Zdravstveno Varstvo最新文献_第10页

Prevalence and Incidence of Frailty Among Community-dwelling Older Adults in Slovenia. 斯洛文尼亚社区老年人体弱多病的流行率和发病率。

IF 1.5 4区医学

Zdravstveno Varstvo Pub Date : 2021-06-28 eCollection Date: 2021-09-01 DOI: 10.2478/sjph-2021-0027

Janja Jazbar, Špela Pišek, Igor Locatelli, Mitja Kos

{"title":"Prevalence and Incidence of Frailty Among Community-dwelling Older Adults in Slovenia.","authors":"Janja Jazbar, Špela Pišek, Igor Locatelli, Mitja Kos","doi":"10.2478/sjph-2021-0027","DOIUrl":"10.2478/sjph-2021-0027","url":null,"abstract":"Introduction: Frailty is recognized as one of the most important global health challenges as the population is aging. The aim of this study was to evaluate prevalence and incidence of frailty, and associated factors, among the population of older adults in Slovenia compared to other European countries.Methods: The prevalence and 4-year incidence of frailty among older adults (≥65 years) were evaluated using data from the Survey of Health, Ageing and Retirement in Europe (SHARE). Frailty was defined by the SHARE operationalization of Frailty phenotype. Multiple logistic regression model was used to explore factors associated with frailty.Results: Age-standardized prevalence (95% CI) of frailty and pre-frailty in Slovenia were 14.9% (13.3-16.5) and 42.5% (39.8-45.2), respectively. Factors (OR, 95% CI) associated with increased frailty in Slovenia included age (7584 years: 5.03 (3.08-8.22); ≥85 years 21.7 (10.6-44.7) vs. 65-74 years), self-rated health (fair: 4.58 (2.75-7.61), poor: 54.6 (28.1-105.9) vs. excellent/very good/good), number of chronic diseases (1.20 (1.03-1.40)), and polypharmacy (yes: 3.25 (1.93-5.48) vs. no). Female gender and lower education were significantly associated with pre-frailty, but not frailty, in the adjusted model. Independently of these characteristics, age-standardized prevalence of frailty varied among geographical regions. Age-standardized 4-year incidence of frailty and pre-frailty in Slovenia were 6.6% (3.0-10.1) and 40.2% (32.7-47.6), respectively.Conclusion: Among the Slovenian population of older adults aged 65 years and older, the age-standardized prevalence of frailty is 15% and 4-year incidence of frailty is 7%. Regional differences in Slovenia show the lowest prevalence in central Slovenian regions and the highest in northeastern Slovenian regions.","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 3","pages":"190-198"},"PeriodicalIF":1.5,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0a/4d/sjph-60-190.PMC8256771.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39174201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Variation in Perception of Safety Culture in Out-of-hours Family Medicine Service in Croatia. 克罗地亚非工作时间家庭医疗服务中安全文化认知的变化。

IF 1.5 4区医学

Zdravstveno Varstvo Pub Date : 2021-06-28 eCollection Date: 2021-09-01 DOI: 10.2478/sjph-2021-0022

Jasna Mesarić, Diana Šimić, Ellen Catharina Tveter Deilkås, Dag Hofoss, Gunnar Tschudi Bondevik

