Higher nursing workload increases the odds of patient deaths, as the work environment has a significant effect on patient outcomes. The aim of the study was to explore the relation between patient ...outcomes and nurses' working conditions in hospitals.
Administrative data on discharges of surgical patients for the year 2019 in eight general hospitals and two university medical centres in Slovenia were collected to determine in-hospital mortality within 30 days of admission. The RN4CAST survey questionnaire was used to gather data from nurses in these hospitals, with 1,010 nurses participating. Data was collected at the beginning of 2020. The number of nurses per shift and the nurse-to-patient ratio per shift were calculated. Univariate, bivariate and multivariate statistical methods were used to analyse the data.
The 30-day in-hospital mortality for surgical patients was 1.00% in the hospitals sampled and ranged from 0.27% to 1.62%. The odds ratio for staffing suggests that each increase of one patient per RN is associated with a 6% increase in the likelihood of a patient dying within 30 days of admission. The mean patient-to-RN ratio was 15.56 (SD=2.50) and varied from 10.29 to 19.39. Four of the 13 tasks checked were not performed on patients during the last shift.
The results are not encouraging, with an extremely critical shortage of RNs and thus a high RN workload. The number of patients per RN is the highest in Europe and also higher than in some non-European countries, and represents an extreme risk to the quality of nursing and healthcare as a whole. The recommendation for acute non-emergency internal medicine and surgery departments is four patients per RN per shift.
Abstract
Introduction
Aimed at preparing the basis for planning evidence-based public health measures for preservation/ improvement of nurses’ work ability (WA), the objective was to assess the ...relationship between WA and sense of coherence (SOC).
Methods
A cross-sectional study was conducted in 2018 among 713 nurses in Croatia. The association between poor WA index (PWAI) and SOC score (SOCS), adjusted for possible confounders, was determined by binary logistic regression analysis.
Results
The results of univariate logistic regression analysis showed a statistically significant negative association between SOCS and PWAI (OR=0.977, 95% CI 0.968 – 0.986, p<0.001). The results of multivariate logistic analysis showed an even stronger statistically significant negative association between SOCS and PWAI (OR=0.966, 95% CI 0.954 – 0.977, p<0.001) when adjusted for confounders.
Conclusions
The present study suggested SOC as an important health promoting resource of nurses which might offer protection regarding work-related stress. Weak SOC could be an important explanatory factor of poor WA. Accordingly, improving SOC by implementing health promotion measures in nurses’ workplace could be an important way to increase the WA among nurses.
V prispevku predstavljamo Prevajalsko prakso Oddelka za prevajalstvo Univerze v Ljubljani, ki je zasnovana praktično in usmerjena ciljno. S prenovo študijskih programov po smernicah bolonjske reforme ...je na Oddelku za prevajalstvo kot obvezni del magistrskega programa Prevajanje/Tolmačenje predvideno praktično usposabljanje v obliki Prevajalske prakse. Prevajalska praksa je za študente odlična priložnost za vpogled v realno prevajalsko situacijo, delodajalci pa tako lahko spoznajo potencialne bodoče sodelavce. Namen Prevajalske prakse je obogatiti in nadgraditi kakovost študija, omogočiti kasnejšo zaposljivost, ponuditi študentom, da že med študijem spoznajo dobre prakse s področja prevajanja in ponuditi možnosti dela z najsodobnejšimi tehnologijami. Študenti dobijo priložnost, da znanje, pridobljeno na fakulteti, prenesejo v svoje prevajalsko delo in obenem pridobivajo znanja, veščine in izkušnje, ki jim bodo kasneje omogočile učinkovitejšo integracijo v prevajalski sektor. V prispevku podrobneje pregledamo specifične pristope k izvajanju takšne študentske prakse, ki so se v zadnjih desetih letih izoblikovali na Oddelku za prevajalstvo in ponujajo model dobre prakse tudi v širšem okviru praktičnega usposabljanja.
