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111.
UPORABA AVTOMATSKEGA ZUNANJEGA DEFIBRILATORJA V POLICIJSKIH VOZILIH
David Tramšek, 2016, diplomsko delo

Opis: Izhodišča: Nenadni srčni zastoj je glavni vzrok umrljivosti v svetu. Pomembna je čim prejšnja zgodnja defibrilacija, zato so ključnega pomena nezdravstvene profesionalne službe, saj so bližje ljudem kot ekipa nujne medicinske pomoči. V tujini zato v nujne intervencije vključujejo izvenmedicinske profesionalne službe, tudi policiste. Namen raziskave je osvetliti pomembnost policista kot prvega posredovalca v intervencijah z nenadnim srčnim zastojem. Metodologija: Raziskava je potekala na eni izmed policijskih postaj na območju severovzhodne Slovenije. Za preverjanje teoretičnega in praktičnega znanja policistov s področja temeljnih postopkov oživljanja in uporabe avtomatskega zunanjega defibrilatorja smo uporabili anketni vprašalnik ter kontrolni dokument kot del objektivnega strukturiranega praktičnega preverjanja znanja. Rezultati: Analiza podatkov, pridobljenih na vzorcu 51 policistov, je pokazala, da so policisti primerni za vključitev v mrežo prvih posredovalcev. Enainštirideset (80 %) policistov bi bilo pripravljenih izvajati temeljne postopke oživljanja z uporabo avtomatskega zunanjega defibrilatorja. Policisti so izkazali interes za izvajanje le-teh, čeprav bi se s tem povečal njihov obseg dela. Znanje policistov o temeljnih postopkih oživljanja z uporabo avtomatskega zunanjega defibrilatorja se bistveno izboljša po izobraževanju (p = 0,001). Razprava in sklep: Raziskave poudarjajo pomen zgodnje defibrilacije pri nenadnem zunajbolnišničnem srčnem zastoju. V naši raziskavi smo dokazali, da bi bili policisti primerni kot prvi posredovalci, saj je njihovo znanje iz temeljnih postopkov oživljanja z uporabo avtomatskega zunanjega defibrilatorja zadovoljivo in se po izobraževanju še izboljša.
Ključne besede: zunajbolnišnični srčni zastoj, policist, prvi posredovalec, avtomatski zunanji defibrilator.
Objavljeno: 27.09.2016; Ogledov: 659; Prenosov: 229
.pdf Celotno besedilo (1,83 MB)

112.
UČINKOVITOST DELOVANJA BOLNIŠNIČNIH INFORMACIJSKIH SISTEMOV
Tomislav Sambrailo, 2016, specialistično delo

Opis: V specialističnem delu je opisano delovanje zdravstvenih informacijskih sistemov v nekaterih slovenskih bolnišnicah. Predstavljeni so različni informacijski sistemi v bolnišnicah ter njihovo povezovanje v enotno strukturo. Pri tem gre za strojno in programsko opremo, ki je zahtevana za nemoteno delovanje opisanih informacijskih sistemov. Opisano je stanje na področju informatike v slovenskih bolnišnicah glede na ugotovitve zaposlenih informatikov in Računskega sodišča Republike Slovenije. Tako so bile ugotovljene pomanjkljivosti ter predlagane rešitve za zvišanje učinkovitosti delovanja informacijskih sistemov v bolnišnicah.
Ključne besede: Informatika, informacijski sistem v bolnišnici, računalniško izmenjevanje podatkov, lokalno omrežje v bolnišnici, uporabniki zdravstvenega informacijskega sistema, strojna oprema, programska oprema
Objavljeno: 14.10.2016; Ogledov: 942; Prenosov: 136
.pdf Celotno besedilo (2,26 MB)

113.
Insights into population health management through disease diagnoses networks
Keith Feldman, Gregor Štiglic, Dipanwita Dasgupta, Mark Kricheff, Zoran Obradović, Nitesh Chawla, 2016, izvirni znanstveni članek

Opis: The increasing availability of electronic health care records has provided remarkable progress in the field of population health. In particular the identification of disease risk factors has flourished under the surge of available data. Researchers can now access patient data across a broad range of demographics and geographic locations. Utilizing this Big healthcare data researchers have been able to empirically identify specific high-risk conditions found within differing populations. However to date the majority of studies approached the issue from the top down, focusing on the prevalence of specific diseases within a population. Through our work we demonstrate the power of addressing this issue bottom-up by identifying specifically which diseases are higher-risk for a specific population. In this work we demonstrate that network-based analysis can present a foundation to identify pairs of diagnoses that differentiate across population segments. We provide a case study highlighting differences between high and low income individuals in the United States. This work is particularly valuable when addressing population health management within resource-constrained environments such as community health programs where it can be used to provide insight and resource planning into targeted care for the population served.
Ključne besede: population screening, risk factors, network analysis
Objavljeno: 23.06.2017; Ogledov: 506; Prenosov: 224
.pdf Celotno besedilo (743,53 KB)
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114.
International scientific conference Research and education in nursing
2017, druge monografije in druga zaključena dela