{"title":"Variation in Perception of Safety Culture in Out-of-hours Family Medicine Service in Croatia.","authors":"Jasna Mesarić, Diana Šimić, Ellen Catharina Tveter Deilkås, Dag Hofoss, Gunnar Tschudi Bondevik","doi":"10.2478/sjph-2021-0022","DOIUrl":"https://doi.org/10.2478/sjph-2021-0022","url":null,"abstract":"Introduction: The Safety Attitudes Questionnaire (SAQ) is among the most frequently cited tools for measuring safety culture in healthcare settings. Its ambulatory version was used in this study. The aim was to assess safety culture in out-of-hours (OOH) family medicine service and its variation across job positions, regions, and respondents' demographic characteristic.Methods: A cross-sectional observational study was carried out targeting 358 health professionals working in the 29 largest Croatian healthcare centres providing out-of-hours family medicine service. The response rate was 51.7% (185 questionnaires). The questionnaire comprised 62 Likert items with 5 responses (fully disagree to fully agree). Scores of negatively worded items were reversed before analysis. Scores on the total scale and subscales were calculated as additive scores. The study included demographic data on gender, age, working experience, and job position. Repeated measurement analysis of variance was used to assess variation of Safety Attitudes Questionnaire - Ambulatory Version (SAQ-AV) sub-scales.Results: Nurses assessed safety culture higher than did physicians and residents. Teamwork climate had higher scores than Ambulatory process of care and Organizational climate. Stress recognition and Perceptions of workload had the lowest overall scores. Variation across gender, age, working experience, and region was not statistically significant.Conclusions: SAQ-AV can be used to identify areas for improvement in patient safety at OOH GPs. There is a need to improve staffing and support for OOH GP residents. Further research is needed in order to gain better understanding of factors influencing observed variations among job positions.","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 3","pages":"152-157"},"PeriodicalIF":1.5,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c3/a3/sjph-60-152.PMC8256768.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39174268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Quality of Life and Health Status in Middle-aged Presumed Healthy Slovenian Family Practice Attendees. 假定健康的中年斯洛文尼亚家庭诊所参与者的生活质量和健康状况。

IF 1.5 4区医学

Zdravstveno Varstvo Pub Date : 2021-06-28 eCollection Date: 2021-09-01 DOI: 10.2478/sjph-2021-0026

Matic Tement, Polona Selič-Zupančič

{"title":"Quality of Life and Health Status in Middle-aged Presumed Healthy Slovenian Family Practice Attendees.","authors":"Matic Tement, Polona Selič-Zupančič","doi":"10.2478/sjph-2021-0026","DOIUrl":"https://doi.org/10.2478/sjph-2021-0026","url":null,"abstract":"Background: There is a gap in our knowledge of health-related quality of life (HRQoL) in a population presumed healthy, so this study aimed to assess the associations between HRQoL, demographics and clinical variables.Methods: The participants were attendees, presumed healthy, at 40 pre-selected model family medicine practices (MFMPs), aged between 30 and 65 years and recruited during a preventive check-up in 2019. Each MFMP pragmatically invited 30 attendees to voluntarily participate. The EQ-5D questionnaire was administered as a measure of HRQoL; the independent variables were demographic characteristics, smoking, alcohol consumption, stress perception, physical activity, signs of depression, cardiovascular risk, body mass index, blood pressure values, and blood sugar and lipidogram laboratory test values. Ordinal logistic regression was used to calculate associations between self-assessed quality of life, demographics, and clinical variables, with P<0.05 set as statistically significant.Results: Of 986 participants, 640 (64.9%) were women and 346 (35.1%) men, aged 42.7±8.6 years. The average values for the EQ-5D-3L were 0.91±0.15. In the multivariate model, a positive association between adequate physical activity (p=0.003), and a negative association between higher age (p<0.001), female gender (p=0.009), signs of depression (p<0.001), stress (p=0.013), and EQ-5D score were identified.Conclusion: Given that physical activity was shown to be positively associated with HRQoL, it is of the utmost importance for family physicians to motivate their middle-aged patients, especially women and those with signs of depression and excessive stress, to adopt a more rigorously physically active lifestyle.","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 3","pages":"182-189"},"PeriodicalIF":1.5,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0b/f6/sjph-60-182.PMC8256772.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39174272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Predatory Journals, Fake Conferences and Misleading Social Media: The Dark Side of Medical Information. 掠夺性期刊、虚假会议和误导性社交媒体:医学信息的阴暗面。

IF 1.5 4区医学

Zdravstveno Varstvo Pub Date : 2021-03-18 eCollection Date: 2021-06-01 DOI: 10.2478/sjph-2021-0012

Suzana Kert, Igor Švab

引用次数: 2

Perception of Patient Safety Culture among Hospital Staff. 医院员工对患者安全文化的认知。

IF 1.5 4区医学

Zdravstveno Varstvo Pub Date : 2021-03-18 eCollection Date: 2021-06-01 DOI: 10.2478/sjph-2021-0015

Rumyana Stoyanova, Rositsa Dimova, Bianka Tornyova, Momchil Mavrov, Harieta Elkova

