Medpoklicno nasilje v operativni dejavnosti

pregled literature

Avtorji

  • Tina Oblak Univerzitetni klinični center Ljubljana, Kirurška klinika, Operacijski blok, Zaloška c. 7, 1000 Ljubljana, Slovenija
  • Brigita Skela-Savič Fakulteta za zdravstvo Angele Boškin, Spodnji Plavž 3, 4270 Jesenice, Slovenija https://orcid.org/0000-0002-1028-5383

DOI:

https://doi.org/10.14528/snr.2018.52.3.214

Ključne besede:

verbalna agresija, moteče vedenje, medpoklicni odnos, zdravje pri delu, organizacijska kultura

Povzetek

Uvod: V operativni dejavnosti heterogena skupina strokovnjakov z različnimi osebnostmi in vrednostnimi sistemi, značilnimi za vsako profesijo, deli odgovornost do enega pacienta, kar lahko sproži napetost v odnosih in se stopnjuje v nasilje. Namen raziskave je bil prikazati razširjenost tega fenomena ter opredeliti z njim povezane dejavnike in posledice.
Metode: Izvedena je bila sistematična iskalna strategija v bazah podatkov CINAHL, Medline, Academic Search Elite, ProQuest in COBIB.SI z datumom objave od januarja 2008 do vključno decembra 2017. Uporabljeni so bili iskalni pojmi v angleščini aggressive behavior, disruptive behavior, operating room, perioperative, violence, verbal abuse, bullying, surgeon in v slovenščini zdravstvena nega, nasilje. Podanih je bilo 735 zadetkov, glede na naslov in izvleček smo za ustrezne določili 68 virov, po vsebinskem pregledu smo jih izločili še 47.
Rezultati: Zaključki pregleda literature so temeljili na 22 referencah. Oblikovanih je bilo 6 kategorij: (1) povzročitelji in nivoji nasilja, (2) vrste (tipi) nasilja, (3) neposredni vzroki za pojav nasilja v operacijski dvorani, (4) dejavniki, povezani s pojavom in prepoznavnostjo nasilja, (5) posledice nasilja ter (6) individualni in sistemski organizacijski ukrepi za obvladovanje posledic nasilja.
Diskusija in zaključek: Najpogostejši izvajalci nasilja v operativni dejavnosti so kirurgi in zaposleni v operacijski zdravstveni negi, najpogostejši vzroki pa hierarhija, nepredvidljive situacije, kadrovski in materialni deficit, medosebni odnosi, delovna obremenitev,  organizacijska kultura. Izkazuje se potreba po tovrstni reprezentativni raziskavi v Sloveniji.

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Biografije avtorja

Tina Oblak, Univerzitetni klinični center Ljubljana, Kirurška klinika, Operacijski blok, Zaloška c. 7, 1000 Ljubljana, Slovenija

dipl. m. s.

Brigita Skela-Savič, Fakulteta za zdravstvo Angele Boškin, Spodnji Plavž 3, 4270 Jesenice, Slovenija

izr. prof. dr., viš. med. ses., univ. dipl. org., znan. svet.

Literatura

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Dimarino, T.J., 2011. Eliminating lateral violence in the ambulatory setting: one center's strategies. Association of periOperative Registered Nurses (AORN) Journal, 93(5), pp. 583–588. DOI: https://doi.org/10.1016/j.aorn.2010.10.019

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Ferguson, C., 2015. Bullying in surgery. The New Zealand Medical Journal, 128(1424), pp. 7–9. Frederick, D., 2014. Bullying, mentoring and patient care. Association of periOperative Registered Nurses (AORN) Journal, 99(5), pp. 587–593.

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2018-09-16

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Oblak, T., & Skela-Savič, B. (2018). Medpoklicno nasilje v operativni dejavnosti: pregled literature. Obzornik Zdravstvene Nege, 52(3), 186–200. https://doi.org/10.14528/snr.2018.52.3.214

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