A patient safety culture (PSC) is a complex phenomenon, representing an essential part of the organizational culture and refers to the shared values, conceptions and beliefs which contribute to the ...formation and encouragement of safe behavioural models in a health organization. With this study, the authors wanted to delineate the attitude of hospital staff in Bulgaria regarding PSC and to document to whether attitudes differ between physicians and other healthcare professionals (HCPs).
A national cross-sectional survey among 384 HCPs was conducted using an online version of the Bulgarian version of Hospital Survey on Patient Safety Culture (B-HSOPSC). The data was analysed with descriptive statistics, non-parametric Mann-Whitney U and x 2 tests.
The physicians represented 37.50% (144) of the sample and other HCPs 62.50% (240). Respondents from governmental/municipal hospitals prevailed (53.6%). The dimensions "Staffing" and "Non-punitive response to error" were most problematic, as their percentage of positive response rates (PRRs) were lowest. However, "Handoffs and transitions" and "Supervisor/manager expectations and actions promoting safety" showed the highest mean values in both physicians and other HCPs. From all participants, 76.0% have never reported an adverse event or error.
The results of the study show that all respondents demonstrate a positive attitude regarding PSC. A comparison of the mean values and that of PRRs in the dimensions did not show any group differences, according to the type of staff position, i.e. physicians or other HCPs.
Health-related absenteeism impacts individuals, companies, and society. Its consequences are reflected in the cost of benefits, substitutes, and reduced productivity. Research shows that ...musculoskeletal disorders (MSDs) are the most common work-related health problem reported by hospital staff. This study determines the groups at the Ljubljana University Medical Centre that are most susceptible to MSDs, especially low back pain.
Using data from the Health Data Centre of the Slovenian National Public Health Institute and the medical centre, this cross-sectional study analysed absenteeism among medical centre employees. The correlation between MSD / low-back pain risk factors and incidence was determined using logistic regression. An odds ratio was calculated to determine the probability of MSDs, most especially low back pain via sex, age, occupation, and education.
Sick leave at the medical centre is higher than 5%, exceeding the Slovenian healthcare sector average. MSDs, as the main reason for absence, is significantly more frequent in women, non-medical staff, and employees with a maximum secondary school education. Among the MSDs, low back pain predominates as a reason for absence and is most frequent among nurses, midwives, and employees of 20 to 44.9 years old.
This study offers insight into the health status of medical centre employees. The high percentage of sick leave is mainly due to musculoskeletal disorders, including low back pain. This is an important basis for further monitoring and analysis of sick leave indicators and for planning systematic and continuous workplace health-promoting measures to manage ergonomic risk factors and reduce health-related absenteeism.
Workplace violence is a serious and multidimensional problem that adversely affects professional and personal lives of employees. The aim of this study was to assess the prevalence and ...characteristics of verbal violence as a part of psychological violence among employees in primary health care in Belgrade, and to identify contributing factors of verbal violence in the workplace.
In this cross-sectional study, the final analysis included 1526 employees, using multi-stage sampling. Data were collected using the questionnaire Workplace Violence in the Health Sector Country Case Studies Research, developed by ILO/ICN/WHO/PSI. Descriptive statistics and logistic regression analysis were used to analyse the data. The general response rate was 86.8% (1526/1757).
It was found that 47.8% of the participants were subjected to verbal violence. The main source of verbal violence was patient/client, 55.6% of employees did not report the incident. Among those who did not report the incident, 74.9% believed that reporting violence was useless. The interaction with patients (OR, 1.45; 95% CI, 1.02-2.06) and work between 6pm and 7am (OR, 1.27; 95% CI, 1.01-1.60) were significant contributing factors of verbal violence.
The results are indicative of a high prevalence of verbal violence against employees in primary health centres, which could have undesirable consequences. Conducting a better organizational measure and encouraging employees to report workplace violence could reduce the prevalence of verbal violence.
Objectives. The aim of the article is to investigate the differences in sickness present and non-sickness present in the group of disabled health care professionals.
Methods. Data were gathered from ...all disabled health care professionals suffering from invalidity of category II or III who were identified in the research among all health care professionals at the University Medical Centre Ljubljana and who were employed there in the period between 1 January 2010 and 31 December 2010. Each employee obtained a questionnaire composed of three standardized international questionnaires.
Results. There were 248 disabled workers of the II. and III. category of invalidity among the participants. Disabled sickness present reported to have more chronic diseases than disabled non-sickness present (OR = 57.0; 95% CI = 24.4-133.2), lower salary when on sick leave (OR = 13.1; 95% CI = 5.7- 30.2) and poor self-rated health (OR = 5.8; 95% CI = 2.7-12.3).
