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1.
Beliefs and viewpoints of family medicine physicians on approaches to identify and treat medically unexplained symptoms
Vojislav Ivetić, Tonka Poplas-Susič, Klemen Pašić, Polona Selič-Zupančič, 2016, original scientific article

Keywords: medicinsko nepojasnjena stanja, stres, družinska medicina, odnos zdravnik – bolnik, somatizacija
Published in DKUM: 09.04.2024; Views: 76; Downloads: 3
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The impact of psychological interventions with elements of mindfulness on burnout and well-being in healthcare professionals : a systematic review
Polona Selič-Zupančič, Zalika Klemenc-Ketiš, Sara Onuk Tement, 2023, review article

Abstract: Background Healthcare professionals are highly likely to experience various causes of work-related stress, which often leads to burnout. This became even more obvious during the Covid-19 pandemic. This systematic review aimed to analyze articles where psychological interventions with elements of mindfulness (PIM) were used to support healthcare professionals to foster well-being and reduce burnout levels. Compared to other recently published reviews, it is unique, due to its focus on a wide group of healthcare professionals, a broader selection of psychological interventions, and the evaluation of any sustained effects. Methods Systematic searches were carried out in February 2021 with different combinations of Boolean operators within six electronic databases: PubMed, EBSCOhost, MEDLINE, PsycArticles, Cochrane Library, JSTOR and Cobiss. We included articles that had been published in the last ten years (2011 to 2021) and which reported on original research focused on evaluating the influence of PIM on healthcare professionals. MERSQI was used to assess the quality of the included studies. Results Of 1315 identified studies, 15 were included in this systematic review. Regardless of the specific type, duration and setting (individual vs group) of PIM applied, the results demonstrated a positive impact on well-being and burnout in participating healthcare professionals. The most studied interventions involved MBSR (mindfulness-based stress reduction) and other mindfulness training programmes, in online as well as in-person versions. Conclusion Given the new reality with the presence of the SARS-Cov-2 virus, it is of the utmost importance to offer feasible, effective interventions for burnout reduction to vulnerable groups of healthcare professionals. By focusing on their needs, several key aspects of burnout and mindfulness could be efficiently improved; this review demonstrates that short, online interventions could be as effective as longer, in-person ones.
Keywords: mindfulness, burnout, perceived stress, well-being, Covid-19, MBSR
Published in DKUM: 26.03.2024; Views: 106; Downloads: 4
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Umor kot skrajni izid stopnjevanega nasilja v družini
Polona Selič-Zupančič, 2003, published professional conference contribution

Keywords: družina, profiliranje, poligrafska metoda, poligrafska preiskava, krvni delikti, nasilje, umori, žrtve
Published in DKUM: 19.03.2024; Views: 562; Downloads: 5
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The effect of an educational intervention in family phisicians on self-rated quality of life in patients with medically unexplained symptoms
Vojislav Ivetić, Klemen Pašić, Polona Selič-Zupančič, 2017, original scientific article

Abstract: Introduction: Medically unexplained symptoms (MUS) are very common in family medicine, despite being a poorly-defined clinical entity. This study aimed to evaluate the effect of an educational intervention (EI) on self-rated quality of life, treatment satisfaction, and the family physician-patient relationship in patients with MUS. Methods: In a multi-centre longitudinal intervention study, which was performed between 2012 and 2014, patients were asked to rate their quality of life, assess their depression, anxiety, stress and somatisation, complete the Hypochondriasis Index, the Medical Interview Satisfaction Scale and the Patient Enablement Instrument for assessing the physician-patient relationship, before and after the EI. Results: The mean values before and after the intervention showed that after the EI, patients with MUS gave a lower (total) mean rating of their health issues and a higher rating of their quality of life, and they also had a more positive opinion of their relationship with the physician (p<0.05). However, there were no differences in the (total) rating of treatment satisfaction before and after the EI (p=0.423). Significant differences in the symptoms in patients with MUS before and after the intervention were confirmed for stress, somatisation and hypochondriasis (p<0.05). Conclusions: It could be beneficial to equip family physicians with the knowledge, skills and tools to reduce hypochondriasis and somatisation in MUS patients, which would improve patients’ self-rated health status.
Keywords: medically unexplained symptoms, family medicine, educational intervention, quality of life, treatment satisfaction, family physician-patient relationship
Published in DKUM: 06.04.2017; Views: 1788; Downloads: 392
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Burnout among Slovenian family medicine trainees : a cross-sectional study
Polona Selič-Zupančič, Tea Stegne Ignjatović, Zalika Klemenc-Ketiš, 2012, original scientific article

