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1.
Perception of personal participation of the nurses in resuscitation procedures : a qualitative study
Anton Koželj, Maja Strauss, Vita Poštuvan, Anže Strauss Koželj, Matej Strnad, 2024, izvirni znanstveni članek

Opis: Background and Objectives: Resuscitation is one of the most stressful tasks in emergency medicine. The participation of nurses in this procedure can have specific effects on them. In this research, we wanted to find out what these effects are. Materials and Methods: A qualitative approach by conducting semi-structured interviews was used, and a thematic data analysis of the recorded interviews was carried out. The collected data were transcribed verbatim, with no corrections to the audio recordings. The computer program ATLAS.ti 22 was used for the qualitative data analysis. Results: Eleven male registered nurses were interviewed, with an average of 18.5 years of experience working in a prehospital environment (max. 32/min. 9). A total of 404 min of recordings were analyzed, and 789 codes were found, which were combined into 36 patterns and 11 themes. As the most stressful situations, the interviewees pointed out the resuscitation of a child, familiar persons, conflicts with the environment, conflicts within the resuscitation team, nonfunctioning or insufficient equipment, complications during resuscitation, and resuscitating a person only for training. As positive effects, the interviewees cited successful resuscitations or their awareness that, despite an unsuccessful resuscitation, they did everything they could. Conclusions: Participation in these interventions has a specific positive or negative impact on the performers. The interviewees shared the opinion that they can cope effectively with the adverse or stressful effects of resuscitation. Yet, despite everything, they allow the possibility of subconscious influences of this intervention on themselves.
Ključne besede: resuscitation, personal experiences, paramedics, prehospital environment
Objavljeno v DKUM: 07.04.2025; Ogledov: 0; Prenosov: 7
.pdf Celotno besedilo (307,20 KB)
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2.
Perceptions of patient safety culture among triage nurses in the emergency department : a cross-sectional study
Zvonka 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: 1
.pdf Celotno besedilo (593,94 KB)
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3.
Psychometric testing of the Slovene version of the Perceived Inventory of Technological Competency as Caring in Nursing
Cvetka Krel, Dominika Vrbnjak, Gregor Štiglic, Sebastjan Bevc, 2024, izvirni znanstveni članek

Opis: The Perceived Inventory of Technological Competency as Caring in Nursing (PITCCN) questionnaire has been designed to measure technological competency as caring in nursing practice. It incorporates the use of technology with the fundamental principles of caring that are central to nursing. As there were no psychometrically sound instruments to quantify the concept of technological competency as caring in the Slovene language, we adapted the English version of the questionnaire to the local environment. The goal was to assess the level of psychometric properties of the PITCCN investigated in Slovene hospitals. Methods: Content validity was conducted with eight experts and quantified by the content validity index (CVI) and the modified Cohen’s kappa index. Face validity was assessed through discussions with participants from the target culture in the pilot study. To assess construct validity and internal consistency, a cross-sectional research methodology was used on a convenience sample of 121 nursing personnel from four hospitals. Principal component analysis (PCA) was used to examine construct validity, while Cronbach’s alpha and adjusted item-total correlations were used to measure internal consistency. Results: The content and face validity of PITCCN were adequate. The scale validity index (S-CVI) was 0.97. Cronbach’s α was 0.92, and subscale reliabilities ranged from 0.810 to 0.925. PCA showed four components, which explained more than 73.49% of the variance. Conclusions: The Slovenian version of PITCCN (PITCCN_SI) has good psychometric properties.
Ključne besede: technology, caring, reliability, validity, psychometric properties
Objavljeno v DKUM: 28.03.2025; Ogledov: 0; Prenosov: 3
.pdf Celotno besedilo (265,87 KB)
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4.
Sweet, fat and salty: snacks in vending machines in health and social care institutions in Slovenia
Urška Rozman, Igor Pravst, Urška Pivk Kupirovič, Urška Blaznik, Primož Kocbek, Sonja Šostar-Turk, 2020, izvirni znanstveni članek

