Measuring the safety culture in Healthcare is an important step in improving patient safety. One of the most commonly used instruments to measure the safety climate is the Safety Attitudes ...Questionnaire (SAQ). The aim of the current study was to establish the validity and reliability of the Slovenian version of the SAQ for the operating room SAQ-OR.
The SAQ, consisting of six dimensions, was translated and adapted to the Slovenian context and applied in operating rooms from seven out of ten Slovenian regional hospitals. Cronbach's alpha and confirmatory factor analysis (CFA) was used to evaluate the reliability and validity of the instrument.
The sample consisted of 243 health care professionals who hold positions in the OR, divided into 4 distinct professional classes, namely, 76 surgeons (31%), 15 anesthesiologists (6%), 140 nurses (58%) and 12 auxiliary persons (5%). It was observed a very good Cronbach's alpha (0.77 to 0.88). The CFA and its goodness-of-fit indices (CFI 0.912, TLI 0.900, RMSE 0.056, SRMR 0.056) showed an acceptable model fit. There are 28 items in the final model.
The Slovenian version of the SAQ-OR revealed good psychometric properties for studying the organisational safety culture.
Perceived value and its antecedents and consequences have been claimed to be important in industries with higher customer involvement. The aim of this paper is therefore to empirically assess the ...conceptual model, with perceived service value as its central component. It also investigates how it affects loyalty and satisfaction, how it is influenced by its antecedents, and to compare with other studies investigating partial relationship between variables.
A total of 800 patients were enrolled in the main study, and the data was analysed using exploratory and confirmatory factor analyses. By modelling linear structural equations, we assessed reliability and established the convergent and discriminant validity of the questionnaire in the same way as in the pilot study.
In the conceptual model for testing our hypotheses, we also included the relationship between patient satisfaction and loyalty. In this manner, the fitting of data to the model was significantly improved. After including the additional relationship, global fit indices had the following values: Chi-square=349.6 (sig.=0.00), df=143, RMSEA=0.05, NFI=0.96, CFI=0.97. All relationships between the constructs were statistically significant, thus confirming all our hypotheses.
The major conclusion of this paper is that an especially higher reputation and higher perceived service quality can contribute to perceived service value and therefore to more satisfied patients. The research approach has a few limitations. In the future, the model of perceived service value can be extended with variables such as emotions, patient trust, and commitment as well.
Background: In the service industry, perceived value is a concept of ever-increasing importance. It allows us to describe patients ' perceptions of health services in a significantly more complex ...manner. To measure patients' perceptions of health services, we need a different measuring instrument, one that would take into account the multi-dimensional nature of perceived value. Purpose: the development and validation of a new instrument for measuring patient-reported outcomes after treatment. Methodology: the development of this instrument includes test construction, item reduction, validation, and the evaluation of its structure and internal consistency. Both exploratory and confirmatory factor analyses (EFA, CFA) were used. Results: The results of Cronbach's alpha for different constructs are: is 0.87 for Quality, 0.96 for Reputation, 0.83 for Perceived Value, 0.88 for Price, 0.89 for Satisfaction, and 0.90 for Loyalty. The values of other coefficients (Kaiser-Meyer-Olkin, Bartlett in explained variance) are also adequately high. The final absolute fit indices are: chi-square 426.3, df=137, RMSEA=0.05, NFI=0.96, CFI=0.98. Conclusion: our measuring instrument is characterized by high reliability and validity for measuring outcomes after treatment.
Objective. Working conditions for health professionals can be affected significantly by pandemic caused by COVID-19. The aims of the study were to identify the level of fear of COVID-19 in hospital ...staff. Methods. This study was carried out in a convenience sample of nurses and medical doctors from four public regional hospital in Slovenia. This was a cross-sectional survey study in which a fear of COVID-19 scale (FCV-19s) was used. The questionnaire was completed by 110 participants. Results: The sample mean score was 16.3±6.1. More than half of the study participants (61%) considered it as low levels of fear, and 39% of the participants considered it as high levels of fear. The employees with less than 27 weeks experience with COVID-19 had a higher mean FCV-19s score (17.6±6.3) than the employees with more than 27 weeks of COVID-19 experience (14.7±5.4) and we found a significant difference of p=0.006. Statistically significant differences were also found between employees regarding COVID-19 units (intensive care unit - ICU and acute unit -AU; item "afraid of losing life"). Conclusions. Regardless of the duration of the epidemic, fear is still present. Experience reduces fear among employees.