Opis: University of Maribor Faculty of Health Sciences is organizing an International Scientific Conference »Research and Education in Nursing«. It will be held on June 15th 2017 at the faculty and will include most recent findings of domestic and foreign researchers and students in nursing and health sciences. All abstracts are included in the International Scientific Conference Proceedings. The conference aims to explore advances in nursing research and education and it is intended for knowledge and experience exchange of participants about the impact of research on health care in Slovenian and international arena. It will provide an opportunity to promote the development, dissemination and use of knowledge in the field of nursing and health sciences for nursing practitioners and educators, furthermore they can exchange research evidence, models of best practice and innovative ideas.
Ključne besede: health care, research, education, teaching methods, health professionals, study programs, students
Objavljeno: 19.07.2017; Ogledov: 584; Prenosov: 47
.pdf Celotno besedilo (1,25 MB)
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115.
Analyzing information seeking and drug-safety alert response by health care professionals as ew methods for surveillance
Alison Callahan, Igor Pernek, Gregor Štiglic, Jurij Leskovec, Howard Strasberg, Nigam Haresh Shah, 2015, izvirni znanstveni članek

Opis: Background: Patterns in general consumer online search logs have been used to monitor health conditions and to predict health-related activities, but the multiple contexts within which consumers perform online searches make significant associations difficult to interpret. Physician information-seeking behavior has typically been analyzed through survey-based approaches and literature reviews. Activity logs from health care professionals using online medical information resources are thus a valuable yet relatively untapped resource for large-scale medical surveillance. Objective: To analyze health care professionals% information-seeking behavior and assess the feasibility of measuring drug-safety alert response from the usage logs of an online medical information resource. Methods: Using two years (2011-2012) of usage logs from UpToDate, we measured the volume of searches related to medical conditions with significant burden in the United States, as well as the seasonal distribution of those searches. We quantified the relationship between searches and resulting page views. Using a large collection of online mainstream media articles and Web log posts we also characterized the uptake of a Food and Drug Administration (FDA) alert via changes in UpToDate search activity compared with general online media activity related to the subject of the alert. Results: Diseases and symptoms dominate UpToDate searches. Some searches result in page views of only short duration, while others consistently result in longer-than-average page views. The response to an FDA alert for Celexa, characterized by a change in UpToDate search activity, differed considerably from general online media activity. Changes in search activity appeared later and persisted longer in UpToDate logs. The volume of searches and page view durations related to Celexa before the alert also differed from those after the alert. Conclusions: Understanding the information-seeking behavior associated with online evidence sources can offer insight into the information needs of health professionals and enable large-scale medical surveillance. Our Web log mining approach has the potential to monitor responses to FDA alerts at a national level. Our findings can also inform the design and content of evidence-based medical information resources such as UpToDate
Ključne besede: internet log analysis, data mining, physicians, information-seeking behavior, drug safety surveillance
Objavljeno: 02.08.2017; Ogledov: 575; Prenosov: 72
.pdf Celotno besedilo (4,18 MB)
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116.
Contribution of temporal data to predictive performance in 30-day readmission of morbidly obese patients
Petra Povalej Bržan, Zoran Obradović, Gregor Štiglic, 2017, izvirni znanstveni članek

