Podići svijest među zaposlenima u djelatnosti zdravstva o neophodnosti očuvanja njihova zdravlja i njihove radne sposobnosti jer su ključni čimbenici za kvalitetu zdravstvene zaštite. U bazi podatka ...PubMed ključnim riječima health staff, health workers i quality of care te na stranicama Svjetske zdravstvene organizacije (engl. World Health Organization, https://www.who.int/), Svjetske medicinske udruge (engl. World Medical Association, https:// www.wma.net/), Europske unije javnih službi (engl. European Public Service Union, https://www.epsu.org/) i Ministarstva zdravstva Republike Hrvatske (https://zdravlje.gov.hr/) pretraženi su podatci o zdravlju na radu osoba zaposlenih u djelatnosti zdravstva u kontekstu kvalitete zdravstvene zaštite koju pružaju. Praksa i u nas i u svijetu pokazuje kako rizici u zdravstvu po zdravlje i sposobnost za rad zaposlenih još uvijek nisu prepoznati na odgovarajući način niti se odgovorni prema zaštiti zdravlja odnose na odgovarajući način. I kako se prijetnja zarazom COVID-19 svladavala, dramatičnom je brzinom nestajalo zanimanje za stanje zdravlja i radne sposobnosti osoba zaposlenih na poslovima i u sustavu zdravstvene zaštite. Nacionalnim planom oporavka i otpornosti 2021. – 2026. u poglavlju o zdravstvu naglašava se da su ljudski resursi, stručni i posvećeni zdravstveni radnici i nezdravstveni djelatnici koji sudjeluju u pružanju zdravstvene skrbi i koji osiguravaju logističku podršku za nju najvažniji resurs našega zdravstvenog sustava, ali o očuvanju njihova zdravlja i podršci njihove radne sposobnosti nema ni riječi. U svrhu provedbe mjera zaštite zdravlja i sigurnosti na radu osoba zaposlenih u zdravstvu potrebno je dosljedno provoditi mjere specifične zdravstvene zaštite. Primarnu odgovornost za skrb o sebi snose sami djelatnici. Ako prepoznajemo vlastitu vrijednost kroz odnos prema sebi, možemo očekivati to i od drugih, možemo i zahtijevati od poslodavca.
Work has numerous health and wellbeing benefits, but it also involves physical hazards and psychological exertion. Today the scale has tipped toward psychosocial factors. Workers' mental health ...affects their intellectual, emotional, and social growth, as well as work ability, productivity, and ultimately organisational productivity and competitiveness on the market. Even though companies may have an internal hierarchy that lowers stress at work, there are other formal and informal social processes that can affect (positively or negatively) the cohesion within the work unit. Safety culture of an organisation is a product of individual and group values, opinions, competences, and behavioural patterns that determine how occupational health and safety are implemented. Organisations that nurture positive safety culture understand the importance of health and safety and believe in prevention rather than dealing with consequences. Jobs that are stable, autonomous, and reasonably physically and psychologically demanding are far more likely to lower work-related stress and boost worker satisfaction. In fact, employee empowerment is one of the best ways to achieve good psychosocial health at the workplace.
Pisana kao priručnik namijenjen ne samo sadašnjim i budućim pijanistima i njihovim nastavnicima, bit će u praksi od velike pomoći i liječnicima različitih specijalnosti koji se skrbe za pijaniste: ...specijalistima školske medicine, medicine rada, fizikalne medicine, reumatolozima, neurolozima, kirurzima. Knjiga je rezultat zajedničkoga višegodišnjega rada Ive Bartolić, mag. art., i prim. dr. sc. U poglavlju "Povijest medicine u glazbi" upućuje se na to da iskustvo magistre muzike Ive Bartolić nije usamljeno nego je riječ o dobro poznatim problemima za koja se još od početaka 20. stoljeća traže rješenja.
Certain regions of Bosnia and Herzegovina were prominent
European sites of endemic syphilis. In 1934 and 1935 the School of Public
Health in Zagreb, later the Andrija Štampar School of Public Health,
...conducted two surveys on endemic syphilis in Bosnia and Herzegovina.
The surveys were well-described in the monograph published in 1939
by the School, under the title Endemic Syphilis in Bosnia: Survey by the
School of Public Health in Zagreb (“Endemski sifilis u Bosni anketa Škole
narodnog zdravlja u Zagrebu”). This paper provides a description of the
publication for the first time, presents the most important data from it,
and explores its significance from the historical perspective.
