Surveying patient satisfaction is considered an important part of any systematic program of quality assurance. Quality of healthcare service and patient satisfaction has been affected by the current ...COVID-19 epidemic. The purpose of the study was to determine how COVID-19 epidemic has affected patients in Slovenia as it is evident via permanently available questionnaire and from studying this data source to improve our response to future crises and to improve the resilience of healthcare systems. A secondary analysis of 12,756 completed questionnaires was performed via freely available patient satisfaction questionnaire in the period from October 2019 to June 2021. The number of completed questionnaires was significantly higher in the period before the COVID-19 outbreak than in the subsequent periods. Comparing COVID-19 period and epidemic-free period statistically significant differences in satisfaction assessment occurred in four variables. More patients recognized opportunities for improvement in the COVID-19 epidemic than in the epidemic-free period. This study can be upgraded with qualitative studies and implementation of systemic measures.
Research from the field of non-formal education (NFE) in youth work emphasises the central role of experiential learning and learning in groups. The present paper aims to research teaching methods ...and teaching forms in NFE in youth work. The research sought to answer the following research questions: 'What teaching forms can be found in NFE for young people in youth councils on a national level in Slovenia?' and 'What teaching methods can be found in NFE for young people in youth councils on a national level in Slovenia?' Data was collected using semi-structured interviews; the instrument was a list of questions. The empirical research was conducted in July 2016 with six interviewees. The results indicate that learning in selected NFE in the National Youth Council of Slovenia (MSS) is participatory, interactive, inclusive and student-focused; with central concepts of experiential learning and learning in groups. The key teaching form is learning in groups. However, individual work, work in pairs, programmed instruction and direct instruction are also present. The central and omnipresent teaching method is experiential learning. Problem-based learning, case-study method, action learning, and project-based learning are intertwined and connected to the experiential learning method. Other methods include verbal-textual methods, illustrative-demonstration methods, experimental methods, peer learning, and support methods. The conclusions are applicative in the didactic spectrum of NFE in youth work and in the wider didactic spectrum of adult learning. Implications for further research include teaching methods and forms in NFE inside the wider youth sector, internationally comparative and through quantitative research. (DIPF/Orig.).
Introduction: When it comes to integrative medicine, the nurses are "caught in a trap" of their own views and developed competencies, as well as the views of the institution and the country where ...they work. The pilot study’s objective was to explore what is the expected reaction of nurses to the patient’s request for complementary treatment with tea in hospitals where integrative nursing has not yet been normatively recognised.
Methods: The quantitative research approach with a survey was used. Nonprobability sampling covered 506 persons from Southeast Slovenia, paticipating voluntarily: nurses, nursing students, patients and other persons. Respondents were to choose among the 11 previously prepared scenarios of possible responses of the nurse.
Results: Significant differences regarding the expected reaction of nurses both within the groups, as well as between the groups of respondents were found. The most possible critical response of nurses was to offer the tea which is daily available on the ward. A fifth of respondents believe that the patient’s tea would be provided by the visiting relatives.
Conclusion: Due to the prepared scenarios, findings and given orientations for further research, the study can be further implemented in the international environment for empirical verification.
Abstract Aim. Hospital health care of a patient represents a part of the patient’s “journey” through the healthcare system and as such is not delivered independently, but in a personalized integrated ...manner. To achieve a better outcome of personalized medical health care of patients in hospital, it is necessary to systematically transform the existing clinical pathways (CPs) into integrated clinical pathways (ICPs). The aim of the study was to investigate stakeholder’s perceptions of the content and barriers to transforming CPs into ICPs on the example of a general hospital in Slovenia. That is how we obtained microdata for systemic measures at the level of general hospitals in Slovenia. Material and methods. The cross-sectional study used a qualitative method with interviews and focus groups with patients, nurses, other healthcare workers and managers working in ICPs for chronic kidney disease and hip replacement in a typical Slovenian hospital. Results. The results showed that ICPs could be divided into five basic phases. In all phases, additions to the existing CPs in order to turn them into ICPs were necessary, which was an additional burden, especially for the nurses. Conclusions. Personalized health care through ICPs is patient-centered, shorter, holistic, coordinated, continuous, of higher quality for patients and sustainably more efficient for providers.
The COVID-19 pandemic rapidly affected every aspect of our day-to-day lives and soon also became a global challenge for healthcare systems. The key issues concern the health system’s readiness for ...the “shock”, the speed at which the outbreak of the “shock” was detected and responded to, how to cope with the “shock effect“, and how to restore the system and learn. It is about what is known as system resistance. The aim of the research was to demonstrate the importance of collective and individual responsibility in the response to the pandemic “shock” in the chosen field of medicine: dentistry. A qualitative study of the case of the Slovenian healthcare system’s resistance to the COVID-19 epidemic in terms of dental care in Slovenia was carried out.
