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首页> 外文会议>International Technology, Education and Development Conference >(1264) IMPORTANCE OF SAFETY-LEARNING ELEMENTS IN MANAGEMENT SYSTEM OF NURSING HOMES IN ESTONIA
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(1264) IMPORTANCE OF SAFETY-LEARNING ELEMENTS IN MANAGEMENT SYSTEM OF NURSING HOMES IN ESTONIA

机译：（1264）爱沙尼亚护理家园管理系统中安全学习要素的重要性

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Introduction: The number of ageing people in the world is increasing. In the future societies it is needed to create new opportunities for elderly people to live fulfilling lives. A lot of elder people have multiple illnesses and need long-term care in nursing homes. In addition, the nursing homes need to reorganize their system of management and implement new conceptions of high quality care and human interaction, where the co-operation between employees and patients creates a more fulfilling living and working environment. Health care organizations are facing the problem of finding employees with the proper education for working in this field. Employers themselves need to organize the training and education of care workers in the workplace. Care workers need to know about ergonomics of the lifting work etc., other risks (including psychological) connected with communicating with the elderly; the patients’ and their own safety. Employers need to create a work environment which more profoundly takes into consideration the needs of patients as well as the staff to be able to provide a quality care which satisfies the elderly. The purpose of the study is to investigate the improvement of the safety management system through its three main internal components: collaboration, commitment and learning from mistakes, with the final aim for the system being effective in nursing homes. Methodology: In the first part of our study the Nordic Safety Climate Questionnaire (NOSACQ-50) was implemented. The questions were categorized by four factors: commitment, learning, collaboration and influence of the management. The analyses were performed with IBM SPSS Statistics 24. The following statistical methods were used: correlation, MANOVA and Factor Analysis Principal Component. Second part of our research includes experiment; we organized simulation training and investigated how care workers learn and share safety values and knowledge in workplace. Third part included interviews with care workers about learning process, especially learning from mistakes at the workplace and it was asked about the support to workers from the side of managers. Results: Our results show positive correlations between the following factor scales: commitment and learning (p<0.01; r=0.600), learning and collaboration (p<0.01; r=0.668); and commitment and collaboration (p<0,01; r=0.752). Our results show that if the employees learn from the experience not to repeat the same mistakes, they feel themselves securely working at their workplaces. Our findings prove that in order to provide good care, the managers need to change the organizational culture from a punitive and blaming direction to that of justice and shared responsibility rather than working individually, in which errors are attributed to the deficiencies in the care system. Conclusion: The role of the management is to educate the employees to learn from the mistakes done earlier and not to repeat the same mistakes again. The most important value of the current paper is impressed in the managers’ creation of the human resources considering work environment for the staff. The management is directed towards the evidence that there is an urgent shortage of qualified nursing staff in Estonia. The new elements for training proposed in this study is simulation of advanced work methods, regular surveillance of the safety climate in the workplace, sharing good experience of other similar institutions visited by the managers.
机译：介绍：世界上老化的人数正在增加。在未来的社会中，需要为老年人创造新的机会，以实现实现生活。很多老年人有多种疾病，需要在护理家庭中长期护理。此外，护理社需要重新组织其管理系统，实施高质量护理和人类互动的新概念，员工与患者之间的合作创造了更具充实的生活和工作环境。医疗保健组织正面临着在该领域工作的适当教育找到员工的问题。雇主自己需要组织工作场所的护理工作者的培训和教育。护理工作者需要了解举起工作的人体工程学等，其他风险（包括心理）与老年人交流;患者和自己的安全。雇主需要创造一个更深刻的工作环境，考虑到患者的需求以及员工能够提供满足老年人的优质护理。该研究的目的是通过三个主要内部组成部分来调查安全管理系统的改善：从错误的犯罪协作，承诺和学习，并在养老院中有效的最终目标。方法论：在我们研究的第一部分，实施了北欧安全气候调查问卷（NoSacq-50）。这些问题被四个因素分类：管理，学习，协作和管理的影响。通过IBM SPSS统计数据进行分析24.使用以下统计方法：相关性，MANOVA和因子分析主成分。我们研究的第二部分包括实验;我们组织了仿真培训，并调查了如何在工作场所学习和分享安全价值观和知识的关怀。第三部分包括关于学习过程的护理工作者的访谈，特别是从工作场所的错误学习，并被询问对管理人员一侧的工人的支持。结果：我们的结果显示了以下因子秤之间的正相关：承诺和学习（P <0.01; r = 0.600），学习和协作（P <0.01; r = 0.668）;和承诺和协作（P <0,01; r = 0.752）。我们的结果表明，如果员工从不重复同样的错误的经验中学习，他们觉得自己在工作场所牢牢工作。我们的调查结果证明，为了提供良好的照顾，管理人员需要将组织文化从惩罚性和责任方向改变到正义和共同责任，而不是单独工作，因为错误归因于护理系统中的缺陷。结论：管理层的作用是教育员工从早些时候做出的错误中学习，而不是再次重复同样的错误。本文最重要的纸张价值在管理人员创造人力资源的建立中留下了深刻的印象，考虑工作人员的工作环境。管理层旨在证明爱沙尼亚合格的护理人员紧急短缺。本研究提出的培训的新内容是对先进的工作方法进行仿真，定期监测工作场所的安全气候，分享经理访问其他类似机构的良好体验。

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