{"title":"Perception of Patient Safety Culture among Hospital Staff.","authors":"Rumyana Stoyanova, Rositsa Dimova, Bianka Tornyova, Momchil Mavrov, Harieta Elkova","doi":"10.2478/sjph-2021-0015","DOIUrl":"https://doi.org/10.2478/sjph-2021-0015","url":null,"abstract":"Introduction: 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).Methods: 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.Results: 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.Conclusion: 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.","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 2","pages":"97-104"},"PeriodicalIF":1.5,"publicationDate":"2021-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e4/47/sjph-60-097.PMC8015657.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25575517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Persons with Intellectual Disability: Sexual Behaviour, Knowledge and Assertiveness. 智障人士:性行为、知识和自信。

IF 1.5 4区医学

Zdravstveno Varstvo Pub Date : 2021-03-18 eCollection Date: 2021-06-01 DOI: 10.2478/sjph-2021-0013

Nina Brkić-Jovanović, Vanja Runjo, Daniela Tamaš, Sanela Slavković, Vesela Milankov

{"title":"Persons with Intellectual Disability: Sexual Behaviour, Knowledge and Assertiveness.","authors":"Nina Brkić-Jovanović, Vanja Runjo, Daniela Tamaš, Sanela Slavković, Vesela Milankov","doi":"10.2478/sjph-2021-0013","DOIUrl":"https://doi.org/10.2478/sjph-2021-0013","url":null,"abstract":"Background: Persons with ID most often have incomplete, contradictory and imprecise knowledge of sexuality and sexual intercourse itself. They are not provided with sufficient information on their own body and sexuality, and are often discouraged from and sanctioned for trying to sexually express themselves. Sexual abuse due to low sexual assertiveness is also common.Aim: The principal aim of this study was to establish the presence or absence of sexual activity in adults with ID residing in institutional housing, as well as the level and structure of their knowledge of sexuality, their sexual assertiveness and preparedness to react in a sexually dangerous situation.Methods: The sample consisted of 100 participants with ID residing in institutional housing. The instruments used included the General Sexual Knowledge Questionnaire, What-if test and Hulbert index of sexual assertiveness. Comparative statistics included coefficient of linear correlation and multiple regression analysis.Results: The results showed that 82% of the participants are sexually active. Most participants admitted to sometimes having sexual intercourse against their wishes as well as to having difficulty asserting themselves. Their knowledge of pregnancy, contraception and sexually transmitted diseases was very low. Female participants and those that reported having sexual intercourse had more sexual knowledge and were also more sexually assertive.Conclusion: Knowledge of sexuality and sexual assertiveness of persons with ID residing in institutional housing is very low. Additional information on sexuality is necessary, as well as support in learning to express their own desires and to deal with unwanted sexual activity.","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 2","pages":"82-89"},"PeriodicalIF":1.5,"publicationDate":"2021-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/0d/sjph-60-082.PMC8015653.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25575521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

An Examination of Retailers' Compliance with the Minimum Legal Drinking (purchasing) Age Law in Slovenia: A Quasi-experimental Intervention Study. 斯洛文尼亚零售商遵守最低法定饮酒(购买)年龄法的检验:一项准实验干预研究。

IF 1.5 4区医学

Zdravstveno Varstvo Pub Date : 2021-03-18 eCollection Date: 2021-06-01 DOI: 10.2478/sjph-2021-0016

