| Author/Editor | Gabrovec, Branko; Lobnikar, Branko | |
| Title | Organizational model of ensuring safety and quality of treatment of aggressive psychiatric patients in mental health nursing in Slovenia | |
| Translated title | Organizacijski model zagotavljanja varnosti in kakovosti obravnave agresije pri pacientu z duševno motnjo v zdravstveni negi na področju psihiatrije v Sloveniji | |
| Type | članek | |
| Vol. and No. | Letnik 48, št. 4 | |
| Publication year | 2014 | |
| Volume | str. 286-293 | |
| ISSN | 1318-2951 - Obzornik Zdravstvene Nege | |
| Language | eng | |
| Abstract | Uvod: Članek predstavlja organizacijske ukrepe za upravljanje nasilja v psihiatričnih bolnišnicah in raziskavo, ki obravnava preliminarne rezultate predlaganega modela. Metode: Izvedena je bila neeksperimentalna vzorčna metoda raziskovanja. Inštrument raziskave je bil strukturirani vprašalnik. Za izvedbo raziskave so bili izbrani nasilju najbolj izpostavljeni, tj. zaposleni v psihiatrični zdravstveni negi na intenzivnih in/ali zaprtih psihiatričnih oddelkih. V raziskavi je sodelovalo pet psihiatričnih bolnišnic, trije psihiatrični domovi in dva centra za usposabljanje, delo in varstvo. Podatki so bili obdelani s statističnim programom SPSS 20,0, upoštevana je bila stopnja značilnosti p < 0,05. Rezultati: Praktični del funkcionalnega izobraževanja se je izvajal v letih 2010-2013 v nekaterih psihiatričnih bolnišnicah in oddelkih. Preliminarna raziskava, ki je bila opravljena leta 2013, je pokazala na uspešnost predlaganega organizacijskega modela. Diskusija in zaključek: Zaposleni v psihiatrični zdravstveni negi so odgovorni za zagotavljanje varnosti in kakovosti obravnave v primeru agresivnega izbruha, vendar za le-to ne posedujejo dovolj funkcionalnih znanj. Članek predstavlja organizacijski model za zagotavljanje varnosti in kakovosti obravnave v primeru agresivnega izbruha in ustrezno funkcionalno izobraževanje.Introduction: The paper presents the organizational measures for managing violence in psychiatric settings and the study that introduces the preliminary success rate of the proposed model. Methods: For the purpose of this study a non-experimental sampling method was employed using a structured questionnaire as a data collection instrument. The sample covered the personnel most frequently exposed to violence, namely, the nursing staff in closed and/or intensive psychiatric units in 5 Slovenian psychiatric hospitals, 3 psychiatric homes and 2 special education, and work and care centres. The data were statistically analysed with the SPSS 20 software package, with p < 0.05 indicating statistical significance. Results: The practical part of the functional training was conducted between 2010 and 2013 in specific psychiatric hospitals and wards. In a study carried out in 2013, preliminary results indicating the success rate of the proposed model were obtained. Discussion and conclusion: Health care workers in psychiatry are responsible for providing safe and high quality treatment even in cases of aggressive outbursts, but they lack the necessary functional knowledge to cope with aggression in the workplace. The paper presents an organizational model for ensuring the safety of the patients and the quality of their treatment in case of an aggressive outburst, along with the presentation of the required functional training. | |
| Keywords | zdravstvena nega nasilje psihiatrična bolnišnica nursing violence psychiatric hospital |