Author/Editor		Pušnik, Danijela
Title		Predaja pacienta - pomemben element zagotavljanja varne in kakovostne kontinuirane zdravstvene nege
Translated title		Nursing handoff - an important element to provide safe and quality continuous nursing
Type		članek
Source		In: Kakovost v zdravstveni in babiški negi - odgovorni, kompetentni in inovativni zaposleni: zbornik predavanj in posterjev 2. Znanstvenega simpozija z mednarodno udeležbo Maribor : Društvo medicinskih sester, babic in zdravstvenih tehnikov
Publication year		2009
Volume		str. 175-182
Language		slv
Abstract		Izhodišče: Kakovostna predaja pacienta je za zagotavljanje varne in kakovostne kontinuirane zdravstvene nege in oskrbe pomembna. Timska predaja pacienta je definirana kot učinkovit prenos informacij o pacientu od enega izvajalca zdravstvenih storitev na drugega, če pacient spremeni lokacijo ali pri premeščanju pacienta od enega izvajalca zdravstvenih storitev do drugega. Predaja pacienta se izvaja v zapletenih organizacijskih sistemih in kulturah in je odvisna od uspešnosti komunikacijskih spretnosti izvajalcev. Pomembne, pravočasne in točne informacije posledično zmanjšajo možnost neželenih dogodkov in vplivajo na večjo varnost pacientov. Metode: Raziskava je bila izvedena med izvajalci zdravstvene nege na Oddelku za ginekološko onkologijo in onkologijo dojk Klinike za ginekologijo in perinatologijo v UKC Maribor. Potekala je v dveh delih. V prvem je predstavljen razvoj in implementacija dokumentacijskega obrazca zdravstvene nege za timsko predajo pacienta. V drugem delu je bil spremljan potek timske predaje pacienta med nočno in dnevno izmeno, v času od 21. septembra do 1. oktobra 2009. Rezultati: Dokumentacijski obrazec predaje pacienta vsebuje ključne informacije, pomembne za zagotavljanje kontinuirane zdravstvene nege in je bil sprejet v prakso. Izvajalci zdravstvene nege, ki sodelujejo v predaji pacienta, se po zaključku podpišejo na obrazec. Od 21. do 23. septembra 2009 je predaja pacienta potekala neprofesionalno. V istem času in prostoru so potekali še drugi pogovori, izvajalci še niso poznali krajevne razporeditve, predaja je potekala ločeno za diplomirane medicinske sestre in zdravstvene tehnike. Potekala je ustno in pisno za vse hospitalizirane paciente. Diplomirane medicinske sestre so porabile za 30 - 40 pacientov od 20 do 30 minut, zdravstveni tehniki pa 10 - 15 minut. Od 24. septembra do 1. oktobra 2009 je timska predaja potekala po dogovorjeni spremembi: ves tim je skupaj predajal in prevzemal pacienta. V prostoru niso potekale druge aktivnosti in drugi pogovori. Timska predaja je bila izvršena profesionalno. Zaključek: Predaja pacientov je zelo zapleten pojav za proučevanje, saj se pojavlja v različnih okoljih vzdolž postopka neprekinjene oskrbe in med različnim osebjem z različnimi spretnostmi, prednostnimi nalogami in izobrazbenimi ravnmi. Zagotovljena mora biti organizacijska zavezanost k razvoju in razvijanju sistemov, ki podpirajo učinkovito predajo. Kultura varnosti podpira prepoznavo napak in problemov, ki jih je potrebno obravnavati za preprečevanje ponovitev. Predaja pacienta je uvod v uvajanje številnih drugih izboljšav - procesno metodo dela in timsko obliko dela ter na pacienta osredotočeno oskrbo. Znanje in sodelovanje zaposlenih je zaželeno.Background: A quality nursing handoff is important to ensure the safety and quality. Team nursing handoff is defined as effective transfer of information about a patient from one health service contractor to another if a patient changes location or moves from one health service contractor to another. A nursing handoff is carried out in complex organizational systems and cultures,and depends on the performance of communication skills of contractors. Relevant, timely and accurate information consequently reduce the possibility of undesirable events and affect on improved patient safety. Methods: The survey was conducted among nursing contractors at Oddelek za ginekološko onkologijo in onkologijo dojk and Klinika za ginekologijo in perinatologijo in UKC Maribor (Department of gynecological oncology and breast oncology of Clinic of gynecology and perinatology in UKC Maribor). It was conducted it two parts. First part presents the development and implementation of nursing documentation form for team nursing handoff. In the second part the course of team nursing handoff between night and day shift was monitored in time from 21 September to 1 October 2009. Results: Documentation form of nursing handoff contains the key information relevant to the provision of continuous nursing and was admitted to practice. After conclusion of nursing handoff, the documentation form has to be signed by the nursing contractors, which are involved in it. From 21 to 23 September the nursing handoff was unprofessional. There were also other conversations at the same time and space, contractors were not yet familiar with the local distribution the nursing handoff took place separately for graduate nurses and medical technicians. It took place orally and in writing for all hospitalized patients. Graduate nurses have taken for up to 30 to 40 patients from 20 to 30 minutes, medical technicians from 10 to 15 minutes. From 24 September to 1 October the team nursing handoff took place at the agreed change: The whole team transmitted and took over the patient together. In the same area there were no other activities and other conversations. Team nursing handoff was made professionally.
Descriptors		Nursing Care Zdravstvena nega Nurse-Patient Relations Razmerje medicinska sestra-bolnik Safety Varnost
Keywords		predaja bolnika