1. An Assessment of socio-economic status of women on family farms: Slovenian case studyJernej Prišenk, Urška Vesenjak, Črtomir Rozman, Jernej Turk, Karmen Pažek, 2024, izvirni znanstveni članek Opis: The question of gender equality is increasingly being raised today and is present at all
levels of society. The topicality of the issue on farms is particularly evident, due to the particular
inheritance processes on farms, the clear division of labour, and intergenerational cooperation that
characterise the agricultural sector. In this research, a multi-criteria model (DEX-SOCIAL) was
developed to understand the broader aspect of rural sociology and the issue of women’s status on
the farm. The paper discusses the status of women on a farm and assesses their social and economic
situation. The methodology includes an online questionnaire in which women in the Eastern and
Western Cohesion Regions participated, as well as other farm members and owners. Subsequently,
the questions were transformed for the requirements of the assessment model, which assessed the life
prospects of women on farms in both the Eastern and Western Cohesion Regions who were aged both
over and under 40 years (criteria for “young successor”). The results of the study show that there
is a clear difference in the qualitative assessment of women’s socio-economic position in relation
to the East–West cohesion region. The social position of women does not differ according to age
structure. The conclusions of the study also present broader applications of the results in the field of
rural development and rural sociology. Ključne besede: woman, socio-economic status, family farms, multi-criteria model, DEX Objavljeno v DKUM: 29.11.2024; Ogledov: 0; Prenosov: 1 Celotno besedilo (7,71 MB) Gradivo ima več datotek! Več... |
2. Impact of work-family balance results on employee work engagement within the organization : the case of SloveniaJasmina Žnidaršič, Mojca Bernik, 2021, izvirni znanstveni članek Opis: Background and purpose: Organizations strive to increase the work engagement of their employees, as engaged employees are more productive employees, but often neglect the significant effects of work-family balance on work engagement. Numerous studies confirm the importance of work-family balance and work engagement, but there is lack of research that explores the relationship between the concepts. Our research fills a research gap in investigating the impact of work-family balance on work engagement, both directly and through individual perceptions of organizational support for work-family balance. The main aim of our research is to empirically test the relationships between the policies and practices of organizations regarding work-family balance, work-life balance and work engagement.
Methods: Using validated questionnaires, we collected data on organizational support for work-family balance (family-friendly policies and practices, support by leader, support by co-workers, working hours and complexity of work), work-family balance and work engagement. The quantitative data for our analysis was collected through a survey of 343 online participants who were employees in various positions in companies in Slovenia.
The results: Our results show that the organization's work-family balance policies and practices, such as support by leader, co-workers, and family-friendly policies and practices, have a positive impact on the individual's work-family balance, that work-family balance leads to an increase in work engagement, and that the individual's perception of the organization's work-family balance support leads to an increase in work engagement.
Conclusion: Knowledge of important work-family balance implications with an understanding of organizational support for work-family balance and the relationships between the constructs of work-family balance and work engagement can be beneficial to business leaders. This understanding can help them to strengthen employee work engagement through family-friendly policies and practices, and thereby contributing to the area of employee behavior and improving employee productivity. Ključne besede: work-family balance, work engagement, organization management Objavljeno v DKUM: 14.11.2024; Ogledov: 0; Prenosov: 13 Celotno besedilo (593,57 KB) Gradivo ima več datotek! Več... |
3. The safety culture of the Ljubljana community health centre's employeesŠpela Tevžič, Tonka Poplas-Susič, Zalika Klemenc-Ketiš, 2021, izvirni znanstveni članek Opis: Introduction: Patient safety is one of the key aspects of healthcare quality and a serious global public health concern. Patient safety culture is a part of the patient safety concept. In Slovenia, primary care is easily accessible, and for medical care, it serves as a gatekeeper to hospital care. For several years, the quality and safety at the primary healthcare level have been the focus of several studies. The present study aimed to assess patient safety culture among all employees of the Community Health Centre Ljubljana.
