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1.
Well-being and satisfaction of nurses in Slovenian hospitals : a cross-sectional study
Mateja Lorber, Sonja Treven, Damijan Mumel, 2020, izvirni znanstveni članek

Opis: Introduction: Well-being is one of the most important factors in whether nurses decide to remain in the nursing profession. This study aims to examine well-being and satisfaction among nurses working in Slovenian hospitals and to identify the related demographic factors. Methods: This descriptive cross-sectional study uses standardised instruments. The sample included 640 nurses working in Slovenian hospitals. The difference between individual variables were analysed using the Mann-Whitney and Kruskal-Wallis tests. Results: Nurses self-assessed their satisfaction and well-being as moderate. Forty-seven per cent of nurses were satisfied with their job, 49% assessed their psychological well-being as good, 52% were often exposed to stress at the workplace and 30% were always exposed to stress at the workplace. Levels of job satisfaction (p=0.031), psychological well-being (p=0.029) and subjective well-being (p=0.014) were found to differ significantly according to level of education, while levels of job satisfaction (p=0.005), life satisfaction (p<0.001), psychological well-being (p<0.001) and subjective well-being (p<0.001) were also found to differ according to years of nursing service and from hospital to hospital (p<0.001). Conclusions: The key finding of the study is that nurses are moderately satisfied with their work and life and that they display moderate levels of psychological and subjective well-being. Hospitals can be successful and achieve the goals of the organisation if their employees are satisfied with work and enjoy good levels of well-being. Hospital management have to recognise the importance of ensuring that nurses and other employees are satisfied and healthy.
Ključne besede: hospitals, nurses, satisfaction, health
Objavljeno v DKUM: 28.01.2025; Ogledov: 0; Prenosov: 6
.pdf Celotno besedilo (480,56 KB)
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2.
Zadovoljstvo zaposlenih v zdravstveni in babiški negi oddelka za perinatologijo v povezavi s pojavom sindroma izgorelosti
Klavdija Lesnika, 2024, magistrsko delo

Opis: Uvod: Zaposleni v zdravstveni in babiški negi spadajo v skupino poklicev, ki so v intenzivnem razmerju dela z žensko, otrokom in družino. Srečujejo se z obremenjujočim delovnim okoljem, ki ima vpliv na zadovoljstvo in proces izgorevanja. Namen zaključnega dela je ugotoviti stopnjo in razloge zadovoljstva zaposlenih v povezavi s sindromom izgorelosti. Metode: V teoretičnem delu je uporabljena deskriptivna metoda dela. Empirični del temelji na kvantitativni metodologiji. Kot raziskovalni instrument sta bila uporabljena anketna vprašalnika za oceno zadovoljstva (MSQ) in stopnjo izgorelosti (CBI). Raziskava je potekala med zaposlenimi na Oddelku za perinatologijo terciarne ravni zdravstvenega varstva. Dobljeni podatki so bili statistično obdelani in analizirani z Microsoft Excel 2013 in IBM SPSS 29.0. Rezultati: Rezultati kažejo, da so zaposleni navedli zmerno raven zadovoljstva na delovnem mestu. Nezadovoljstvo se je izražalo v politiki dela ustanove, plačilu in količini dela. Udeleženci so navedli nizko stopnja izgorelosti. Torej obstaja statistično pomembna povezava med zadovoljstvom na delovnem mestu in pojavom izgorelosti (p < 0,001). Razprava in Zaključek: Nezadovoljstvo zaposlenih predstavlja višjo možnost razvoja sindroma izgorelosti, s čimer vpliva na obravnavo žensk, otrok in družin. Potrebno je iskanje strategij obvladovanja stresa in osveščanje o sindromu izgorelosti med zaposlenimi v zdravstveni in babiški negi.
Ključne besede: babica, medicinska sestra, perinatologija, zadovoljstvo pri delu, izgorelost na delovnem mestu
Objavljeno v DKUM: 21.01.2025; Ogledov: 0; Prenosov: 15
.pdf Celotno besedilo (1,25 MB)