Opis: Vending machines in health and social care facilities are often the only possible choice for a quick snack for workers and visitors, in many cases providing unhealthy dietary choices. Our study aimed to analyse the variety and nutritional quality of foods available in vending machines placed in social and health care institution in Slovenia. The available snacks were quantitatively assessed, using traffic light profiling. The model used for nutrient profiling was that of the Food Standards Australia New Zealand (FSANZ). Vending machines in 188 institutions were surveyed, resulting in 5625 food-items consisting of 267 unique product labels. Sweet products dominate in vending machines offers (about 70%), while nuts and seeds (8.4%), yoghurts (2.1%), fruits (1.4%) and milk (0.3%) are present in a very small proportion or are not available at all. According to FSANZ, 88.5% of all displayed food items in vending machines can be considered as lower nutritional quality or less healthy products. The authors’ future activities will be focused on ensuring wider availability of healthy dietary choices and on including official guidelines in tender conditions for vending machines in health and social care institutions in Slovenia.
Ključne besede: snacks, vending machines, social care institutions, health care institutions, Slovenia
Objavljeno v DKUM: 10.03.2025; Ogledov: 0; Prenosov: 6
.pdf Celotno besedilo (802,53 KB)
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5.
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: 345
.pdf Celotno besedilo (480,56 KB)
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6.
Napredne kvantitativne raziskovalne metode v zdravstveni negi
Lucija Gosak, Leona Cilar Budler, Roger Watson, Gregor Štiglic, 2025

Opis: Publikacija "Napredne kvantitativne raziskovalne metode v zdravstveni negi" daje študentom zdravstvene nege in medicinskim sestram znanje in spretnosti za razlago različnih statističnih metod na njihovem področju, kar lahko izboljša spretnosti uporabnikov pri zbiranju, analizi in razlagi rezultatov iz klinične prakse ter tako prispeva k izboljšanju kakovosti zdravstvene oskrbe. Vsebuje podrobna navodila za uporabo programa IBM SPSS in izvajanje statističnih analiz, ki jih morajo medicinske sestre poznati pri svojem delu, saj pri vsakodnevnem delu s pacienti uporabljajo in ustvarjajo podatke. Glavni cilj zdravstvene nege pacientov je zagotavljanje kakovostne in na dokazih temelječe zdravstvene nege, zato so medicinske sestre dolžne slediti najnovejšim raziskavam in dokazom ter jih uporabljati pri svojem delu. Znanje, pridobljeno v tej knjigi, lahko medicinskim sestram pomaga tudi pri boljšem razumevanju in interpretaciji predhodno objavljenih rezultatov ter s tem pri kritični presoji veljavnosti in zanesljivosti rezultatov, ki jih bodo uporabljale v klinični praksi.
Ključne besede: quantitative analysis, statistics, IBM SPSS, reliability, validity, data analysis
Objavljeno v DKUM: 28.01.2025; Ogledov: 0; Prenosov: 17
.pdf Celotno besedilo (18,57 MB)
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7.
Evidence-Based Recommendations for Dietary Supplementation During Pregnancy: Is It Time for a Product Recall?
Leona Cilar Budler, Marija Spevan, Kata Ivanišević, Marko Budler, 2025, pregledni znanstveni članek