Tanja Kamin, Sinja Čož, Sara Atanasova

{"title":"An Examination of Retailers' Compliance with the Minimum Legal Drinking (purchasing) Age Law in Slovenia: A Quasi-experimental Intervention Study.","authors":"Tanja Kamin, Sinja Čož, Sara Atanasova","doi":"10.2478/sjph-2021-0016","DOIUrl":"https://doi.org/10.2478/sjph-2021-0016","url":null,"abstract":"Introduction: Alcohol consumption among young people is strongly related to alcohol availability. The minimum legal drinking (purchasing) age (MLDA) is a legal measure that regulates alcohol availability to minors in Slovenia. This study examines (1) retailers' compliance with the MLDA law in Slovenia and (2) the effectiveness of two interventions directed at cashiers in off-premise stores.Methods: The study uses a non-randomized quasi-experimental design to evaluate the effectiveness of (1) a communication intervention directed at off-premise store managers, and (2) an intervention by the Slovene Market Inspectorate. The first intervention focused on informing cashiers about MLDA's importance and their role as gatekeepers of young people's health, while the second involved law enforcement. Using the mystery shopping protocol, we conducted two waves of purchase attempts with decoy underage shoppers pre- and post-intervention in 97 off-premise stores. We collected data on the shopping process at the point of sale and conducted 40 semistructured interviews with cashiers to evaluate the barriers and incentives regarding MLDA compliance.Results: Retailers' initial noncompliance rate with MLDA in off-premise stores was high, but improved significantly after the law enforcement intervention. We identified a significant correlation between the cashiers' ID requests and the refusal of alcohol sales, but cashiers' ID requests remained low. Qualitative findings reveal that cashiers experience several issues when handling MLDA in practice.Conclusion: Noncompliance with MLDA persisted even after the law enforcement intervention, revealing the need for policy makers to introduce new strategies for MLDA enforcement, such as revocable alcohol licenses for off-premise stores.","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 2","pages":"105-113"},"PeriodicalIF":1.5,"publicationDate":"2021-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b4/9b/sjph-60-105.PMC8015655.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25575518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Age Categories Differences in Subjective Quality of Life of Women with Physical Disabilities. 身体残疾妇女主观生活质量的年龄分类差异。

IF 1.5 4区医学

Zdravstveno Varstvo Pub Date : 2021-03-18 eCollection Date: 2021-06-01 DOI: 10.2478/sjph-2021-0018

Dagmar Nemček, Patrícia Shtin Baňárová, Petra Kurková

{"title":"Age Categories Differences in Subjective Quality of Life of Women with Physical Disabilities.","authors":"Dagmar Nemček, Patrícia Shtin Baňárová, Petra Kurková","doi":"10.2478/sjph-2021-0018","DOIUrl":"https://doi.org/10.2478/sjph-2021-0018","url":null,"abstract":"Objective: The objective of the study was to analyse and compare the subjective quality of life (S-QoL) of women with physical disabilities (PDs) through satisfaction with the quality of life domains and the overall quality of life assessment.Methods: The sample comprised of women with PDs (n=137), divided into 4 age categories: 19-29 yrs. (n=53); 30-44 yrs. (n=25); 45-59 yrs. (n=24) and over 60 yrs. (n=35). The Subjective Quality of Life Analyses questionnaire and the WHO User Manual were used as a primary research method. The Wilcoxon Signed Rank Test was used to assess the differences between QoLDs, Kruskal Wallis test to assess differences in S-QoL among four independent groups and Mann Whitney U-test between two age categories.Results: The highest satisfaction in all age categories of women was found in the social relations domain, and in the 19-29 yr-old women equally in the social relations and physical health domains. The highest dissatisfaction was reported with the psychological health and environment domains. The key finding is that the main differences are between the youngest category (aged 19-29 yrs) and the three older categories with regard to physical health, environment and overall QoL.Conclusions: It is necessary to continue this line of research with a greater focus on exploring the ways in which the psychological health domain can be improved as an integral part of S-QoL, and to also focus on the QoL indicators that make up the environment domain and search for ways to enhance these.","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 2","pages":"124-130"},"PeriodicalIF":1.5,"publicationDate":"2021-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fc/1f/sjph-60-124.PMC8015658.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25575516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nursing Students' Knowledge of Patient Safety and Development of Competences Over their Academic Years: Findings from a Longitudinal Study. 护生患者安全知识与能力发展:一项纵向研究的结果。

IF 1.5 4区医学

Zdravstveno Varstvo Pub Date : 2021-03-18 eCollection Date: 2021-06-01 DOI: 10.2478/sjph-2021-0017

Valentina Bressan, Giulia Causero, Simone Stevanin, Lucia Cadorin, Antonietta Zanini, Giampiera Bulfone, Alvisa Palese

