Organization of professional training in the emergency medical dispatch service

Uvod: zaključno delo obravnava organizacijo strokovnih izobraževanj v dispečerski službi zdravstva. Dispečerska služba zdravstva je del službe nujne medicinske pomoči in se izvaja v dispečerskih centrih zdravstva. Sprejema klice o nujnih stanjih in aktivira ustrezne ekipe za intervencijo v najkrajšem možnem času. Delo zdravstvenega dispečerja je zelo pomembno za uspešno delovanje nujne medicinske pomoči. Zdravstveni dispečer se mora redno izobraževati. Pred pričetkom dela mora opraviti osnovni tečaj in usposabljanje za delo. Osnovni tečaj mora obnoviti na tri leta. Omenjeni tečaji so predpisani v pravilniku o dispečerski službi zdravstva. Namen naloge je predstaviti delovanje dispečerske službe zdravstva s poudarkom na organizaciji strokovnih izobraževanj. Metode: v empiričnem delu naloge smo uporabili kvantitativno metodologijo raziskovanja z metodo anketiranja. Moč povezanosti smo preverjali s Spearmanovim koeficientom korelacije in analizirali strukturne deleže. Anketirali smo petdeset zdravstvenih dispečerjev, ki delajo v dispečerskem centru v Ljubljani ali v Mariboru. Zanimalo nas je stanje na področju organizacije strokovnih izobraževanj in njihova uporabnost, zadovoljstvo s strokovnimi izobraževanji in kakšen je nivo pridobljenega znanja po opravljenih strokovnih izobraževanjih. Rezultati: Zdravstveni dispečerji organizacijo strokovnih izobraževanj ocenjujejo kot dobro, kljub temu pa z njimi niso najbolj zadovoljni. Ugotovili smo, da je dobra organizacija statistično značilno povezana z uporabnostjo strokovnih izobraževanj, z zadovoljstvom zdravstvenih dispečerjev s strokovnimi izobraževanji in z nivojem pridobljenega znanja. Diskusija: Zdravstveni dispečerji so s samo organizacijo strokovnih izobraževanj sicer zadovoljni, se pa kaže nezadovoljstvo v smislu pogostosti izobraževanj in sposobnostjo samostojnega dela po opravljenem izobraževanju. Bolj kot zdravstveni dispečer ocenjuje samo organizacijo, bolj je z izobraževanji tudi zadovoljen in bolj se mu zdijo uporabna. Poleg tega tudi bolje ocenjuje svoje znanje, kar je še posebej pomembno, saj lahko zdravstveni dispečer, ki ima dovolj znanja, pravilno odreagira v dani situaciji in tako pozitivno vpliva na uspešnost celotne ekipe nujne medicinske pomoči. Zaključek: glede na ugotovitve bi predlagali bolj pogosto izvajanje strokovnih izobraževanj, poleg tega pa bi v strokovna izobraževanja vključili več terenskega in praktičnega dela, dodatno pozornost pa bi namenili še komunikaciji, množičnim nesrečam, pediatriji, nujnim stanjem in nujni medicinski pomoči.Introduction: the final work deals with the organization of professional training in the dispatch service of health care. The dispatch service of health care is part of the service of emergency medical care and is carried out in dispatch centers of health care. It receives emergency calls and activates the appropriate intervention teams as soon as possible. The work of a medical dispatcher is very important for successful operation of emergency medical care. Continuous training is required for health dispatchers. The person must complete a basic course and training for work before employment. The employee must renew the basic course every three years. These courses are prescribed in dispatch service rules of health care. The aim of the dissertation is to present the operation of the dispatch service of health care with an emphasis on the organization of professional education. Methods: in the empirical part of the thesis we used the quantitative survey method and statistical methods. We performed factor analysis, checked the strength of the correlation with the Spearman correlation coefficient, and analyzed the structural proportions. We surveyed fifty health dispatchers working in the dispatch centers in Ljubljana or Maribor. Our interest was the situation in the organisation field of professional education, its usefulness and the level of acquired knowledge after professional education. Results: Health dispatchers rate the organization of professional training as good, but they are not especially satisfied with it. We found out that good organization is statistically significantly related to the usefulness of professional education, the satisfaction of health dispatchers with professional education and the level of acquired knowledge. Discussion: Medical dispatchers are satisfied with the organization of professional training, but there is dissatisfaction in terms of the frequency of training and the ability to work independently after training. The better the health dispatcher assesses the organization, the more satisfied the person is with the training and the more useful it seems to them. In addition, the person better assesses their knowledge, which is of high importance, because a medical dispatcher with enough knowledge can react properly in a given situation and thus have a positive impact on the performance of the entire emergency medical team. Conclusion: according to the findings, we would suggest more frequent professional training, in addition to including more field and practical work in professional training, and additional attention should be paid to communication, mass accidents, pediatrics, emergencies and emergency medical care