Uvod: Merjenje zadovoljstva pacientov z zdravstvenimi storitvami je pomemben kazalec razvoja vsakega zdravstvenega sistema. Zadovoljstvo pacientov je pomemben in pogosto uporabljen indikator za ...merjenje kakovosti zdravstvene oskrbe. Prispevek se osredotoča na ugotavljanje zadovoljstva državljanov Republike Slovenije s trenutnim zdravstvenim sistemom.Metode: Uporabljena je bila deskriptivna neeksperimentalna vzorčna metoda. Merski instrument je bil strukturiran vprašalnik. Uporabljena je bila metoda snežene kepe. Na spletni vprašalnik je skupno odgovorilo 693 oseb, 488 oseb je vprašalnik v celoti izpolnilo. Podatki so bili analizirani z opisno statistiko, korelacijsko analizo, faktorsko analizo in linearno regresijsko analizo.Rezultati: Sodelujoči v raziskavi v največji meri cenijo prijazen in spoštljiv odnos zdravstvenih delavcev ter njihovo razpoložljivost za hitro pomoč. Negativno ocenjujejo čakanje na obravnavo v čakalnici, telefonsko nedosegljivost, nezanimanje za osebne razmere pacienta in kratek čas obravnave pri zdravniku. Med najpomembnejše spremenljivke, ki vplivajo na zadovoljstvo pacientov, lahko uvrstimo: čakanje v čakalnici na pregled, dovolj časa, ki ga zdravnik nameni pacientu, zanimanje za osebne razmere, zaupanje v strokovne odločitve zdravstvenega osebja, vključevanje v odločanje o zdravljenju in občutek popolnega zaupanja.Diskusija in zaključek: Zdravstveni delavci lahko v zdravstvenem sistemu pomembno vplivajo na zadovoljstvo pacientov. Usmerjenost v kakovostno obravnavo in spoštljivo komunikacijo povečuje zaupanje pacientov v zdravstveni sistem in zaupanje v strokovne odločitve zdravstvenega osebja, kar pa lahko ključno vpliva na uspešnost zdravstvene obravnave posameznika.
Healthcare workers (HCW) can have an important role in educating parents about child road safety, but research on the topic shows that they usually do not have adequate knowledge. Thus, the aim of ...our study was to analyze their knowledge in the field of child road safety.
The cross-sectional study was conducted among HCW from South Bačka district, Serbia, using a specially created questionnaire for assessing knowledge on road traffic injuries in children.
The research involved the participation of 317 healthcare workers (86 physicians and 231 nurses). Healthcare workers from primary healthcare made up almost 70% of all respondents, followed by those from tertiary (21.8%) and secondary (11.3%) level institutions. The average percentage of correct answers on the knowledge test was 74.3% (mean=22.3, SD=4.0). Out of all respondents, HCWs employed in the paediatrics department had a significantly higher percentage of correct answers at 77.7% (mean=23.3, SD=3.4) compared to other health workers at 73% (mean=21.9, SD=4.1) (p=0.002). Association analysis demonstrated that HCW employed at paediatric departments on average scored 1.37 (95% CI: 0.40-2.33, p=0.006) points higher in comparison with other HCW.
This research demonstrated an unsatisfactory level of knowledge on child road safety by HCW, and the variability across different question domains, which underlines the need for continuous educations in order to improve their knowledge. Our results may serve in planning additional public health measures and can provide a reference for future studies.
Članek obravnava jezikovno realnost slovenskih državljanov v Avstriji, ki s prenosom svojega prebivališča ali delovnega mesta zaradi nemščine, njenih različic in drugih jezikov, ki se tam govorijo, ...vstopijo v jezikovno heterogen družbeni prostor. Namen raziskave je bil na eni strani ugotoviti, katere jezike in jezikovne zvrsti slovenski uporabljajo državljani v svojem (delovnem) vsakdanjiku v Avstriji, na drugi strani pa, ali med priseljenci in čezmejnimi delavci obstajajo statistično značilne razlike. Raziskava ponuja prvi sociolingvistični vpogled v še precej neraziskano temo.
