HEALTH RISK FACTORS OF DISTRICT NURSES

Patronažno varstvo zajema izredno pestro simptomatiko in problematiko. Potrebe po patronažni zdravstveni negi se po napovedih še povečujejo. Trendi sodobne družbe usmerjajo oskrbo posameznika tako, da ostane v domačem okolju čim dlje aktiven, zdrav in sposoben samooskrbe. Več vrst nasilja, promet in vremenske razmere, pravočasnost informacij ter neprimerno delovno okolje so dejavniki tveganja, ki smo jih v naši magistrski nalogi izpostavili in se v raziskavi tudi izkažejo za obremenjujoče. Patronažne medicinske sestre največkrat doživijo verbalno nasilje (93 %), sledi nasilje, povzročeno s strani hišnih ljubljenčkov, ter nato fizično nasilje. Več kot polovica sodelujočih je vsaj enkrat doživela nasilje tudi izven doma pacienta, na parkirišču ali dvorišču posameznika. Kljub temu pa nasilje ni izpostavljeno kot najbolj pereč problem, kar nas napeljuje k sklepu, da ga ne prepoznamo ali pa ga sprejemamo kot del naše družbe in službe. Mnogo bolj je izpostavljena problematika uporabe lastnega vozila za delo na terenu, neprepoznavnost, neprimerna obleka in obutev ter neprilagojeno okolje za izvajanje zdravstveno negovalnih intervencij. Moteči dejavniki so tudi slab pretok informacij ter slabo medpoklicno in tudi timsko sodelovanje. Na vsakem delovnem mestu obstajajo določeni dejavniki tveganja, ki jih ni moč odpraviti v celoti. Z izboljšanjem pretoka informacij, enotnim informacijskim sistemom in večjo prepoznavnostjo patronažnih medicinskih sester bi se nekaterim lahko izognili. Same lahko pridobivajo dodatna znanja, se izobražujejo in nabirajo izkušnje. Urejeno zasebno življenje in skrb za lastno zdravje ter dobro psihofizično kondicijo ravno tako pripomore k boljšemu počutju in morda k boljšim reakcijam na jeznega/nasilnega pacienta. Vendar na določene situacije in dogodke nimamo vpliva. Posameznik namreč še vedno ostaja edinstven, kot tak pa tudi izredno zanimiv in hkrati nepredvidljiv.Community nursing covers extremely diverse symptoms and issues. While the need for community nursing care is projected to increase, contemporary trends in society favour care of the individual at home for as long as possible where he or she can remain active, healthy and self-sufficient. Several types of violence, traffic, weather conditions, timeliness of information, and inadequate working environment are risk factors that are presented in this master thesis and they. Community nurses often experience verbal abuse (93%), followed by violence caused by pets, and then physical violence. More than half of respondents at least once experienced violence outside the home of a patient in a parking lot or yard. Since violence is not the most pressing problem, we tend to conclude that it is either not recognized or it is accepted as part of our society and services. Other more prominent problems are use of one’s own vehicle for fieldwork, unrecognisability, inadequate clothing and footwear, and inadequate environment for the implementation of health care interventions. Furthermore, the bad flow of information and poor interpersonal professional collaboration and teamwork hamper the work of nurses. In every workplace there are certain risk factors that cannot be eliminated entirely, but by improving the flow of information, integrating information systems, and offering a higher recognition of community nurses, certain risk factors could effectively be avoided. Nurses can gain additional knowledge and accumulate experience by their own initiative. Regulated private lives and care for their own health and psychophysical condition also contribute to their wellbeing and perhaps may promote better reactions to angry or violent patients. However, certain circumstances are beyond anyone’s control. Individuals are unique, and as such, both extremely interesting and unpredictable at the same time