Uvod: Evtanazija je pojem, o katerem se mora razpravljati z vidika medicinskih, zdravstvenih in družboslovnih strok. Medicinske sestre so sestavni del zdravstvenih timov, zato je potrebno njihovo ...vključevanje v etične razprave o evtanaziji. Namen pregleda literature je predstaviti vidik evtanazije v povezavi z zdravstveno nego. Metode: Uporabljen je bil pregled literature, izveden v podatkovnih bazah COBIB.SI, CIHAHL in PubMed od 1. 11. 2020 do 1. 12. 2020. Iskanje je potekalo z uporabo ključnih besed: »evtanazija«, »zdravstvena nega«, v angleškem jeziku s kombinacijo ključnih besed: »attitudes«, »euthanasia« in »nursing«. Potek pregleda literature je prikazan z diagramom PRISMA. Kakovost virov, vključenih v končno analizo, je bila ocenjena s pomočjo hierarhije dokazov. Rezultati so bili sintetizirani z uporabo tematske analize. Rezultati: Izmed 138 virov je bilo v končno analizo vključenih enaindvajsetih člankov. Medicinske sestre so navajale naklonjen, kot tudi nenaklonjen odnos ter prisotnost etičnih dilem v povezavi z evtanazijo. Naklonjen odnos medicinskih sester do evtanazije se kaže v primerih neobvladljivih bolečin, neznosnega trpljenja in neozdravljivih bolezni, nenaklonjen pa v povezavi z nekaterimi demografskimi in kulturnimi značilnostmi medicinskih sester, upoštevanjem načel sočutne oskrbe in spoštovanjem vrednosti človekovega življenja. Diskusija in zaključek: Ugotovitve raziskave prispevajo prepoznati odnos medicinskih sester do evtanazije ter nekatere etične dileme v povezavi z evtanazijo. Potrebno bi bilo izvesti podrobne preglede etičnih dilem in moralnih stisk, ki se pojavljajo v povezavi z evtanazijo in zdravstveno nego.
The aim of this study was to assess the possible associations between self-perceived sick building syndrome (SBS) symptoms among healthcare workers and healthcare associates and self-perceived ...parameters of indoor work environment quality.
The cross-sectional study was conducted from February to April 2019. Validated standardized evaluation tools (MM 040 NA Hospital 2007 and MM 040 NA Office 2007) were used for estimating the prevalence of SBS among observed populations. Chi-square and Mann-Whitney U tests for assessing possible associations in SBS symptoms between healthcare workers and associates were used.
The response rate was 69.8%. The results showed a lower prevalence of six or more SBS symptoms in healthcare associates (6.4%) compared to healthcare workers (12.0%). Healthcare workers perceived the most frequent risk factors for SBS to be poor air quality, an inappropriate level of relative humidity, and inappropriate room temperature, while the least frequently self-perceived risk factors were inappropriate lighting and noise levels.
This study represents a platform for further analyses - the identification of health risk factors with environmental monitoring.
Background: Incorporating greenery into hospital environment contributes to the sustainable development goals by mitigating health, environmental and economic problems. Despite the increasing ...interest in plants, gardens and green roofs in general built environments, the benefits of greenery in hospital environment are still under-researched. The aim of this review was to summarize the relevant literature and describe the benefits of greenery in hospital environment.
Methods: The PubMed, Springer Link and CINAHL databases were searched to identify relevant studies and articles published between 2012 and 2023. The keywords used were hospitals, greenery, green systems, vegetation, and room plants. The language restriction was that articles were published in English.
Results: Following the PRISMA methodology, seven eligible studies were included in the literature review. Evidence shows that the presence of greenery affects patient health outcomes and the well-being of healthcare staff. Moreover, the healing and therapeutic effects greenery in the hospital environment have been identified. Greenery also has a positive psychological effect on healthcare workers and visitors. Humanizing healthcare spaces and connecting them with nature empowers patients, reduces stress and pain, and improves emotional well-being.
