Author/Editor		Muminović, Samir; Bregar, Branko
Title		Odnos reševalcev do uporabe različnih oblik prisilnih ukrepov
Translated title		The attitudes of paramedics to different forms of coercive measures
Type		članek
Vol. and No.		Letnik 51, št. 2
Publication year		2017
Volume		str. 143-152
ISSN		1318-2951 - Obzornik Zdravstvene Nege
Language		slv
Abstract		Uvod: Prisilni ukrepi se v predbolnišničnem okolju pogosto uporabljajo. Namen raziskave je bil raziskati pojavnost in odnos reševalcev do prisilnih ukrepov. Metode: Vprašalnik je izpolnilo 178 reševalcev. Vsi sklopi vprašalnika so dosegli primerno zanesljivost (Cronbach alfa > 0,8). Podatki so bili analizirani z opisno statistiko, t-testom, testom ANOVA in Pearsonovo korelacijo ob upoštevani statistični značilnosti p < 0,05. Rezultati: S prisilnim ukrepom se je že srečalo 165 (92,7 %) reševalcev. Ženske reševalke se v primerjavi z moškimi reševalci počutijo manj varne (t = 3,243, p = 0,03) in se bolj strinjajo s posredovanjem policije (t = -0,572, p = 0,03). Na terenu se najpogosteje uporablja vezanje s policijskimi lisicami, tj. s t. i. vezicami (x= 3,30, s = 1,15). Agresija, usmerjena proti drugim (x = 4,22, s = 0,86), agresija, usmerjena proti sebi (x = 4,23, s = 0,76), in nemir (x= 3,23, s = 0,98) so najbolj upravičeni razlogi za uporabo prisilnih ukrepov. Reševalci menijo, da potrebujejo več znanja s tega področja (x = 3,90, s = 1,01). Diskusija in zaključek: Reševalci navajajo podobne vzroke za uporabo prisilnih ukrepov, kot jih v že predhodnih raziskavah navajajo zaposleni v bolnišnicah. Toda mnenje reševalcev o uporabi teh sredstev je negativno, z njihovo uporabo se v večji meri strinjajo samo v primeru pacientov z agresivnim vedenjem. Pri svojem delu se reševalci počutijo ogrožene. Glede uporabe prisilnih ukrepov potrebujejo usposabljanje in izobraževanje.Introduction: Coercive measures are often used in prehospital environments. The purpose of the research was to determine their frequency and the attitudes of paramedics towards them. Methods: The questionnaire was completed by 178 paramedics. All segments of the questionnaire have shown suitable reliability (Cronbach alpha > 0.8). Data was represented with descriptive statistics, T test, ANOVA test and Pearson correlation with considering statistical significance (p < 00.5). Results: 165 paramedics (92.7 %) have been involved in coercive measure interventions. Women paramedics feel less safe than men (t = 3.243, p = 0.03) and are more supportive of police intervention (t = -0.572, p = 0.03). The most used coercive measure is restraining with police handcuffs (x = 3.30, s = 1.15). Aggression of patients directed at others (x = 4.22, s = 0.86), aggression directed at themselves (x = 4.23, s = 0.76) and agitation (x = 3.23, s = 0.98) are seen as the most justifiable causes for the use of coercive measures. Paramedics believe that they need more knowledge about this subject (x = 3.90, s = 1.01). Discussion and conclusion: Paramedics mention similar reasons for using coercive measures to the ones mentioned by hospital employees in previous research. However, the opinion of the paramedics about using these measures is negative and they only agree with using coercive measures in the case of patients with aggressive behaviour. They feel endangered at their job. They need training and education on the use of coercive measures.
Keywords		posebni varovalni ukrepi prisilni jopič medicinske sestre urgenca special coercive measures straitjacket nursing emergency unit