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Experiencing stress among nurses during resuscitation procedure and legal obligations for healthcare workers in Slovenia
Anton Koželj, Maja Strauss, Matej Strnad, 2020, original scientific article

Abstract: Nurses are always part of the team that performs resuscitation procedures. In this paper the authors explore the influence that resuscitation procedures on nurses who perform them. For data collection, the authors used a survey with a convenience sample of nurses who work in emergency settings. For statistical processing of data, the authors used the calculation of frequency, standard deviation, means, and median. Authors used Spearman's rank correlation coefficient and calculated the p-value. The respondents in the survey completed the Post-Code Stress Scale. The results show that the majority of the respondents experienced resuscitation cases as burdensome situations; however, the level of stress was moderate. Nurses still experience some physical and psychological symptoms during resuscitations.
Keywords: basic life support, advanced life support, workloads, resuscitation team, feelings, healthcare worker
Published: 15.01.2021; Views: 98; Downloads: 11
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User violence against employees at nursing homes
Katarina Cesar, Liljana Rihter, Špela Selak, Branko Gabrovec, 2018, original scientific article

Abstract: Purpose: Earlier research has indicated the high exposure of those working in assisting occupations to workplace violence in Slovenia. The purpose of this study is to complement the research gap in investigating violence within social care and determine the types and extent of workplace violence among all employees in a social care institution, the influence of aggressive behaviour of users on the well-being of employees, and the need for education on dealing with the violence to which employees are being exposed. Design/Methods/Approach: Workplace violence was researched quantitatively using a descriptive method. We used a structured survey questionnaire, which was adapted using an existing questionnaire to research the occurrence of violent acts from users against employees at nursing homes and other social care institutions. Findings: The nursing home Dom ob Savinji Celje faces user violence against its employees. The most frequent form of violence against employees is verbal abuse (37.7% of respondents) and the least frequent is unwanted conduct of a sexual nature (5.2% of respondents). Workers employed in healthcare face user violence more often than employees in other fields. Employees most often face a certain form of user violence 1-2 times per year. When an employee meets an aggressive user, the most common emotions are fear, helplessness, uncertainty, feeling under threat, and least often a lack of understanding from fellow employees. Originality/Value: This study focuses on studying workplace violence within a social care institution and complements extant, yet inadequate scientific findings.
Keywords: nursing homes, workplace violence, healthcare, social care, social care institutions
Published: 18.05.2020; Views: 359; Downloads: 22
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Factors affecting the intentions to use RFID subcutaneous microchip implants for healthcare purposes
Borut Werber, Alenka Baggia, Anja Žnidaršič, 2018, original scientific article

Abstract: Background and Purpose: While there are many studies regarding the adoption of Radio Frequency Identification Devices (RFID), only a few of them deal with RFID subcutaneous microchip (RFID-SM) usage by individuals. After the first in vivo tests conducted on volunteers from 1998 to 2000, the use of RFID-SM in healthcare remains limited. This study examines the likelihood of adopting RFID-SM in healthcare from the end user’s point of view. Design/Methodology/Approach: The aim of this paper is to develop and evaluate the model for analysing the acceptance of RFID-SM adoption. An extended Technology Acceptance Model (TAM) for RFID-SM adoption is proposed and empirically tested in a cross-sectional study. Online survey was conducted using a convenience sample of 531 respondents. In addition to the three original components of TAM (Perceived Usefulness, Perceived Ease of Use, and Behavioural Intentions to Use), three external variables (Health Concerns, Perceived Trust, and Age) were also included in the model. The model was validated with confirmatory factor analysis and structural equation modeling techniques. Results: Perceived Usefulness has a significant impact on behavioural intentions to adopt RFID-SM in the future, while the influence of Perceived Ease of Use is not significant. The most influential external variable is Perceived Trust, indicating the lack of confidence in personal data security ensured by the state and other institutions. As expected, Health Concerns factor has a negative effect on the Perceived Trust and Perceived Usefulness of RFID-SM. Conclusion: The results of the empirical study prove that all external variables considered in the model significantly influence the RFID-SM adoption. The Perceived Ease of Use is irrelevant to the attitude towards the RFID-SM adoption. In addition to the proposed model, the analysis of gathered data shows that the positive attitude toward the use of RFID-SM in healthcare is rising.
Keywords: healthcare, microchip, Slovenia, RFID, TAM, SEM, Slovenia
Published: 10.10.2018; Views: 910; Downloads: 251
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Systems methodology for strategic decision-making in complex healthcare system
Tadeja Jere Lazanski, 2017, original scientific article

Abstract: Systems methodology as a support for strategic decision- making will be discussed in the paper. A society will be presented as a complex system, which is comprised of many smaller, complex systems as its component parts. The healthcare system is one of them. The support to the strategic decision-making in a healthcare system will be shown through systems thinking and systems modelling. We will develop models of a healthcare system in frame of a systems dynamics; a qualitative causal loop diagram (CLD), which helps us to discuss the challenges categorically and a quantitative model, which is a simulation model. Both models illustrate the discussed methodology.
Keywords: systems methodology, healthcare system, strategic decision-making, systems thinking, modelling
Published: 09.10.2018; Views: 695; Downloads: 54
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Different approaches to cross border mobility of patients in the European Union in Czechia, Slovakia and Poland
Filip Křepelka, 2016, original scientific article