Opis: Background Micronutrient deficiencies in pregnant women are linked to serious health issues, including conception difficulties, spontaneous abortions, preterm births, low birth weight, birth defects and long-term metabolic disorders. Despite the recognized importance of dietary supplementation during pregnancy, rigorous research and supplementation monitoring remain limited. Objective This study aimed to review the evidence on the impact of dietary supplementation on maternal and infant outcomes and to provide evidence-based recommendations for dietary supplementation during pregnancy. Methods A systematic search, analysis, and synthesis of randomized controlled trials (RCTs) were conducted between October and January 2022. Databases searched included PubMed, CINAHL with Full Text, Google Scholar and CrossRef. The study adhered to PRISMA guidelines and applied inclusion and exclusion criteria to identify relevant studies. A total of 51 RCTs were included and assessed for quality, categorizing articles as moderate or high quality. Results Of the 51 RCTs analyzed, 47 (92.16%) were of moderate quality, and 4 (7.84%) were of high quality. Findings revealed that recommended dietary supplementation doses for pregnant women are often set well below safety thresholds. Evidence supporting the efficacy of certain vitamins and minerals in pregnancy remains inconclusive. The study highlighted a dose–response conundrum, with an emphasis on identifying effective and safe doses. Conclusion Micronutrient deficiencies in pregnant women pose significant risks to maternal and infant health. Current dietary supplementation recommendations require enhancement and alignment with the latest and most robust evidence. This study provides a comprehensive overview of state-of-the-art evidence and underscores the importance of bridging gaps in supplementation guidelines to optimize maternal and infant health outcomes.
Ključne besede: EBN, pregnancy, vitamins, minerals, FDA, infant
Objavljeno v DKUM: 27.01.2025; Ogledov: 0; Prenosov: 11
.pdf Celotno besedilo (528,31 KB)
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8.
Reduced susceptibility and increased resistance of bacteria against disinfectants : a systematic review
Urška Rozman, Marko Pušnik, Sergej Kmetec, Darja Duh, Sonja Šostar-Turk, 2021, pregledni znanstveni članek

Opis: Disinfectants are used to reduce the concentration of pathogenic microorganisms to a safe level and help to prevent the transmission of infectious diseases. However, bacteria have a tremendous ability to respond to chemical stress caused by biocides, where overuse and improper use of disinfectants can be reflected in a reduced susceptibility of microorganisms. This review aims to describe whether mutations and thus decreased susceptibility to disinfectants occur in bacteria during disinfectant exposure. A systematic literature review following PRISMA guidelines was conducted with the databases PubMed, Science Direct and Web of Science. For the final analysis, 28 sources that remained of interest were included. Articles describing reduced susceptibility or the resistance of bacteria against seven different disinfectants were identified. The important deviation of the minimum inhibitory concentration was observed in multiple studies for disinfectants based on triclosan and chlorhexidine. A reduced susceptibility to disinfectants and potentially related problems with antibiotic resistance in clinically important bacterial strains are increasing. Since the use of disinfectants in the community is rising, it is clear that reasonable use of available and effective disinfectants is needed. It is necessary to develop and adopt strategies to control disinfectant resistance.
Ključne besede: antimicrobial resistance, susceptibility, disinfectants, bacteria
Objavljeno v DKUM: 09.12.2024; Ogledov: 0; Prenosov: 11
.pdf Celotno besedilo (585,04 KB)
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9.
Cognitive and emotional perceptions of illness in patients diagnosed with type 2 diabetes mellitus
Lucija Gosak, Gregor Štiglic, 2024, izvirni znanstveni članek

Opis: Type 2 diabetes mellitus (T2DM) affects a patient’s physical, social, and mental well-being. Perceptions of the illness are linked to quality of life. The aim of this study was to assess illness perception in patients diagnosed with T2DM and to validate the Brief Illness Perception Questionnaire in the Slovenian language. A cross-sectional study involved 141 patients diagnosed with T2DM. We performed a content analysis of the questionnaire and estimated the S-CVI, I-CVI, kappa coefficient. We also used Cronbach’s alpha to assess the reliability. Participants did not have a very threatening perception of T2DM, but being overweight and having cardiovascular disease were significant contributors to a more threatening perception. The most frequently indicated factors influencing the onset and development of T2DM were heredity and genetics, stress and other psychological distress, and poor and inadequate nutrition. I-CVI ranged from 0.833 to 1.00, while the kappa is greater than 0.74, confirming the excellent validity of the questions. The content validity assessment of the questionnaire further confirms that the questionnaire is suitable for use with the target population in Slovenia. The questionnaire proved to be a valid and reliable tool that can be used to assess the relationship between illness perception and self-management of T2DM.
Ključne besede: type 2 diabetes mellitus (T2DM), illness perception, psychometric properties
Objavljeno v DKUM: 28.11.2024; Ogledov: 0; Prenosov: 5
.pdf Celotno besedilo (236,42 KB)
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10.
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: 8
.pdf Celotno besedilo (1,52 MB)
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