The Hospital Survey on Patient Safety Culture (HSOPSC), originally developed in the USA, is used worldwide to assess patient safety culture in hospitals. A limited number of studies have provided ...data on psychometric properties outside of the US healthcare system. Our aim was to determine if all 12 dimensions of the US HSOPSC were applicable, valid and reliable to Croatian healthcare workers.
The study was conducted from September 2010 to April 2011. Questions were translated into Croatian and then translated back into English. The questionnaires (ie, the Croatian translation of the US HSOPSC) were distributed in unmarked envelopes along with a consent form to all the doctors and nurses in four Croatian hospitals. The responses were analysed using explorative factor analyses, reliability testing, and confirmatory factor analyses.
The study included 561 healthcare workers in four Croatian hospitals--a response rate of 32.69%. Our results are similar to the original US sample, but with some differences: 11 dimensions with acceptable reliability scores were identified by exploratory factor analysis compared with the original 12 in the US sample; five of 12 dimensions had a Cronbach's α higher than 0.7, suggesting a reasonable fit to the original US HSOPSC; the dimensions 'Staffing' and 'Organisational learning--continuous improvement' were found to have a Cronbach's α <0.6. The use of confirmatory factor analysis confirmed a good fit to the original US model.
Results show that the Croatian translation of the US HSOPSC is compatible in 11 of the original 12 dimensions. Results suggest that for the purposes of research in Croatia, the dimensions 'Staffing', 'Communication openness', and 'Organisational learning-continuous improvement' should be revised. For example, the use of question A7 ('We use more agency/temporary staff than is best for patient care') in the context of European healthcare systems should be adapted or removed for the Croatian version of the US HSOPSC questionnaire.
Aims and objectives. To examine quality of life determinants among clinical nurses in Croatia with an emphasis on their work ability.
Background. An important personnel management challenge is to ...explore factors that stimulate or hinder the development of individual work ability and quality of life throughout a career.
Design. A cross‐sectional study.
Methods. The study was performed during 2007–2008 in six randomly selected hospitals in Croatia. The self‐administered questionnaires included the Work Ability Index (WAI) developed by the Finnish Institute of Occupational Health, the Quality of Life questionnaire (WHOQL‐BREF) developed by the World Health Organization and additional socio‐demographic questions. A total number of 1212 nurses completed the questionnaires, giving a response rate of 67.3%. Binary logistic regression was performed to assess how socio‐demographic characteristics and work ability groups predict each of the WHOQL‐BREF domains.
Results. Having a satisfactory WAI score (WAI ≥ 37) was significantly the most important predictor for all quality of life domains, with the odds ratios (OR) being as follows: OR = 6.8 (95% CI: 4.8–9.6) for the physical domain, OR = 2.3 (95% CI: 1.7–3.1) for the psychological domain, OR = 1.7 (95% CI: 1.3–2.4) for the social relationship domain and OR = 1.7 (95% CI: 1.3–2.3) for the environmental domain.
Conclusions. Satisfactory work ability was a major quality of life determinant in all WHOQL‐BREF domains with the highest odds ratio for the physical domain. Maintaining clinical nurses’ work ability is an important issue, because it is foundational for the quality of life of the workforce.
Relevance to clinical practice. Our study provides quantified estimates of the extent to which a satisfactory WAI score predicts a better score in physical, psychosocial, social relationships and environmental domain of nurses’ quality of life. Therefore, maintaining or improving nurses’ work ability remains the essential aim of hospital managers.
This paper is a report of a study of the associations of shift work with work ability and quality of life (QoL) among clinical nurses. A cross-sectional study was conducted in 2007-2008 on 1124 ...nurses using the Work Ability Index Questionnaire and the Quality of Life Questionnaire (WHOQOL-BREF). Lower education was a predictor for low level of work ability and low physical health domain of QoL. Older age and having no partner were statistically significantly related to lower social interaction. Predictors significantly related to low environment domain of QoL were low education and shift work. Shift workers had higher level of level of work ability, but clinically insignificant. The study provides no evidence of a significant association between shift work and work ability or quality of life. Education has a positive association with nurses' work ability and quality of life.
