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1.
Artificial intelligence based prediction of diabetic foot risk in patients with diabetes : a literature review
Lucija Gosak, Adrijana Svenšek, Mateja Lorber, Gregor Štiglic, 2023, pregledni znanstveni članek

Opis: Diabetic foot is a prevalent chronic complication of diabetes and increases the risk of lower limb amputation, leading to both an economic and a major societal problem. By detecting the risk of developing diabetic foot sufficiently early, it can be prevented or at least postponed. Using artificial intelligence, delayed diagnosis can be prevented, leading to more intensive preventive treatment of patients. Based on a systematic literature review, we analyzed 14 articles that included the use of artificial intelligence to predict the risk of developing diabetic foot. The articles were highly heterogeneous in terms of data use and showed varying degrees of sensitivity, specificity, and accuracy. The most used machine learning techniques were support vector machine (SVM) (n = 6) and K-Nearest Neighbor (KNN) (n = 5). Future research is recommended on larger samples of participants using different techniques to determine the most effective one.
Ključne besede: artificial intelligence, machine learning, thermography, diabetic foot prediction, diabetes, diabetes care, diabetic foot, literature review
Objavljeno v DKUM: 27.11.2023; Ogledov: 211; Prenosov: 10
.pdf Celotno besedilo (654,91 KB)
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2.
Innovative nursing care : education and research
znanstvena monografija

Opis: Higher life expectancy on a global level requires complex nursing care as poor education and a lack of knowledge can lead to mistakes. There is a need for nurses who can provide high quality and advanced nursing practice. A mix of well-grounded education and innovative research is needed, where the first provides an understanding of best nursing practice care delivery and the second helps nurses determine best practices and improve nursing care. Provides a current and in-depth picture of actual nursing challenges in education, research, and clinical practice. Helpful in nursing students' education in broader nursing care fields and different approaches in holistic nursing care.
Ključne besede: nursing care, palliative care, dementia, emergencies, triage, education, COVID-19, older people, children, nursing students
Objavljeno v DKUM: 27.11.2023; Ogledov: 214; Prenosov: 11
.pdf Celotno besedilo (1,66 MB)
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3.
Components of a model of person-centredness in palliative care among patients with non-communicable diseases in slovenian hospitals
Sergej Kmetec, 2023, doktorska disertacija

Opis: Introduction: Palliative care aims to provide an early person-centred approach to patients with non-communicable disease(s) by monitoring distressing symptoms, providing support at all four domains of health, supporting their care partners, and enhancing the quality of patients and their care partners' lives. A problem lies in the late introduction of person-centred palliative care in acute care and the emergence of barriers to providing such care. Therefore, the present doctoral thesis explores the perceptions of person-centred palliative care of healthcare professionals and patients with non-communicable disease(s). Based on the results of both data analyses, we identified the key components of a model to provide person-centred palliative care for patients and their care partners. Methods: A two-phase sequential explanatory design was used, which involved collecting data in consecutive phases between August 2020 and July 2021. The study's first phase involved health professionals and patients from eight institutions, and the second phase involved health professionals, patients and care partners. Data from the first part of the study were gathered using validated questionnaires, and inferential and descriptive statistics were used to analyse the results. Semi-structured interviews were used in the second phase to collect data, then thematically analysed. We have merged the outcomes of the quantitative and qualitative stages utilising the pillar integration approach in order to interpret them in a more thorough and comprehensive manner. Results: Through the data integration process, we identify four key components to providing person-centred palliative care in patients with non-communicable disease(s). These components are: (1) Healthcare professionals' prerequisites and traits; (2) Person-centred palliative care environment; (3) Person-centred palliative process; and (4) Person-centred palliative care outcome. A Healthcare professional's prerequisites and traits can be said to contain three aspects: (1) Attitudes, (2) Commitment to the work and (3) Values and beliefs. When these three aspects are considered, a person-centred palliative care environment can be created. Here it is important to consider four aspects: (1) Transdisciplinary approach; (2) Patient empowerment; (3) Partner engagement; and (4) Institution/policy climate. A person-centred palliative process that allows the patient to maintain their quality of life and dignity includes the following aspects: (1) Person-centred approach; (2) Establishing an advance care plan; (3) Early integration of person-centred palliative care, and (4) Enlightenment and raising awareness. Person-centred palliative care outcomes can be (1) Positive experiences and (2) Negative experiences. Discussion and conclusion: Person-centred palliative care is essential in treating patients with non-communicable diseases. For that reason, it is pivotal to follow the four key components of how to provide person-centred palliative care, comprising: (1) Healthcare professionals' prerequisites and traits, (2) The person-centred palliative environment, (3) The person-centred palliative process and (4) The person-centred palliative outcomes. These four key components provide healthcare professionals and transdisciplinary palliative teams with the steps for providing person-centred palliative care to the patient and support to the care partners. The term ‘patient’ is herein used to denote patients with one or more non-communicable disease(s).
Ključne besede: person-centred care, palliative care, patients, care partners, healthcare professionals', mixed-method, sequential explanatory design
Objavljeno v DKUM: 10.11.2023; Ogledov: 427; Prenosov: 159
.pdf Celotno besedilo (5,55 MB)

4.
Independence and caregiver preferences among community-dwelling older people in Slovenia : a cross-sectional study
Katarina Galof, Anja Žnidaršič, Zvone Balantič, 2019, izvirni znanstveni članek

