Self-care is often the first choice for people with chronic musculoskeletal pain. Self-care includes the use of non-prescription medications with no doctor's supervision, as well as the use of other ...modern and traditional treatment methods with no consultation of the health care provider. Self-care may have positive effects on the successful outcome of a multidisciplinary approach to treatment. The aim of this study was to investigate the experiences and attitudes of patients and health care providers to the self-care of chronic musculoskeletal pain.
Qualitative Phenomenological study, where the data were collected by the method of an audio-taped interview in 15 patients at the outpatient clinic for pain management and in 20 health care providers involved in the treatment of those patients. The interviews were transcribed verbatim and analyzed by principles of Interpretative Thematic Analysis.
Topics identified in patients: a) positive aspects of self-care, b) a need for pain self-care, c) social aspects of pain self-care. Topics identified in health care providers: a) aspects of self-care, b) a need for self-care c) risks of self-care. Most of patients have positive attitude to self-care and this is the first step to pain management and to care for itself. The most frequent factors influencing decision about the self-care are heavy pain, unavailability of the doctor, long awaiting time for the therapy, or ineffectiveness of methods of conventional medicine. The health care providers believe that self-care of chronic musculoskeletal pain may be a patient's contribution to clinical treatment. However, good awareness of methods used is important in this context, to avoid adverse effects of self-care.
Patients understand the self-care of musculoskeletal pain as an individually adjusted treatment and believe in its effectiveness. Health care providers support self-care as an adjunction to clinical management only, and think that self-care of musculoskeletal pain acts as a placebo, with a short-lived effect on chronic musculoskeletal pain.
Croatia and Slovenia were the transit countries on the Balkan route for migrants and refugees from Middle East countries in 2015 and 2016. They had to optimize health care delivery in the special ...circumstances in refugee camps and transit centres. Little is known about health care provision in border camps where a large number of migrants stay for only couple of hours. Previous studies emphasize that language barriers and cultural differences play a central part in the relationship between health workers and migrants inside the transit zone. The aim of the study was to identify specific characteristics of health care provision experienced by primary healthcare providers in order to prepare solutions on how to organise health care in refugee settings.
Twelve thematic interviews were conducted in the middle of the most intense migration movements to the North-West Europe between November and December 2015 with health workers from Croatia and Slovenia. Interview transcripts were read, coded, reviewed, and labelled. We used qualitative content analysis.
Four themes about the health service provision for refugees at Schengen border were identified. The circumstance when mutual understanding is poor and the consultation not successful, cultural differences represent a central barrier. Participants highlighted that the importance of respecting human dignity is crucial for the provision of basic medical care for migrants in transit.
Successful overcoming language barriers, respecting cultural differences, humanity, susceptibility to social deprivation and traumatic experiences are the key factors important for organisation of health care in transit centers and camps. This article gives some useful tips for healthcare workers and policy makers who are participating in health services provision for migrants and other refugees. Health workers should be prepared to work in special working conditions with a lack of resources. Their work would require timely planning and reflection on the organization of more transit camps.
Ethical Committee of the Republic of Slovenia approved the study as a project number 112/02/16.
Chronic pain is a global public health issue with increasing prevalence. Chronic pain causes sleep disorder, reactive anxiety, and depression, impairs the quality of life; it burdens the individual ...and society as a whole. The aim of this study was to examine non-medical factors related to the outcome of the treatment of chronic non-malignant pain.
A cross-sectional study with two groups of patients was conducted using a questionnaire with biological, psychological, and social characteristics of patients. Since this study was cross-sectional, it was not possible to determine whether some factors were the cause or the consequence of unsuccessful treatment outcome, which is at the same time one of the disadvantages of cross-sectional studies.
The poor outcome of the treatment of chronic non-malignant pain in a multivariate binary logistic regression model was statistically significantly associated with the lower quality of life (OR = 0.95 (95% CI: 0.91-0.99;
= 0.009), and higher depression level OR = 1.08 (95% CI: 1.02-1.14;
= 0.009). The outcome of the treatment was not directly related to social support measured by the multivariate binary logistic regression model (OR = 1.04, 95% CI: 0.95-1.15,
= 0.395), but solitary life (without partner) was (OR = 2.16 (95% CI: 1.03-4.53;
= 0.043).
The typical patient with a poor pain management outcome is retired, presents depressive behavior; their pain disturbs general activity and sleeping. Moreover, they have a physically disturbed quality of life and require self-treatment due to the inaccessibility of doctors and therapies. The principle of treatment of patients with chronic, non-malignant pain should take into account a biopsychosocial approach with individually adjusted procedures.
