Prisotnost svojcev med kardiopulmonalnim oživljanjem odraslega pacienta : pregled literature

Djurić, Duška (author), Mlinar, Suzana (mentor), Buček Hajdarevič, Irena (comentor)

Uvod: Koncept prisotnosti družine se uporablja pri pacientih vseh starosti in v vseh okoljih zdravstvene oskrbe, tudi v urgentni oskrbi in pri oživljanju pacienta v bolnišnici. Številne profesionalne organizacije in najnovejše smernice za oživljanje priporočajo, naj bodo svojci povabljeni h kardiopulmonalnemu oživljanju. Namen: Namen diplomskega dela je na teoretični ravni prestaviti prisotnost svojcev pri kardiopulmonalnem oživljanju odraslega pacienta. Metode dela: V diplomskem delu smo uporabili deskriptivno metodo dela. Opravljen je bil sistematičen pregled strokovne in znanstvene literature v angleškem in slovenskem jeziku z naslednjimi omejitvami: zadetki s polnim besedilom, znanstvene in strokovne recenzirane revije, časovno obdobje med leti 2010 in 2017. Razprava in zaključek: Svojci želijo biti povsod po svetu prisotni pri kardiopulmonalnem oživljanju, pri čemer pa se soočajo s številnimi ovirami, med katerimi je največja nasprotovanje zdravstvenih delavcev. Izkušnje in stališča do prisotnosti svojcev pacienta med kardiopulmonalnim oživljanjem se v tujini razlikujejo med svojci, pacienti in različnimi zdravstvenimi strokovnjaki. Najbolj prisotnosti svojcev nasprotujejo zdravniki, manj medicinske sestre, najmanj pa svojci in pacienti. V Sloveniji so stališča do prisotnosti svojcev pri kardiopulmonalnem oživljanju raziskali le zdravstveni reševalci, ki se s tem večinoma ne strinjajo. V slovenskih bolnišnicah je prisotnost svojcev pri kardiopulmonalnem oživljanju redka. Za svojce skrbijo predvsem medicinske sestre, ki ravnajo po občutku in izkušnjah, opirajo se na formalno pridobljeno znanje. Vodstva bolnišnic bi morala razmisliti o ustreznih navodilih za delo in tudi o ustreznosti prostorov za izvajanje kardipulmonalnega oživljanja. Tema je primerna za dodatek teoretičnim vsebinam izobraževanja o kardipulmonalnem oživljanju ter podlaga za raziskovanje v zdravstveni negi v prihodnosti.

• Language: Slovenian
• Keywords: k pacientu in svojcem usmerjana zdravstvena oskrba, medicinska sestra, kardiopulmonalno oživljanje, etične dileme, stališča
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2017
• PID: 20.500.12556/RUL-99057
• COBISS.SI-ID: 5381483
• Publication date in RUL: 23.12.2017

DJURIĆ, Duška, 2017, Prisotnost svojcev med kardiopulmonalnim oživljanjem odraslega pacienta : pregled literature [online]. Bachelor’s thesis. [Accessed 19 March 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=99057

Secondary language

• Language: English
• Title: Family presence during cardiopulmonary resuscitation of adult patient : literature review

Abstract

Introduction: The concept of family presence is used in patients of all ages and in all environments of health care, including emergency care and in-hospital resuscitation. Many professional organizations and the latest resuscitation guidelines recommend that relatives should be invited to cardiopulmonary resuscitation. Purpose: The purpose of the diploma work is to present the presence of relatives during cardiopulmonary resuscitation of an adult patient at the theoretical level. Methods: We used descriptive method with systematic review of scientific literature in English and Slovenian language with the following limitations: full-text articles, scientific and reviewed journals, time period between 2010 and 2017. Discussion and conclusion: Relatives want to be present at cardiopulmonary reanimation all over the world, while facing many obstacles, among which the greatest opposition is of health professionals. Abroad experiences and attitudes about the presence of a patient's relatives during cardiopulmonary resuscitation are different among relatives, patients and health professionals. The most opposed are doctors, fewer nurses, and least of all relatives and patients. In Slovenia, only medical rescuers have been explored the presence of relatives in cardiopulmonary resuscitation and found it largely disagreeable. In Slovenian hospitals the presence of relatives in cardiopulmonary resuscitation is rare. Nurses in care for their relatives rely on formally acquired knowledge, feelings and experiences,. Hospital management should consider about appropriate work instructions and also about adequacy of the premises for the cardiopulmonary resuscitation. The theme is suitable for adding to theoretical contents of education on cardiopulmonary resuscitation and can be the basis for research in nursing in the future.

• Keywords: patient and family centred health care, nurse, cardiopulmonary resuscitation, ethical dilemmas, attitudes