Oddelek pediatrične intenzivne terapije je kompleksno okolje, kjer so otroci, starši in zdravstveno osebje izpostavljeni najrazličnejšim izkušnjam. Kritično bolni otroci lahko med zdravljenjem v ...bolnišnici doživijo nelagodje ter so hkrati nadvse ranljivi in odvisni od zdravstvenega osebja, ki prepoznava njihove potrebe. S celostno obravnavo omogočimo kakovostno zdravstveno nego, povečamo zadovoljstvo otrokove družine in poskrbimo za dobro počutje osebja.
Sialendoskopske tehnike predstavljajo novo paradigmo, ki je bistveno spremenila zdravljenje zastojne bolezni žlez slinavk. Epidemija covida-19 predstavlja nov izziv za zdravstveni sistem sleherne ...države in postavlja na preizkušnjo številne, predvsem elektivne kirurške metode zdravljenja. Kirurški posegi v področju glave in vratu in še posebej v ustni votlini predstavljajo hudo tveganje za prenos covida-19. Pri izvajanju sialendoskopije oziroma sialendoskopsko asistirane operacije sta kirurška ter anesteziološka ekipa izpostavljeni slini in refleksom občutljivega anatomskega področja ust oziroma zgornjih dihal in prebavil. Ostaja vprašanje, kolikšno je tveganje glede na fazo operacije, vrsto anestezije, uporabljeno osebno varovalno opremo ter trenutno epidemiološko situacijo covida-19. V času pandemije covida-19 smo na Kliniki za otorinolaringologijo in cervikofacialno kirurgijo Ljubljana izvajali le nujne, kasneje pa tudi elektivne sialendoskopske in sialendoskopsko asistirane posege. Menimo, da je v času obvladljive epidemiološke situacije sialendoskopska kirurgija ob upoštevanju indikacij in zaščitnih ukrepov lahko varna za bolnika in izvajalca.
Uvod: Vloga medicinske sestre je pri obravnavi samomorilno ogroženih pacientov ena izmed ključnih za preprečevanje pojavnosti samomora. Namen raziskave je bil pregledati literaturo s področja ...zdravstvene nege samomorilno ogroženih pacientov v Sloveniji in tujini.Metode: Izveden je bil pregled literature v podatkovnih bazah PubMed, CINAHL, Google Učenjak in Obzornik zdravstvene nege od marca 2018 do septembra 2018. Napredno iskanje je potekalo s pomočjo Bullovega logičnega operatorja AND (IN), s kombinacijo naslednjih ključih besed: »psychiatric nursing care«, »the role of nurses«, »nurse prevention suicide«, »suicidal patients« in »mental health nursing«. V slovenščini smo uporabili ključno besedo »samomor«. Izmed 2101 zadetkov je bilo v kvalitativno vsebinsko analizo vključenih 17 zadetkov oziroma člankov.Rezultati: Viri so razporejeni glede na identificirane kode v kategorijo »Vloga medicinske sestre in pomen zdravstvene nege«, ki se deli na štiri pripadajoče podkategorije: (1) »Dejavnosti oziroma aktivnosti medicinske sestre za preprečevanje samomorov«, (2) »Terapevtski odnos in komunikacija medicinske sestre s samomorilno ogroženim pacientom«, (3) »Problemi medicinske sestre pri obravnavi samomorilno ogroženega pacienta« in (4) »Ukrepi za izboljšanje obravnave in preprečevanje samomora«.Diskusija in zaključek: Medicinske sestre se lahko na vseh ravneh zdravstvenih dejavnosti srečujejo s posamezniki, ki imajo samomorilne misli. Z načinom obravnave in odziva na njihovo stisko lahko vplivajo na počutje posameznika. Za učinkovito delo morajo medicinske sestre pridobiti dodatna znanja s področja prepoznave, ocenjevanja in preprečevanja samomorov.