Introduction: Burnout syndrome is a growing concern among nursing students, potentially impacting their academic success and future professional performance. This study aimed to explore the ...prevalence of burnout syndrome in Croatian nursing students and examine the associations between burnout and demographic features (age, gender, year of study, part-time or full-time study).
Methods: A quantitative cross-sectional study was conducted with 423 nursing students from the University of Applied Health Sciences, Zagreb, and the Faculty of Health Sciences, Rijeka. The Maslach Burnout Inventory (MBI); MBI human services survey was used to assess burnout levels.
Results: Nursing students at the Faculty of Health Sciences, Rijeka, experienced higher burnout levels than those at the University of Applied Health Sciences, Zagreb (χ2 = 10.214, ss = 2, p = 0.006). Significant associations were found between burnout levels and age, gender, year of study, and enrolment status. Specifically, younger students, female students, and full-time students reported higher levels of emotional exhaustion (EE). 2nd-year students reported lower EE than their first and 3rd-year peers.
Conclusions: This study underscores the importance of recognizing and addressing the unique needs and stressors faced by different subgroups of nursing students. Tailored interventions and support systems are essential for alleviating burnout and promoting well-being in nursing students. Further research, including longitudinal studies, is required to better understand burnout progression and to inform the development of effective strategies for reducing burnout in nursing education.
Today the development of a unique professional language and publishing of professional and scientific publications is the basis of every profession, including the nursing profession. The task of the ...unique language specific to the nursing profession is to describe the nursing profession (to make it more familiar to the other team members and clients/customers), improve communication between nurses and other team members, help in health care improvement and administration, enable comparison of health care results, improve health care outcomes, as well as facilitate health care documentation and encourage research related to nursing. From the historical point of view, the development of nursing practice in Croatia was not accompanied by professional writings until the end of the 20th century, especially not by professional articles written by nurses themselves. By analyzing old writings and handbooks, the historical development of the written word of nurses is reconstructed for the first time in the region.
Migration is a process during which a person moves from one cultural setting to another in order to settle for a longer period of time or permanently. The number of immigrants in the world has more ...than doubled since 1975, with majority of migrants living in Europe today. Migration is now being increasingly recognized as a risk factor for multiple mental-health related issues, such as schizophrenia, psychosis, anxiety disorders and others.
The aim of this study was to collect, systematically review and analyze relevant articles pertaining to the mental health of second-or-higher generations of domesticated immigrant population, as well as to determine common socio-cultural predisposition factors leading to the development of mental illness among the mentioned population.
Systematic search of relevant and peer-reviewed electronic database ScienceDirect was performed to identify studies related to mental health and healthcare in before-mentioned immigrant population. Study selection was performed by two independent reviewers, following the agreed specific inclusion and exclusion criteria.
2 036 records were identified through initial database search, out of which 5 studies were included in this review, after the selection process.
The most consistent clinical finding is an increase in the rate of diagnosis of schizophrenia and related psychoses among migrants when compared to the host population, however the relationship between migration and psychotic disorders remains unexplained. So far, biological factors, such as cannabis use or obstetric complications, have failed to account for the risk of schizophrenia among migrant groups. Socio-environmental factors are now being looked upon as potential contributing factors for psychotic disorders in migrants.
Introduction: In times when the term inclusion, rights of patients, and the patient as a subject in health care are used more often, the limited availability of written material or sign language ...interpreters at health services is still a key barrier to health services for people who are hearing-impaired. The aim of this study is to examine nurses’ knowledge of communication skills with hearing-impaired patients, their preferred methods, and the possibility of using translation services.
Methods: The study was cross-sectional, and data were collected in September–October 2019. The study included 407 nursing students. A demographic data form and questions divided into three parts, namely, communication skills (six questions), communication methods (three questions), and interpretation services (five questions), were used to collect data. Data were analyzed with descriptive statistics.
Results: The questionnaire was administered among 424 students, and total of 407 students completed the questionnaire. Most of the respondents were female (320 78.6%) with 0–5 years of work experience (227 55.8%) in the tertiary level of healthcare (184 45.3%). The results showed that 326 (80.1%) of the respondents encountered a person with some form of hearing impairment during their work. Sign language was used by 56 (13.8%) of the respondents, but 74 (18.14%) nurses did not communicate when meeting with hearing-impaired patients. Two-thirds of the respondents never had the opportunity to learn sign language, and 43 (10.54%) respondents would choose an official interpreter as support. Male respondents were aware of the importance of communication with hearing-impaired patients and the use of an application for pain assessment (p < 0.05). No statistically significant difference was observed regarding the department in which the respondents work (p > 0.05).
