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1.
Doživljanje izvajalcev zdravstvene nege ob izvajanju temeljnih in dodatnih postopkov oživljanja
Anton Koželj, 2023, doktorska disertacija

Opis: Reanimacijski postopki spadajo med ene izmed najbolj stresnih intervencij v urgentni medicini. Diplomanti zdravstvene nege, ki pri teh postopkih sodelujejo, so zaradi omenjenega izpostavljeni določenim stresorjem, ki bolj ali manj učinkujejo nanje. Namen doktorske disertacije je ugotoviti vrste in nivo stresorjev, ki jih doživljajo diplomanti zdravstvene nege ob in po sodelovanju v reanimacijskih postopkih.
Ključne besede: diplomanti zdravstvene nege, urgentna medicina, doživljanje oživljanja, stres, čustva.
Objavljeno v DKUM: 12.01.2024; Ogledov: 301; Prenosov: 61
.pdf Celotno besedilo (4,55 MB)

2.
Components of a model of person-centredness in palliative care among patients with non-communicable diseases in slovenian hospitals
Sergej Kmetec, 2023, doktorska disertacija

Opis: Introduction: Palliative care aims to provide an early person-centred approach to patients with non-communicable disease(s) by monitoring distressing symptoms, providing support at all four domains of health, supporting their care partners, and enhancing the quality of patients and their care partners' lives. A problem lies in the late introduction of person-centred palliative care in acute care and the emergence of barriers to providing such care. Therefore, the present doctoral thesis explores the perceptions of person-centred palliative care of healthcare professionals and patients with non-communicable disease(s). Based on the results of both data analyses, we identified the key components of a model to provide person-centred palliative care for patients and their care partners. Methods: A two-phase sequential explanatory design was used, which involved collecting data in consecutive phases between August 2020 and July 2021. The study's first phase involved health professionals and patients from eight institutions, and the second phase involved health professionals, patients and care partners. Data from the first part of the study were gathered using validated questionnaires, and inferential and descriptive statistics were used to analyse the results. Semi-structured interviews were used in the second phase to collect data, then thematically analysed. We have merged the outcomes of the quantitative and qualitative stages utilising the pillar integration approach in order to interpret them in a more thorough and comprehensive manner. Results: Through the data integration process, we identify four key components to providing person-centred palliative care in patients with non-communicable disease(s). These components are: (1) Healthcare professionals' prerequisites and traits; (2) Person-centred palliative care environment; (3) Person-centred palliative process; and (4) Person-centred palliative care outcome. A Healthcare professional's prerequisites and traits can be said to contain three aspects: (1) Attitudes, (2) Commitment to the work and (3) Values and beliefs. When these three aspects are considered, a person-centred palliative care environment can be created. Here it is important to consider four aspects: (1) Transdisciplinary approach; (2) Patient empowerment; (3) Partner engagement; and (4) Institution/policy climate. A person-centred palliative process that allows the patient to maintain their quality of life and dignity includes the following aspects: (1) Person-centred approach; (2) Establishing an advance care plan; (3) Early integration of person-centred palliative care, and (4) Enlightenment and raising awareness. Person-centred palliative care outcomes can be (1) Positive experiences and (2) Negative experiences. Discussion and conclusion: Person-centred palliative care is essential in treating patients with non-communicable diseases. For that reason, it is pivotal to follow the four key components of how to provide person-centred palliative care, comprising: (1) Healthcare professionals' prerequisites and traits, (2) The person-centred palliative environment, (3) The person-centred palliative process and (4) The person-centred palliative outcomes. These four key components provide healthcare professionals and transdisciplinary palliative teams with the steps for providing person-centred palliative care to the patient and support to the care partners. The term ‘patient’ is herein used to denote patients with one or more non-communicable disease(s).
Ključne besede: person-centred care, palliative care, patients, care partners, healthcare professionals', mixed-method, sequential explanatory design
Objavljeno v DKUM: 10.11.2023; Ogledov: 511; Prenosov: 166
.pdf Celotno besedilo (5,55 MB)

