1. Effects of a serious smartphone game on nursing students` theoretical knowledge and practical skills in adult basic life support : randomized wait list-controlled trialNino Fijačko, Ruth Masterson Creber, Špela Metličar, Matej Strnad, Robert Greif, Gregor Štiglic, Pavel Skok, 2024, izvirni znanstveni članek Opis: Background: Retention of adult basic life support (BLS) knowledge and skills after professional training declines over time.To combat this, the European Resuscitation Council and the American Heart Association recommend shorter, more frequent BLS sessions. Emphasizing technology-enhanced learning, such as mobile learning, aims to increase out-of-hospital cardiac arrest (OHCA) survival and is becoming more integral in nursing education.
Objective: The aim of this study was to investigate whether playing a serious smartphone game called MOBICPR at home can improve and retain nursing students’ theoretical knowledge of and practical skills in adult BLS.
Methods: This study used a randomized wait list–controlled design. Nursing students were randomly assigned in a 1:1 ratio to either a MOBICPR intervention group (MOBICPR-IG) or a wait-list control group (WL-CG), where the latter received the MOBICPR game 2 weeks after the MOBICPR-IG. The aim of the MOBICPR game is to engage participants in using smartphone
gestures (eg, tapping) and actions (eg, talking) to perform evidence-based adult BLS on a virtual patient with OHCA. The participants’ theoretical knowledge of adult BLS was assessed using a questionnaire, while their practical skills were evaluated on cardiopulmonary resuscitation quality parameters using a manikin and a checklist.
Results: In total, 43 nursing students participated in the study, 22 (51%) in MOBICPR-IG and 21 (49%) in WL-CG. There were differences between the MOBICPR-IG and the WL-CG in theoretical knowledge (P=.04) but not in practical skills (P=.45) after MOBICPR game playing at home. No difference was noted in the retention of participants’ theoretical knowledge and practical
skills of adult BLS after a 2-week break from playing the MOBICPR game (P=.13). Key observations included challenges in response checks with a face-down manikin and a general neglect of safety protocols when using an automated external defibrillator.
Conclusions: Playing the MOBICPR game at home has the greatest impact on improving the theoretical knowledge of adult BLS in nursing students but not their practical skills. Our findings underscore the importance of integrating diverse scenarios into adult BLS training. Ključne besede: serious smartphone game, adult basic life support, teaching, games, gaming, education, nurses, nursing, educational, mHealth, mobile health, applications, smartphones, randomized controlled trial, technology-enhanced learning, life support, knowledge retention, practical Objavljeno v DKUM: 27.11.2024; Ogledov: 0; Prenosov: 0 Celotno besedilo (778,28 KB) |
2. Numerical simulation of fatigue crack growth and fracture in welded joints using XFEM—a review of case studiesAleksandar Sedmak, Aleksandar Grbović, Nenad Gubeljak, Simon Sedmak, Nikola Budimir, 2024, pregledni znanstveni članek Opis: Numerical simulation of fatigue crack growth in welded joints is not well represented in the literature, especially from the point of view of material heterogeneity in a welded joint. Thus, several case studies are presented here, including some focusing on fracture, presented by two case studies of mismatched high-strength low-alloyed (HSLA) steel welded joints, with cracks in the heat affected zone (HAZ) or in weld metal (WM). For fatigue crack growth, the extended finite element method FEM (XFEM) was used, built in ABAQUS and ANSYS R19.2, as presented by four case studies, two of them without modelling different properties of the welded joint (WJ). In the first one, fatigue crack growth (FCG) in integral (welded) wing spar was simulated by XFEM to show that its path is partly along welded joints and provides a significantly longer fatigue life than riveted spars of the same geometry. In the second one, an integral skin-stringer panel, produced by means of laser beam welding (LBW), was analysed by XFEM in its usual form with stringers and additional welded clips. It was shown that the effect of the welded joint is not significant. In the remaining two papers, different zones in welded joints (base metal—BM, WM, and HAZ) were represented by different coefficients of the Paris law to simulate different resistances to FCG in the two cases; one welded joint was made of high-strength low-alloyed steel (P460NL1) and the other one of armour steel (Protac 500). Since neither ABAQUS nor ANSYS provide an option for defining different fatigue properties in different zones of the WJ, an innovative procedure was introduced and applied to simulate fatigue crack growth through different zones of the WJ and evaluate fatigue life more precisely than if the WJ is treated as a homogeneous material. Ključne besede: fatigue crack growth, extended finite element method, welded joints, fatigue life, highstrength low-alloyed steel Objavljeno v DKUM: 25.11.2024; Ogledov: 0; Prenosov: 4 Celotno besedilo (13,42 MB) Gradivo ima več datotek! Več... |