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Cyber insecurity Harrison, Richard M; Herr, Trey
2016., 2016, 2016-10-18
eBook
Growing dependence on cyberspace for commerce, communication, governance, and military operations has left society vulnerable to a multitude of security threats. Mitigating the inherent risks ...associated with the use of cyberspace poses a series of thorny public policy problems. In this volume, academics, practitioners from both private sector and government, along with former service members come together to highlight sixteen of the most pressing contemporary challenges in cybersecurity, and to offer recommendations for the future. As internet connectivity continues to spread, this book will offer readers greater awareness of the threats of tomorrow—and serve to inform public debate into the next information age. Contributions by Adrienne Allen, Aaron Brantly, Lauren Boas Hayes, Jane Chong, Joshua Corman, Honorable Richard J. Danzig, Kat Dransfield, Ryan Ellis, Mailyn Fidler, Allan Friedman, Taylor Grossman, Richard M. Harrison, Trey Herr, Drew Herrick, Jonah F. Hill, Robert M. Lee, Herbert S. Lin, Anastasia Mark, Robert Morgus, Paul Ohm, Eric Ormes, Jason Rivera, Sasha Romanosky, Paul Rosenzweig, Matthew Russell, Nathaniel Tisa, Abraham Wagner, Rand Waltzman, David Weinstein, Heather West, and Beau Woods.
Raznovrstne krize znatno vplivajo na celoten prehranski sektor in spreminjajo stališča Evropejcev in politik o pomenu prehranske varnosti, trajnostno pridelane, kakovostne in varne hrane za zdravje ...potrošnikov. Prispevek se osredotoča na strah glede prehranske varnosti v času prvega vala COVID-19 krize v Sloveniji, na z njim povezan strah glede prehranske varnosti v prihodnje in na spremembe potrošnih vedenj. Spletno anketiranje je bilo v Sloveniji izvedeno v juniju 2020 na način »snežene kepe« in je zajelo 490 posameznikov. Rezultati so pokazali, da sta obe merjeni obliki strahu (i) strah o prehranski varnosti med prvim valom COVID-19 krize in (ii) strah o prehranski varnosti v prihodnosti statistično značilno, srednje močno in pozitivno povezani s skoraj vsemi samozaznanimi spremembami lastnega vedenja zaradi pojava COVID-19 krize. Anketiranci so se najbolj osredotočili na nakup živil, ki so pridelana in predelana v Sloveniji, na ustvarjanje večjih prehranskih zalog ter na večjo pazljivost pri tem, koliko hrane zavržejo. Zgolj manjše spremembe pa so izrazili glede nakupnih kanalov, pri čemer so neposredno od kmetov pogosteje nakupovali starejši, višje izobraženi in ti, ki se samouvrščajo v višji družbeni razred. V prihodnje bi bilo treba vključiti reprezentativen vzorec in primerjati rezultate z rezultati v drugih državah in podrobneje analizirati vpliv posameznikovega ekonomskega položaja in vpliv promocijskih kampanj na spremembo potrošnih vedenj.
Izpostavljenost okužbi zdravstvenih delavcev zaradi pandemije covida-19 je privedla do razvoja novih oblik osebne varovalne opreme. Ena od njih je aerosolna škatla, ki je bila zasnovana z idejo, kako ...varneje vstaviti dihalno cevko v sapnik bolnikom, okuženim z virusom SARS-CoV2. Uporaba aerosolne škatle ne sega samo v področje anesteziologije, ampak tudi v druga področja medicine. Številne kritike na račun prvotne zasnove so vodile v izdelavo novih oblik, ki postopoma izboljšujejo prvotne pomanjkljivosti. Razvoj se usmerja predvsem v okoliščino, kako zmanjšati oviranost kirurga (ali izvajalca) pri posegih ter kako zagotoviti varnejšo, enostavnejšo in hitrejšo možnost uporabe. Številnim avtorjem je uspelo pokazati, da uporaba aerosolne škatle pomembno vpliva na hitrost vstavitve dihalne cevke v sapnik, zato v urgentnih primerih odsvetujejo uporabo aerosolne škatle. Ob primerni uporabi ter ustreznem urjenju zdravstvenega delavca pa se je izkazala kot učinkovita osebna varovalna oprema, ker zdravstvene delavce dobro zaščiti pred velikimi in majhnimi vodnimi kapljicami. Pravilno posodobljena oblika aerosolne škatle dobro varuje tudi pred aerosolnimi delci, medtem ko uporaba izvorne oblike lahko tveganje za okužbo zdravstvenega delavca z aerosolnimi delci še poveča.
