygiene. After a change in environment, the hand hygiene improved. The most: prior to the preparation of devices for personal hygiene, before the procedure, after washing the patient's face, body, back and hands, after washing the feet, and after the whole procedure was completed. On the other hand, after using gloves stained with blood, sectretions and saliva and after washing ano-genital area, where the hand hygien was already good in the first observation, there was no difference. Discussion and Conclusion: With the use of behavioural theories we can achieve better hand hygiene compliance. The results show that nudging can promote hygiene behaviour of employees in retirement homes. We can conclude that nudging may help us prevent and control healthcare associated infections and provide a higher quality of life for residents and consequentialy improve the quality of health care.

• Ključne besede: nurse, hand hygiene, elderly, behavior of employees