Conclusion: The biophilic design concept increases occupant connectivity to the natural environment through vegetation at the location, including implemented green building envelope systems (green walls and roofs) and the introduction of indoor plants. It should be incorporated into the established steps of hospital design. In summary, more research is needed, particularly on the potential impact of plants on hospital-acquired infections.
Introduction: Making shared ethical decisions about patients' further healthcare involves coordinating the opinions of healthcare professionals, and patients and their relatives. The purpose of the ...research was to examine the joint ethical decision-making of healthcare professionals.Methods: A review of the scientific literature performed in the COBISS, Springer Link and PubMed databases was used. To search for literature in the Slovenian language, the following words were used: "etika", "zdravstveni delavci", "skupne odločitve" and in the English language: "ethics", "health professionals", "shared decision making". The literature review was carried out using the PRISMA diagram. Results were synthesized using thematic analysis.Results: 19 articles were included in the final analysis. We created three thematic categories: (1) ethical competence of healthcare workers, (2) problems in the area of joint ethical decision-making and (3) new approaches to joint ethical decision-making to improve outcomes in clinical practice. In the field of joint ethical decision-making of healthcare professionals, the importance of ethical competence, issues in the field of joint ethical decision-making and new approaches to joint ethical decision-making for improving results in clinical practice is demonstrated.Discussion and conclusion: The findings of the research contribute to illuminating the importance of joint ethical decision-making and giving an insight into the factors of joint ethical decision-making. The end result of certain ethical decisions that affect the interaction of healthcare professionals and all levels in healthcare are important.
Introduction: Making shared ethical decisions about patients' further healthcare involves coordinating the opinions of healthcare professionals, and patients and their relatives. The purpose of the ...research was to examine the joint ethical decision-making of healthcare professionals. Methods: A review of the scientific literature performed in the COBISS, Springer Link and PubMed databases was used. To search for literature in the Slovenian language, the following words were used: "etika", "zdravstveni delavci", "skupne odločitve" and in the English language: "ethics", "health professionals", "shared decision making". The literature review was carried out using the PRISMA diagram. Results were synthesized using thematic analysis. Results: 19 articles were included in the final analysis. We created three thematic categories: (1) ethical competence of healthcare workers, (2) problems in the area of joint ethical decision-making and (3) new approaches to joint ethical decision-making to improve outcomes in clinical practice. In the field of joint ethical decision-making of healthcare professionals, the importance of ethical competence, issues in the field of joint ethical decision-making and new approaches to joint ethical decision-making for improving results in clinical practice is demonstrated. Discussion and conclusion: The findings of the research contribute to illuminating the importance of joint ethical decision-making and giving an insight into the factors of joint ethical decision-making. The end result of certain ethical decisions that affect the interaction of healthcare professionals and all levels in healthcare are important.
Uvod: Multikulturalizem, globalizacija in internacionalizacija predstavljajo neizogiben dejavnik razvoja, ki so mu izpostavljeni tako visokošolski prostor kot klinična okolja. Raziskave kažejo, da ...klinični mentorji nimajo dovolj multikulturnih kompetenc. Namen raziskave je bil proučiti izkušnje kliničnih mentorjev in visokošolskih učiteljev z mentorstvom tujim študentom.
Metode: S kvalitativnim pristopom – študijo primera so bile raziskane izkušnje kliničnih mentorjev in visokošolskih učiteljev z mentorstvom tujim študentom zdravstvene nege enega od visokošolskih zavodov. Podatki so bili zbrani januarja 2014, s tehniko skupinskega intervjuja, uporabljen je bil polstrukturiran vprašalnik. V vzorec je bilo vključenih šest kliničnih mentorjev in visokošolskih učiteljev. Pogovori so bili transkribirani in besedilo podrobno analizirano s pristopom indukcije.
