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Yıl:2015; Cilt: 16; Sayı: 6>> Özet
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Anadolu Psikiyatri Dergisi; 2015;16(6):420-425
Psikiyatrik bakımda nitelik ve güvenliği sağlamada bir kurumun rolü
B Gabrovec, B Lobnikar
National institute of Public Health, Slovenia
Amaç: Hastadan psikiyatri sağlık bakımı çalışanlarına yönelen şiddet yaygın bir olgudur. Bu alanda çalışanlar çeşitli şiddet türleriyle karşılaşır (sözel, cinsel, yaralanmalarla sonuçlanan fiziksel şiddet). Yöntem: Bu çalışma yapılan-dırılmış bir anket aracılığıyla deneysel olmayan bir örnekleme yöntemi kullandı. Örneklemi, en sık şiddete uğrayan çalışanlar olduğu için, Slovenya’daki beş psikiyatri hastanesindeki (üç psikiyatri, iki özel eğitim merkezi) kapalı ve/veya psikiyatrik yoğun bakım birimlerinde çalışan hemşireler oluşturdu. Bulgular: Özellikle ilk kabul servisle-rinde, yoğun bakım birimi ve kapalı birimlerde çalışan psikiyatrik bakım elemanları hasta saldırganlığıyla karşılaşan-lar içinde saldırganlığa en çok uğrayanlardır. Tartışma: Talihsiz olayın ardından şiddet patlaması protokollerini oluş-turmada, güvenliği sağlamak için gerekli önlemleri almada, sistematik eğitim modelleri yaratarak kurumsal güvenlik kültürü kurulmasında kurumun etkisi vardır.
The Analysis of the Role of an Institution in Providing Safety and Quality in Psychiatric Health Care
Objective: Patient induced violence directed at the psychiatric health care staff is a common occurrence. The staff are confronted with various types of violence (verbal, sexual, frequently physical violence with resulting injuries). Methods: This study utilized a non-experimental sampling method, with its instrument being a structured question-naire. The sample covered the personnel most frequently exposed to violence, namely, the nursing staff in closed and/or intensive psychiatric units in five Slovenian psychiatric hospitals, three psychiatric homes and two special education, and work and care centers. Results: Psychiatric health care staff, especially those working in reception wards, intensive care and closed units, are the most exposed of all the stakeholders faced with patient induced aggression. Conclusion: The institution has an influence on the establishment of organizational safety culture by creating systematic training models, taking necessary precautions to ensure safety and forming violent outbursts protocols during after the unfortunate event

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