Worldwide research has indicated that emergency medicine employees and particularly ambulance personnel have symptoms related to traumatic events, and experience more chronic stressors in their work ...than workers in other health service settings. Unlike other countries which conducted similar studies, no specialty branch in emergency medicine exists in Croatia.
To identify possible predictors of low work ability, including occupational stress and quality of life, among emergency medicine employees.
A cross-sectional study was conducted from May 2010 till July 2010 in the Institute of Emergency Medicine in the City of Zagreb. Questionnaires were distributed to all employees with gathered total sample of 125 subjects (39 physicians, 38 medical nurses /technicians and 48 drivers). Data were collected using the socio-demographic questions, occupational stress assessment, work ability index (WAI) and WHO quality of life (WHOQOL-BREF) questionnaires.
Emergency physicians were significantly more exposed to public criticism (p=0.008) but drivers had more exposure to hazards at workplace (p=0.001) regarding other employee groups. Binary logistic regression model showed two significant predictors of lower work ability (WAI score <37): lower physical WHO-BREF domain (OR=0.78; 95% CI 0.68 to 0.89; p<0.001) and the professional and intellectual demands (OR=1.09; 95% CI 1.01 to 1.19; p=0.043).
Strenuous physical activity should be reduced in order to increase the overall work ability of the emergency medicine employees and better structural organisation and introduction of a residency in emergency medicine should significantly improve total work ability among emergency physicians.
Working as a nurse involves great dedication and sacrifice: working night shifts, working overtime, and coming to work sick. The last is also known as presenteeism. Research has shown that poor nurse ...performance can affect both caregiver’s and patient’s safety. The aim of this cross-sectional study was to investigate whether nurse presenteeism affected patient safety culture and to look deeper into the characteristics of nurse presenteeism and patient safety culture in Croatia. The study was conducted in one general hospital in Croatia over April and May 2012 and specifically targeted medical nurses as one of the largest groups of healthcare professionals. They were asked to fill two questionnaires: the six-item Stanford Presenteeism Scale (SPS-6) and the Hospital Survey on Patient Safety Culture (HSOPSC). We found no association between presenteeism and patient safety culture. Overall positive perception of safety was our sample’s strength, but other dimensions were positively rated by less than 65 % of participants. The lowest positive response concerned “nonpunitive response to error”, which is consistent with previous studies. Presenteeist nurses did not differ in their characteristics from nurses without presenteeism (gender, age, years of experience, working hours, contact with patients and patient safety grades). Our future research will have to include a broader healthcare population for us to be able to identify weak spots and suggest improvements toward high-quality and cost-effective health care.
Zanimanje medicinske sestre uključuje veliku predanost i požrtvovnost: medicinske sestre rade noćne smjene, rade prekovremeno i dolaze na posao i kada su bolesne. Naziv za ovu zadnju pojavu je prezentizam. Neka su istraživanja pokazala da smanjena radna sposobnost medicinskih sestara zbog bolesti može ugroziti sigurnost pružatelja zdravstvene usluge i bolesnika. Cilj ovog presječnog istraživanja bio je ispitati obilježja prezentizma i kulture bolesničke sigurnosti u medicinskih sestara u Hrvatskoj te utječe li njihov prezentizam na kulturu bolesničke sigurnosti. Istraživanje je provedeno u jednoj općoj bolnici u Hrvatskoj tijekom travnja i svibnja 2012., i bilo je posebno ciljano prema medicinskim sestrama s obzirom na to da čine jednu od najvećih skupina zdravstvenih djelatnika. Ispitanici su zamoljeni da ispune dva upitnika: Stanfordsku ljestvicu prezentizma (SPS-6) i Upitnik o kulturi bolesničke sigurnosti u bolnici (HSOPSC). Nije nađena povezanost između prezentizma i kulture bolesničke sigurnosti. Najveći broj pozitivnih odgovora imala je dimenzija “Opća percepcija bolesničke sigurnosti”; ostale dimenzije imale su pozitivne odgovore ispod 65 %. Najmanji broj pozitivnih ocjena imala je dimenzija “Nekažnjavajući pristup neželjenom događaju”, što je u skladu s prethodnim istraživanjima. U pogledu spola, dobi, godina iskustva, radnih sati, kontakata s bolesnicima i njihove sigurnosti, medicinske sestre s prezentizmom nisu se nimalo razlikovale od medicinskih sestara bez prezentizma.
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