Author/Editor     Bregar, Branko; Skela-Savič, Brigita
Title     Pomen vključevanja zaposlenih v zdravstveni negi pri oblikovanju politike zdravstvenega sistema
Translated title     Importance of nursing employees' participation in health care policy development
Type     članek
Vol. and No.     Letnik 47, št. 1
Publication year     2013
Volume     str. 18-27
ISSN     1318-2951 - Obzornik Zdravstvene Nege
Language     slv
Abstract     Uvod: Spremembe sistemov zdravstvenega varstva so potrebne. Pri oblikovanju reform sodelujejo različne interesne skupine. Avtorji v Sloveniji prepoznavajo vplivne interesne skupine predvsem v Zdravniški zbornici, Lekarniški zbornici, Zavodu za zdravstveno zavarovanje Slovenije in državi. Zaposlenih v zdravstveni negi v teh razmerjih nihče ne prepoznava kot vplivnega udeleženca. Namen prispevka je bil raziskati vlogo zaposlenih v zdravstveni negi pri oblikovanju politike sistema zdravstvenega varstva pri nas. Metode: Uporabljena je bila kvalitativna raziskovalna metodologija. Empirično gradivo smo zbrali s pomočjo polstrukturiranih intervjujev z vidnimi udeleženci zaposlenih v zdravstveni negi. Intervjuji so bili izvedeni od marca do avgusta 2009. Urejeno empirično gradivo smo analizirali induktivno, uporabili smo metodo utemeljene teorije. Rezultati: Udeleženci v raziskavi navajajo, da so zaposleni v zdravstveni negi brez politične moči in niso prepoznani kot interesna skupina pri oblikovanju politike sistema zdravstvenega varstva. V kolikor bi jim bile omogočene pomembne vloge v teh razmerjih, bi zdravstveni sistem verjetno lahko bil bolj human, učinkovitejši ter bolj usmerjen k uporabnikom. Udeleženci prepoznavajo različne ovire, kot so problem izobraževanja, pasivnost menedžmenta in problem raziskovanja na področju zdravstvene nege. Diskusija in zaključek: Čeprav bi z razširitvijo interesnih skupin na strani izvajalcev zdravstvenega varstva pri oblikovanju politike sistema zdravstvenega varstva največ koristi imeli prav uporabniki zdravstvenih storitev, zaposlenim v zdravstveni negi sodelovanje v teh razmerjih ni omogočeno. Opolnomočenje zaposlenih v zdravstveni negi na različnih področjih je nujno, da bodo lahko postali sooblikovalci zdravstvene politike. Povečati je potrebno moč menedžmenta, moč izobraževanja in političnomoč.Introduction: Many countries have been faced with the need to reform their heath care systems where participation of different interest groups is indispensable. In Slovenia, several interest groups are active in health policy design, research, and evaluation within the Medical Chamber of Slovenia, the Slovene Chamber of Pharmacies and the Health Insurance Institute of Slovenia and other groups on a national or state level. Despite the fact that nursing is the nation's largest health care profession, their role in the health policy development is not yet fully recognised. The aim of the paper was to explore the impact of the nursing professionals on the current health care policy development in Slovenia. Methods: The study is based on a qualitative research methodology. The study was conducted from March to August 2009. A general inductive approach was used for qualitative analysis of the data retrieved through a semi-structured interview with advanced practice nurses. A grounded theory was applied as a research design. Results: The participants claim that nursing professionals as an interest group exert no political influence on health care policy development. Nurses' involvement would make a difference in the political process in a variety of ways, rendering the health care system more humane, efficient and tailored to individual patient needs. The participants are also cognizant of the major barriers to nurses' proactive health policy making, namely, education opportunities, largely uninvolved health managers and the necessary but insufficient nursing research. Discussions and conclusions: The ramifications of nurses' active involvement in health care policy positions development and design are multifold. It can have an impact on the practice of nursing and on the provision of health care, enhancing the quality and safety of health care services and the betterment of public health.The proper management, education and political power are pivotal in countering many of the obstacles to nurses¼ active participation in nation-wide health policy design.
Keywords     zdravstveno varstvo
politika
interesi
moč
vpliv
udeleženci
health care system
politics
interest
power
influence
participants