Slovenia lags behind international recommendations for reporting and learning from patient safety incidents and risk management in health care. To counter this, the country established the SenSys ...project, which receives technical support from the European Commission's Structural Reform Support Service, in cooperation with the Danish Patient Safety Authority, and pertains to an initiative to improve health care. A subproject of the SenSys project works to adapt and implement the International Classification for Patient Safety of the World Health Organization (ICPS-WHO). This article presents a case study of the national research process to identify the necessary Slovenian national adaptation and upgrade of the ICPS-WHO, the ICPS-SL, particularly regarding types of patient safety incidents. Our aim was to reflect on how we used the insights from different research elements and learned from different aspects of our project/system development.
We used the SQUIRE 2.0 (Standards of Quality Improvement Reporting Excellence) to present our case study. The methods used to collect information on the necessary adaptations to establish an optimal ICPS-SL included a literature review, qualitative analysis of national consultation meetings, and a 2-cycle Delphi study. This process took place between January 2018 and August 2019, and we found 18 useful articles. Participants such as providers, users, and national bodies from national consultation meetings were all key stakeholders.
The relevant stakeholders agreed upon changes to the ICPS-WHO to implement in the ICPS-SL as an integrated part of a Slovenia's incident reporting and learning system. Notably, they implemented changes in terminology in the translation of some English terms. They also added or hierarchically reordered some patient safety incident types: for example, they added the nation-specific point "treatment of pain" as a type of patient safety incident. The stakeholders will also partially integrate the following indicators: monitoring systems, vigilance systems, and complaint systems.
Different research elements contributed to the ICPS-SL's new knowledge and more reliable development. We emphasized a cooperative process with a consensus-building approach while linking the knowledge, experience, and needs of various stakeholders. All interested parties adopted this process, aiming to establish conditions for national learning from patient safety incidents and better preventive action for health care quality and safety. Vertical and horizontal multidisciplinary teamwork was a focal point as well. Technical assistance proved especially useful. It is now necessary to clinically test the ICPS-SL classification framework as Slovenia's internationally harmonized standard, and have the Health Council adopt it for use both online and in practice.
The COVID-19 pandemic rapidly affected every aspect of our day-to-day lives and soon also became a global challenge for healthcare systems. The key issues concern the health system’s readiness for ...the “shock”, the speed at which the outbreak of the “shock” was detected and responded to, how to cope with the “shock effect“, and how to restore the system and learn. It is about what is known as system resistance. The aim of the research was to demonstrate the importance of collective and individual responsibility in the response to the pandemic “shock” in the chosen field of medicine: dentistry. A qualitative study of the case of the Slovenian healthcare system’s resistance to the COVID-19 epidemic in terms of dental care in Slovenia was carried out.
Pandemija COVID-19 je hitro prizadela vsako področje našega vsakdanjega življenja in pomeni globalni izziv tudi za naše zdravstvene sisteme. Ključna vprašanja so povezana s pripravljenostjo ...zdravstvenega sistema na »šok«, hitrostjo prepoznavanja in odziva na začetek »šoka«, z upravljanjem učinka »šoka« ter obnovitvijo sistema in učenjem. Gre za t. i. resilence oziroma odpornost sistema. Namen raziskave je bil dokazati pomen individualne in kolektivne odgovornosti pri odzivu na epidemiološki »šok« na izbranem področju medicine - v zobozdravstvu. Izvedena je bila kvalitativna študija primera odpornosti slovenskega sistema zdravstvenega varstva na epidemijo COVID-19 na primeru zobozdravstvenega varstva v Sloveniji.
The course of diabetes is marked by the development of chronic complications that, in addition to affecting health, also affect the quality of life of patients. The purpose of this study was to ...compare the quality of life of patients with type 2 diabetes based on their chronic complications. The study, which was conducted from March 2019 until March 2020, included 382 diabetic patients, specific data from medical records, and the application of the World Health Organization Quality of Life-Brief questionnaire. There were more men than women included in the study, with the majority of respondents belonging to the age group of 61 to 70 years. In the quality-of-life assessment, the mean value of physical functioning was 57.14 (42.86-71.43), psychological functioning was 66.67 (54.17-79.17), social functioning 66.67 (50.00-75.00), and environmental functioning was 68.75 (50.00-75.00). The domains of social functioning were lowest in patients with diabetic retinopathy and neuropathy, while the physical functioning domains were rated lowest in patients with diabetic nephropathy, diabetic foot ulcer, and multiple chronic complications. All domains were rated lowest by patients with multiple complications and highest by those without any complications. In conclusion, differences in the assessment of quality of life of diabetic patients depend on the type of chronic complication.
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