Conclusions. The prerequisite for sickness presence among disabled workers is their chronic bad health. It is also formally recognized with the degree of disability. Economic factors are among the most important to direct disabled workers towards sickness presence. The results indicate that workplaces are not adapted to disabled workers in regard to their limitations.
Namen. Osnovni namen članka je raziskati razlike med prezentisti in neprezentisti znotraj skupine zdravstvenih delavcev invalidov.
Metode. V raziskavi so sodelovali vsi invalidi II. in III. kategorije, ki so zaposleni v Univerzitetnem kliničnem centru Ljubljana in ki smo jih identificirali v raziskavi, ki je zajela vse zaposlene zdravstvene delavce UKC Ljubljana v obdobju med 1.1. 2010 in 31.12.2010. Izpolnili so vprašalnik, sestavljen iz treh standardiziranih mednarodnih vprašalnikov.
Rezultati. Med preiskovanci je bilo 248 invalidov II. in III. kategorije. Invalidi prezentisti so navajali več kroničnih bolezni kot invalidi neprezentisti (RO = 57.0; 95 % IZ = 24.4-133.2), nižji osebni dohodek ob bolniškem staležu (RO = 13.1; 95 % IZ = 5.7-30.2) in slabšo samooceno zdravstvenega stanja (RO = 5.8; 95 % IZ = 2.7-12.3).
Zaključek. Osnova za prezentizem pri delovnih invalidih je kronična okvara njihovega zdravja, ki je tudi formalno priznana s stopnjo invalidnosti. Ekonomski dejavniki so poleg bolezni najpomembnejši dejavniki tveganja za prezentizem pri invalidih. Iz rezultatov je mogoče sklepati, da delovna mesta invalidnim delavcem niso prilagojena v tolikšni meri, da bi povsem ustrezala njihovim omejitvam zaradi bolezni.
The study focuses on the programmatic bases of Slovenian political parties since independence. It presents an analysis of party programs and their preferences regarding doctors and other health ...workers, as well as the contents most commonly related to them. At the same time, the study also highlights the intensity of the presence of doctors on the policy agenda through time.
In the study, 83 program documents of political parties have been analysed. The study includes programmes of political parties that have occurred in parliamentary elections in Slovenia between 1992 and 2014 and have exceeded the parliamentary threshold. The data were analysed using the content analysis method, which is suitable for analysing policy texts. The analysis was performed using ATLAS.ti, the premier software tool for qualitative data analysis.
The results showed that doctors and other health workers are an important political topic in non-crisis periods. At that time, the parties in the context of doctors mostly dealt with efficiency and the quality of services in the health system. They often criticize doctors and expose the need for their control. In times of economic crisis, doctors and other health workers are less important in normative commitments of parties.
Slovenian political parties and their platforms cannot be distinguished ideologically, but primarily on the principle of access to government. It seems reasonable to conclude that parties do not engage in dialogue with doctors, and perceive the latter aspassive recipients of government decisions-politics.
Hudi akutni respiratorni sindrom (SARS) je nova, huda in lahko prenosljiva infekcijska bolezen. Prvič so jo prepoznali februarja 2003, v nekaj mesecih se je s Kitajske razširila v 29 držav. SARS ...povzroča nov virus (koronavirus SARS-CoV), proti kateremu človek ni imun, zato lahko okuži vsakega izmed nas. S človeka na človeka se prenaša pretežno kapljično, redkeje po zraku (aerogeno) ali preko kontaminiranih površin, morda tudi z blatom in urinom. Bolezen se prične od 2 do 10 dni po okužbi z vročino, mišičnimi bolečinami in glavobolom. Začetnim simptomom sledijo kašelj, dihalna stiska in driska. Več kot 20 % bolnikov potrebuje zdravljenje na intenzivnem oddelku z intubacijo in mehanskim predihavanjem. Med dosedanjimi obolelimi je bilo več kot polovico zdravstvenih delavcev, v večini primerov je prišlo do prenosa okužbe v bolnišnici. Širjenje okužbe lahko preprečimo z zgodnjim odkrivanjem novih primerov, izolacijo, ustrezno zaščito zdravstvenih delavcev ter nadzorom oseb, ki so bile v stiku z bolnikom s SARS. V članku so predstavljeni bolezenski znaki, povzročitelj, načini prenosa in higienski ukrepi za preprečevanje širjenja SARS.
PDF