3. Long-term impact of community psychiatric care on quality of life amongst people living with schizophrenia : a systematic reviewJožica Černe Kolarič, Anja Plemenitaš Ilješ, Darja Kraner, Vida Gönc, Mateja Lorber, Nataša Mlinar Reljić, Zvonka Fekonja, Sergej Kmetec, 2024, pregledni znanstveni članek Opis: The review examines the long-term impact of community psychiatric care on improving the quality of life of people with schizophrenia. It addresses the global burden of this disorder and the need for effective community-based care strategies. A systematic literature search was conducted in databases such as CINAHL, Medline, Web of Science, Sage and ScienceDirect, with the search lasting until March 2024 and following the PRISMA guidelines. The inclusion criteria targeted studies that addressed the long-term effects of community mental health care for people aged 18 years and older with schizophrenia and included both quantitative and qualitative research designs. Studies unrelated to the research question or with significant methodological flaws were excluded. The risk of bias was assessed using GRADE and GRADECERqual, in addition to critical appraisal using the Joanna Briggs Institute (JBI) checklists. Independent screening and data extraction was performed, with results summarised by thematic analysis. In total, 11 studies met the inclusion criteria and included cross-sectional, cohort, qualitative and randomised controlled trial designs. The results showed that community psychiatric care significantly improves the quality of life, well-being and social integration of people with schizophrenia. Effective interventions identified include psychoeducation, cognitive behavioural therapy, social skills training and individualised care plans. However, challenges such as limited resources, labour shortages and social stigma, particularly in low-income neighbourhoods, were also identified. This study highlights the importance of continuous, personalised, multidisciplinary community-based care for sustainable mental health outcomes. Further research is recommended to investigate the long-term impact and strategies to overcome implementation challenges. Ključne besede: schizophrenia, quality of life, community, psychiatric care, patient, systematic review Objavljeno v DKUM: 22.11.2024; Ogledov: 0; Prenosov: 3 Povezava na datoteko Gradivo ima več datotek! Več... |
4. Person-centred care: a support strategy for managing non-communicable diseasesMateja Lorber, Nataša Mlinar Reljić, Barbara Kegl, Zvonka Fekonja, Gregor Štiglic, Adam Davey, Sergej Kmetec, 2024, izvirni znanstveni članek Opis: Background: Over the last decade, the inadequacy and unsustainability of current healthcare services for managing long-term co-morbid and multi-morbid diseases have become evident. Methods: This study, involving 426 adults with at least one non-communicable disease in Slovenia, aimed to explore the link between quality of life, life satisfaction, person-centred care, and non-communicable disease management. Results: Results indicated generally positive perceptions of quality of life, general health, and life satisfaction of individuals with non-communicable diseases. Participants assessed their physical health as the highest of the four quality of life domains, followed by the environment, social relations, and psychological health. Significant differences occurred in life satisfaction, general health, quality of life, and person-centred care for managing non-communicable diseases. But, there were no significant differences in person-centred care according to the living environment. The study revealed a positive association between person-centred care and effective non-communicable disease management, which is also positively associated with quality of life, general health, and life satisfaction. Conclusions: Person-centred care is currently the most compassionate and scientific practice conceived, representing a high ethical standard. However, implementing this approach in healthcare systems requires a cohesive national strategy led by capable individuals to foster stakeholder collaboration. Such an approach is crucial to address the deficiencies of existing healthcare services and ensure person-centred care sustainability in non-communicable disease management. Ključne besede: person-centred care, non-communicable disease, quality of life, life satisfaction Objavljeno v DKUM: 22.11.2024; Ogledov: 0; Prenosov: 1 Povezava na datoteko |
