48 KB218 KB45 KB200220262011Kydd, AngelaSkela-Savič, Brigitaštevilka:letn. 50str. 286-296letnik:št. 4ISSN:0351-0026COBISSID:67862785URN:URN:NBN:SI:doc-86CD6WWFenInštitut za varovanje zdravja Republike SlovenijeZdravstveno varstvoProfesionalni razvojSvetovni trendiZdravstvena negaNursing knowledge as a response to societal needs| a framework for promoting nursing as a profession| izhodišča za prepoznavanje zdravstvene nege kot profesije| Znanje medicinskih sester kot odziv na potrebe družbe|Introduction: As the population needs for health care at the local level become integrated into the global context, nurses are given the opportunity to make a significant contribution to the modernization of the healthcare system and gain importance and recognition from the political perspective. Nursing today is confronted with the needs and demands of both healthy and ill populations - these can be the result of changing demographics, new technologies, a growing awareness of the rights and voiced expectations of service users etc. Slovenian nurses have the opportunity to make a significant contribution to the modernization of the Slovenian healthcare system. This can be achieved by learning from the experiences of other countries and by exploring and addressing existing aspects of the need to gain professional status. Methods: A review of the international literature indexed in the CINAHL database was performed for the period January - August 2010. The key phrases used were: "nursing skills and knowledge", "nursing future and politics", "nursing future and responsibility", "nursing future andleadership". We used only abstracts in English. A total of 343 abstracts were retrieved and assessed. All abstracts that did not include issues relatedto the importance of nursing knowledge and the importance of connecting nursing knowledge with patient needs were excluded. Twenty-two articles in total were included. A qualitative synthesis of the conclusions from each of the articles included was conducted, from which content codes were generated. The codes were then placed into content categories. Results: Forty-seven qualitative codes were identified and semantically divided into 7 categories: public perception of nurses and the importance of knowledge; awareness at the personal and professional levels; adapting health care skills and knowledge, and the number of health care professionals, to future needs; importance of new nursing skills and knowledge, and of skill transfer; research as the source of new knowledge and development; assuming responsibility for conducting evidence-based nursing; emphasizing cooperation and communication. Discussion: Based on the established qualitative categories in our research, we developed an explanatory model that is a good starting point for reflecting on where nursing is today and where it should beheading in the future, and is recommended for nurses, nursing managers, deans of nursing colleges, officials in nursing associations and others. Research findings are especially relevant for countries in which nursing is currently a poorly developed scientific discipline and in which steps need to be taken fast to promote knowledge development and the role of nurses in societyUvod: Lokalno raven potreb prebivalstva po zdravstveni obravnavi umeščamo v globalni kontekst, kar medicinskim sestram ponuja priložnost, da pomembno prispevajo k modernizaciji zdravstvenega sistema in s tem postanejo potrebne in prepoznavne tudi politično. Zdravstvena nega se v današnjem času sooča s potrebami in zahtevami zdrave in bolne populacije, ki so posledica demografskih trendov, razvoja tehnologije, vedno večjega zavedanja pravic in izraženih pričakovanj uporabnikov storitev ipd. Slovenske medicinske sestre imajo priložnost, da pomembno pispevajo k modernizaciji zdravstvenega sistema.To lahko dosežejo z učenjem in s spoznavanjem izkušenj tujih držav terz raziskovanjem in s prepoznavanjem dejavnikov, ki so potrebni za pridobitev statusa profesije. Metoda: Izbrali smo metodo pregleda literature v obdobju od januarja do avgusta 2010. Uporabili smo bazo CINAHL, napredno iskanje, Boolov logični operator AND , omejitev v letih in polna besedila člankov. Poslužili smo se več ključnih besednih zvez: nursing skills and knowledge , nursing future and politics , nursing future and responsibility , nursing future and leadership . Skupno smo dobili 343 zadetkov ter pregledali izvlečke teh člankov. Med njimi smo izbrali tiste, ki so obravnavali podobno raziskovalno vprašanje. V pregled smo tako uvrstili 22 člankov, pri raziskovanju pa uporabili metodo kvalitativne sinteze oblikovanjakategorij na osnovi pregledanih spoznanj raziskovalcev v znanstvenih člankih. Rezultati: Identificirali smo 47 kod, ki smo jih vsebinsko združili v 7 kategorij: javna podoba medicinskih sester in pomen znanja; zavedanje na ravni osebe in na ravni strokovnjaka; znanje in število kadrov v zdravstvu prilagoditi potrebam v prihodnosti; potrebne nove razsežnosti znanja v zdravstveni negi in prenos pristojnosti; raziskovanje kotvir novega znanja in razvoja; prevzemanje odgovornosti za izvajanje na dokazih podprte zdravstvene nege; usmerjenost v sodelovanje in komuniciranje.Razpravljanje: Na osnovi oblikovanih kvalitativnih kategorij smorazvili pojasnjevalni model, ki je dobra osnova za refleksijo na današnje razmere v zdravstveni negi in kaže, kakšna naj bo vloga zdravstvene nege v prihodnosti z vidika potreb zdrave in bolne populacije. Model predstavlja priporočila za medicinske sestre, managerje v zdravstveni negi, dekane visokošolskih zavodov, predstavnike združenj idr. Rezultati pregleda literature so zlasti pomembni za države, v katerih je zdravstvena nega slabo razvita znanstvena disciplina in kjer bodo potrebni hitri premiki v smeri razvoja znanja v zdravstveni negi in pri oblikovanju vloge medicinskih sester v družbiTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaInštitut za varovanje zdravja RS