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Title:Optimizacija oskrbe pacientov v onkološki zdravstveni negi na podlagi McGillovega sodelovalnega modela
Authors:ID Masten, Valentina (Author)
ID Milić, Tamara (Author)
ID Petrovič, Matic (Author)
ID Prosen, Mirko (Author)
ID Ličen, Sabina (Author)
Files:URL URL - Source URL, visit https://revijaonkologija.si/Onkologija/article/view/586
 
URL URL - Source URL, visit https://doi.org/10.25670/oi2025-010on
 
.pdf PDF - Presentation file, download (3,32 MB)
MD5: 5FF57BC6D60E421DE2B9CB0452A770FB
 
Language:Slovenian
Typology:1.01 - Original Scientific Article
Organization:Logo OI - Institute of Oncology
Abstract:Izhodišča: McGillov model zdravstvene nege je celostni, sodelovalni pristop, ki poudarja aktivno vlogo pacienta, vključevanje bližnjih in krepitev psihosocialne podpore. Kljub uveljavljenosti v mednarodnem prostoru njegova uporaba v slovenski klinični praksi še ni bila raziskana. Namen raziskave je bil ovrednotiti, v kolikšni meri medicinske sestre na področju onkološke zdravstvene nege uporabljajo pristope McGillovega modela, ki vključujejo sodelovanje pacientov, vključevanje družinskih članov in krepitev psihosocialne podpore. Metode: V kvantitativni presečni raziskavi je bilo k sodelovanju povabljenih približno 400 medicinskih sester, zaposlenih na področju onkološke zdravstvene nege. Vprašalnik je pričelo izpolnjevati 166 oseb, od tega ga je popolnoma izpolnilo 126 (odzivnost 31,5 % glede na populacijo medicinskih sester zaposlenih na področju onkološke zdravstvene nege). Večina anketirancev je bila ženskega spola (77,8 %). Povprečna starost anketirancev je bila 37,71 leta (s = 8,07) s povprečno delovno dobo na področju onkološke zdravstvene nege 9,66 leta (s = 7,93). Analiza je temeljila le na popolnoma rešenih vprašalnikih. Podatke smo zbrali z novo razvito lestvico, ki temelji na McGillovem sodelovalnem modelu. Anketiranci so trditve ocenjevali na petstopenjski lestvici, ki meri pogostost izvajanja pristopov ali stopnjo strinjanja z izjavo. Izvedli smo eksploratorno in konfirmatorno faktorsko analizo, Wilcoxonove in Mann–Whitneyjeve teste ter Spearmanovo korelacijo. Rezultati: Faktorska analiza je potrdila tri konstrukte, ki pojasnjujejo 65,3 % skupne variance (KMO = 0,896; Bartlett p < 0,001). Empirične mediane vseh treh konstruktov so bile statistično značilno višje od teoretičnih (p < 0,001), kar pomeni, da so anketiranci poročali o uporabi pristopov McGillovega modela. Anketiranci z dostopom do pisnih protokolov ali organizacijsko podporo so dosegali višje rezultate (p < 0,001). Ugotovljene so bile zmerne do visoke pozitivne korelacije med uporabo pristopov in zaznavo izboljšanja oskrbe ter psihosocialnega stanja onkoloških pacientov (p < 0,001). Zaključek: Rezultati potrjujejo, da se v onkološki zdravstveni negi pogosto uporabljajo pristopi McGillovega modela, kar pozitivno sovpada z zaznanim izboljšanjem kakovosti oskrbe. Model ima potencial za širšo in bolj formalizirano implementacijo v klinično prakso.
Keywords:McGillov model zdravstvene nege, medicinske sestre, onkološka zdravstvena nega, psihosocialna podpora, sodelovanje pacienta
Publication status:Published
Publication version:Version of Record
Publication date:01.12.2025
Place of publishing:Ljubljana
Publisher:Onkološki inštitut Ljubljana
Year of publishing:2025
Number of pages:str. 6-14
Numbering:Letn. 29, št. 2
Source:Ljubljana
PID:20.500.12556/DiRROS-25479 New window
UDC:616-083
ISSN on article:1408-1741
DOI:10.25670/oi2025-010on New window
COBISS.SI-ID:263126275 New window
Copyright:by Authors
Note:Soavtorji: Milić Tamara, Petrović Matic, Prosen Mirko, Ličen Sabina;
Publication date in DiRROS:21.01.2026
Views:183
Downloads:121
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Record is a part of a journal

Title:Onkologija
Shortened title:Onkologija
Publisher:Onkološki inštitut
ISSN:1408-1741
COBISS.SI-ID:65324032 New window

Licences

License:CC BY 4.0, Creative Commons Attribution 4.0 International
Link:http://creativecommons.org/licenses/by/4.0/
Description:This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.

Secondary language

Language:English
Title:Optimising patient care in oncology nursing using the McGill Model of Nursing
Abstract:Background: The McGill Model of Nursing is a holistic, collaborative approach that emphasises the active role of the patient, the involvement of the family and the strengthening of psychosocial support. Although it has been established in the international literature, its implementation in Slovenian clinical practise has not yet been systematically investigated. The aim of this study was to investigate the extent to which oncology nurses apply the principles of the McGill Model, including patient participation, family involvement and psychosocial support. Methods: Approximately 400 nurses working in the field of oncology nursing were invited to participate in this quantitative cross-sectional study. A total of 166 began the questionnaire and 126 completed it in full (response rate 31.5 %). Most of the respondents were female (77.8 %). Their mean age was 37.71 years (s = 8.07), with a mean length of professional experience in oncology nursing of 9.66 years (s = 7.93). The analysis was based solely on fully completed questionnaires. Data was collected using a newly developed scale based on the McGill Model of Nursing and on a five-point frequency and agreement scale. Exploratory and confirmatory factor analyses were performed, as well as Wilcoxon signed-rank tests, Mann-Whitney U tests and Spearman correlations. Results: The factor analysis confirmed a three-factor structure explaining 65.3% of the total variance (KMO = 0.896; Bartlett’s p < 0.001). The empirical medians of all three constructs were significantly higher than the theoretical medians (p < 0.001), suggesting that respondents indicated the use of McGill Model approaches. Participants with access to written protocols or organisational support scored significantly higher (p < 0.001). Moderate to strong positive correlations were found between the use of these approaches and the perceived improvement in the quality of care and the psychosocial well-being of patients (p < 0.001). Conclusion: The results confirm that approaches based on the McGill Model are commonly used in oncological care and are positively associated with perceived improvements in quality of care. This model has the potential for wider and more formalised implementation in the clinical setting in Slovenia.
Keywords:McGill Model of Nursing, nurses, oncology nursing, psychosocial support, patient involvement


Collection

This document is a part of these collections:
  1. Onkologija : strokovni časopis za zdravnike

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