Abstract: Poland and Slovakia are neighbour countries with similar history and socioeconomic conditions. They share heritage of socialized healthcare. Nevertheless, they adopted different policies towards promotion of patients´ mobility in the European Union. Accession to coordination of social security establishing assistance for tourists was smooth. Providers offer quality care for good prices. Foreign patients come to all three countries. Right for reimbursement of treatment intentionally sought across borders was created by the Court of Justice already before their accession. Nevertheless, they already decided on the Patients´ directive. Czechia supported it, Slovakia abstained and Poland refused. Numerous Poles seek treatment abroad and ask for its reimbursement, while implementing legislation barely complies and authorities are tight-fisted. Few Slovaks do it in accordance with rules adopted with cautiousness. Czechs ignore this opportunity despite official benevolence. Quality of healthcare, various price-setting and peculiarities of public financing explain this difference.
Keywords: European Union, free movement of services and goods, medical tourism, public financing of healthcare, patients' rights
Published: 09.10.2018; Views: 434; Downloads: 45
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Supervision of medical activities
Grega Strban, 2016, original scientific article

Abstract: It is investigated what kind of supervision could be exercised over medical activities in order to ensure the highest attainable quality of healthcare and access to medical services. To this end rights and especially duties of healthcare providers, definitions of sickness and effective healthcare provision, as well as various supervisory mechanisms and procedures for enforcing the rights, are analysed. It is argued that legal definitions of sickness and effective healthcare provision, stricter supervisory mechanisms and a single, legally regulated professional complaint procedure are required de lege ferenda.
Keywords: healthcare provision, sickness, mandatory health insurance, supervision, complaint proceedings, judicial review
Published: 08.10.2018; Views: 392; Downloads: 40
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Patient safety in cross-border care
Eva Turk, Stephen Leyshon, Morten Pytte, 2015, original scientific article

Abstract: Patient safety is a right and it raises particular issues in the context of cross-border care. Patients should be able to have trust and confidence in the healthcare structure as a whole; they must be protected from the harm caused by poorly functioning health systems, medical errors and adverse events. This paper addresses the state of cross-border healthcare in the European Union, the state of patient safety, the question of quality assurance and the role of accreditation as a risk based approach.
Keywords: patient safety, cross-border care, accreditation, healthcare, EU
Published: 08.10.2018; Views: 386; Downloads: 56
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Implementing quality indicators for diabetes and hypertension in family medicine in Slovenia
Zalika Klemenc-Ketiš, Igor Švab, Tonka Poplas-Susič, 2017, original scientific article

Abstract: Introduction: A new form of family practices was introduced in 2011 through a pilot project introducing nurse practitioners as members of team and determining a set of quality indicators. The aim of this article was to assess the quality of diabetes and hypertension management. Methods: We included all family medicine practices that were participating in the project in December 2015 (N=584). The following data were extracted from automatic electronic reports on quality indicators: gender and specialisation of the family physician, status (public servant/self-contracted), duration of participation in the project, region of Slovenia, the number of inhabitants covered by a family medicine practice, the name of IT provider, and levels of selected quality indicators. Results: Out of 584 family medicine practices that were included in this project at the end of 2015, 568 (97.3%) had complete data and could be included in this analysis. The highest values were observed for structure quality indicator (list of diabetics) and the lowest for process and outcome quality indicators. The values of the selected quality indicators were independently associated with the duration of participation in the project, some regions of Slovenia where practices were located, and some IT providers of the practices. Conclusion: First, the analysis of data on quality indicators for diabetes and hypertension in this primary care project pointed out the problems which are currently preventing higher quality of chronic patient management at the primary health care level.
Keywords: family practices, healthcare quality indicator, diabetes mellitus, hypertension, Slovenia
Published: 03.11.2017; Views: 749; Downloads: 271
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Key economic parameters for an optimal pharmacy network in a regulated environment
Franjo Mlinarič, Žan Oplotnik, Boštjan Brezovnik, 2016, original scientific article

Abstract: Pharmacies are an integral part of the modern healthcare system which strives for a holistic and efficient care. General practitioners and pharmacists are held in high esteem among local communities as they are the first point of contact when people have health issues. However, a strong demand for health services in developed countries and its present financing schemes undermined the sustainability of the whole health system (8.9% of GDP in 2013 and growing). According to WHO and EU recommendations, the whole healthcare system shall accept a holistic approach and focus on education, prevention and proper medicine consume. Part of this strategy is a seamless care concept, where medical doctors and pharmacists build a team around the well-being of a patient. Financing scheme incentives and KPIʼs (key performance indicators) will be focused on keeping people healthy, instead of paying for procedures. The future healthcare ecosystem obliges pharmacists to optimize network coverage and to extend health services. Nevertheless, their growth strategy needs to be gradual, considering the present level of network coverage, the low pace of private and public expenditures for medicine and services, and the fact that a new financing model for pharmacies is still unknown. Thus, we expect the development of pharmacy network in regulated environment to be financed predominantly from retained earnings in publicly owned pharmacies and by awarding pharmacy concessions.
Keywords: financial health, financing pharmacy growth, pharmacy network coverage, healthcare outcomes
Published: 14.07.2017; Views: 748; Downloads: 66
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