THE IMPORTANCE OF TEACHING CARDIOPULMONARY RESUSCITATION IN NURSING

Ko se pojavi srčni zastoj, preživi manj kot 20 % hospitaliziranih pacientov. Kljub posodobitvam smernic za oživljanje in razvoju tehničnih pripomočkov za oživljanje je smrtnost pri zastoju srca in dihanja še vedno prevelika. Izvajanje oživljanja ni rutinsko delo in se ne izvaja tako pogosto kot ostalo vsakodnevno delo zdravstvenih delavcev. Je izjemno stresna situacija, saj je od pravočasnih in strokovno pravilnih reakcij zdravstvenega osebja odvisno pacientovo življenje. Namen magistrskega dela je predstaviti pomen širše opredeljenega izobraževanja oživljanja na področju zdravstvene nege. Metodologija raziskovanja. Raziskava temelji na kvantitativni metodologiji. V vzorec raziskave smo vključili izvajalce zdravstvene nege, zaposlene v eni izmed splošnih bolnišnic v Sloveniji. Podatke smo zbirali s pomočjo metode spletnega anketiranja, preko katerega je bilo razposlanih 110 elektronskih povabil za sodelovanje v raziskavi. Statistično obdelavo in prikaz empiričnih podatkov smo izvedli s programoma SPSS Statistics 17.0 in Microsoft Office Excel 2007. Rezultati. Več kot polovica (55 oz. 67 %) izvajalcev zdravstvene nege ocenjuje kot zelo potrebno vključevanje različnih vidikov v izobraževanje s področja oživljanja. 38 oz. 46 % izvajalcev zdravstvene nege pa meni, da je potrebno izvajati obnavljanje izobraževanja s področja oživljanja na 1 leto. Rezultati raziskave kažejo, da se izvajalci zdravstvene nege zavedajo pomena kontinuiranosti in širšega pristopa kot dveh aspektov pripravljenosti za ohranjanje pravočasnega in učinkovitega izvajanja postopkov oživljanja v realnih situacijah. Posledično se zavedajo, da takšen način izobraževanja pripomore k njihovemu strokovnemu in profesionalnemu delu na področju oživljanja. Sklep. Dolžnost izvajanja oživljanja je del poklicne obveznosti zdravstvenega delavca. Pri izvajanju te dolžnosti je nedopustno, da pride do poslabšanja zdravstvenega stanja pacienta ali celo smrti zaradi nepoznavanja nalog v timu za oživljanje, pomanjkanja znanja s področja oživljanja ali strahu pred nepoznavanjem uporabe defibrilatorja in ostale opreme za oživljanje. S širšim in kontinuiranim izobraževanjem s področja oživljanja v zdravstveni ustanovi lahko vplivamo na zmanjševanje pojava omenjenih napak in na pravočasno in učinkovito izvedeno izvajanje oživljanja. S takšnim načinom dela lahko nudimo vitalno ogroženemu pacientu po srčnem zastoju optimalno možnost preživetja.At the occurrence of a cardiac arrest, less than 20 % of hospitalized patients survive. Despite the updated guidelines in the area of cardiopulmonary resuscitation and the more developed resuscitation technical devices the mortality due to respiratory and heart arrest remains too high. An event of resuscitation is not routine work and does not occur as often as the rest of the daily work in nursing care. It is an extremely stressful experience because a patient\u27s life depends on the timely and professionally adequate reactions of health professionals. The aim of this master\u27s thesis is to present the importance of broader aspects of teaching cardiopulmonary resuscitation in nursing. Research methodology. The research is based on quantitative methodology. The research sample comprised of nurses with one of the general hospitals in Slovenia. A web-based survey method was used. 110 electronic invitations for participation in research were sent out altogether. The data were statistically processed using the SPSS Statistics 17.0, and Microsoft Office Excel 2007 programmes. The Results. Fifty-five nurses (67 %) considered the involvement of various aspects of education in the field of resuscitation very necessary. Thirty-eight nurses (46 %) believe that it is necessary to implement refreshment courses of education and training in the field of resuscitation on a yearly basis. Results of the survey show that they are aware of the importance of continuity and broader approach as two aspects of increasing their knowledge and improving their skills of cardiopulmonary resuscitation in real situations. They are also aware that such a manner of education contributes to their expertise, and professional work in the field of resuscitation. Conclusion. The duty of cardiopulmonary resuscitation is a part of the professional obligations of all health professionals. When implementing these obligations, the lack of knowledge of individual roles in a resuscitation team, lack of knowledge in the field of resuscitation or fear of insufficient skills using a defibrillator and/or other equipment for resuscitation leading to deterioration of a patient’s health or even their death, are inadmissible. A narrower and continuous training in the field of resuscitation within medical institutions can have a positive impact on reducing the occurrence of these errors and can influence the timely, as effective as possible and successful implementation of resuscitation procedures. Such a method of work can help us provide our patients the optimum chance of survival following a cardiac arrest