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6. The human capital of the freelancers and their satisfaction with the quality of lifeIvona Huđek, Polona Tominc, Karin Širec, 2021, izvirni znanstveni članek Opis: Digital technologies are underpinning a wide range of products, services, processes, and business model innovations that are significantly transforming industries, organizations, and society. They are increasingly permeating every aspect of our daily lives. In this paper, we looked at the challenges of digitalization, leading to a new way of working in the market and new business models, such as the gig economy. Individuals are becoming more mobile and self-directed in their careers, as opposed to traditional careers. We investigated the demographic characteristics of the new, growing group of self-employed, so-called freelancers, at the national level in Slovenia and investigated the relationships between human capital and their subjective (job and career satisfaction, life satisfaction) and objective success (income satisfaction). The survey was conducted among 200 freelancers (respondents). The empirical results show that most Slovenian freelancers working from home work in professional, scientific, and technical occupations; are between 35 and 44 years old; have completed the second level of tertiary education; work more than 40 hours per week; and have 16 years or more of work experience. To explore the quality of life of freelancers, empirical analysis showed that human capital factors are important for the success of a new career as a freelancer. The results show that freelancers’ human capital factors (education and experience, skills, and training) positively influence subjective and objective success. Using structural equation modeling, we also confirmed that human capital has a greater impact on freelancers’ subjective success (life satisfaction, career satisfaction) than on objective success (income satisfaction), suggesting that job and life satisfaction should be considered an important resource that freelancers rely on to determine their quality of life. Ključne besede: digitalization, work engagement, freelancers' human capital, quality of life, subjective success, objective success Objavljeno v DKUM: 19.08.2024; Ogledov: 137; Prenosov: 12 Celotno besedilo (1,10 MB) Gradivo ima več datotek! Več... |
7. CPR quality assessment in schoolchildren trainingKatia M. G. Oliveira, Maria José C. Carmona, Antonio P. Mansur, Julio Y. Takada, Nino Fijačko, Federico Semeraro, Andrew Lockey, Bernd W. Böttiger, Naomi K. Nakagawa, 2022, izvirni znanstveni članek Opis: Whilst CPR training is widely recommended, quality of performance is infrequently explored. We evaluated whether a checklist can be an adequate tool for chest compression quality assessment in schoolchildren, compared with a real-time software. This observational study (March 2019–2020) included 104 schoolchildren with no previous CPR training (11–17 years old, 66 girls, 84 primary schoolchildren, 20 high schoolchildren). Simultaneous evaluations of CPR quality were performed using an observational checklist and real-time software. High-quality CPR was determined as a combination of 70% correct maneuvers in compression rate (100–120/min), depth (5–6 cm), and complete release, using a real-time software and three positive performance in skills using a checklist. We adjusted a multivariate logistic regression model for age, sex, and BMI. We found moderate to high agreement percentages in quality of CPR performance (rate: 68.3%, depth: 79.8%, and complete release: 91.3%) between a checklist and real-time software. Only 38.5% of schoolchildren (~14 years-old, ~54.4 kg, and ~22.1 kg/m2) showed high-quality CPR. High-quality CPR was more often performed by older schoolchildren (OR = 1.43, 95%IC:1.09–1.86), and sex was not an independent factor (OR = 1.26, 95%IC:0.52–3.07). For high-quality CPR in schoolchildren, a checklist showed moderate to high agreement with real-time software. Better performance was associated with age regardless of sex and BMI. Ključne besede: cardiopulmonary resuscitation, education, assessment, schoolchildren, basic life support Objavljeno v DKUM: 28.06.2024; Ogledov: 151; Prenosov: 12 Celotno besedilo (292,78 KB) Gradivo ima več datotek! Več... |
8. Psychometric properties of the Slovenian version of the Cancer Survivors' Unmet Needs (CaSUN-SL) measure in post-treatment cancer survivorsŠpela Miroševič, Polona Selič-Zupančič, Judith B. Prins, Vesna Homar, Zalika Klemenc-Ketiš, 2022, izvirni znanstveni članek Opis: Background: As the number of cancer survivors is growing, valid instruments for assessing cancer survivors' needs are required. Thus, the aim of this study was to translate and validate the Cancer Survivors Unmet Needs (CaSUN) scale.
Methods: Cancer survivors were recruited from 30 family medicine practices and separated into two samples (sample 1, n = 147; sample 2, n = 148). Factor structure was explored with an exploratory analysis in sample 1 and determined with a confirmatory analysis in sample 2. Psychometric properties were assessed with internal consistency, test-retest reliability and construct validity.
Results: A translation and cultural adaptation of the CaSUN scale resulted in 34 items being included in the final version. The factor structure confirmed the five-factors solution of the CaSUN-SL. Cronbach's alpha was 0.94 for the CaSUN-SL and ranged from 0.71-0.88 for specific domains. Test-retest reliability showed moderate-high stability over time. The CaSUN-SL significantly and positively correlated with anxiety (r = 0.49), depression (r = 0.44), health-related quality of life (r = 0.36), and negatively with self-perceived health (r = - 0.36) and resilience (r = - 0.47), which confirms the construct validity. In addition, we found a significant correlation between unmet needs and age (r = - 0.29), gender (r = 0.14), cancer stage (r = 0.20), cancer type (r = 0.19), and time since treatment (r = - 0.20).