Rezultati: Odgovori so bili strnjeni v pet glavnih tem: kulturno zavedanje, poznavanje kultur, kulturne spretnosti, medkulturni stiki in želja po kulturni osveščenosti. Kategorije opisujejo izkušnje intervjuvancev v novih kulturah, posebnosti mentorstva, željo po kulturni osveščenosti in jezikovne ovire. V želji po kulturni osveščenosti ugotavljamo vpliv kulture na kakovost zagotavljanja zdravstvene nege, željo po novih znanjih in pozitiven odnos do internacionalizacije praktičnega usposabljanja.
Diskusija in zaključek: Intervjuvanci navajajo, da je pomembno medsebojno spoštovanje različnih kultur. Izražajo željo po razumevanju drugačnosti, ne navajajo posebnih priprav na izmenjavo tujih študentov. Jezikovna ovira in strah se ob vsakodnevnem stiku s tujimi študenti zmanjša. Raziskava prispeva k boljšemu razumevanju razmer v procesu mentorstva tujih študentov zdravstvene nege.
Introduction: According to different studies, student work has both positive and negative effects on the academic performance of nursing students. The purpose of the study was to examine the effect ...of student work based on a sample of Slovenian nursing students. Methods: The method of non-experimental quantitative research with a sampling survey was used. 432 nursing students participated. The reliability of the questionnaire was determined by internal consistency analysis (from 0.608 to 0.753) and factor analysis. The data were collected in October and November 2012. Descriptive statistics, the chi-square test, correlation analysis and ANOVA were used for the statistical analysis. Results: Students of four higher education institutions did not provide statistically significant differences in the assessment of their financial status (p = 0.189). The number of hours of student work does not statistically correlate (p = 0.776) with the time for studying. The monthly total of the hours of student work revealed a statistically significant difference (p = 0.001), with students at higher education institution A stating the least hours of student work (x = 19.9), and students at higher education institution B stating the greatest amount of student work (x = 48.5). Discussion and conclusion: The monthly amount of hours of student work does not affect students’ academic performance. Students opt for student work because they wish to acquire clinical experience, clinical practice, meet potential employers and improve their employment prospects after graduation.
Migrant nurses have reported difficulties adapting to their new culture and providing culturally sensitive care for people with dementia. However, to date no studies have explored the impact of ...student nurse's cultural heritage on their beliefs and understanding of dementia.
To explore the cultural beliefs of dementia of student nurses studying in England, Slovenia, Philippines and New Zealand.
An explorative hermeneutic phenomenology design.
Higher Education Institutes delivering undergraduate nursing education in England (University of Greenwich and University of Essex), Slovenia (Angela Boškin Faculty of Health Care), New Zealand (University of Auckland), and the Philippines (University of Silliman).
Student nurses studying nursing in England (n = 81), Slovenia (n = 41), Philippines (n = 53) and New Zealand (n = 6). Participants from England and New Zealand were from diverse cultural backgrounds. Student nurses at the beginning of their studies (n = 100) and towards the end of their studies (n = 81) participated.
Completion of focus groups (n = 23), in England (n = 10), Slovenia (n = 6), Philippines (n = 6), and New Zealand (n = 1). All focus groups were audio recorded and transcribed verbatim. Data was analysed by applying an inductive theoretical approach of the Framework Method, which supports the generation of themes through open unhindered coding, pinpointing, examining, and recording patterns within the data.
Two major themes were identified in the data: familial piety and dementia discourse. Familial piety emerged from the importance of family and caring for family members with dementia, subthemes included: ‘my granddad’: familial experience, and ‘better to be with her’: familial home. Dementia discourse emerged from the terminology student nurses applied, such as: ‘preconceptions and misconceptions’ of aggression, and ‘considered crazy’ stigma of dementia due to a lack of awareness.
The cultural heritage of student nurses impacted on their beliefs of dementia; however their understanding of the needs, care and support of a person with dementia changed and developed through clinical experience and education.