Abstract: Background: Burnout as a distinct work-related syndrome is established by the combination of high scores for emotional exhaustion (EE) and depersonalisation(D), and a low score for personal accomplishment (PA). The aim of the study was to assess the prevalence of burnout among Slovenian family medicine trainees and the influence of the socio-demographic characteristics on burnout assessment. Methods: The study included 127 family medicine trainees in a modular part of the residency in the study year 2008/09. A self-administered questionnaire addressed the socio-demographic variables (age, gender, marital status, and years of practice and labour details - number of patients per day, number of night shifts per month); the second part consisted of the Slovenian version of the Maslach Burnout Inventory. Results: The responses were received from 117 trainees (92 % response rate). In terms of burnout, 45.9 % respondents scored high for EE, 43.1 % for high D, and 45.9 % for low P, with 18.3 % scoring high burnout in all three dimensions, 27.5 % in two dimensions, 24.8 % in one dimension and only 29.4% id not score high for burnout in any dimension at al. A high EE wassignificantly associated with frequent work in the emergency unit (four times per month) and age; a higher D was associated only with frequent work inthe emergency unit (four times per month), whereas a low PA was not associated with any of the variables studied. Conclusions: The prevalence of burnout syndrome among family medicine trainees is high and consistent with data from other studies among the physicians worldwide using the same instrument. Family medicine trainees are at risk of burnout regardless of their demographic characteristics. Increased workload affects EE and D.
Keywords: professional burnout, family practice, psychological stress, workloads
Published in DKUM: 27.03.2017; Views: 1724; Downloads: 159
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Strategije omejevanja kaznivega dejanja zanemarjanja otrok : magistrsko delo
Katja Reya, 2012, master's thesis

Abstract: Zanemarjanje je opustitev dejanja ali vedenja, s katerim odgovorni odrasli zadostijo otrokovim telesnim, čustvenim, intelektualnim in drugim potrebam, ki varujejo otroka in mu omogočajo ustrezen razvoj. Vključuje tudi neprimerno, pomanjkljivo nadzorovanje in varovanje otroka pred vsem, kar mu lahko škodi. O zanemarjanju ne govorimo, kadar je razlog zanj revščina. Na osnovi pregleda domače in tuje literature, svetovnega spleta in policijske statistike smo na kratko opredelili pojavne oblike zlorabljanj in zanemarjanj otrok, njihove posledice, navedli podatke o pogostosti tovrstnih kaznivih dejanj v Sloveniji ter predstavili glavne akterje njihovega omejevanja. To so predvsem policija, centri za socialno delo, vzgojno-izobraževalne institucije, zdravstvene službe, pravosodje, mediji in nevladne organizacije. Pri njihovem delu se pojavljajo številne težave in omejitve. Z metodo vprašalnika smo na centrih za socialno delo in policiji preverili, kako poteka preiskovanje in obravnavanje primerov zanemarjanja otrok. Preverili smo tudi, kakšno je pri tem medsebojno sodelovanje služb, ki delujejo na tem področju, ali določene primere smatrajo za zanemarjanje ali ne, ter ali menijo, da imajo dovolj pooblastil za ukrepanje. Pridobljene odgovore smo obdelali s programom Statistical Package for the Social Sciences. Ugotovili smo, da imajo zaposleni na centrih za socialno delo in policiji, ki so na vprašalnik odgovarjali, dovolj pooblastil za ukrepanje, njihovo medsebojno sodelovanje ocenjujejo kot dobro. Najpogostejše žrtve zanemarjanja so otroci stari 6 let in več. Strategije omejevanja smo razdelili na tiste, katerih rezultat je pomemben, učinkovit pred pojavom kaznivega dejanja zanemarjanja otrok, in tiste, katerih po pojavu. Za uspešno omejevanje kaznivega dejanja zanemarjanja otrok je v prvi vrsti potrebno vzpostaviti stalno in učinkovito sodelovanje med vladnimi in nevladnimi institucijami.
Keywords: pravno varstvo, otroci, kazniva dejanja, zanemarjanje otrok, preprečevanje, omejevanje, policija, centri za socialno delo, sodelovanje, vprašalniki, analize, magistrska dela
Published in DKUM: 11.07.2012; Views: 3645; Downloads: 332
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