Transnational multilingual information platform Danube Compass, part of the DRIM project (Danube Region Information Platform for Economic Integration of Migrants) financed by the European Union's ...Danube Transnational Programme, was created with the aim to improve access to information for migrants in eight countries along the Danube river. What we have learned in the process is what this handbook is all about. Its aim is to support the creation of similar platforms in other regions and is intended for organizations and institutions involved in the integration of newly arrived migrants. It should be helpful for anyone who is thinking of gathering focused information about arriving, working and living in another country. It provides hands-on checklists and ideas about how to implement one’s own platform for supporting migrants’ integration on local or national level.
This multilingual booklet presents a section of a comprehensive information platform on living and working in eight countries of the Danube region called DANUBE COMPASS. It provides an overview of ...basic information for easier orientation within the Slovenian healthcare system. Zdravje v Sloveniji is intended for users that are not familiar with the Slovenian healthcare system and are facing language barriers as well as for healthcare professionals who want to improve access to information and services for non-Slovenian speakers.
This multilingual booklet presents a section of a comprehensive information platform on living and working in eight countries of the Danube region called DANUBE COMPASS. It provides an overview of ...basic information for easier orientation within the Slovenian healthcare system. Zdravje v Sloveniji is intended for users that are not familiar with the Slovenian healthcare system and are facing language barriers as well as for healthcare professionals who want to improve access to information and services for non-Slovenian speakers.Ova višejezična brošura predstavlja dio sveobuhvatne informacione platform o životu i radu u osam zemalja Dunavskog regiona pod nazivom KOMPAS PODUNAVLJA (DANUBE COMPASS). Brošura daje pregled osnovnih informacija radi lakšeg snalaženja u sistemu zdravstvene zaštite Slovenije. Namijenjena je korisnicima koji nisu upoznati sa sistemom zdravstvene zaštite u Sloveniji i suočavaju se sa jezičkim preprekama, ali i zdravstvenim radnicima koji žele da poboljšaju pristup informacijama i uslugama za osobe koje ne govore slovenački jezik.
The papers contained in this booklet were presented at the transnational conference “Employment/Working Conditions, Occupational Safety and Health of Posted Workers” in Ljubljana, Slovenia (15 ...February 2017). The conference brought together experts (researchers and practitioners) from several European countries to discuss the existing and new challenges related to OSH (occupational safety and health), labour, and working conditions of posted workers. The conference served as the launch event of the POOSH project, financed by the European Comission (Programme EaSI PROGRESS) and led by Dr. Kristina Toplak from the Slovenian Migration Institute at ZRC SAZU. The booklet is covering the topic of the OSH of posted workers from several angles. The first part is framed around contributions given by researchers working in the field of labor mobility, with the focus on the occupational safety and health of posted workers. The second part contains contributions from practitioners working in NGOs, trade unions or Ministries of Labour who presented their work as well as discussed national and transnational legislations related to the OSH of posted workers.
The concept of health-promoting leadership focuses on the interaction between the organization and the individual by identifying components able to positively influence employees’ working conditions. ...In the present study, the effects of health-promoting leadership and transformational leadership on the employees’ recovery–stress balance are investigated. In an online study, 212 Slovenian workers were asked about their perceptions of their direct supervisors and their work-related stress and recovery. The results showed that both leadership styles have a significant effect on employees’ recovery at the workplace, which mediated the relationship between leadership and work-related stress.
Priročnik za obvladovanje psihosocialnih tveganj in absentizma s pomočjo orodja OPSA ('A handbook for managing psychosocial risks and absenteeism with OPSA tool') is an integral part of the new, ...freely available tool aimed at management of psychosocial risks and health-related absenteeism (tool OPSA), which also incorporates a questionnaire and an Excel file for recording and evaluation of data from the questionnaire. Besides introducing the problem of psychosocial burdens experienced by employees at their workplace and beyond, this handbook can be used as a useful instrument for designing a various promotional and preventive arrangements which bettering employees’ health and well-being in their working settings, as suggested by recent guidelines for psychosocial risks management. A handbook is based on interactive chapters, including also numerous links to supportive health promotion websites in order to facilitate the preparation of adequate measures and related activities, commonly carried out by professionals in the field of health and safety at work. A special chapter is dedicated to instructions for working with the Excel file of OPSA tool, enabling an assessment of employees’ psychosocial burdens and risks of developing an excessive stress, absenteeism, presenteeism, turnover and experiencing of workplace violence.