Maja Racic, Radica Todorovic, Nedeljka Ivkovic, Srdjan Masic, Bojan Joksimovic and Milan Kulic
competitive, and an uncertain future ( 5 , 6 ). Numerous studies analysed the correlation between exposure to aforementioned stressors and students’ health ( 7 , 8 ). It has been shown that stress has a significant, negative impact on overall health ( 7 - 9 ) and may cause mental problems, deleterious dietary changes ( 10 ) as well as generate poor coping skills leading to aggressive behaviour and somatic disorders ( 11 ).
Although it is not well-known whether health professions education differs from other higher education, it is generally considered as highly
Nursing knowledge as a response to societal needs: a framework for promoting nursing as a profession
Introduction: As the population needs for health care at the local level become integrated into the global context, nurses are given the opportunity to make a significant contribution to the modernization of the healthcare system and gain importance and recognition from the political perspective. Nursing today is confronted with the needs and demands of both healthy and ill populations — these can be the result of changing demographics, new technologies, a growing awareness of the rights and voiced expectations of service users etc. Slovenian nurses have the opportunity to make a significant contribution to the modernization of the Slovenian healthcare system. This can be achieved by learning from the experiences of other countries and by exploring and addressing existing aspects of the need to gain professional status.
Methods: A review of the international literature indexed in the CINAHL database was performed for the period January - August 2010. The key phrases used were: ‘nursing skills and knowledge’, ‘nursing future and politics’, ‘nursing future and responsibility’, ‘nursing future and leadership’. We used only abstracts in English. A total of 343 abstracts were retrieved and assessed. All abstracts that did not include issues related to the importance of nursing knowledge and the importance of connecting nursing knowledge with patient needs were excluded. Twenty-two articles in total were included. A qualitative synthesis of the conclusions from each of the articles included was conducted, from which content codes were generated. The codes were then placed into content categories.
Results: Forty-seven qualitative codes were identified and semantically divided into 7 categories: public perception of nurses and the importance of knowledge; awareness at the personal and professional levels; adapting health care skills and knowledge, and the number of health care professionals, to future needs; importance of new nursing skills and knowledge, and of skill transfer; research as the source of new knowledge and development; assuming responsibility for conducting evidence-based nursing; emphasizing cooperation and communication.
Discussion: Based on the established qualitative categories in our research, we developed an explanatory model that is a good starting point for reflecting on where nursing is today and where it should be heading in the future, and is recommended for nurses, nursing managers, deans of nursing colleges, officials in nursing associations and others. Research findings are especially relevant for countries in which nursing is currently a poorly developed scientific discipline and in which steps need to be taken fast to promote knowledge development and the role of nurses in society.
Vesna Leskošek, Miha Lučovnik, Lucija Pavše, Tanja Premru Sršen, Megie Krajnc, Ivan Verdenik and Vislava Globevnik Velikonja
tolerance to such practices. The percentage of women in our survey that did not disclose violence committed by medical staff is the highest, which is a paradoxical situation that needs to be further examined, because it points to the specific relationship between a patient and a physician. Power relations and hierarchical structures are significant for medical institutions, not just between physicians and patients, but also between different medical professions. Patients often subordinate to physicians because of the awareness of hierarchal positions ( 24 ). Such patients
We present the particularities of the morbidity with temporary labor incapacity (TLI) of the employees of confection factories during the years 2011 - 2017. We placed emphasis on the risk factors affecting the health of the employees. It is an established fact that the main risk factors are unfavorable microclimate, vibration, dust, noise, and others. Morbidity with TLI according to frequency index (IFc) has practically a constant character. The highest level of IFc was registered in 2013, reaching 93.3 cases per 100 workers, while the severity index being oscillatory in nature constituted 1311.2 days in 100 workers in the same year. Both indices have shown a growth trend towards the end of 2017. The average duration of a case remained at the same level of 13-14 days. There were also particularities of morbidity based on gender, profession, etc. The data obtained can be the basis for the elaboration of the prophylaxis measures.