Opis: Background: Reduction of readmissions after discharge represents an important challenge for many hospitals and has attracted the interest of many researchers in the past few years. Most of the studies in this field focus on building cross-sectional predictive models that aim to predict the occurrence of readmission within 30-days based on information from the current hospitalization. The aim of this study is demonstration of predictive performance gain obtained by inclusion of information from historical hospitalization records among morbidly obese patients. Methods: The California Statewide inpatient database was used to build regularized logistic regression models for prediction of readmission in morbidly obese patients (n = 18,881). Temporal features were extracted from historical patient hospitalization records in a one-year timeframe. Five different datasets of patients were prepared based on the number of available hospitalizations per patient. Sample size of the five datasets ranged from 4,787 patients with more than five hospitalizations to 20,521 patients with at least two hospitalization records in one year. A 10-fold cross validation was repeted 100 times to assess the variability of the results. Additionally, random forest and extreme gradient boosting were used to confirm the results. Results: Area under the ROC curve increased significantly when including information from up to three historical records on all datasets. The inclusion of more than three historical records was not efficient. Similar results can be observed for Brier score and PPV value. The number of selected predictors corresponded to the complexity of the dataset ranging from an average of 29.50 selected features on the smallest dataset to 184.96 on the largest dataset based on 100 repetitions of 10-fold cross-validation. Discussion: The results show positive influence of adding information from historical hospitalization records on predictive performance using all predictive modeling techniques used in this study. We can conclude that it is advantageous to build separate readmission prediction models in subgroups of patients with more hospital admissions by aggregating information from up to three previous hospitalizations.
Ključne besede: readmission prediction, predictive modelling, temporal data
Objavljeno: 02.08.2017; Ogledov: 677; Prenosov: 217
.pdf Celotno besedilo (1,10 MB)
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117.
The concept of Watson's carative factors in nursing and their (dis)harmony with patient satisfaction
Majda Pajnkihar, Gregor Štiglic, Dominika Vrbnjak, 2017, izvirni znanstveni članek

Opis: Background: Constant reviews of the caring behavior of nurses and patient satisfaction help to improve the quality of nursing. The aim of our research was to explore relationships between the level of nursing education, the perception of nurses and nursing assistants of Watson's carative factors, and patient satisfaction. Methods: A questionnaire survey using a convenience sample of 1,098 members of nursing teams and a purposive sample of 1,123 patients in four health care institutions in Slovenia was conducted in August 2012. A demographic questionnaire and the Caring Nurse-Patient Interactions Scale (nurse version) were delivered to the nurses. A Hospital Consumer Assessment of Health Plans Survey was delivered to discharged patients. Data were analyzed using descriptive and inferential statistics. Results: Carative factor sensibility was related to the level of nursing education. Patients were satisfied with the care received from nurses, nursing assistants and hospitals, although we found differences between the perceptions of nurses and nursing assistants of carative factors and patient satisfaction. By comparing only the perceptions of nurses and nursing assistants of carative factors in health care institutions, differences were found for seven out of ten carative factors. Discussion: We did not find major significant differences between carative factors and level of nurse education, except in one carative factor. Differences in perceptions of carative factors between health care institutions are probably the result of different institutional factors. The results can be of great benefit to nurse administrators and educators, indicating the factors that must be taken into account for enhancing patient satisfaction. Emphasis on caring theories should be placed in nursing education and their application in nursing practice.
Ključne besede: caring, patient satisfaction, cross-sectional studies
Objavljeno: 02.08.2017; Ogledov: 994; Prenosov: 235
.pdf Celotno besedilo (250,38 KB)
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118.
Physical activity among nursing students
Leona Cilar, Nina Preložnik, Gregor Štiglic, Dominika Vrbnjak, Majda Pajnkihar, 2017, izvirni znanstveni članek

Opis: Introduction: Nurses need to encourage patients to lead a healthy lifestyle, hence it is important that as nursing students they are already aware of the importance of physical activity. The purpose of the study was to investigate the physical activities of nursing students. Aim: The aim of the study was to find out in what state physical activity of nursing students is and to find out what are their main reasons for lack of physical activity. Material and methods: We conducted a cross-sectional observational study using a mixed methods design. The quantitative data was collected using the survey method with a convenience sample of 123 students and used descriptive and inferential statistics for the analysis. For the qualitative data we used a Grounded Theory Method with semi-structured interviews on purposive samples of four students. Results and conclusions: In the quantitative part of this study we found a significantly higher proportion of outdoor physical activity in comparison to indoor physical activity (p < 0.001). The qualitative part contains the main categories of physical activity implementation, as well as three sub-categories: attitude to physical activity, barriers and incentives. Nursing students do not do physical activities regularly due to lack of time, obligations at the university, time of the year and finances.
Ključne besede: physical activity, nursing students, mental well-being, physical well-being
Objavljeno: 09.08.2017; Ogledov: 728; Prenosov: 244
.pdf Celotno besedilo (339,82 KB)
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119.
UČENJE IN AKTIVNA VLOGA PACIENTOV IN SVOJCEV V ZDRAVSTVENI OBRAVNAVI PO OKVARI HRBTENJAČE
Stanka Vrtek, 2013, magistrsko delo