Methods: We conducted a cross-sectional study in 2017 using the Slovene version of “Medical Office Survey on Patient Safety Culture” from the Agency for Healthcare Research and Quality. Mean percent positive scores on all items in each composite were calculated according to a user guide.
Results: The final sample contained 1021 participants (67.8% response rate), of which 909 (89.0%) were women. The mean age of the sample was 43.0±11.0 years. The dimensions most highly rated by the respondents were: teamwork and patient care tracking/follow-up. The lowest scores came from leadership support for patients’ safety and work pressure and pace.
Conclusion: Patient safety culture in the Community Health Centre Ljubljana is high, but there are certain areas of patient safety that need to be evaluated further and improved. Our study revealed differences between professions, indicating that a customized approach per profession group might contribute to the successful implementation of safety strategies. Patient safety culture should be studied at national levels. Ključne besede: patient safety, safety culture, family medicine, primary healthcare, Slovenia Objavljeno v DKUM: 18.10.2024; Ogledov: 0; Prenosov: 1 Celotno besedilo (415,12 KB) Gradivo ima več datotek! Več... |
4. Factors that determine dependence in daily activities : a cross-sectional study of family practice non-attenders from SloveniaTonka Poplas-Susič, Zalika Klemenc-Ketiš, Rok Blagus, Nina Ružić Gorenjec, 2021, izvirni znanstveni članek Opis: Background: Independence in daily activities is defined as the ability to perform functions related to daily living, i.e. the capacity of living independently in the community with little or no help from others.
Objective: We focused on non-attenders as a subgroup of patients whose health status is not well known to family practice teams. Our goal was to estimate the prevalence of dependence and its severity level in the daily activities of patients, and to determine the factors that are associated with the occurrence of dependence.
Design: Cross-sectional observational study.
Settings and participants: Data was obtained in family medicine settings. Participants in the study were adults living in the community (aged 18 or over) who had not visited their chosen family physician in the last 5 years (non-attenders) and who were able to participate in the study. Through the electronic system, we identified 2,025 non-attenders. Community nurses collected data in the participants' homes. The outcome measure was dependence in daily activities, assessed through eight items: personal hygiene; eating and drinking; mobility; dressing and undressing; urination and defecation; continence; avoiding hazards in the environment; and communication.
Results: The final sample consisted of 1,999 patients (98.7% response rate). The mean age was 59.9 (range 20 to 99). Dependence in daily activities was determined in 466 or 23.3% (95% CI: [21.5, 25.2]) of the patients. Older patients (over 60 years), with at least one chronic disease, increased risk of falling, moderate feelings of loneliness and a lower self-assessment of health were statistically significantly more likely to be dependent in their daily activities, according to our multivariate model.
Conclusions: A considerable proportion of family practice non-attenders were found to be dependent in daily activities, though at a low level. We identified several factors associated with this dependence. This could help to identify people at risk of being dependent in daily activities in the general adult population, and enable specific interventions that would improve their health status. Ključne besede: family medicine, ability to perform functions, daily activities Objavljeno v DKUM: 17.10.2024; Ogledov: 0; Prenosov: 1 Celotno besedilo (910,89 KB) Gradivo ima več datotek! Več... |
5. Successful implementation of integrated care in Slovenian primary careTonka Poplas-Susič, Zalika Klemenc-Ketiš, 2021, predgovor, uvodnik, spremna beseda Opis: For the purpose of celebrating the 40th anniversary of Alma Ata declaration, the WHO published a successful model of integrated patient care being performed in Slovenia. After two years, the WHO experts evaluated the success in practise during a visit to the Slovenian primary care environment. This report showed that Slovenia was a notable exception regarding developing effective primary care systems. The country has an impressive primary care which performs very well. Ključne besede: primary care, integrated care, person-centred care, family medicine, Slovenia Objavljeno v DKUM: 11.10.2024; Ogledov: 0; Prenosov: 2 Celotno besedilo (220,28 KB) Gradivo ima več datotek! Več... |
6. Working conditions and satisfaction with working conditions among Slovenian family medicine trainees : a cross-sectional studyKlemen Pašić, Vojislav Ivetić, 2021, izvirni znanstveni članek Opis: Introduction: In order to achieve a high standard in training programmes for future family medicine specialists, it is essential to have good tutors with well-organised family medicine practices. Proper working conditions for young doctors are essential for their satisfaction and future professional development. The aim of our study was to check the current working conditions of family medicine trainees in the practical modular part of the training programme in Slovenia, and to determine their satisfaction with working conditions.