3.
Zadovoljstvo z oskrbo v domovih za starejše
Mateja Sever, 2024, magistrsko delo

Opis: Namen zaključnega dela je bil ugotoviti stopnjo zadovoljstva starejših v domovih za starejše z domsko oskrbo v avstrijski štajerski regiji. Metode: Uporabljena je bila deskriptivna metoda dela. Raziskava je temeljila na kvantitativni metodologiji raziskovanja na podlagi anketnega vprašalnika med 207 starejšimi v dveh domovih starejših v avstrijski štajerski regiji. Pridobljeni podatki so bili analizirani s pomočjo opisne statistike, t-testom, ANOVA testom ter Pearsonovim koeficientom korelacije. Rezultati:. Ugotovljena je bila visoka stopnja zadovoljstva med bivanjem v domski oskrbi, saj so anketiranci visoko ocenjevali vse dejavnike zadovoljstva, ki so od najvišje ocenjenega v padajočem vrstnem redu »čistoča in higiena« (SD = 4,6), z enako stopnjo ocenjeni (SD = 4, 4) »hrana in pijača«, »bivanje in življenje«, »aktivnosti in prireditve« ter »zaposleni«, z enako stopnjo (SD = 4,3) jim sledijo »sprejem in vtis«, »spremljanje, oskrba, nega« ter »splošno zadovoljstvo«. Nekoliko nižjo povprečno oceno (SD = 4,1) je prejel dejavnik »komunikacija in informacije«, najnižjo povprečno oceno (SD = 4,0) pa sta prejela dejavnika »atmosfera in dobro počutje« ter »bivanje in življenje«. Statistično značilne razlike v zadovoljstvu starejših med raziskovalnima ustanovama niso bile ugotovljene (p = 0,133). Prav tako niso bile ugotovljene statistične razlike v zadovoljstvu z življenjem glede na glede na spol (p = 0,554) in starost (p = 0,108). Razprava in sklep: Zavedanje pomena zadovoljevanja potreb starejših znotraj domov starejših naj bo tudi v prihodnje pomembna odskočna deska za njihovo uresničevanje, s ciljem zadovoljstva starejših, ki iz različnih razlogov ne morejo bivati doma.
Ključne besede: kakovost, E-Qalin, oskrba, zadovoljstvo, domovi za starejše
Objavljeno v DKUM: 21.01.2025; Ogledov: 0; Prenosov: 10
.pdf Celotno besedilo (980,81 KB)

4.
Pojavnost izpuščene zdravstvene nege v času epidemije COVIDA-19
Sara Bedenik, 2024, diplomsko delo

Opis: Uvod: Pojavnost izpuščene zdravstvene nege je pomemben kazalnik kakovosti zdravstvene oskrbe, katerega povečanje med pandemijo lahko vpliva na varnost pacientov in zadovoljstvo zdravstvenih delavcev. Namen raziskave je bil raziskati pojavnost izpuščene zdravstvene nege med epidemijo COVIDA-19. Metode: Pregled literature je bil izveden v skladu s smernicami PRISMA. Iskalna strategija je vključevala uporabo ključnih besed za iskanje relevantnih člankov v podatkovnih bazah PubMed, CINAHL in Cochrane Library. Vključeni so bili raziskovalni članki in sistematični pregledi, ki so obravnavali kvalitativne, kvantitativne ter mešane metode in so bili objavljeni do junija 2023. Rezultati: Ugotovljeno je bilo, da se je pojavnost izpuščene zdravstvene nege med epidemijo COVIDA-19 večinoma obdržala na enaki ravni ali rahlo povečala v primerjavi z obdobjem pred epidemijo. Na osnovi vsebinske analize so bile identificirane tri teme sekundarnega nivoja: dejavniki, ki privedejo k izpuščeni zdravstveni negi, izpuščene aktivnosti zdravstvene nege in posledice izpuščene zdravstvene nege. Najpogosteje izpuščene aktivnosti so gibanje 3-krat dnevno oz. po naročilu, obračanja pacienta na 2 uri, ustna nega, emocionalna podpora in poučevanje pacienta. Povečanje izpuščene zdravstvene nege je bilo povezano z dejavniki, kot so pomanjkanje kadra, stresno delovno okolje in slaba komunikacija. Razprava in zaključek: Epidemija COVIDA-19 je izpostavila težave v zdravstvenem sistemu, zlasti izpuščeno zdravstveno nego. Pomembne naloge, kot so gibanje, obračanje, čustvena podpora in izobraževanje pacientov, so bile pogosto zanemarjene. Izboljšanje delovnega okolja in komunikacije je ključno za boljšo kakovost oskrbe
Ključne besede: izpuščena zdravstvena nega, epidemija COVIDA-19, pojavnost izpuščene zdravstvene nege
Objavljeno v DKUM: 16.01.2025; Ogledov: 0; Prenosov: 5
.pdf Celotno besedilo (972,89 KB)