3.
Nursing support in facilitating mental well-being of adolescents
Leona Cilar Budler, 2022, doktorska disertacija

Opis: Background: Mental well-being is a state in which an individual acts positively, feels good, copes with the daily stressors and contributes to his/her community. Adolescents are a population who experience the various stressors brought on by growing up. The purpose of the doctoral dissertation is to determine the mental well-being of adolescents in correlation with the support of family, friends, teachers, and nurses. Methods: The research was based on the paradigm of pragmatism which supports the usage of quantitative and qualitative approaches using mixed methods. The quantitative part of the research included 2 972 adolescents. The survey method was used, descriptive and inferential statistics and presentation of the results were done with the help of tables, charts and figures. In the qualitative part of the research, data were collected using the interview method. Interviews were conducted with 5 focus groups involving 16 adolescents, 8 parents, 6 teachers, 3 legislators, and 6 nurses. The data were analysed following the steps of Corbin & Strauss (2008). Results: The mental well-being of adolescents is positively related (r = 0.624) to their social support. The mental well-being (r = -0.286) and social support (r = -0.239) of adolescents declines with age. Adolescents are of the opinion that the role of the nurse is to talk to them, help them, advise them, and explain difficulties that bother them. The mental well-being of adolescents is related to their interaction and interpersonal relations with parents, friends, and teachers. In ensuring the mental well-being of adolescents, we must consider the model multidimensional well-being. The Model of Interpersonal Relationships is proposed, which is formed based on the results of quantitative and qualitative part of the research and taking into account the concepts of the Theory of Interpersonal Relationships (Peplau, 1952) and the model of Multidimensional Well-being (Sarriera & Bedin, 2017). Discussion: Mental well-being is an important and relatively new concept in nursing. Adolescents’ mental well-being is closely linked to interpersonal relationships and a safe environment in which they can express themselves. Adolescents and parents do not obtain the necessary professional help in a timely manner. There is also a need for additional education on the mental well-being of adolescents among adolescents, parents, teachers, and nurses. Conclusion: Interpersonal relationships between adolescents, family, friends, teachers, and nurses are of major importance for ensuring mental well-being. There is a need for further research to improve the mental well-being of adolescents worldwide.
Ključne besede: youth, mental health, quality of life, social support, nursing
Objavljeno v DKUM: 12.09.2022; Ogledov: 695; Prenosov: 209
.pdf Celotno besedilo (6,60 MB)

4.
Pomen, razumevanje in doživljanje duhovne oskrbe starejših oseb, obolelih za demenco, v socialnovarstvenih zavodih
Nataša Mlinar Reljić, 2021, doktorska disertacija

Opis: Izhodišča: Pomemben vidik celostne zdravstvene nege starejših oseb, obolelih za demenco, v socialnovarstvenih zavodih je zagotavljanje duhovnih potreb. Duhovna oskrba starejših oseb z demenco pomembno vpliva na izboljšanje kognitivnih sposobnosti, opravljanje dnevnih aktivnosti, na samozavest in pomaga pri soočanju z boleznijo. Vloga tima zdravstvene nege in oskrbe pri tem je ključnega pomena, saj mora pravočasno prepoznati in razumeti duhovne potrebe ter jih zadovoljiti. Z doktorsko disertacijo želimo raziskati pomen, razumevanje in doživljanje duhovne oskrbe starejših oseb, obolelih za demenco, v socialnovarstvenih zavodih. Raziskovalna metodologija in metode: Uporabljena je bila kvalitativna metodologija raziskovanja z interpretativno hermenevtično fenomenologijo kot metodo raziskavanja. Vzorčenje je bilo namensko in kriterijsko. Uporabili smo triangulacijo podatkov. Podatke smo zbrali z metodo poglobljenih, odprtih individualnih intervjujev in z metodo fokusnih skupin. Zbrane podatke smo analizirali in jih sintetizirali po fenomenološko-hermenevtični metodi. Rezultati: Ugotovitve kažejo, da mora duhovna oskrba temeljiti na spoštovanju, prijaznosti, ljubeznivosti, rahločutnosti, dostojanstvu, empatiji, sočutju, individualni in celostni obravnavi, na poznavanju življenjske zgodbe starejših oseb z demenco in osredotočenosti na majhnih, a zanje pomembnih stvareh. Člani tima zdravstvene nege in oskrbe se pri zagotavljanju duhovne oskrbe srečujejo s številnimi izzivi, da bi zadovoljili duhovne potrebe, med katerimi so najpomembnejše potrebe po iskanju (novega) smisla, povezanosti in pripadnosti. Razprava in zaključek: Na osnovi ugotovitev raziskave oblikovan model celostne duhovne oskrbe starejših oseb, obolelih z demenco, predstavlja edinstven in poglobljen vpogled v pomen, razumevanje in doživljanje duhovne oskrbe starejših oseb, obolelih za demenco, ki bivajo v socialnovarstvenih zavodih, njihovih svojcev in članov tima zdravstvene nege in oskrbe.
Ključne besede: duhovna oskrba, svojci, dom za starejše, medicinske sestre
Objavljeno v DKUM: 10.01.2022; Ogledov: 1624; Prenosov: 422
.pdf Celotno besedilo (2,69 MB)

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6.
Quality of institutional elderly care in Slovenia
Ana Habjanič, doktorska disertacija

Objavljeno v DKUM: 05.06.2012; Ogledov: 4718; Prenosov: 212
URL Povezava na celotno besedilo

7.
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