Advances in hardware technology have increased the capability to store and record personal data about consumers and individuals, causing concerns that personal data may be used for a variety of ...intrusive or malicious purposes. Privacy-Preserving Data Mining: Models and Algorithms proposes a number of techniques to perform the data mining tasks in a privacy-preserving way. These techniques generally fall into the following categories: data modification techniques, cryptographic methods and protocols for data sharing, statistical techniques for disclosure and inference control, query auditing methods, randomization and perturbation-based techniques. This edited volume contains surveys by distinguished researchers in the privacy field. Each survey includes the key research content as well as future research directions. Privacy-Preserving Data Mining: Models and Algorithms is designed for researchers, professors, and advanced-level students in computer science, and is also suitable for industry practitioners.
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The introduction of interprofessional primary care (IPC) as a model of collaborative patient care is increasingly vital in the context of complex healthcare systems and the growing needs of patients. ...Its benefits include improved patient outcomes, enhanced efficiency, and reduced costs. However, the successful implementation of IPC faces challenges due to the differences in training and backgrounds among healthcare professionals, emphasising the importance of effective teamwork and collaborative education.
Educational approaches utilising simulations have gained prominence, particularly in addressing the challenges of interprofessional primary care. Notably, simulations facilitate team learning, enhancing team management and confidence, which ultimately leads to improved performance in real-life scenarios. They also contribute to patient safety by providing comprehensive training and creating a safe environment for professionals to practice and refine their skills without risking real patient harm.
Moreover, simulations promote psychological safety, allowing healthcare workers to manage stress effectively and prepare for critical situations. Ethical considerations are met through simulation-based education, ensuring patient confidentiality, and creating a standardised and just learning environment for all students. Simulations contribute to promoting equity in medical education by providing equal access to high-quality training opportunities for all healthcare professionals.
In conclusion, successful IPC implementation requires a comprehensive approach that includes interprofessional education and the integration of simulations as an essential component of the curriculum at all levels of healthcare education. This approach fosters effective communication, teamwork, and confidence among primary care teams, ultimately leading to improved patient care and outcomes.
Patient safety is a crucial element of quality healthcare, and endeavours to enhance it are vital for attaining universal health coverage and improving patient outcomes. This study aimed to evaluate ...the perception of patient safety culture among staff at the Community Health Centre Ljubljana (CHCL).
A cross-sectional study was conducted in December 2022. All CHCL staff (N=1,564) from different professional groups were invited to participate in an anonymous electronic survey using the validated Slovenian version of the "Medical Office Survey on Patient Safety Culture" (MOSPSC). Mean percent positive scores for all items in each composite were calculated.
The final sample included 377 participants (response rate, 24.1%), most of whom were women (91.5%, N=345) with different professional profiles. The mean age of the participants was 44.5 years (SD 11.1) with a mean work experience of 20.1 years (SD 12.1). The percentage of positive overall MOSPSC composite scores was 59.6%. A strong patient safety culture perception was identified in the following dimensions: Information exchange with other settings (93.5%), Organisational learning (90.2%), List of patient safety and quality issues (88.1%), Patient care tracking/follow-up (76.2 %) and Teamwork (75.0%). Weak patient safety culture was identified in the dimensions of Work pressure and pace (10.7%), Leadership support for patient safety (27.1%), Communication openness (40.9%), Office processes and standardisation (48.2%) and Overall ratings on quality and patient safety (49.4%).
CHCL leadership should address weaknesses, redesign processes, and implement strategies to reduce patient safety incidents. Establishing a just culture that encourages employees to report errors fosters transparency and facilitates learning from errors.
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