1. Interdependence of nursing staff work engagement, quality of workplace relationships and patient safetyHilda Maze, Sanja Zorić, Bojan Rosi, Branko Lobnikar, 2023, izvirni znanstveni članek Opis: Background and Purpose: Quality within a healthcare system does not comprise only actions defined through certificates or required by law, standards and protocols; it is also defined by the well-being of healthcare workers on the one hand and patients on the other. The purpose paper is to analyse the link between the engagement of nurses and factors related to enhancing patient quality and safety. Methods: The research involved 206 nursing employees from Slovenia’s general hospitals. The questionnaire con-sists of four sections: employee engagement, the measure of self-efficacy, statements referring to various tools and methods that are used in nursing in daily work and that contribute to the quality of work, interpersonal relationships in the workplace between different professional groups within medical treatment, and attitude towards changes.Results: Compared to other professions, nursing employees showed an above-average level of engagement. Younger respondents were more engaged in their work, and their self-efficacy level was higher. The frequency of using tools intended to enhance the quality of nursing correlates statistically typically and positively with self-effica-cy, engagement and willingness to accept change. The analysed factors are interdependent. Engagement results from workplace interactions; employees who feel better in their workplace will be more oriented towards the future, be more open to innovation, and use various tools and approaches to enhance the work’s quality.Conclusion: Analysed concepts are closely connected and interdependent. The findings are essential for the suc-cessful and efficient management of hospitals and for ensuring patient quality and safety.
Ključne besede: nursing, patient, engagement, quality, safety, self-efficacy
Objavljeno v DKUM: 08.10.2025; Ogledov: 0; Prenosov: 0
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2. Letter to the Editor: Best Practices on Public and Patient Involvement in Interprofessional Healthcare EducationRicardo J. O. Ferreira, Matilde Leal, Elsa Frazão Mateus, Lucija Gosak, Matthijs H. Bosveld, Cathy C. Kline, 2024, drugi znanstveni članki Ključne besede: healthcare education, public and patient involvement (PPI), healthcare students
Objavljeno v DKUM: 23.09.2025; Ogledov: 0; Prenosov: 4
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3. Family members’ experiences of everyday caregiving for a family member living with Parkinson’s disease: a qualitative thematic analysis studyZvonka Fekonja, Nadja Irgolič, Dominika Vrbnjak, 2024, izvirni znanstveni članek Opis: Background: In the daily life of individuals living with Parkinson's disease, their loved ones are crucial. Adapting family members to the patient's condition, support in providing care, and psychosocial adaptations is essential.
Aim: To explore family members' perception of everyday caregiving for a family member living with Parkinson's disease and to describe their role in the care and everyday life.
Methods: In a descriptive, qualitative thematic analysis study, semi-structured interviews were conducted with ten people between the ages of 20 and 70, the closest family members of people living with Parkinson's disease. The analysis of the collected data was carried out using thematic analysis.
Results: We generated the main theme: "Living with a family member with Parkinson's disease", with associated secondary-level sub-themes: "Response", "Change", "Care", and "Support". Family members of individuals living with Parkinson's disease frequently encounter similar life situations. The most notable transformation in their daily lives primarily revolves around adapting to various activities.
Conclusions: Family members are the ones who most often take on the role of caregiver and provide help to their loved ones. Many of them accept the disease as a part of everyday life and learn to live with it. It is of fundamental importance that we offer family members the necessary support, knowledge, and involvement in holistic treatment and care.
Ključne besede: Caregivers, Parkinson’s Disease, Family, Patients, Experiences, Patient care
Objavljeno v DKUM: 15.09.2025; Ogledov: 0; Prenosov: 8
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4. Cross-border provisional and protective measures for preserving of physician's funds subject to a liability claim in the EUUrška Kupec, 2022 Opis: Patients frequently opt for medical treatment outside the public health system. This means that the patient enters into a contract with an individual physician, which commits the physician to perform a medical procedure for the patient, and the patient undertakes to pay for this procedure. If the physician does not act with due diligence or does not achieve an outcome that they have explicitly committed to reach, a situation may arise where the patient has a monetary claim against the physician. If the physician does not repay the claim voluntarily, the patient has certain options available to ensure that their claim is forcibly repaid. In this paper, we deal with the position of the +patient as a creditor who does not yet have an enforceable title in relation to the physician and the debtor, and with a patient who already has such an enforceable title. The field of study is limited to the situation when Slovenian law applies for decision on the responsibility of a physician and patient wants to claim the funds that the physician has in bank accounts in the European Union.