5.
Immersive technology and hand hygiene : scoping review
Dominika Muršec, Sonja Šostar-Turk, Urška Rozman, Mateja Lorber, Nino Fijačko, Dominika Vrbnjak, 2024, pregledni znanstveni članek

Opis: Background The use of immersive technology in healthcare education is on the rise, yet its impact on learner engagement, knowledge retention, and specifically in areas like hand hygiene training, remains underexplored. The aim of this scoping review was to summarize the existing studies of immersive technology in hand hygiene training of healthcare providers and health professions students. Methods A scoping review following the Levac et al. framework was conducted. The literature search was performed in databases PubMed, CINAHL Ultimate, ScienceDirect (Elsevier), Web of Science in addition to Google Scholar and ProQuest Dissertation & Theses. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis: Extension for Scoping Reviews (PRIMSA-ScR) guideline was used to report the results. We analysed data using tabular and descriptive summary. Results In the final analysis 11 studies from seven countries were included. Most of the studies (n = 10, 90,91%) used virtual reality in hand hygiene training of healthcare providers and health professions students. Most studies have found that immersive technology is useful in teaching hand hygiene (n = 6, 54,55%). There are some theories and concepts that support the teaching of hand hygiene with immersive technology, but most of the research is not supported by them. Theories or concepts were included in two studies (18,18%). Conclusion Immersive technology, especially virtual reality, enhances hand hygiene learning and engagement compared to traditional methods. However, most studies lack theoretical support. To advance this field, exploring immersive technology for further research and incorporating relevant theories is encouraged. Additionally, conducting a thorough cost-effectiveness analysis and establishing a robust evaluation framework, encompassing both short-term and long-term outcomes, will be beneficial for a comprehensive understanding of the impact of immersive technology in hand hygiene education.
Ključne besede: immersive technology, hand hygiene, usefulness, theory, concept
Objavljeno v DKUM: 27.11.2024; Ogledov: 0; Prenosov: 4
.pdf Celotno besedilo (1,52 MB)
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6.
The role of visualization in estimating cardiovascular disease risk : scoping review
Adrijana Svenšek, Mateja Lorber, Lucija Gosak, Katrien Verbert, Zalika Klemenc-Ketiš, Gregor Štiglic, 2024, pregledni znanstveni članek

Opis: Background: Supporting and understanding the health of patients with chronic diseases and cardiovascular disease (CVD) risk is often a major challenge. Health data are often used in providing feedback to patients, and visualization plays an important role in facilitating the interpretation and understanding of data and, thus, influencing patients’ behavior. Visual analytics enable efficient analysis and understanding of large datasets in real time. Digital health technologies can promote healthy lifestyle choices and assist in estimating CVD risk. Objective: This review aims to present the most-used visualization techniques to estimate CVD risk. Methods: In this scoping review, we followed the Joanna Briggs Institute PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. The search strategy involved searching databases, including PubMed, CINAHL Ultimate, MEDLINE, and Web of Science, and gray literature from Google Scholar. This review included English-language articles on digital health, mobile health, mobile apps, images, charts, and decision support systems for estimating CVD risk, as well as empirical studies, excluding irrelevant studies and commentaries, editorials, and systematic reviews. Results: We found 774 articles and screened them against the inclusion and exclusion criteria. The final scoping review included 17 studies that used different methodologies, including descriptive, quantitative, and population-based studies. Some prognostic models, such as the Framingham Risk Profile, World Health Organization and International Society of Hypertension risk prediction charts, Cardiovascular Risk Score, and a simplified Persian atherosclerotic CVD risk stratification, were simpler and did not require laboratory tests, whereas others, including the Joint British Societies recommendations on the prevention of CVD, Systematic Coronary Risk Evaluation, and Framingham-Registre Gironí del COR, were more complex and required laboratory testing–related results. The most frequently used prognostic risk factors were age, sex, and blood pressure (16/17, 94% of the studies); smoking status (14/17, 82%); diabetes status (11/17, 65%); family history (10/17, 59%); high-density lipoprotein and total cholesterol (9/17, 53%); and triglycerides and low-density lipoprotein cholesterol (6/17, 35%). The most frequently used visualization techniques in the studies were visual cues (10/17, 59%), followed by bar charts (5/17, 29%) and graphs (4/17, 24%). Conclusions: On the basis of the scoping review, we found that visualization is very rarely included in the prognostic models themselves even though technology-based interventions improve health care worker performance, knowledge, motivation, and compliance by integrating machine learning and visual analytics into applications to identify and respond to estimation of CVD risk. Visualization aids in understanding risk factors and disease outcomes, improving bioinformatics and biomedicine. However, evidence on mobile health’s effectiveness in improving CVD outcomes is limited.
Ključne besede: cardiovascular disease prevention, risk factors, visual analytics, visualization, mobile phone, PRISMA
Objavljeno v DKUM: 26.11.2024; Ogledov: 0; Prenosov: 1
.pdf Celotno besedilo (435,60 KB)

