Author/Editor		Skela-Savič, Brigita
Title		Razvoj elementov profesionalizacije v slovenski zdravstveni negi
Type		članek
Source		In: Medicinske sestre in babice - ključne za zdravstveni sistem : zbornik prispevkov z recenzijo Ljubljana : Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, Nacionalni center za strokovni, karierni in osebnostni razvoj medicinskih sester in babic
Publication year		2017
Volume		str. Str. 25-37
Language		slv
Abstract		Uvod: Stroka postane profesija takrat, kadar s sistematičnim pristopom ustvarja svoje lastno znanje in ga prenaša v neposredno strokovno delo in strokovnjaki generirajo raziskovalne probleme, ki jih rešujejo skupaj s tistimi, ki imajo kompetence za temeljno raziskovalno delo. Namen prispevka je prikazati stališča strokovnjakov v zdravstveni negi do profesionalizacije in razvoja zdravstvene nege kot znanstvene discipline v Sloveniji. Metode: Uporabljena je bila kvalitativna paradigma, tehnika skupinskega intervjuja. V dveh sekvencah so bili izvedeni štirje skupinski intervjuji. V prvi sekvenci so udeleženci odgovarjali na 5 in v drugi na 10 odprtih izhodišč/vprašanj. Vzorčenje je bilo namensko, skupine so sestavljali strokovnjaki iz kliničnih okolij vseh ravni, učitelji srednješolskega in visokošolsko izobraževanja in študenti magistrskega in doktorskega študija (n = 61). Rezultati: Rezultati prve sekvence dajo 3 tematske ugotovitve, v okviru druge 4 (n= 7). Sinteza spoznanj obeh sekvenc da dve krovni temi. Prva je Nacionalna odgovornost, ki vključuje odgovornost managementa zdravstvene nege in visokošolskih zavodov in Zbornice-Zveze za razvoj zdravstvene nege kot znanstvene discipline. Druga je Nacionalni kazalniki uresničevanja nacionalne odgovornosti, ki vključujejo (1) sistematizacijo delovnih mest za 4 ravni kompetenc v zdravstveni negi, (2) raziskovanje in razvoj kot orodje dela v zdravstveni negi in (3) Nacionalni inštitut za raziskave v zdravstveni negi.Razprava: Raziskava opozori na številne vrzeli na poti profesionalizacije zdravstvene nege v Sloveniji in opredeli odgovornosti za reševanje le teh, ki so medsektorske, odgovornost nosi management zdravstvene nege v zdravstvenih zavodih, management visokošolskih zavodov in management Zbornice - Zveze. Pričakuje se uveljavitev kompetenc štirih kategorij izvajalcev zdravstvene nege, posledična sistematizacija delovnih mest, razvojno in raziskovalno delo mora postati orodje za delo v neposredni zdravstveni negi, Nacionalni inštitut za raziskave v zdravstveni negi pa generator dokazov za strateški razvoj zdravstvene nege in povezovalec raziskovalnega dela v državi.Introduction: A vocation becomes a profession once it uses a systematic approach to generate its own knowledge and to transfer it directly into professional work while professionals generate research problems that they address in collaboration with those who have the competences for basic research work. The aim of this paper is to show the attitudes of nursing care professionals towards the professionalization of nursing care and its development as a scientific discipline in Slovenia.Methods: Within the qualitative paradigm the group interview technique was used. Four group interviews were carried out in two rounds. In the first round, participants responded to 5 open premises/questions; in the second round they responded to 10 open premises/questions. Purposive sampling was used and groups comprised professionals from all levels of clinical environments, secondary and higher education teachers and master's and doctoral degree students (n = 61). Results: The results of the first round provided 3 themes and the second round generated 4 themes. The synthesis of findings from both rounds resulted in two overarching themes. The first is National responsibility and includes the responsibility of the nursing care management and the management of higher education institutions as well as the responsibility of the Nursing and Midwife Chamber-Association for developing nursing care as a scientific discipline. The second theme is National indicators of the realization of national responsibility which include (1) Classification of jobs in nursing care to reflect the 4 levels of nursing care competences, (2) research and development as work tools in nursing care, and (3) national institute for nursing care research. Discussion: The study draws attention to the numerous gaps on the journey towards the professionalization of nursing care in Slovenia and defines the responsibilities for addressing gaps that are in the domain of multiple sectors. The responsibility is borne by the management of nursing care in health care institutions, management of higher education institutions and Chamber-Association management. It is expected that the competences of the four categories of nursing care providers will be implemented as well as the resulting job classification. Research and development work must become a tool for working in direct nursing care and the National institute for nursing care research must act as the generator of evidence needed for the strategic development of nursing care and the integrator of research work.
Keywords		nursing care management competences research development management kompetence raziskovanje razvoj zdravstvena nega