Author/Editor		Košir, Alenka
Title		Spoštovanje etičnega načela avtonomije - temelj obravnave bolnika kot subjekta v zdravstveni negi
Translated title		Respect of the ethical principle autonomy - the patient as subject in nursing care
Type		članek
Source		Obz Zdrav Nege
Vol. and No.		Letnik 38, št. 4
Publication year		2004
Volume		str. 297-303
Language		slo
Abstract		The article presents the ethical principle of autonomy as one of the elements of nursing care which places the patient in the centre of treatment and gives himlher the right to decide for him/herself. To be able to take the right decisions with positive consequences for his/her health and well-being, the patient has to be informed about the proceedings of nursing care and medical treatment. The respect for patient' autonomy is the starting point from which the patient proceeds from being an object to being a subject actively participating in the process of nursing care. The results of a survey on 488 nurses show how well the patients are informed with the proceedings of nursing care and what are the reactions like when a patient declines a nursing intervention. The results reveal that according to the opinion of the majority of nurses, the patients are sufficiently informed about the proceedings of nursing care. The majority of nurses are ready to negotiate with the patient who declines a nursing intervention, trying to convince him/her to consent with it.
Summary		V prispevku je predstavljeno etično načelo avtonomije kot eden izmed elementov v zdravstveni negi, ki postavljajo pacienta v središče obravnave in mu daje pravico, da sam odloča o sebi. Za sprejem pravilnih odločitev, ki imajo pozitivne posledice za njegovo zdravje in počutje, mora biti seznanjen s postopki zdravstvene nege in zdravljenja. Spoštovanje avtonomije predstavlja izhodišče, na katerem prehaja pacient iz objekta v subjekt, ki se aktivno vključuje v proces zdravstvene nege. V nadaljevanju so predstavljeni izsledki raziskave Društva medicinskih sester Ljubljana, ki je s pomočjo anketnega vprašalnika na vzorcu 488 medicinskih sester ugotavljala, kako dobro so pacienti seznanjeni s postopki zdravstvene nege in kakšno je ravnanje medicinskih sester, če bolnik odkloni negovalno intervencijo. Ugotovitve kažejo, da so po mnenju večine medicinskih sester pacienti seznanjeni s postopki zdravstvene nege. Večina medicinskih sester pa se je s pacientom pripravljena pogajati, kadar odkloni negovalno intervencijo in ga skušajo prepričati v pristanek.
Descriptors		NURSE-PATIENT RELATIONS PATIENT ADVOCACY ETHICS, NURSING QUESTIONNAIRES