7.
Mobile applications for learning hand hygiene : a comparative analysis
Dominika Muršec, Adrijana Svenšek, Lucija Gosak, Sonja Šostar-Turk, Urška Rozman, Gregor Štiglic, Mateja Lorber, 2024, pregledni znanstveni članek

Opis: Infection control is crucial for high-quality patient care. One of the most effective and commonly used infection control procedures is hand hygiene which, it is known, requires repeated refresher training. There are many ways to educate healthcare professionals about hand hygiene, including the use of mobile applications (apps). Our aim is to review such hand hygiene apps, and to identify which have been available since 2021 and to assess their quality. We conducted a review using the PRISMA diagram to document our app selection process in the Google Play Store and Apple store in March 2024. For the evaluation of apps, we used the user version of the Mobile Application Rating Scale questionnaire (uMARS). Of 16 apps only five adhere to WHO hand hygiene guidelines. Timers were included in 12 of the 16 apps and reminders were included in 10 of 16 apps. The highest overall uMARS scoring app was Give Me 5–Hand Hygiene (4.31 ± 0.28), while Wash your hands! (1.17 ± 0.14) had the lowest score. We found that more than half of the apps were unavailable from the 2021 review. We believe that app-based education could effectively sustain hand hygiene knowledge in healthcare settings.
Ključne besede: hand hygiene, innovative education, WHO
Objavljeno v DKUM: 25.11.2024; Ogledov: 0; Prenosov: 2
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8.
Long-term impact of community psychiatric care on quality of life amongst people living with schizophrenia : a systematic review
Jožica Černe Kolarič, Anja Plemenitaš Ilješ, Darja Kraner, Vida Gönc, Mateja Lorber, Nataša Mlinar Reljić, Zvonka Fekonja, Sergej Kmetec, 2024, pregledni znanstveni članek

Opis: The review examines the long-term impact of community psychiatric care on improving the quality of life of people with schizophrenia. It addresses the global burden of this disorder and the need for effective community-based care strategies. A systematic literature search was conducted in databases such as CINAHL, Medline, Web of Science, Sage and ScienceDirect, with the search lasting until March 2024 and following the PRISMA guidelines. The inclusion criteria targeted studies that addressed the long-term effects of community mental health care for people aged 18 years and older with schizophrenia and included both quantitative and qualitative research designs. Studies unrelated to the research question or with significant methodological flaws were excluded. The risk of bias was assessed using GRADE and GRADECERqual, in addition to critical appraisal using the Joanna Briggs Institute (JBI) checklists. Independent screening and data extraction was performed, with results summarised by thematic analysis. In total, 11 studies met the inclusion criteria and included cross-sectional, cohort, qualitative and randomised controlled trial designs. The results showed that community psychiatric care significantly improves the quality of life, well-being and social integration of people with schizophrenia. Effective interventions identified include psychoeducation, cognitive behavioural therapy, social skills training and individualised care plans. However, challenges such as limited resources, labour shortages and social stigma, particularly in low-income neighbourhoods, were also identified. This study highlights the importance of continuous, personalised, multidisciplinary community-based care for sustainable mental health outcomes. Further research is recommended to investigate the long-term impact and strategies to overcome implementation challenges.
Ključne besede: schizophrenia, quality of life, community, psychiatric care, patient, systematic review
Objavljeno v DKUM: 22.11.2024; Ogledov: 0; Prenosov: 4
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9.
Person-centred care: a support strategy for managing non-communicable diseases
Mateja Lorber, Nataša Mlinar Reljić, Barbara Kegl, Zvonka Fekonja, Gregor Štiglic, Adam Davey, Sergej Kmetec, 2024, izvirni znanstveni članek