V doktorski disertaciji podamo celoten in sistematičen pregled teorije o zaznani vrednosti ter oblikovali koncept zaznane vrednosti zdravstvenih storitev, nato pa model empirično preverimo. Model ...zaznane vrednosti v današnji storitveni dejavnosti ni novost, saj je raziskovan v številnih storitvenih dejavnostih, npr. v turizmu in bančništvu. V zdravstveni dejavnosti, ki sodi med storitvene dejavnosti s posebnimi značilnostmi, takega modela v celovitem pogledu, kot ga predstavljamo mi, nismo zasledili. V doktorski disertaciji podrobno opišemo vse gradnike konceptualnega modela zaznane vrednosti, in sicer tako predhodnike kot posledice. Pri vseh gradnikih vključimo tudi posebnosti, ki veljajo v zdravstveni dejavnosti. Po teoretičnem raziskovanju do zdaj znanih povezav med posameznimi gradniki oblikujemo konceptualni model povezav predhodnikov in posledic zaznane vrednosti storitev. Na podlagi tega oblikujemo naslednje hipoteze: H1: Višja kot je zaznana kakovost zdravstvene storitve, višja je njena zaznana vrednost. H2: Višja kot je zaznana kakovost zdravstvene storitve, večje je zadovoljstvo bolnikov. H3: Večji kot je ugled ponudnika zdravstvene storitve, višja je njena zaznana kakovost. H4: Večji kot je ugled ponudnika zdravstvene storitve, višja je njena zaznana vrednost. H5: Višja kot je zaznana vrednost zdravstvene storitve, večje je zadovoljstvo bolnikov. H6: Višja kot je zaznana vrednost zdravstvene storitve, večja bo zvestoba bolnikov. H7: Višja kot je zaznana cena zdravstvene storitve, višja je njena zaznana kakovost. H8: Nižja kot je zaznana cena zdravstvene storitve, višja je njena zaznana vrednost. H9: Med uporabniki zdravstvenih storitev v javnem in zasebnem sektorju prihaja do statistično značilnih razlik v zaznavanju vrednosti zdravstvenih storitev. Empirično prevetritev smo naredili na vzorcu 800 bolnikov (400 v javnem zavodu in 400 pri koncesionarju). Analiza zanesljivosti in veljavnosti potrjuje kakovost uporabljenega vprašalnika. Zanesljivosti posameznih merjenih konstruktov v modelu, merjenih s Cronbachovim koeficientom zanesljivosti č, so naslednje: zaznana kakovost 0,80, ugled 0,96, zaznana vrednost 0,83, zaznana cena 0,88, zadovoljstvo 0,89 in zvestoba 0,89. Za pomembno boljše prilaganje podatkov modelu v konceptualni model vključimo povezavo med zadovoljstvom bolnikov in zvestobo. Ta povezava je tudi vsebinsko podprta v literaturi. Po dodani povezavi se indeksi globalne ustreznosti bistveno izboljšajo oz. presegajo minimalno želene vrednosti, in sicer: hi-kvadrat = 349,6 (sig. = 0,00), df = 143, RMSEA = 0,05, NFI = 0,96, CFI = 0,97. Na podlagi predstavljenih statističnih značilnosti povezav iz končnega strukturnega modela lahko potrdimo vse postavljene hipoteze. Po testiranju H9 lahko zaključimo, da prihaja med uporabniki zdravstvenih storitev v javnem in zasebnem sektorju do statistično značilnih razlik v zaznavanju vrednosti zdravstvenih storitev. Prispevkov naše doktorske disertacije je veliko. Iz fragmentiranega znanja smo naredili celovit pregled znanj s področja zaznane vrednosti na področju zdravstva. Razvoj končnega merilnega instrumenta je metodološki prispevek v zakladnico znanja. Verjetno ni treba posebej poudariti, da tako izvedene raziskave v slovenskem prostoru na področju zdravstva ni bilo, tako obsežnega modela, ki bi bil empirično preverjen, pa tudi nismo našli v svetovni zakladnici znanja.
This event reflects the author's involvement in internationally recognized education and training models, as ATLS, ETC, and DSTC, and UEMS Boards of Emergency SurgeryDo different countries need very ...different things? I don’t think so, for the simple reason that in Europe and about the challenges we face, with regard to trauma and other medical and surgical emergencies, similarities are much greater than differences.• We all agree on the need for a trauma system “to assure that patients (…) seamlessly receive the proper care, in the proper locations, with proper interventions and, if necessary, transfer to a hospital able to provide the best and most appropriate care” (www.aast.org).• We all agree that teamwork is necessary for prehospital care, transportation, emergency room care, intensive care, surgery, and in/post-hospital rehabilitation.• We all agree on the need for trauma registries with, as much as possible, global follow-up of patient's course.• And finally, we all agree that it is necessary to educate, how to prevent and how to treat.This is also apparent from the recommendations of the European Trauma Course Organization (ETCO) about equipment and facilities: complete trauma team, trauma admission bay close to the ambulance entrance, enough space and adequate lighting, the adjacent operating room to allow emergency procedures, standardequipment for the initial management of major trauma, immediate availability of additional equipment as difficult airway equipment, X-ray, ultrasound machine, surgical instruments, readily available bloodproducts and massive transfusion equipment, co-located CT scanner to allow immediately imaging and access to angiography and interventional radiology, 24 hours a day within 30-60 minutes of request.
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