Conclusions: Results indicate that CaSUN-SL is a valid and reliable measure to assess the Slovenian cancer survivors' unmet, met and total needs and can be used for further prospective studies. Ključne besede: Cancer survivors, needs assessment, psychometrics, anxiety, depression, quality of life, cancer, survivol, psychometrics Objavljeno v DKUM: 27.06.2024; Ogledov: 130; Prenosov: 14 Celotno besedilo (993,82 KB) Gradivo ima več datotek! Več... |
9. Factors associated with a high level of unmet needs and their prevalence in the breast cancer survivors 1–5 years after post local treatment and (neo)adjuvant chemotherapy during the COVID-19 : a cross-sectional studyŠpela Miroševič, Judith B. Prins, Simona Borštnar, Nikola Bešić, Vesna Homar, Polona Selič-Zupančič, Andreja Cirila Škufca Smrdel, Zalika Klemenc-Ketiš, 2022, izvirni znanstveni članek Opis: Objective: To assess the prevalence of unmet needs in post-treatment breast cancer survivors and identify sociodemographic, clinical, and psychosocial variables associated with reported unmet needs during the COVID-19 pandemic.
Materials and methods: In this cross-sectional study, 430 post-treatment breast cancer survivors, ranging between 1 and 5 years after the procedure, completed the Cancer Survivors’ Unmet Needs (CaSUN) questionnaire from September 2021 and January 2022. The multivariate logistic analysis identified factors associated with at least one reported unmet need in the total CaSUN scale and specific domains.
Results: A total of 67% of survivors reported at least one unmet need. The most frequently reported unmet needs were the lack of accessible hospital parking (43%) and recurrence concerns (39.5%). The majority of reported unmet needs relate to comprehensive care (44%), followed by the psychological and emotional support domain (35.3%). Younger age (OR = 0.95, 95% CI = 0.92–0.99; p < 0.001), three or more comorbidities (OR = 0.27, 95% CI = 0.11–0.71, p < 0.01), a lower quality of life (OR = 0.06, 95% CI = 0.01–0.47, p < 0.01) and low resilience (OR = 0.95, 95% CI = 0.93–0.99) were associated with a high level of unmet needs in the multivariate regression model. Results are presented for factors associated with a high level of unmet needs for comprehensive cancer care and psychological and emotional support domain.
Conclusion: A high prevalence found in our study could be attributed to the COVID-19 pandemic, where patients may have missed adequate follow-up care, although comparing to studies done in non-pandemic time is difficult. Family physicians should be more attentive toward younger cancer survivors and those with more comorbidities as both characteristics can be easily recognized in the family practice. Ključne besede: breast cancer, cancer survivors (MeSH term), needs assessment [MeSH], fear of cancer recurrence, quality of life, psycho-oncology, COVID-19, chemotherapy, unmet needs Objavljeno v DKUM: 27.06.2024; Ogledov: 129; Prenosov: 4 Celotno besedilo (621,32 KB) Gradivo ima več datotek! Več... |
10. The importance of autonomy of European Union member states with regard to the use of genetically modified organisms on the right to healthcare : an analysis of judgements of the Court of Justice of the European UnionKatja Meško Kuralt, 2022, izvirni znanstveni članek Opis: The European Union Member States (hereinafter: EU MS) have the possibility of restricting or banning the cultivation of GMOs under the Directive 2015/412 but under certain conditions. EU MS must also pay attention to the provisions of the Treaty on the Functioning of the Euro-pean Union or Treaty Establishing the European Community (hereinafter: TFEU), the provi-sions relating to the free movement of goods, which is one of the key objectives of the func-tioning of the European Union. This contribution is based on the data obtained from an analy-sis of Court of Justice of the European Union (hereinafter: CJEU) cases concerning the use of genetically modified organisms (hereinafter: GMO(s)). The analysis highlights the link between environmental risk assessment and the right to healthcare. The purpose of this paper is to make the individual aware of the possibilities they have regarding the use of GMOs. Ključne besede: Directive 2001/18, Directive 2015/4120, Directive 2018/350, high level of protection of human life and health, possibility of restricting or prohibiting the production of GMOs, free movement of goods, environmental risk assessment Objavljeno v DKUM: 26.06.2024; Ogledov: 144; Prenosov: 19 Celotno besedilo (518,32 KB) Gradivo ima več datotek! Več... |