Ključne besede: medicine law, liability claim, patient's rights, European Union
Objavljeno v DKUM: 04.09.2025; Ogledov: 0; Prenosov: 6
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5. Advancing cultural competence in healthcare system : insights on barriers and required measuresHelena Kristina Halbwachs, Helena Blažun Vošner, Marija Ovsenik, 2025, izvirni znanstveni članek Opis: Background/Purpose: Cultural competence in the healthcare system is a crucial strategy to ensure the availability, accessibility, acceptability, and quality of healthcare services. However, literature on the systemic implementation of this concept in the Central and Eastern European region is scarce. The aim of our study is to present insights into the barriers to cultural competence and measures for its advancement in the Slovenian healthcare system. Methods: We employed a qualitative methodology, conducting semi-structured interviews with professionals and experts in Slovenian healthcare system. Data was analysed by directed content analysis. Results: The identified barriers to cultural competence and measures for its advancement pertained to several areas, including staffing, information for healthcare users, multidisciplinary and multi-level approaches, data collection and research, communication possibilities and skills, legislative foundation, flexibility of the healthcare system, quality standards, and educational efforts and policies. Conclusions: In our study, we found that most barriers to cultural competence exist at the systemic and organizational level. Consequently, the measures identified to address these barriers should also be implemented at these levels. The first step towards achieving safer and more equitable healthcare services should involve incorporating the core principles of cultural competence into strategies and policies at both systemic and organizational levels of healthcare.
Ključne besede: cultural competency, patient diversity, obstacles, strategies, healthcare system
Objavljeno v DKUM: 07.08.2025; Ogledov: 0; Prenosov: 2
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7. Feasibility of a computerized clinical decision support system delivered via a socially assistive robot during grand rounds : a pilot studyValentino Šafran, Urška Smrke, Bojan Ilijevec, Samo Horvat, Vojko Flis, Nejc Plohl, Izidor Mlakar, 2025, izvirni znanstveni članek Opis: Aims and Objective: The aim of this study was to explore the feasibility, usability and acceptance of integrating Clinical Decision Support Systems with Socially Assistive Robots into hospital grand rounds. Background: Adopting Clinical Decision Support Systems in healthcare faces challenges such as complexity, poor integration with workflows, and concerns about data privacy and quality. Issues such as too many alerts, confusing errors, and difficulty using the technology in front of patients make adoption challenging and prevent it from fitting into daily workflows. Making Clinical Decision Support System simple, intuitive and user-friendly is essential to enable its use in daily practice to improve patient care and decision-making. Methods: This six-month pilot study had two participant groups, with total of 40 participants: a longitudinal intervention group (n =8) and a single-session evaluation group (n=32). Participants were medical doctors at the University Clinical Center Maribor. The intervention involved implementing a Clinical Decision Support System delivered via a Socially Assistive Robot during hospital grand rounds. We developed a system that employed the HL7 FHIR standard for integrating data from hospital monitors, electronic health records, and patient-reported outcomes into a single dashboard. A Pepper-based SAR provided patient specific recommendations through a voice and SAR tablet enabled interface. Key evaluation metrics were assessed using the System Usability Scale (SUS) and the Unified Theory of Acceptance, Use of Technology (UTAUT2) questionnaire, including Effort Expectancy, Performance Expectancy and open ended questions. The longitudinal group used the system for 6 months and completed the assessments twice, after one week and at the end of the study. The single-session group completed the assessment once, immediately after the experiment. Qualitative data were gathered through open-ended questions. Data analysis included descriptive statistics, paired t-tests, and thematic analysis. Results: System usability was rated highly across both groups, with the longitudinal group reporting consistently excellent scores (M =82.08 at final evaluation) compared to the acceptable scores of the single-session group (M =68.96). Extended exposure improved user engagement, reflected in significant increases in Effort Expectancy and Habit over time. Participants found the system enjoyable to use, and while no significant changes were seen in Performance Expectancy, feedback emphasized its efficiency in saving time and improving access to clinical data, supporting its feasibility and acceptability. Conclusions: This research supports the potential of robotic technologies to transform CDSS into more interactive, efficient, and user-friendly tools for healthcare professionals. The paper also suggests further research directions and technical improvements to maximize the impact of innovative technologies in healthcare.