Opis: V magistrskem delu so predstavljeni problemi vnetja sečil pri pacientih z okvaro hrbtenjače v kliničnem okolju. Prikazana je primerjava okužb sečil pri treh skupinah pacientov s samokateterizacijo, s stalnim urinskim katetrom in program učenja samokateterizacije. Opisan je zdravstveno vzgojni program učenja samokateterizacije pacientov z okvaro hrbtenjače in svojcev na Univerzitetnem rehabilitacijskem inštitutu. Izračunana je ekonomičnost med silikonskimi in bio katetri ter cena antibiotičnega zdravljenja infekcije sečil. Izdelan je tudi protokol oziroma dokumentacija za samostojno izvajanje programa učenja. Namen raziskave je predstaviti problem vnetja sečil pri pacientih z okvaro hrbtenjače v kliničnem okolju in prikazati primerjavo pri treh skupinah pacientov s samokateterizacijo, s stalnim urinskim katetrom in program učenja samokateterizacije.
Ključne besede: okvara hrbtenjače, zdravstvena nega, okužba sečil, samokateterizacija, učenje samokateterizacije pacientov in svojcev
Objavljeno: 04.02.2014; Ogledov: 984; Prenosov: 250
.pdf Celotno besedilo (555,74 KB)

120.
VIDIKI POMENA IZOBRAŽEVANJA OŽIVLJANJA NA PODROČJU ZDRAVSTVENE NEGE
Petra Bastl, 2013, magistrsko delo

Opis: Ko se pojavi srčni zastoj, preživi manj kot 20 % hospitaliziranih pacientov. Kljub posodobitvam smernic za oživljanje in razvoju tehničnih pripomočkov za oživljanje je smrtnost pri zastoju srca in dihanja še vedno prevelika. Izvajanje oživljanja ni rutinsko delo in se ne izvaja tako pogosto kot ostalo vsakodnevno delo zdravstvenih delavcev. Je izjemno stresna situacija, saj je od pravočasnih in strokovno pravilnih reakcij zdravstvenega osebja odvisno pacientovo življenje. Namen magistrskega dela je predstaviti pomen širše opredeljenega izobraževanja oživljanja na področju zdravstvene nege. Metodologija raziskovanja. Raziskava temelji na kvantitativni metodologiji. V vzorec raziskave smo vključili izvajalce zdravstvene nege, zaposlene v eni izmed splošnih bolnišnic v Sloveniji. Podatke smo zbirali s pomočjo metode spletnega anketiranja, preko katerega je bilo razposlanih 110 elektronskih povabil za sodelovanje v raziskavi. Statistično obdelavo in prikaz empiričnih podatkov smo izvedli s programoma SPSS Statistics 17.0 in Microsoft Office Excel 2007. Rezultati. Več kot polovica (55 oz. 67 %) izvajalcev zdravstvene nege ocenjuje kot zelo potrebno vključevanje različnih vidikov v izobraževanje s področja oživljanja. 38 oz. 46 % izvajalcev zdravstvene nege pa meni, da je potrebno izvajati obnavljanje izobraževanja s področja oživljanja na 1 leto. Rezultati raziskave kažejo, da se izvajalci zdravstvene nege zavedajo pomena kontinuiranosti in širšega pristopa kot dveh aspektov pripravljenosti za ohranjanje pravočasnega in učinkovitega izvajanja postopkov oživljanja v realnih situacijah. Posledično se zavedajo, da takšen način izobraževanja pripomore k njihovemu strokovnemu in profesionalnemu delu na področju oživljanja. Sklep. Dolžnost izvajanja oživljanja je del poklicne obveznosti zdravstvenega delavca. Pri izvajanju te dolžnosti je nedopustno, da pride do poslabšanja zdravstvenega stanja pacienta ali celo smrti zaradi nepoznavanja nalog v timu za oživljanje, pomanjkanja znanja s področja oživljanja ali strahu pred nepoznavanjem uporabe defibrilatorja in ostale opreme za oživljanje. S širšim in kontinuiranim izobraževanjem s področja oživljanja v zdravstveni ustanovi lahko vplivamo na zmanjševanje pojava omenjenih napak in na pravočasno in učinkovito izvedeno izvajanje oživljanja. S takšnim načinom dela lahko nudimo vitalno ogroženemu pacientu po srčnem zastoju optimalno možnost preživetja.
Ključne besede: oživljanje, kontinuiteta, izobraževanje v zdravstveni negi
Objavljeno: 12.07.2013; Ogledov: 1337; Prenosov: 326
.pdf Celotno besedilo (3,58 MB)

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