{"title":"Nursing Students' Knowledge of Patient Safety and Development of Competences Over their Academic Years: Findings from a Longitudinal Study.","authors":"Valentina Bressan, Giulia Causero, Simone Stevanin, Lucia Cadorin, Antonietta Zanini, Giampiera Bulfone, Alvisa Palese","doi":"10.2478/sjph-2021-0017","DOIUrl":"https://doi.org/10.2478/sjph-2021-0017","url":null,"abstract":"Introduction: Future nurses should possess the knowledge and competences necessary to ensure patient safety. However, little evidence is available on the way in which students learn patient safety-related principles over time. This study explored the progress of a cohort of Italian undergraduate nursing students as they acquired patient safety knowledge and competences from time of enrolment to graduation.Methods: A longitudinal study carried out between 2015 and 2018 enrolled a cohort of 90 nursing students from two Italian Bachelor of Nursing Science Degree Courses at the Udine University, Italy. The students were followed-up on an annual basis and data collection was performed three times: at the end of the 1st, 2nd and 3rd years. The validated Italian version of the Professional Education in Patient Safety Survey tool was used to collect data.Results: At the end of the 1st year, students reported an average 4.19 out of 5 patient safety knowledge acquired in classrooms (CI 95%, 4.11-4.28), which was stable at the end of the 2nd (4.16; CI 95%, 4.06-4.26) and 3rd years (4.26; CI 95%, 4.16-4.32) and no statistical differences emerged over the years. With regard to the competences acquired in clinical settings, at the end of the 1st year the students reported an average 4.28 out of 5 (CI 95%, 4.20-4.37), which decreased significantly at the end of the 2nd year (4.15; CI 95%, 4.07-4.23; p=0.02) and increased at the end of the 3rd year (4.37; CI 95%, 4.27-4.47; p<0.01).Conclusions: Nursing students' competences in patient safety issues increases over time, while their knowledge remains stable. Students are more vulnerable at the end of the 1st year, when they seem to be overconfident about patient-safety issues.","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 2","pages":"114-123"},"PeriodicalIF":1.5,"publicationDate":"2021-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/21/75/sjph-60-114.PMC8015659.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25575520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Mistreatment by Patients: An Analysis of the Patient-related Social Stressors among Slovenian Healthcare Workers. 病人的虐待：斯洛文尼亚医护人员与患者相关的社会压力分析。

IF 1.5 4区医学

Zdravstveno Varstvo Pub Date : 2021-03-18 eCollection Date: 2021-06-01 DOI: 10.2478/sjph-2021-0014

Tatjana Kozjek, Vanja Ida Erčulj

{"title":"Mistreatment by Patients: An Analysis of the Patient-related Social Stressors among Slovenian Healthcare Workers.","authors":"Tatjana Kozjek, Vanja Ida Erčulj","doi":"10.2478/sjph-2021-0014","DOIUrl":"10.2478/sjph-2021-0014","url":null,"abstract":"Introduction: Healthcare workers (HCWs) are often exposed to mistreatment by patients, which has negative effects on both staff and institutions. To take appropriate action to help HCWs in this context, patient-related social stressors (PSS) should be explored. The purpose of the research was to identify the most pronounced patient behaviour contributing to the social stress (SS) of HCWs, and compare PSS between different HCWs and different types of healthcare institutions.Methods: 750 HCWs from Slovenian public health centres and hospitals participated in the online survey. Although the non-probability sampling was used, the sample was representative according to gender and HCW type (doctors, nurses and other HCWs).Results: The results show that the most pronounced patient behaviour contributing to the SS of HCWs are attitudes and behaviour of patients that are challenging in terms of what is - from the HCWs' point of view - considered as acceptable and reasonable (disproportionate patient expectations), and unpleasant, humourless, and hostile patients. HCWs in primary institutions meet less verbally aggressive and unpleasant patients than in tertiary ones. Although among all HCWs less educated ones are more exposed to inappropriate behaviour, doctors are those HCWs who experience more inappropriate behaviour.Conclusion: Managers should enable HCWs to get comprehensive patient service training, oriented towards improving relationship management and patient-HCW relationships.","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 2","pages":"90-96"},"PeriodicalIF":1.5,"publicationDate":"2021-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/40/71/sjph-60-090.PMC8015656.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25580530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0