Soočanje medicinskih sester s smrtjo v Urgentnem kirurškem bloku : magistrsko delo

Črv, Marjana (author), Kovačev, Asja Nina (mentor)

Uvod: Vsi zaposleni v Urgentnem kirurškem bloku se morajo ob smrti pacientov, ko opravijo svoje delo v prostoru za oživljanje in s svojci pokojnika, soočiti še s samim seboj in svojimi čustvi. Če temu ni posvečene dovolj pozornosti, lahko to zanje predstavlja velik stres in napor, kar lahko pripelje do izgorelosti. Namen: Namen magistrskega dela je preučiti, česa je zaposlene ob smrti pacienta najbolj strah, kako močno se jih ti dogodki dotaknejo ter kako se spoprijemajo s takšnimi situacijami. Metode: V raziskavi smo uporabili kvalitativno metodo raziskovanja. Uporabili smo delno strukturirani intervju, vprašanja so bila pripravljena že pred pričetkom intervjujev, kombinirali pa smo jih z dodatnimi podvprašanji med samim intervjujem. Zvočni zapis intervjuja smo prepisali v celoti. Za analizo kvalitativnih podatkov smo uporabili kvalitativno analizo vsebine ter metodo kodiranja avtoric Graneheim in Lundman (2004). Rezultati: Postopki kodiranja intervjujev so nas pripeljali do treh glavnih tem, in sicer: »doživljanje smrti in soočanje s svojci pokojnika«, »vpliv smrti in stresnih dogodkov na zaposlene« ter »izobraževanje in strokovna pomoč«. Rezultati kažejo, da medicinske sestre razvijejo dovolj empatije do same smrti, svojcev pokojnika ter ne nazadnje do sodelavcev, da lahko zaznajo njihove potrebe in jim pomagajo. Razprava in zaključek: Zaposleni imajo v večini primerov malo časa za ureditev svojih misli in čustev po soočanju s smrtjo ter svojci pokojnika. Nimajo vedno možnosti strokovne pomoči, ko se ta izkaže za potrebno, ter nimajo rednih izobraževanj s tega področja, a se kljub temu zavedajo resnosti predstavljene tematike in pomembnosti medsebojnega sodelovanja in pomoči. Drug drugemu so vedno pripravljeni stati ob strani in pomagati v obliki pogovorov ter izmenjave izkušenj.

• Language: Slovenian
• Keywords: urgenca, soočanje s smrtjo, izgorelost, stres, medicinska sestra
• Work type: Master's thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2017
• PID: 20.500.12556/RUL-95309
• COBISS.SI-ID: 5323115
• Publication date in RUL: 20.09.2017

ČRV, Marjana, 2017, Soočanje medicinskih sester s smrtjo v Urgentnem kirurškem bloku : magistrsko delo [online]. Master’s thesis. [Accessed 11 April 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=95309

Secondary language

• Language: English
• Title: Nurses conformation with death at the surgical emergency department : master thesis

Abstract

Introduction: All health care employees in the Emergency surgical unit must be confronted with themselves and their own emotions while working in the resuscitation room and with patient’s relatives. If they do not devote enough attention to this, it can become stressful and difficult for them, which can consequently lead to a burnout. Aim: The aim of this master's thesis is to illuminate what health care employees are most afraid of when facing patient’s death, how much these events affect them and how they deal with such situations. Methods: In this study we used a qualitative research method with semi-structured interviews, where the questions were prepared beforehand and combined with additional questions during the interview itself. The audio recordings of acquired data were then fully transcribed. For data analysis we used the qualitative content analysis and the coding method devised by Graneheim and Lundman (2004). Results: The interview coding method gave three main themes: »the experience of death and facing the patient's relatives«, »the influence of death and stressors on health care employees«, and »the education and professional help«. The results show that health care employees develop enough empathy toward death itself, the patient's relatives and toward their colleagues in order to recognize their needs and provide help. Discussion and conclusion: Health care employees have only little time to gather their thoughts and emotions after facing death and patient's relatives. They do not always receive professional help when necessary, and have no regular trainings or education from this field. However, they are still aware of the seriousness of the topic and mutual cooperation and help. They are always ready to support each other by talking and sharing experiences.

• Keywords: emergency department, facing death, burnout, stress, nurse