Ključne besede: clinical decision support systems, clinical decision-making, hospital grand rounds, patient data integration, perceived quality of care, socially assistive robots, usability and familiarity, user experience questionnaire, workload reduction
Objavljeno v DKUM: 30.05.2025; Ogledov: 0; Prenosov: 3
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8. Weakly-supervised multilingual medical NER for symptom extraction for low-resource languagesRigon Sallauka, Umut Arioz, Matej Rojc, Izidor Mlakar, 2025, izvirni znanstveni članek Opis: Patient-reported health data, especially patient-reported outcomes measures, are vital for improving clinical care but are often limited by memory bias, cognitive load, and inflexible questionnaires. Patients prefer conversational symptom reporting, highlighting the need for robust methods in symptom extraction and conversational intelligence. This study presents a weakly-supervised pipeline for training and evaluating medical Named Entity Recognition (NER) models across eight languages, with a focus on low-resource settings. A merged English medical corpus, annotated using the Stanza i2b2 model, was translated into German, Greek, Spanish, Italian, Portuguese, Polish, and Slovenian, preserving the entity annotations medical problems, diagnostic tests, and treatments. Data augmentation addressed the class imbalance, and the fine-tuned BERT-based models outperformed baselines consistently. The English model achieved the highest F1 score (80.07%), followed by German (78.70%), Spanish (77.61%), Portuguese (77.21%), Slovenian (75.72%), Italian (75.60%), Polish (75.56%), and Greek (69.10%). Compared to the existing baselines, our models demonstrated notable performance gains, particularly in English, Spanish, and Italian. This research underscores the feasibility and effectiveness of weakly-supervised multilingual approaches for medical entity extraction, contributing to improved information access in clinical narratives—especially in under-resourced languages.
Ključne besede: low-resource languages, machine translation, medical entity extraction, NER, NLP, patient-reported outcomes, weakly-supervised learning
Objavljeno v DKUM: 19.05.2025; Ogledov: 0; Prenosov: 4
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9. Evaluating the benefits and implementation challenges of digital health interventions for improving self-efficacy and patient activation in cancer survivors : single-case experimental prospective studyUmut Arioz, Urška Smrke, Valentino Šafran, Maja Ravnik, Matej Horvat, Vojko Flis, Izidor Mlakar, 2025, izvirni znanstveni članek Opis: Cancer survivors face numerous challenges, and digital health interventions can empower them by enhancing self-efficacy and patient activation. This prospective study aimed to assess the impact of a mHealth app on self-efficacy and patient activation in 166 breast and colorectal cancer survivors. Participants received a smart bracelet and used the app to access personalized care plans. Data were collected at baseline and follow-ups, including patient-reported outcomes and clinician feedback. The study demonstrated positive impacts on self-efficacy and patient activation. The overall trial retention rate was 75.3%. Participants reported high levels of activation (PAM levels 1–3: P = 1.0; level 4: P = 0.65) and expressed a willingness to stay informed about their disease (CASE-Cancer factor 1: P = 0.98; factor 2: P = 0.66; factor 3: P = 0.25). Usability of the app improved, with an increase in participants rating the system as having excellent usability (from 14.82% to 22.22%). Additional qualitative analysis revealed positive experiences from both patients and clinicians. This paper contributes significantly to cancer survivorship care by providing personalized care plans tailored to individual needs. The PERSIST platform shows promise in improving patient outcomes and enhancing self-management abilities in cancer survivors. Further research with larger and more diverse populations is needed to establish its effectiveness.
Ključne besede: cancer survivorship, self-efficacy, satisfaction, patient activation, digital health interventions
Objavljeno v DKUM: 25.04.2025; Ogledov: 0; Prenosov: 0 |
10. Perceptions of patient safety culture among triage nurses in the emergency department : a cross-sectional studyZvonka Fekonja, Sergej Kmetec, Nataša Mlinar Reljić, Jožica Černe Kolarič, Majda Pajnkihar, Matej Strnad, 2023, izvirni znanstveni članek Opis: The patient safety culture is key to ensuring patient safety in healthcare organizations. The triage environment is inherently demanding for patient safety and is characterized by high stress, rapid decision-making, and quick action. In several countries, including Slovenia, there is a lack of studies on the patient safety culture among triage nurses. This study aimed to assess the perceptions of the patient safety culture among triage nurses. A cross-sectional survey design was used. The Emergency Medical Services-Safety Attitudes Questionnaire, distributed to triage nurses, was used to collect data. A total of 201 triage nurses participated in this study. The results revealed that the overall average perception of the patient safety culture was 57.27% (SD = 57.27), indicating that the perception of the patient safety culture among triage nurses in the emergency department was non-positive and requires improvement. “Job Satisfaction” received the highest score (63.18%; SD = 17.19), while “Working Conditions” received the lowest (49.91%; SD = 17.37). The perception of positive and negative safety culture responses was statistically significant for age (χ2 (3) = 17.750, p ≤ 0.001), education (χ2 (2) = 6.957, p = 0.031) and length of working experience (χ2 (3) = 8.875, p = 0.031). The findings emphasize the significance of improving the safety culture in relation to several areas of patient care during the triage process. This research serves as a crucial foundation for enhancing patient safety in triage, providing quality care, and reducing adverse events.
Ključne besede: triage, patient safety, perception, safety management, emergency medical services
Objavljeno v DKUM: 07.04.2025; Ogledov: 0; Prenosov: 2
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