20.500.12556/DiRROS-29825 Dejavniki, ki vplivajo na dobro počutje medicinskih sester v enotah intenzivne terapije sistematični pregled literature Factors affecting the well-being of nurses in intensive care units a systematic review Uvod: Dobro počutje medicinskih sester v enotah intenzivne terapije je ključno za zagotavljanje kakovostne zdravstvene oskrbe in dolgoročno vzdržnost kadra. Zaradi visoke delovne obremenitve, moralne stiske in čustvenih izzivov so sestre izpostavljene povečanemu tveganju za izgorelost. Namen raziskave je bil analizirati dejavnike, ki vplivajo na njihovo dobro počutje.Metode: Izveden je bil sistematični pregled literature po smernicah PRISMA. Iskanje je potekalo v bazah PubMed, CINAHL in ScienceDirect za obdobje 2015–2025. Vključene so bile kvalitativne, kvantitativne in raziskave mešanih metod, ki obravnavajo dobro počutje medicinskih sester v enotah intenzivne terapije. Analizirane raziskave so bile obdelane skladno z načinom tematske analize po Braun in Clarke. Rezultati: V končno analizo je bilo vključenih sedem raziskav. Identificirani so bili trije ključni dejavniki: (1) organizacijska podpora (npr. delovna obremenitev, izmensko delo, kultura vodenja), (2) psihološka odpornost (npr. stres, izgorelost, timska podpora) in (3) duhovna odpornost (npr. občutek smisla, notranja stabilnost, reflektivna praksa). Interakcija teh dejavnikov pomembno vpliva na poklicno vzdržljivost in zadovoljstvo pri delu.Diskusija in zaključek: Dobro počutje medicinskih sester v enotah intenzivne terapije zahteva celosten pristop, ki presega zgolj preprečevanje izgorelosti. Priporočamo razvoj integriranih strategij, ki vključujejo psihološko in duhovno podporo, optimizacijo delovnega okolja ter trajnostne organizacijske ukrepe. Ugotovitve nudijo podlago za nadaljnje raziskave in oblikovanje praks, osrediščenih na krepitev psihološke odpornosti zaposlenih. ntroduction: The well-being of nurses in intensive care units (ICUs) is crucial for maintaining high-quality patient care and long-term workforce sustainability. Due to heavy workloads, moral distress, and emotional challenges, ICU nurses are at increased risk of burnout. The aim of this review is to analyse the factors affecting their emotional, mental, and spiritual well-being.Methods: A systematic literature review was conducted following the PRISMA guidelines. The literature search was performed in the PubMed, CINAHL, and ScienceDirect databases for publications from 2015 to 2025. Included studies employed qualitative, quantitative, or mixed-method designs and focused on ICU nurses' well-being. The studies were analysed in accordance with the thematic analysis approach described by Braun and Clarke.Results: Seven studies were included in the final analysis. Three core themes emerged: organisational support (e.g. workload, shift work, leadership culture), psychological stability (e.g. stress, burnout, team cohesion), and spiritual resilience (e.g. sense of meaning, inner stability, reflective practice). The interaction of these factors significantly affects nurses' professional resilience and job satisfaction.Discussion and conclusion: Supporting ICU nurses' well-being requires a holistic approach that goes beyond addressing burnout. Integrated strategies are recommended, including psychological and spiritual support, improved working conditions, and sustainable institutional policies. The findings provide a foundation for further research and the development of interventions focused on enhancing nurses’ resilience and overall well-being. psihološka odpornost izgorelost stres na delovnem mestu duhovno dobro počutje intenzivna terapija psychological resilience burnout occupational stress spiritual well-being critical care nursing true false true Zbornica zdravstvene in babiške nege Slovenije, Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije Slovenski jezik Angleški jezik https://obzornik.zbornica-zveza.si:8443/index.php/ObzorZdravNeg/index Neznano 2026-06-07 10:32:43 2026-06-07 10:32:43 2026-06-08 03:45:28 0000-00-00 00:00:00 2026 0 0 str. 104-111 suppl. 1 Letn. 60 2026 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 2026-06-01 614.253.5:159.944 1318-2951 10.14528/snr.2026.60.Suppl.1.3327 280377347 https://doi.org/10.14528/snr.2026.60.Suppl.1.3327 1 75f1f54a-624b-11f1-9215-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=44851 https://obzornik.zbornica-zveza.si:8443/index.php/ObzorZdravNeg/article/view/3327 1 753e9723-624b-11f1-9215-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=44850 WEB_obzornik_2026-60-2_Cerni_.pdf WEB_obzornik_2026-60-2_Cerni_.pdf 1 B4CD482B51571FBC60B858DAED637032 0e4c7d68a1f0247438e455b724eb5e0f881991788c0935a9890e839138a4f236 91434bf1-624b-11f1-9215-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=44852 Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije 0 0 0