Methods: A cross-sectional study was conducted. The data was collected through a questionnaire distributed to 105 family medicine trainees undergoing the practical modular part of their training programme.
Results: The study showed that the following 7 out of 25 organisational and labour law factors are significantly associated with a trainee's general satisfaction with working conditions: the location where work with patients takes place, the privacy of the premises, the accessibility of the main tutor, a constant patient population, suitable places for rest, paid out-of-hours substitutions, and appropriate pay grade.
Conclusion: The results we obtained can be used to address certain aspects of trainee's working conditions in Slovenia that need improvement. By determining which working conditions significantly affect a trainee's satisfaction, we have the opportunity to modify these conditions and thereby improve the training programme. This could result in a less stressful and more efficient residency programme. Ključne besede: family medicine, primary healthcare, trainees, working conditions, satisfaction Objavljeno v DKUM: 08.10.2024; Ogledov: 0; Prenosov: 4 Celotno besedilo (385,25 KB) Gradivo ima več datotek! Več... |
7. Mapping users' experience of a family history and genetic risk algorithm tool in primary careŠpela Miroševič, Kaja Krajc, Zalika Klemenc-Ketiš, Polona Selič-Zupančič, 2022, izvirni znanstveni članek Opis: Introduction: The development of a family history (FH) questionnaire (FHQ) provides an insight into a patient's familiarity of a trait and helps to identify individuals at increased risk of disease. A critical aspect of developing a new tool is exploring users' experience.
Objective: The objective of this study was to examine users' experience, obstacles and challenges, and their views and concerns in the applicability of a new tool for determining genetic risk in Slovenia's primary care.
Methods: We used a qualitative approach. The participants completed a risk assessment software questionnaire that calculates users' likelihood of developing familial diseases. Audio-taped semi-structured telephone interviews were conducted to evaluate their experience. There were 21 participants, and analyses using the constant comparative method were employed.
Results: We identified 3 main themes: obstacles/key issues, suggestions for improvements, and coping. The participants were poorly satisfied with the clarity of instructions, technical usability problems, and issues with the entry of relatives' data. They expressed satisfaction with some of the characteristics of the FHQ (e.g., straightforward and friendly format, easy entry, and comprehension). They suggested simpler language, that the disease risk should be targeted toward the disease, that the FHQ should include patient-specific recommendations, and that it should be part of the electronic medical records. When discussing what would they do with the results of the FHQ, the participants used different coping strategies: active (e.g., seeking information) or passive (e.g., avoidance).
