Author/Editor		Rant, Barbka; Bregar, Branko
Title		Understanding the attitudes of paramedics towards suicidal patients
Translated title		Razumevanje odnosa reševalcev do pacientov, ki so samomorilno ogroženi
Type		članek
Vol. and No.		Letnik 48, št. 3
Publication year		2014
Volume		str. 177-194
ISSN		1318-2951 - Obzornik Zdravstvene Nege
Language		eng, slv
Abstract		Introduction: Since it is almost impossible to identify every suicidal person, the timely intervention of an emergency medical team is of the most importance for preventing suicide attempts. Yet its success depends not only on timely help, but also on the treatment of the suicidal individual, the quality of which is to a large degree determined by the attitudes of the paramedics to the suicide. Hence, this article addresses the issue of how Slovenian paramedics experience suicidal patients, or in other words, what their attitudes to suicidal patients are when treating them. Methods: This study is based on a descriptive qualitative method of empirical research, in which inductive analysis has been used. To collect the empirical material, semi-structured interviews with ten paramedics were conducted between December 2012 and January 2013. Results: Despite their professional conduct in working with suicidal patients, Slovenian paramedics often experience various unpleasant emotions while treating them. Although they show understanding, the paramedics are often caught in dilemma while treating suicidal patients, especially those that refuse help or are aggressive. During the treatment, the paramedics act according to their subjective risk assessment and previous work experience, yet they lack the expertise to work with suicidal patients, particularly communication skills. Discussion and conclusion: The attitude of the participants to suicidal patients is based primarily on the emotional aspect of their work. The research showed that a negative attitude may appear, but is not permanent. It appears only in certain conditions when caring for patients who are aggressive or threaten others and when the participants have not received help from other services.Uvod: Ključnega pomena pri preprečevanju samomora je pravočasna intervencija ekipe nujne medicinske pomoči. Kakovost obravnave je v veliki meri determinirana z odnosom reševalcev do samomora. Raziskovalno vprašanje je, kako doživljajo in kakšen odnos imajo člani ekip nujne medicinske pomoči do samomorilno ogroženih. Metode: Raziskava temelji na kvalitativni metodi, uporabljena je bila deskriptivna tematska analiza. Podatki so bili zbrani s pomočjo polstrukturiranih intervjujev desetih namensko izbranih reševalcev. Analiza empiričnega gradiva je bila izvedena po smernicah utemeljene teorije. Rezultati: Identificiranih je bilo šest kategorij, ki s pripadajočimi kodami omogočajo razumevanje odnosa v raziskavo vključenih reševalcev do pacientov po poskusu samomora. V raziskavo vključeni reševalci se pri delu s pacienti po poskusu samomora soočajo z različnimi neprijetnimi čustvi. Med obravnavo pacientov, ki so samomorilno ogroženi ali so po poskusu samomora, se soočajo z dilemo, predvsem pri tistih, ki odklanjajo pomoč ali so agresivni. Skušajo jim pomagati na različne načine na podlagi subjektivne ocene ogroženosti ter izkušenj, toda za delo z njimi jim še vedno manjka potrebnega znanja, predvsem s področja komunikacije. Diskusija in zaključki: Odnos udeležencev raziskave do pacientov, ki so samomorilno ogroženi ali so po poskusu samomora, temelji predvsem na čustveni komponenti njihovega dela. Raziskava pokaže, da se pri udeležencih raziskave pojavlja odklonilen odnos, vendar ta ni trajen, pojavlja se le v določenih pogojih, odvisnih od dejavnikov, kot so: ogrožanje drugih, nasilje pacientov, podpora drugih služb in ostalo.
Keywords		samomor nujna medicinska pomoč nasilni pacient zdravstvena nega suicide emergency medical aid violent patient nursing care