| Author/Editor | Fajfar, Jana; Skela-Savič, Brigita | |
| Title | Razumevanje vloge referenčnih ambulant družinske medicine pri vključevanju v preventivne programe kroničnih nenalezljivih bolezni | |
| Type | članek | |
| Source | In: Zdravstvene stroke in njihov odziv na zdravstvene potrebe družbe: na dokazih podprto in usklajeno delovanje : zbornik predavanj z recenzijo, Bled, 11.-12. junij 2015 : = Proceedings of lectures with peer review, 11th - 12th June 2015, Bled Jesenice : Fakulteta za zdravstvo | |
| Publication year | 2015 | |
| Volume | str. 389-397 | |
| Language | slv | |
| Abstract | Teoretična izhodišča: Nov koncept dela v referenčnih ambulantah družinske medicine poleg kadrovske okrepitve in nadgrajene vsebine dela pomeni tudi spremenjeno organizacijo dela. Namen raziskave je preučiti dejavnike, ki vplivajo na odločitev posameznika, da se odzove vabilu diplomirane medicinske sestre na primarni preventivni pregled. Metoda: V raziskavi je bila uporabljena kvalitativna metoda dela. Za zbiranje podatkov smo izbrali polstrukturiran intervju. Raziskava je bila izvedena v Zdravstvenem domu Bled, v referenčni ambulanti družinske medicine. V raziskavo je bilo zajetih deset varovancev različnih starostnih skupin, vabljenih na primarni preventivni pregled v decembru 2014. Pred pričetkom raziskave je bilo pridobljeno soglasje etične komisije s strani Osnovnega zdravstva Gorenjske. Intervjuvanci so podpisali pisno soglasje o prostovoljnem sodelovanju. Zbrane kvalitativne podatke smo obdelali z metodo analize besedila. Rezultati: Odgovore smo odprto kodirali in jih razporedili v šest kategorij: organizacija dela v referenčni ambulanti družinske medicine, zdravstveni tim, družina, prijatelji in znanci, samoocena zdravja, življenjski slog in doživljanje nove vloge diplomirane medicinske sestre. Razprava: Diplomirane medicinske sestre se pri svojem delu v referenčnih ambulantah družinske medicine soočajo z neodzivnostjo nekaterih posameznikov, vabljenih na preventivni pregled. Na odločitve vabljenih vplivajo tako notranji kot zunanji dejavniki. Podpora družine je prepoznana kot najmočnejši motivacijski dejavnik, prav tako zavedanje zdravja kot največje vrednote. Nepoznavanje vsebine dela referenčnih ambulant družinske medicine pa lahko ključno vpliva na odločitev posameznika, da se odzove vabilu. V prihodnje bi bilo potrebno še veliko dela na področju večje prepoznavnosti referenčnih ambulant, ki je projekt v nastajanju.Theoretical background: A new concept of work in model practices not only brings staff reinforcements and upgrades work methods, but also reorganizes the work entirely. The aim of the research is to examine the factors that influence an individual's decision to respond to a nurse%s invitation to the primary preventive examination. Method: A qualitative method of work was used in the study. We chose a semi-structured interview for data collection. The survey was conducted in the model practice of the Bled Health Centre. The survey covered ten clients from different age groups who were invited to a primary preventive examination in December 2014. Ethics commission of the Primary Health Centre of Gorenjska had provided its consent before the start of the study. The interviewees had also signed a written consent form, assuring their voluntary participation. The collected qualitative data was studied through text analysis. Results: Responses were open-coded and divided into six categories: the organization of work in the model practice, the medical team, family, friends and acquaintances, self-perceived health evaluation, an individual's lifestyle and accepting the nurse practitioner's new role. Discussion: In their work in model practices, nurse practitioners face unresponsiveness from some of the individuals who were invited to the preventive examination. Both internal and external factors affect decisions made by people asked to participate in the program. A family's support has shown to be the most impactful motivational factor as well as the awareness that health is a person's greatest value. Not knowing the role of model practices can also immensely influence an individual's decision on either accepting or rejecting an invitation. In the future it will take a lot of work to make model practices, a project still in the making, more recognizable. | |
| Keywords | družinska medicina kronične bolezni skrb za zdravje |