Opis: Although Slovenia is becoming an aging society, very little is known about the abilities and needs of home-dwelling older people or their preferences regarding assistance. The aim of the study was to explore the need for assistance in daily activities among older Slovenian people living at home. Older adults aged between 65 and 97 years (N = 358) participated in the crosssectional survey study. A questionnaire that assessed independence in daily activities and assistance in the home environment was developed. Data were analyzed using descriptive statistics, a nonparametric test (Wilcoxon signed rank test), and the chi-square test. The results showed that older Slovenians were more independent in activities of daily living (ADLs) than instrumental activities of daily living (IADLs). Independence was the highest for using the toilet, feeding, and mobility transfers, and the lowest for bathing. With IADLs, assistance was most often required with shopping and housework; this assistance was usually provided by family members. The provider of assistance was generally compatible with older people’s preferences concerning assistance at home. We found no differences in care preferences between urban and rural settings. Assistance in the home environment was predominantly provided by unpaid helpers, which reflects recent developments in health and social services that put an emphasis on a person’s social network. Due to demographic changes and the decrease in the number of adult children, reliance on close relatives might soon become a challenge. These findings can help policy makers understand older people’s choices and preferences better when planning long-term care.
Ključne besede: older adults, activities of daily living, intergenerational support, long-term care, aging in place
Objavljeno v DKUM: 14.07.2023; Ogledov: 301; Prenosov: 18
.pdf Celotno besedilo (157,18 KB)
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5.
The psychometric properties of the Slovenian version of the medical office survey on patient safety culture
Zalika Klemenc-Ketiš, Irena Makivić, Tonka Poplas-Susič, 2020, izvirni znanstveni članek

Ključne besede: patient safety, primary care, validation studies
Objavljeno v DKUM: 23.01.2023; Ogledov: 396; Prenosov: 9
.pdf Celotno besedilo (126,70 KB)
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6.
Awareness and expectations of visitors to family medicine practices about palliative care in Slovenia
Erika Zelko, Dorotea Gašpar, Estera Gjuras, Nevenka Krčevski-Škvarč, 2021, izvirni znanstveni članek

Ključne besede: paliativna oskrba, osveščenost javnosti, pričakovanja, palliative care, public awareness, expectations
Objavljeno v DKUM: 22.01.2023; Ogledov: 357; Prenosov: 60
.pdf Celotno besedilo (313,27 KB)
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7.
The Implementation and evaluation of the United States Affordable Care Act
David Andrew Schultz, 2019, izvirni znanstveni članek

Ključne besede: United States, health care reform, Affordable Care Act, Obamacare, ethic
Objavljeno v DKUM: 15.01.2021; Ogledov: 616; Prenosov: 0

8.
The constitutional right to health protection in Belarus
Aksana Shupitskaya, 2020, izvirni znanstveni članek

Opis: The article analyzes the constitutional right enshrined in the Fundamental law of the Belarusian state, its Constitution, - the right to health protection. The purpose of the research is to analyze the relevant legal regulations and the problems associated with implementing the right to health protection in the modern Belarus. The paper will examine the constitutional basis of the right to health protection in Belarus, its essence and nature, normative legal acts regulating the analyzed right, problems and prospects of its implementation in light of the current conditions of the Belarusian state. The author considers the constitutional legal principles and constitutional legal norms as the basis of the right to health protection and reveals the essence of the analyzed right. The conclusion substantiates the idea that detailed regulation of the right to health protection is carried out at the level of normative legal acts of the Republic of Belarus adopted by various state bodies. The state of realization of the right to health protection is determined by socio-economic, political and other factors. Identifying a number of problems related to ensuring the right to health protection, the researcher analyzes the prospects for its further development in the Republic of Belarus.
Ključne besede: constitution, constitutional principles and norms, medical care, health protection
Objavljeno v DKUM: 15.01.2021; Ogledov: 649; Prenosov: 24
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9.
Community health nursing in Slovenia and Croatia - selected legal aspects
Suzana Kraljić, Blanka Kačer, 2020, izvirni znanstveni članek

Opis: This article is dedicated to community health nursing which today constitutes the indispensable cornerstone of Slovenian and Croatian primary health-care. Authors also stress that community health nursing is recognized of crucial importance for public health and various vulnerable groups (e.g., children, elderly, ...) in many other European as well as non-European states. In Chapter 2, the authors represent basic historical milestones in both countries, Slovenia and Croatia, which have common historical roots. In Chapters 3 and 4, the central part of the article, authors analyze the current legal regulation related to community health nursing and thereby give special attention to differences in both national legal regulations. The major difference is given in concessions. Namely in Slovenia, community health nursing can be performed also based on a granted concession, but not in Croatia. In Chapter 5, some legal views on the role of community health nursing in local communities are emphasized (e.g., domestic violence). The last chapter is dedicated to the summarization of the authors' conclusions, in which they especially stress that the community health nursing in both countries today represents an important key factor for ensuring the constitutional right to health-care.
Ključne besede: community health nurse, primary care, aging population, concession, legal regulation
Objavljeno v DKUM: 15.01.2021; Ogledov: 818; Prenosov: 46
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10.
User violence against employees at nursing homes
Katarina Cesar, Liljana Rihter, Špela Selak, Branko Gabrovec, 2018, izvirni znanstveni članek

Opis: 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.
Ključne besede: nursing homes, workplace violence, healthcare, social care, social care institutions
Objavljeno v DKUM: 18.05.2020; Ogledov: 935; Prenosov: 48
.pdf Celotno besedilo (372,88 KB)
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