Conclusion: The results of the study showed insufficient knowledge and skills of nurses to communicate with hearing-impaired people.
Zdrava okolina predstavlja pristup promicanja zdravlja koji uključuje holistički i multidisciplinarni pristup integrirajući akcije prema svim čimbenicima rizika. U bolničkoj okolini visoka razina ...stresa može dovesti do depresije, anksioznosti, smanjenog zadovoljstva poslom, ali i smanjene privrženosti radnoj organizaciji. Sindrom sagorijevanja može se definirati kao tjelesna i duševna iscrpljenost, osjećaj depersonalizacije i smanjeni osjećaj osobnog zadovoljstva. Ovaj pregledni članak daje sustavni pregled literature o posljedicama stalne izloženosti visokim razinama stresa kao i metodama kojima se može spriječiti sindrom sagorijevanja kod zdravstvenih radnika. Pretražena je baza podataka Medline kako bi se pronašle relevantne studije i članci objavljeni u posljednjih 15 godina. Ključne riječi u pretraživanju bile su sindrom sagorijevanja, prevencija, medicinske sestre i zdrava okolina. Pretragom je pronađeno 6 znanstvenih istraživanja koja su uključena u analizu. Dostupna literatura je pokazala kako medicinske sestre posljedično izloženosti stresu imaju simptome sindroma sagorijevanja. Kao posljedica sindroma sagorijevanja javlja se kronični umor, smanjena radna sposobnost te visok rizik za neželjene događaje. Zaključuje se kako pojava simptoma sindroma sagorijevanja predstavlja velik problem za bolnice i zdravstveni sustav. Izrada akcijskog plana prevencije sindroma sagorijevanja u bolnicama uvelike bi smanjila pojavnost te unaprijedila kvalitetu pružene zdravstvene skrbi.
Traditionally, probiotics are linked to the good health of the intestine and most clinical studies focus on that field. Evidence of oral probiotic use for ear and oral cavity disease prevention with ...impact on human health is limited. This work reviews existing studies and literature on
Streptococcus salivarius
K12 as an oral probiotic and effects of
S
.
salivarius
K12 on human ear and oral cavity human health. The studies were accessed via database searches: MEDLINE, PubMed, and Elsevier. The search included/focused on/encompassed publications from 2003 to 2016 with keywords related to K12
Streptococcus salivarius
, bacteriocin-like inhibitory substances (BLIS) K12, probiotic K12
salivarius
, and K12 probiotic health effects. Only a small amount of studies was identified: the total of 68 studies was identified, 35 of which were relevant after screening, and 9 were included in the final analysis. Very little literature is available about the association/correlation between/connection/interrelation of
S
.
salivarius
K12 with/and human ear and oral cavity health.
S
.
salivarius
K12 may have a role in reducing the occurrence and/or severity of secretory otitis media (SOM) and also in prevention of streptococcal and viral pharyngotonsillitis in children. Research highlights that
S
.
salivarius
K12 has shown promising results in treatment of halitosis, but data are still deficient. Further studies need to be initiated to improve understanding of the association of oral probiotic
S
.
salivarius
K12 with human ear and oral cavity health.
Uvod. Pravo je bolesnika primiti informacije od medicinskog osoblja o postupcima liječenja kako bi bolesnik mogao biti svjestan i odgovoran subjekt liječenja.
Cilj. ovog istraživanja bio je steći ...uvid u informiranost bolesnika na temelju podataka koje primi od medicinskog osoblja, razumijevanje dobivenih informacija te primjenu edukativnih pisanih materijala i interneta u svrhu informiranja o bolesti.
Cilj je bio utvrditi postoje li razlike u razini informiranosti bolesnika s obzirom na izvor informiranja.
Metode. Ispitivanje poprečnog presjeka s tri skupine bolesnika provedeno je s pomoću upitnika kreiranog za ovu studiju.
Rezultati. Od ukupno 300 bolesnika, 49 % (147) tvrdi da je najčešći izvor informacija liječnik specijalist, dok je za 29 % (87) izvor informacija medicinska sestra. Sveukupno 48 % (144) bolesnika smatra da su informacije nerazumljive te 83 % (249) nije dobilo edukativne materijale, a želi ih primiti 79 % (237).
Zaključak. Prema dobivenim rezultatima istraživanja
može se zaključiti da su bolesnici bez obzira na skupinu u kojoj se nalaze podjednako neinformirani. Informiranje bolesnika sastavni je dio liječenja i mora se prilagoditi svakom bolesniku individualno.
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