Uvod: Medicinske sestre v enotah intenzivne terapije uravnavajo ciljno vrednost glukoze v krvi pri kritično bolnih po sprejetih in veljavnih protokolih. Namen raziskave je bil raziskati prednosti in ...slabosti različnih protokolov vodenja vrednosti glukoze v krvi pri kritično bolnih.Metode: Uporabljen je bil sistematični pregled znanstvene in strokovne literature. Iskanje literature je potekalo od 1. 2. 2017 do 8. 8. 2017. V pregled so bile vključene naslednje baze: COBIB.SI, Digitalna knjižnica Slovenije – Dlib.si, CINAHL, ProQuest, PubMed in Google Učenjak. Iskanje je potekalo z različnimi kombinacijami ključnih besed v slovenskem in angleškem jeziku: prednosti, slabosti, medicinske sestre, kritično bolni, glukoza v krvi in protokoli za vodenje vrednosti glukoze v krvi. Uporabljen je bil Boolov operater AND. Iz iskalnega nabora 1064 zadetkov je bilo v končno analizo vključenih 15 člankov. Za obdelavo podatkov je bil uporabljen model analize konceptov.Rezultati: Identificirana so bila tri tematska področja: (1) primernost različnih protokolov za vodenje vrednosti glukoze v krvi, (2) delovne obremenitve medicinskih sester pri teh protokolih in (3) varnost protokolov. Prednosti računalniško podprtega protokola za vodenje vrednosti glukoze v krvi so v boljšem doseganju ciljne vrednosti koncentracije glukoze v krvi, slabosti pa v pojavu odstopanj v zvezi z načrtovanim časom za merjenje glukoze v krvi.Diskusija in zaključek: Nekatere raziskave ugotavljajo prednosti računalniško podprtih protokolov za vodenje vrednosti glukoze v krvi v smislu tehnoloških izboljšav, zmanjšanja delovnih obremenitev medicinskih sester in izboljšanja varnosti pacientov. Raziskava prispeva k izboljševanju klinične prakse pri delu s kritično bolnimi pacienti.
Uvod: Medicinske sestre v enotah intenzivne terapije uravnavajo ciljno vrednost glukoze v krvi pri kritično bolnih po sprejetih in veljavnih protokolih. Namen raziskave je bil raziskati prednosti in ...slabosti različnih protokolov vodenja vrednosti glukoze v krvi pri kritično bolnih. Metode: Uporabljen je bil sistematični pregled znanstvene in strokovne literature. Iskanje literature je potekalo od 1. 2. 2017 do 8. 8. 2017. V pregled so bile vključene naslednje baze: COBIB.SI, Digitalna knjižnica Slovenije – Dlib.si, CINAHL, ProQuest, PubMed in Google Učenjak. Iskanje je potekalo z različnimi kombinacijami ključnih besed v slovenskem in angleškem jeziku: prednosti, slabosti, medicinske sestre, kritično bolni, glukoza v krvi in protokoli za vodenje vrednosti glukoze v krvi. Uporabljen je bil Boolov operater AND. Iz iskalnega nabora 1064 zadetkov je bilo v končno analizo vključenih 15 člankov. Za obdelavo podatkov je bil uporabljen model analize konceptov. Rezultati: Identificirana so bila tri tematska področja: (1) primernost različnih protokolov za vodenje vrednosti glukoze v krvi, (2) delovne obremenitve medicinskih sester pri teh protokolih in (3) varnost protokolov. Prednosti računalniško podprtega protokola za vodenje vrednosti glukoze v krvi so v boljšem doseganju ciljne vrednosti koncentracije glukoze v krvi, slabosti pa v pojavu odstopanj v zvezi z načrtovanim časom za merjenje glukoze v krvi. Diskusija in zaključek: Nekatere raziskave ugotavljajo prednosti računalniško podprtih protokolov za vodenje vrednosti glukoze v krvi v smislu tehnoloških izboljšav, zmanjšanja delovnih obremenitev medicinskih sester in izboljšanja varnosti pacientov. Raziskava prispeva k izboljševanju klinične prakse pri delu s kritično bolnimi pacienti.
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