Discussion/conclusion: User experience was shown to be a synthesis of obstacles, overcoming them with suggestions for improvements, and exploration of various coping mechanisms that may emerge from dealing with the stressor of "being at risk." Ključne besede: primary healthcare, family history, qualitative methodology Objavljeno v DKUM: 01.10.2024; Ogledov: 0; Prenosov: 2 Celotno besedilo (361,59 KB) Gradivo ima več datotek! Več... |
8. Knowledge transfer for innovativeness in family businessesMarina Letonja, Mojca Duh, Zdenka Ženko, 2021, izvirni znanstveni članek Opis: Family businesses (FB) are important in the most of national economies. We explored whether successors innovativeness is positively associated with the transfer of the founder innovativenes sthrough knowledge transfer and creation processes in a form of the internal transfer of founders tacitand experiential knowledge and skills and with the external transfer of knowledge, when potential successors attend educational programs, external training, or gain working experience in other companies. Our research reveals that when the actual forms of internal knowledge transfer a rediscussed, the positive correlations exist between innovativeness of successors and their early inclusion into FB, apprenticeship, inclusion of successors into meetings with business partners and strategic planning before they get involved in FB. Our survey partially confirmed that regarding external transfer of knowledge, working experiences of successors in other companies and participation in academic courses are positively associated with their innovativeness. Ključne besede: family business, innovation, knowledge transfer, succession Objavljeno v DKUM: 24.09.2024; Ogledov: 0; Prenosov: 2 Celotno besedilo (1,24 MB) Gradivo ima več datotek! Več... |
9. Association between one's attachment to parents and subsequent attachment to a partnerJernej Kovač, Marija Javornik, 2021, izvirni znanstveni članek Opis: The primary purpose of this study was to explore the association between individuals' attachments to their mothers and fathers, and their subsequent attachments to partners, based on research conducted in Slovenia. Participants in the empirical study were antenuptial couples who attended the premarital counselling course organized by and offered through the Franciscan Family Institute in Ljubljana, Slovenia. In order to explore more fully the concept of attachment, the authors of the study focused on the following dimensions: trust, communication and estrangement. The results of the study showed greater similarities in the three identified dimensions to the way in which both women and men experience attachment to their mothers and partners, while there were marked differences in the subjects' experience of attachment to their fathers. Ključne besede: family, attachment, children, parents, mothers, fathers Objavljeno v DKUM: 04.09.2024; Ogledov: 43; Prenosov: 4 Celotno besedilo (297,85 KB) Gradivo ima več datotek! Več... |
10. Identification and ranking of core values in family medicine : a mixed methods study from UkrainePavlo Kolesnyk, Sabine Bayen, Ivanna Shushman, Andrew Kolesnyk, George Kuodza, Zalika Klemenc-Ketiš, Thomas Frese, 2021, izvirni znanstveni članek Opis: Introduction/Context: The term core value (CV) can be defined as fundamental beliefs or principles, guiding one's behavior in a social context. Though core competencies of family medicine (FM) have been clearly defined by WONCA, there has been an ongoing debate on what the CVs are for family doctors (FDs). Ukraine is a developing country in the middle of Europe with a population of 43 million inhabitants, gained independence from the Soviet Union in 1991. Ukraine is a low-income country, developing a modern European healthcare system, especially regarding FM. To implement WONCA standards, it is mandatory to assess the ongoing understanding of CVs in clinical daily practice among active FDs, working in different countries of Europe including Ukraine. Research questions: How do Ukrainian FDs (Delphi group experts) define the CVs of FM in Ukraine and how important are these CVs to a wider population of Ukrainian FDs in their everyday practice? Methods: A mixed method study was conducted in two steps during August and September 2020 in Ukraine. The first part was a qualitative Delphi round (three rounds) design among 20 Ukrainian FDs who were familiar with teaching and terms like CV. A consensus list of six CVs has emerged from the Delphi round study. The second part was a quantitative survey among Ukrainian FDs, who were not specially used to discussing CVs. The consensus list of those six CVs was then submitted to 2000 FDs (randomly selected) who were not involved in the Delphi team, to rank those values from one to nine, according to the importance from their personal point of view. Demographic characteristics have been assessed for all the participants of the Delphi round and quantitative survey. Results: Twenty FDs were involved as experts in the first Delphi round, whereas only five experts continued their participation in the second and the third rounds of the survey. The following six CVs emerged from the Delphi round: comprehensive approach, care coordination, first recourse, continuity of care, integrated approach, and patient and family centered care. The final sample consisted of 375 FDs (19% response rate). There were 323 (88.7%) female and 34 (9.3%) male FDs in the sample. The mean age of the participants was 44.6+-13.5 years. Discussion/Conclusion: Defining CVs for FM by Ukrainian FDs in a given socio-economical and historical-cultural setting is crucial to optimize primary medical care and to guarantee an appropriate and successful implementation of WONCA standards as well as CVs in different countries including those where reformation of the health system is ongoing. Ključne besede: family medicine, Ukraine, core values, delphi, mixed methods, Ukraine Objavljeno v DKUM: 27.08.2024; Ogledov: 88; Prenosov: 13 Celotno besedilo (634,64 KB) Gradivo ima več datotek! Več... |