Prispevek prikazuje, kako se je z neoliberalizmom, globalizacijo in s postmodernizacijo produkcije poslabšal strukturni položaj delavcev. Protinapad kapitala na delo je uspel ponovno vzpostaviti ...rezervno armado prodajalcev delovne sile. S strahom pred brezposelnostjo ustvarja pokorne in poslušne delavce. Biti izkoriščan je postal privilegij, saj je vedno na čakanju množica tistih, ki bi takoj zavzeli to delovno mesto. V najslabšem položaju so delavci migranti. Avtorja predstavljata analizo položaja te skupine delavcev v Sloveniji. Na njihovo viktimizacijo je (dodatno) vplivala država s svojo zakonodajo in pasivnostjo nadzorstvenih mehanizmov. Ti novodobni sužnji niso priklenjeni na delo z okovi, ampak s socialnoekonomsko stisko in strukturnim nasiljem.
Abstract Introduction Despite the high prevalence of malnutrition in patients at all levels of healthcare, early prevention and treatment of malnourished patients are often neglected and overlooked ...in clinical practice. The aim of this systematic literature review was to identify the factors considered most important by healthcare professionals in the identification and treatment of malnourished patients or those at risk of malnutrition. Methods A systematic literature review of qualitative research was conducted. Documents published in scientific journals in English from 2011 to 2021 were searched in the PubMed (MEDLINE), CINAHL and ProQuest databases. The results were analysed with a thematic analysis of qualitative research findings. Results From the search set of 1010 results, 7 sources were included in the final analysis. Factors identified by health professionals as important in the identification and treatment of malnourished patients in clinical practice were grouped into five themes: unclear organizational structure; indefinite structure of nutritional care; poor continuity of nutritional care; lack of knowledge and skills of health professionals; lack of time and human resources. Conclusions Health policy must provide resources for nutritional care for patients at all levels of health care on the initiative of the highest professional bodies at the state level. To improve the nutritional care of patients in clinical practice, the management of health care institutions must promote and enable the professional and organizational establishment of clinical nutrition as a regular medical activity of the institution, develop clinical nutritional pathways, and promote evidence-based clinical practice and interprofessional collaboration.
V članku avtorji sprva predstavijo pravno ozadje napotitev, ki določa statusnopravno opredelitev čezmejnega dela oziroma opravljanja začasnega dela v državi članici Evropske unije ali Evropskega ...gospodarskega prostora, ki ni država, v kateri delavec običajno dela. V nadaljevanju se na primeru napotitev iz Slovenije dotaknejo težav in vprašanj, ki jih ta statusno pravna kategorija čezmejnega opravljanja dela oziroma storitev prinaša v praksi. S konkretnimi primeri obravnavajo dve področji sistemskih problemov – administrativno in izvršilno. Izhodišče članka je, da napotitve v različnih državah EU odpirajo različne specifične probleme in vprašanja, povezana s posebnostmi na trgu dela, specifično delovno, socialno idr. zakonodajo, z delovanjem pristojnih institucij in njihovim medsebojnim sodelovanjem.
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.
Podatki Evropske skupnosti kažejo, da je mlada delovno aktivna populacija v starosti od 18 do 24 let zlasti zaradi pomanjkanja izkušenj in znanja o zagotavljanju varnosti in zdravja pri delu ter ...nezadostne usposobljenosti za varno in zdravo delo posebej ogrožena v smislu večjega tveganja poškodb pri delu in poklicnih bolezni v primerjavi s preostalo delovno populacijo. Delodajalci morajo vzpostaviti ustrezen sistem za zagotavljanje varnosti in zdravja pri delu s poudarkom na usposabljanju za varno delo dijakov in študentov, ki so na delovni praksi, ter novozaposlenih mladih oseb. Ministrstvo za delo, družino, socialne zadeve in enake možnosti vodi vrsto projektov promocije varnosti in zdravja pri delu, s katerimi si prizadeva spodbuditi kulturo varnosti med mladimi v Sloveniji. Cilj nacionalnega programa uvajanja varnosti in zdravja pri delu v vzgojo in izobraževanje je, da vzgojiteljem in učiteljem ponudi različna orodja in pripomočke, s katerimi bodo lahko mladim na zanimiv način približali varnost in zdravje pri delu.
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