The impact of shift and night work on the quality of paramedics

Reševalci so kot izvajalci zdravstvene nege vezani na izmensko delo in zagotavljajo neprekinjeno zdravstveno oskrbo tako čez dan kot tudi ponoči. To pa je le možno samo, če reševalci delajo 24 ur na dan. Za večino so spremembe, ki so neločljivo povezane z izmenskim delom oz. nočnim delom neželeno breme nad katerim pa nimajo nadzora. Izmensko in nočno delo je resen problem za izvajalce zdravstvenega varstva, dejavnik tveganja za številne bolezni in eden izmed razlogov za menjavo delovnega mesta. Nočna izmena ima fizične, psihične in socialne posledice na življenje posameznika – tudi na reševalce. Namen diplomskega dela je dognati značilnosti in posledice izmenskega in nočnega dela ter njegov vpliv na telesno in zdravstveno stanje reševalcev ter z raziskavo ugotoviti posledice izmenskega dela na kvaliteto življenja reševalca. Rezultati raziskave so pokazali, da izmensko delo v veliki meri vpliva na kvaliteto življenja reševalcev. V največji meri vpliva na pojav nespečnosti, nezmožnosti opravljanja in sodelovanja pri vsakdanjih opravilih po nočni izmeni ter ima velik vpliv tudi na telesno težo posameznika. Vpliv pa se odraža tudi na opravljanje dela, saj reševalcem nočno delo velikokrat predstavlja stres. V nočnem času se v večji meri pojavijo konflikti med zdravstvenim osebjem in pacienti in nestrpnost do pacientovih želja in potreb zaradi utrujenosti in izčrpanosti. Nočno delo reševalcev je potrebno zaradi zagotavljanja in izvajanja neprekinjene nujne medicinske pomoči. Potekati mora pod pogoji, ki jih zahteva stroka in na način, da reševalci, ki delajo ponoči ne postanejo invalidi že v začetku njihove poklicne poti. Spremeniti je potrebno predvsem stališče družbe in tudi odnos uporabnikov zdravstvenih storitev, ki prihajajo v nočnem času po »za njih« nujno medicinsko pomoč. Predvsem zaradi spoštovanja uporabnikov zdravstvenih storitev do nočnega dela reševalcev.Paramedics and other related health workers are taking shift work for providing continuous medical care during day and night. This is possible only if the paramedics working 24 hours a day. For most of all are changes that are closely connected with shift work or night work unwanted burden above which do not have control. Shift and night work is a serious problem for health care providers, a risk factor for many diseases and one of the reasons for the changing workplace. Night shift has physical, psychological and social impact on the lives of individuals - even on paramedics. Purpose of this study is to find out the nature and consequences of shift and night work and its impact on the physical and health condition and with a survey determine the effects of shift work on the quality of paramedic’s life. Research results have shown that shift work has a major impact on the quality of life of paramedics. The greatest impact has on the development of insomnia, disability and participation in daily activities after a night shift and a great impact has on the individual\u27s body weight. The impact is also reflected in the performance of work because night work often represents stress for the paramedics. A result also has shown that at night time largely arise conflicts between medical staff and patients and appearance of intolerance to patients care needs because of tiredness and exhaustion. Night work is necessary for providing an ongoing medical emergency. It must be carried out under the conditions required by the profession and in the way that paramedics which work at night do not become disabled at the beginning of their careers. There must be some changes in the mind of society and especially the attitude of users of health services, which came at night time for "them" medical emergencies. Mainly users of health services must show some respect for those who are working at night at an emergency