Opis: Background: Over the last decade, the inadequacy and unsustainability of current healthcare services for managing long-term co-morbid and multi-morbid diseases have become evident. Methods: This study, involving 426 adults with at least one non-communicable disease in Slovenia, aimed to explore the link between quality of life, life satisfaction, person-centred care, and non-communicable disease management. Results: Results indicated generally positive perceptions of quality of life, general health, and life satisfaction of individuals with non-communicable diseases. Participants assessed their physical health as the highest of the four quality of life domains, followed by the environment, social relations, and psychological health. Significant differences occurred in life satisfaction, general health, quality of life, and person-centred care for managing non-communicable diseases. But, there were no significant differences in person-centred care according to the living environment. The study revealed a positive association between person-centred care and effective non-communicable disease management, which is also positively associated with quality of life, general health, and life satisfaction. Conclusions: Person-centred care is currently the most compassionate and scientific practice conceived, representing a high ethical standard. However, implementing this approach in healthcare systems requires a cohesive national strategy led by capable individuals to foster stakeholder collaboration. Such an approach is crucial to address the deficiencies of existing healthcare services and ensure person-centred care sustainability in non-communicable disease management.
Ključne besede: person-centred care, non-communicable disease, quality of life, life satisfaction
Objavljeno v DKUM: 22.11.2024; Ogledov: 0; Prenosov: 2
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10.
Etične dileme zdravstvenih delavcev pri pacientih s kronično nenalezljivimi boleznimi v paliativni oskrbi
Katja Najžar, 2024, diplomsko delo

Opis: Uvod: Etične dileme so pomemben del sodobne zdravstvene nege. Zaradi njihove kompleksnosti je njihovo prepoznavanje težje. Na dolgi rok se pri zaposlenih v zdravstveni negi kot posledica etičnih dilem lahko pojavijo utrujenost zaradi sočutja, izgorelost in nezadovoljstvo z delom. Namen zaključnega dela je raziskati etične dileme, s katerimi se srečujejo zdravstveni delavci pri oskrbi pacientov s kronično nenalezljivimi boleznimi. Metode: Izveden je bil sistematičen pregled literature. Uporabljena je bila iskalna strategija z določenimi ključnimi besedami in kriteriji za vključitev in izključitev člankov. Pregledane so bile podatkovne baze PubMed, CINAHL, SAGE in Web of Science; sledili smo smernicam PRISMA ter uporabili narativno sintezo. Rezultati: V analizo in sintezo je bilo vključenih šest raziskav. Najpogostejše dileme vključujejo vprašanja dostojanstva, avtonomije pacientov, komunikacije o diagnozah in prognozah ter odmerjanja zdravil v paliativni sedaciji. Ugotovljeno je bilo, da etične dileme pogosto vodijo v moralno stisko in stres zdravstvenih delavcev, še posebej v okoljih z omejenimi viri in podporo. Razprava in zaključek: Etične dileme so v paliativni oskrbi pogoste in močno vplivajo na zdravstvene delavce. Ključnega pomena je pravočasno vključevanje pacientov v paliativno oskrbo, jasna komunikacija in spoštovanje avtonomije pacientov. Izobraževanje in podpora zdravstvenim delavcem lahko pripomoreta k boljši obravnavi etičnih dilem. Priporočljivo je nadaljnje raziskovanje in razvoj strategij za prepoznavanje in reševanje etičnih dilem za zmanjšanje obremenitev zdravstvenih delavcev.
Ključne besede: etične dileme, zdravstveni delavci, paliativna oskrba
Objavljeno v DKUM: 18.11.2024; Ogledov: 0; Prenosov: 45
.pdf Celotno besedilo (641,31 KB)

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