Pri iskanju svoje vloge za naslednji dve leti je Sekcija za kakovost v zdravstvu pri Slovenskem združenju za kakovost in odličnost — SZKO obravnavala ugotovitve stroke ekonomije in vodenja kakovosti glede prepoznavanja krize in odzivanja nanjo. Kriza je prisotna v javnem sektorju, torej ne le v zdravstvu in ne le v Sloveniji. Dostopnost zdravstvenih storitev ne sledi povečevanju dostopnosti storitev in izdelkov zasebnega sektorja. Pri odzivanju na situacijo imajo politika in stroke različni vlogi. Nastajanje krizne situacije je stalno prisotno in je odvisno od sposobnosti in pripravljenosti odzivanja na spremembe. Glede na to so v organizaciji prisotna tri področja vodenja kakovosti: varnost — izpolnjevanje zahtev, vrednost — izpolnjevanje pričakovanj in stalnost — prilagajanje novim razmeram. Odzivanje na spremembe vključuje tako prilagajanje posameznega dela kakor tudi prilagajanje odnosov med posameznimi deli — prilagajanje sistema. Uspeh je rezerviran za timsko povezane igralce, ki se znajo in hočejo odzivati na stalne spremembe. Da je to izvedljivo, je potrebno stalno spremljane kazalnikov o povečanih časovnih in finančnih pritiskih in tveganjih vseh vrst. Vloga sekcije je predvsem spodbujanje povezovanja.
generične kompetence v podiplomskem izobraževanju zdravnikov: njihova pomembnost, ilustrirana z izkustveno pripovedjo zdravnika
Nadine Van Der Lee, Joanne P. I. Fokkema and Fedde Scheele
Medical education programmes worldwide are becoming competency-based, aiming to provide training in allaspects relevant to the future practice of physicians. These involve competencies that exceed the sole domain ofmedical expertise and skills, beholding i.e. communication, collaboration, ethics, and management. Although thenecessity of these so called ‘generic’ competencies has become clear in investigations into workplace and societalneeds, recognition of the importance of these competencies by the medical profession is sometimes challenging.In this article, the relevance of generic competencies to daily practice is illustrated by two narratives from obstetricsgynaecology.Subsequent reflection on these narratives illustrates the importance of the incorporation of genericcompetencies in medical training.
Introduction: The article addresses one of the most vulnerable social groups - women who have experiencedvarious types of violence. The problem is presented through a discussion of the consequences of violence onwomen’s health. Based on the analysis of the research data, the article proposes measures that should boost healthcare policies in handling violence against women.
Methods: The source of data is the Survey on Violence Against Women in the private sphere and partnershiprelations conducted in 2010. The sample consisted of 3000 women, equally stratified by age, type of neighbourhoodand region. The research was quantitative and the response rate was 25% (n=752), which is an average responserate when researching intimate spheres accompanied by fear, shame or emotional distress.
Results: The results have shown that violence has a powerful and lasting effect on health. In some cases, injurieslead to lasting disability. Psychological and mental disorders are also present, including depression, nightmares,fear, shame, anger, the feeling of threat and distrust. The problems are compounded by a distrust of professionalhelp, which further affects their health condition.
Conclusions: health policies should include training and knowledge of the causes, dynamics and consequencesof violence, so that women could be encouraged to report violence. The first step was made when the relevantrules of procedures were adopted, but the process must continue with the drawing of protocols, the definition of theresponsibility of individual professions within health care and cooperation with other institutions.
Social determinants of health: the indicators for measuring the impact of poverty on health
Introduction: The link between poverty and health is an important research topic of national and international organisations, including the WHO, which has issued several important reports that proved the impact of social determinants on people's health, of which poverty was one of the most important. The aim of this article is to define the indicators of the social determinants of health, which is important for better planning and policy-making.
Method: data was gathered through the comparative analysis of different sources of socioeconomic indicators, which are presented schematically, ranked in the structural field and analysed from the perspective of their impact on health.
Results: Indicators are divided into ten different fields that present a socioeconomic determinant of health. The fields are: material deprivation (including income and other material items necessary for everyday living), followed by social capital, (un)employment, housing and homelessness, education and profession, living environment, health, crime and safety, accessibility and ethnicity. The table includes 100 indicators that are used in various states for planning and policy-making. The extent and diversity of the indicators shows the complexity of the social determinants of health, which are often overlooked or are insufficiently understood.
Conclusion: Poverty is a structural problem with an important impact on health. Because living in poverty is a specific way of life, ways of tackling the problem of poverty are also specific. They have to include relations of power, the accessibility of resources and opportunities to escape from the poverty. Health plays an important role in that but it depends on the capabilities and readiness of the states to ensure this for all people regardless of their social status, material wealth or other circumstances. The list of indicators can contribute to achieving that goal.
Helena Koprivnikar, Tina Zupanič, Vesna Pucelj and Mojca Gabrijelčič Blenkuš
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