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Title:Vplivni dejavniki stresa med zaposlenimi v zdravstveni negi v slovenskih bolnišnicah in njihova povezanost s kulturo kakovosti in varnosti
Authors:Dobnik, Mojca (Author)
Skela Savič, Brigita (Mentor) More about this mentor... New window
Maletič, Matjaž (Co-mentor)
Files:.pdf DOK_Dobnik_Mojca_2019.pdf (4,49 MB)
 
Language:Slovenian
Work type:Doctoral dissertation (mb31)
Organization:FOV - Faculty of Organizational Sciences in Kranj
Abstract:Stres kot sopotnik sodobnega človeka je neločljivo povezan z delom. Stres je odziv, ki ga lahko imajo ljudje, kadar so izpostavljeni delovnim zahtevam in pritiskom. Posledice pogojev dela lahko imajo pomemben vpliv na zaposlene v zdravstveni negi in njihovo sposobnost za uresničitve nalog, sprejemanje odločitev, zmanjšano motivacijo in posledično lahko pripeljejo tudi do nepopravljivih posledic za kakovost in varnost pacientov. Težave, povezane s stresom, lahko vplivajo na učinkovito delovanje zdravstvenih organizacij. V doktorski disertaciji smo predstavili teoretično ozadje, s teoretičnimi osnovami in raziskovalnimi vrzelmi vpliva in posledic potencialnih dejavnikov stresa na delovnem mestu (medosebni odnosi, pogoji za delo, organizacija dela, obseg dela, kompetentnost za delo, možnosti razvoja idr.) med zaposlenimi v zdravstveni negi v slovenskih bolnišnicah. Izvedli smo terensko presečno raziskavo z neeksperimentalnim eksplikativnim dizajnom, kjer je največji poudarek bil namenjen potencialnim dejavnikom stresa in interakciji s kulturo kakovosti in varnosti, ki smo jo nadgradili z empirično kvantitativno analizo omenjenih konstruktov. Raziskovalni model je osnovan na osnovi pregleda literature in ugotovljenih raziskovalnih vrzeli. Model je razdeljen na več dimenzij, saj smo predvidevali, da je njihov vpliv različen. V raziskavo je bilo vključenih 11 % (N = 983) zaposlenih v zdravstveni negi 21 slovenskih bolnišnic. Ugotovili smo, da zaposleni v zdravstveni negi v slovenskih bolnišnicah ocenjujejo, da so na delovnem mestu izpostavljeni visoki stopnji stresa. Najpomembnejši dejavniki za pojav stresa so slaba organizacija dela, izmensko delo, težave zaradi delovne opreme, infrastrukture in slabega informacijskega sistema, pomanjkanje podpore vodstva, kritike s strani pacientov in svojcev ter profesionalne in intelektualne zahteve delovnega mesta. Zaposleni v zdravstveni negi v slovenskih bolnišnicah, počutja ne navajajo slabše kot običajno, imajo pa občutek nenehnega pritiska. Posledice stresa se kažejo kot nekorekten odnos do drugih, nezdrav življenjski slog, telesni in psihični simptomi, želja po prenehanju opravljanja trenutnega dela in zmanjšana motiviranost za delo. Navedeno ima posledice na kakovostno in varno zdravstveno oskrbo, saj omenjeni težki delovni pogoji, vplivajo na zaznano kulturo kakovosti in varnosti med zaposlenimi v zdravstveni negi v slovenskih bolnišnicah. Raziskava pokaže, da je zaposlenim v zdravstveni negi v slovenskih bolnišnicah treba zagotoviti ustrezne delovne pogoje, kot so ustrezno število zaposlenih, razvoj kariere, ustrezne urnike dela in posledično življenjsko ravnovesje, da ne bodo več imeli želje zapustiti delovno mesto. Soočiti se je treba z delovnim okoljem bolnišnic, kjer je potrebno za kulturo kakovosti in varnosti več odprte komunikacije, vključevanje zaposlenih in ustrezni pogoji dela. Samo spremembe na ravni posameznika, tima, organizacije in države bodo pripeljale do pozitivnih sprememb v odnosih, pogojih dela in zaznavanju kakovosti in varnosti zaposlenih v zdravstveni negi v slovenskih bolnišnicah. Ključne besede: obremenitve, komunikacija v zdravstvenih zavodih, delovni čas
Keywords:obremenitve, komunikacija v zdravstvenih zavodih, delovni čas
Year of publishing:2018
Source:Maribor
URN:URN:SI:UM:DK:S5VCYDZL
License:CC BY-NC-ND 4.0
This work is available under this license: Creative Commons Attribution Non-Commercial No Derivatives 4.0 International
Views:124
Downloads:28
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Categories:FOV
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Secondary language

Language:English
Title:Stress-Influence factors perceived by healthcare workers in slovene hospital settings and their correlation with the quality and safety culture
Abstract:Stress is a companion of the modern age and closely associated with work. Stress is the reaction that occurs as a response to work-related challenges and pressures. Work conditions and their consequences can have a considerable impact on nurses and their abilities to achieve tasks, make decisions, lack of motivation, which can result in irreparable consequences regarding quality and patient’s safety. Stress-related issues can affect the efficiency and effectiveness of health organizations. This thesis provides a theoretical background with research gaps, their impact and consequences of potential stress factors at work (relationships at work, working conditions, work organization, the scope of work, competencies of nurses, development prospects etc.) among nurses at Slovene hospitals. A cross-sectional, non-experimental explanatory field research design was employed with the focus on potential stress factors and the interaction with the quality & safety culture upgraded by an empirical quantity analysis of the above-mentioned elements. The research model is based on a literature review and the established research gaps. Based on the assumptions of various influences, the model was divided into several dimensions. 11% nurses (N = 983) at 21 Slovene hospitals were included in the research. It was established that nurses at Slovene hospitals are exposed to great stress. Poor work organization, shift work, lack of working equipment, poor infrastructure and information system, lack of management support, complaints by patients and their families, professional and intellectual job requirements might best explain the source of stress. Nurses at Slovene hospitals do not report of experiencing a particular low wellbeing; however, they feel constant pressure. Stress causes improper relationships, unhealthy lifestyle, physical and psychological symptoms, desire to quit one’s job, reduced work motivation. All this affects the abilities to provide a quality and a safe healthcare since arduous working conditions impact the perceived quality and safety culture among nurses working at Slovene hospitals. The research shows nurses at Slovene hospitals require appropriate working conditions, such as appropriate staffing and career development resulting in a balanced lifestyle that does not encourage employees to leave their work. It is necessary to address the working environments at hospitals requiring open communication, inclusion, and appropriate working conditions to achieve a culture of safety and quality. In order to trigger positive changes in relationships, working conditions and quality & safety perception in nurses at Slovene hospitals it is necessary to change the perspective at the level of individuals, team, organization, and the country.
Keywords:workload, communications in a healthcare setting, working hours


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