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Izhodišča in namen: V magistrski nalogi smo preučevali odgovornosti triažne medicinske sestre pri izvajanju Manchesterskega sistema triaže (MST). Namen raziskave je ugotoviti, ali triažne medicinske sestre prepoznajo, ter se zavedajo svojih odgovornosti ob uporabi MST. Prav tako nas je zanimalo, ali izkušnje in večletno delo v urgentnih ambulantnih prinaša večjo odgovornost. Zanimala nas je tudi aplikacija MTS v delovno okolje in zadovoljstvo z novim sistemom triažiranja in razvrščanja po MST. Raziskovalna metodologija in metode: Uporabljena je deskriptivna metoda pregleda in analize literature z iskanjem po bazah podatkov: Cobiss, Medline/PubMed in Google Books. Uporabili smo tudi kvalitativno metodo, ki smo jo izvedli s pomočjo intervjuja desetih medicinskih sester, ki delajo v triaži in ob svojem delu uporabljajo MST. Za obdelavo podatkov smo uporabili različne računalniške programe. Rezultati: S kvalitativno raziskavo smo na podlagi pridobljenih rezultatov in analize podatkov ugotovili in raziskali, da se odgovornosti ob uporabi Manchesterskega triažnega sistema medicinske sestre dobro zavedajo, in da je ta sistem triažiranja in razvrščanja uporaben in zadovoljiv. Večletno delo in izkušnje v urgentni ambulanti prinašajo večjo odgovornost. Diskusija in zaključek: Triažne medicinske sestre poznajo različne odgovornosti pri svojem delu. Veščine dobre komunikacije triažne medicinske sestre z pacienti, poznavanje norm in pravil ustanove je poglavitni del poklicnega delovanja. Dnevno se tudi srečujejo s primeri, ko se stanje pacienta v urgentni ambulanti poslabša, zato so potrebna kontinuirana izobraževanja in obnavljanja znanja, saj mora le-ta znati ob tem pravilno ukrepati. S tem zagotavljajo pacientom varno, kakovostno zdravstveno nego in oskrbo ob sprejemu v ambulanti nujne medicinske pomoči. Background and aim: In this master thesis, we have examined the responsibility scope of a triage medical nurse within the Manchester Triage System (MTS). The aim of our study is to establish, whether triage medical nurses acknowledge their responsibility and awareness when they execute the MTS. In addition, the scope of our research was to establish, whether the work experience and years of service in an emergency department contributes to greater responsibility and awareness thereof. Our research interest extends also to the application of the MTS into a work space and establishing the level of content (personal satisfaction) with the new triage system and classification when using the MTS. Methodology: For this study, a descriptive method of reviewing (surveying) and literature analysis has been used for searching the following databases: Cobiss, Medline/PubMed and Google Books. In addition, a qualitative method has been used during interviewing ten (10) respective medical nurses, who are specialized in triage and use the MST in their regular work routine. For data processing, we have used various software. Results: Upon the analysis of data acquired by the descriptive method, we have established that the medical nurses are well aware of their responsibility within the MTS. Furthermore, the nurses also acknowledge the MTS and its classification as useful and satisfying. Our hypothesis regarding the work experience and years of service in emergency department and its contribution to a greater responsibility has also been confirmed. Discussion and conclusion: Triage medical nurses are well aware of various responsibility during their work. Good communication skills, as well as good knowledge of protocols and regulation standards of a medical institution are essential to their professionalism. Due to their rather demanding and unpredictable daily routine, the triage medical nurses often deal with cases of rapid patient health deterioration, therefore the continuous education and implementation of new training techniques for medical nurses are crucial for the patient’s welfare upon the patient’s admittance to emergency department. |
