Viral respiratory infections in a nursing homeTina Uršič
, Nina Gorišek Miksić
, Lara Lusa
, Franc Strle
, Miroslav Petrovec
, 2016, izvirni znanstveni članek
Opis: Background: The knowledge on viral respiratory infections in nursing home (NH) residents and their caregivers is limited. The purpose of the present study was to assess and compare the incidence of acute respiratory infections (ARI) in nursing home (NH) residents and staff, to identify viruses involved in ARI and to correlate viral etiology with clinical manifestations of ARI.
Methods: The prospective surveillance study was accomplished in a medium-sized NH in Slovenia (central Europe). Ninety NH residents and 42 NH staff were included. Nasopharyngeal swabs were collected from all participants at enrollment (December 5th, 2011) and at the end of the study (May 31st, 2012), and from each participant that developed ARI within this timeframe. Molecular detection of 15 respiratory viruses in nasopharyngeal swab samples was performed.
Results: The weekly incidence rate of ARI in NH residents and NH staff correlated; however, it was higher in staff members than in residents (5.9 versus 3.8/1,000 person-days, P=0.03), and was 2.5 (95 % CI: 1.36-4.72) times greater in residents without dementia than in residents with dementia. Staff members typically presented with upper respiratory tract involvement, whereas in residents lower respiratory tract infections predominated. Respiratory viruses were detected in 55/100 ARI episodes. In residents, influenza A virus, respiratory syncytial virus, and human metapneumovirus were detected most commonly, whereas in NH staff rhinovirus and influenza A virus prevailed. 38/100 ARI episodes (30/56 in residents, 8/44 in staff) belonged to one of three outbreaks (caused by human metapneumovirus, influenza A virus and respiratory syncytial virus, respectively). NH residents had higher chances for virus positivity within outbreak than HN staff (OR=7.4, 95 % CI: 1.73-31.48, P<0.01).
Conclusions: ARI are common among NH residents and staff, and viruses were detected in a majority of the episodes of ARI. Many ARI episodes among NH residents were outbreak cases and could be considered preventable. Trial registration The study was registered on the 1th of December 2011 at ClinicalTrials (NCT01486160).
Ključne besede: respiratory infections, nursing home, residents nursing home
Objavljeno: 28.06.2017; Ogledov: 604; Prenosov: 116
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Satisfaction of people with police roadside proceduresVinko Gorenak
, Marko Prevolčič
, 2008, izvirni znanstveni članek
Opis: In the theoretical part of this paper, the authors present criteria by which the satisfaction of the public with police work can be measured. The focus lies on those criteria that are significant for police work in the community and for the reputation of the police as a state organ itself, which is co-responsible for(improving) security in the nation. The empirical part of this paper is based on a study that included 120 residents from the area of Slovenj Gradec police directorate. The interviewees had to give their opinion on various questions or statements about their satisfaction regarding police roadside procedures in the area that they live in. Furthermore, the authors examined the extent to which the residents are willing to help police officers, how they evaluate their work, on what basis the residents shape their opinion and how they evaluate interpersonal competencies of police officers. The results have shown that the satisfaction of residents with roadside police procedures in SlovenjGradec police directorate is relatively good since the majority of answers varies between 3 and 4 on a Likert scale ranging from 1to 5. Even though the evaluations are promising, the authors conclude the paper with several recommendations.
Ključne besede: satisfaction, residents, traffic, criteria, police, police work in community, respect
Objavljeno: 05.06.2017; Ogledov: 555; Prenosov: 75
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Challenges for institutional elder care in Slovenian nursing homesAna Habjanič
, Reetta Saarnio
, Satu Elo
, 2012, izvirni znanstveni članek
Opis: Aims and objectives.Ž To investigate deficiencies in the institutional elder care that is being offered to residents of nursing homes in Slovenia. Background.Ž Public criticism of the provision of elder care in nursing homes is growing all over the world, including in Slovenia. Many studies on this issue have been conducted, but seldom have assessed different viewpoints simultaneously. Design.Ž A qualitative research design that involved individual unstructured interviews was used in 2007. The participants (n = 48)comprised 16 residents, 16 relatives and 16 members of the nursing staff from four nursing homes in Slovenia. Methods.Ž The data generated were subjected to qualitative content analysis. Results.Ž The major themes that emerged from this analysis were neglect, unprofessional communication, uncomfortable physical environment and inadequate administration. Conclusions.Ž The participants of the study identified issues in institutionalelder care in Slovenia that have also been highlighted by international research. Due to staff shortages, low motivation, insufficient communication skills and inexperience, members of the nursing staff reported that they were not in a position to offer the best possible quality of care. Relevance to clinical practice.Ž To improve the living environment in nursing homes, it is important to consider the opinions of all those who are involved closely in institutional elder care. Correction of deficiencies should be a priority and should result in more engagement with residents.
Ključne besede: elder care, nursing home, nursing staff, relatives, residents
Objavljeno: 10.07.2015; Ogledov: 1298; Prenosov: 99
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