12 research outputs found
HEALTHCARE WORKERS’ PERSPECTIVES ON ARTIFICIAL INTELLIGENCE IN PRIMARY CARE
No full textAtliktas tyrimas tarp sveikatos priežiūros darbuotojųA cross-sectional survey was conducted among 678 employees from 43 primary healthcare institutions in Lithuania. Data were collected using a structured questionnaire developed based on existing literature and validated through exploratory factor analysis
Medical personnel's experience and possibilities of managament of stress and work harassment at a specialized personal healthcare institution
No full textStress and colleagues’ work harassment is a modern problem in public health, and if it is not solved it may have negative influence on an employee, an organization and the state. Various scientific researches show that these problems are connected not only with one’s self-esteem at work but with employees’ mental and physical health. Goal of the work: to analyze medical personnel’s experience and possibilities of management of stress and work harassment at a specialized personal healthcare institution. Method of study. The study was carried out in May – August, 2010, at one of Klaipeda’s specialized personal healthcare institutions. Management of stress and work harassment was evaluated analyzing the organization’s internal documents. Medical personnel’s experience of stress and work harassment was evaluated by anonymous questionnaire survey of physicians, nurses and their assistants. Work harassment situations were evaluated using a work harassment scale (WHS, Bjorkqvist, Osterman et al., 1994). 179 respondents participated in the study. Results. The study revealed that physicians more often experience emotionally difficult periods at work (41.2 per cent) and nervous tension (38.3 per cent), as compared with nurses and they assistants. Almost one forth (23.6 per cent) of physicians evaluating their self-esteem at work for the six month period stated that their opinion had been disparaged, 45.5 per cent of respondents said they had experienced their colleagues’ doubts about the decision they had made. Assistants of nurses have felt physical tension in their work more often than physicians or nurses (correspondingly, 18.6, 8.8 and 9.6 per cent), while 38.6 nurses have felt overcriticized at work. Conclusions. Stress and work harassment in a medic’s work is a frequent phenomenon. These negative phenomena are connected with one’s position in an organization. According to the study results, physicians’ experience of work harassment is more related to evaluation of his/her working functions, while nurses and their assistants more often face colleagues’ work harassment in connection with evaluation of their personality and not the performed work
Changes in antimicrobial resistance related to Urinary chatheter care in 2019-2024
No full textŠlapimo takų infekcijos (ŠTI) yra vienos dažniausių su sveikatos priežiūra susijusių infekcijų ilgalaikės priežiūros įstaigose, o jų dažnis ypač didelis dėl ilgalaikio šlapimo kateterių naudojimo. Antimikrobinis atsparumas (AMA) tampa vis didesniu pasauliniu iššūkiu, ypač tose įstaigose, kur infekcijų kontrolės praktika yra nevienoda. Šio tyrimo tikslas buvo įvertinti tiek ŠTI mikrobiologinius dėsningumus, tiek slaugos personalo požiūrį į kateterių priežiūrą ir infekcijų kontrolę slaugos ligoninėje 2019–2024 m. Atlikta retrospektyvi mikrobiologinių šlapimo pasėlių duomenų analizė, apimanti šešerių metų infekcijų įrašus. Be to, kiekybinėje apklausoje dalyvavo 385 slaugytojai – buvo vertinamos jų žinios ir praktika infekcijų prevencijos, kateterių priežiūros ir higienos laikymosi klausimais. Duomenų interpretacijai taikyta aprašomoji statistika ir Spearmano koreliacija.Urinary tract infections (UTIs) are among the most common healthcare-associated in-fections in long-term care settings, with a high incidence related to the use of indwelling urinary catheters. Antimicrobial resistance (AMR) is an increasing global concern, es-pecially in facilities where infection control practices vary. This study aimed to evaluate both the microbiological patterns of UTIs and nursing staff attitudes toward catheter care and infection control in a nursing hospital from 2019 to 2024. A retro-spective analysis of microbiological urine culture data was performed, covering six years of infection records. In addition, a quantitative survey involving 385 nurses as-sessed their knowledge and practices concerning infection prevention, catheter man-agement, and hygiene compliance. Descriptive statistics and Spearman correlation were used for data interpretation
Accessibility and Quality of Palliative Care—Experience in Primary Health Care
No full textBackground and Objectives: Palliative care is a very important part of medicine, aimed at ensuring an improvement in quality of life and a reduction in distressing symptoms in patients with serious, incurable, progressive diseases. The issues of the accessibility and quality of these services should be a focus for health policymakers and researchers, although it is acknowledged that a significant portion of the public has not heard about this service. For this reason, it is important to investigate the experience of the accessibility and quality of palliative care services in primary healthcare facilities. Materials and Methods: A quantitative study was conducted in institutions providing outpatient and inpatient palliative care services. A total of 784 patients and 219 family members participated in the study. Participants expressed their opinions through a questionnaire containing 24 statements, to which they responded by indicating their level of agreement on a Likert scale. The collected data were analyzed using statistical analysis software. Results: Palliative care services are widely available in large cities, but their accessibility is very limited in small towns and rural areas. Patients and their families are not familiar with the concept of palliative care, often equating it with the provision of treatment and nursing services, and they see the support of clergy as unnecessary. Although patients and their families rate the quality of the services received positively, they note shortcomings related to communication among staff. Conclusions: Palliative care services are provided within the primary healthcare system by specialists with qualifications regulated by legislation; however, patients do not see the need to receive assistance from clergy members. Based on the study results, it can be concluded that in Lithuania, the accessibility of palliative care is ensured in larger cities but is insufficient in smaller towns and rural areas. Patients tend to rate indicators reflecting the quality of palliative care services positively; however, they are not convinced that these services improve their quality of life
Asmens sveikatos priežiūros įstaigos darbuotojų patiriamas psichologinis priekabiavimas darbe (bandomasis tyrimas)
No full textResearch background. this research is important because the instrument of foreign researchers is applied and used to perform opportunity analysis in Lithuania. The aim of the study – to assess the experienced psychological harassment of healthcare institution workers at work. Methods. Doctors, tenders and tender assistants working in a healthcare institution were surveyed using the questionnaire survey method. For the evaluation of harassment at work, the Work Harassment scale (WHs), which was composed by K. björkqvist and K. Österman in 1994, was used. Results. the performed pilot study revealed that psychological harassment at work took various forms, such as the limitation of freedom of self-expression, situations of intentional disruption in one or another way, loud bawling out, etc. these factors are common in many organisations. Workers at healthcare institutions more often than workers at other organisations face manifestations of psychological harassment because of the specifcity of activity. The most common forms of psychological harassment were identifed in the study. They are situations where a worker was loudly bawled out (17.3%) or criticised (17.4%), falsehoods were said about a worker (23.9%). Less common forms of psychological harassment were assertion that a worker has mental disorders or isolation. Conclusions. Psychological harassment might take various forms in the medical staff work environment. the WHs, which was used for the assessment, is an appropriate tool for further assessments of psychological harassment of healthcare service workers.Keywords: psychological harassment, psychological violence.Tyrimo pagrindimas. Šis tyrimas svarbus tuo, kad atliekamas užsienio tyrėjo sukurto instrumento pritaikymo ir naudojimo galimybių analizė Lietuvoje. Tyrimo tikslas – įvertinti asmens sveikatos priežiūros įstaigos darbuotojų darbe patiriamą psichologinį priekabiavimą. Metodai. Anketinės apklausos būdu apklausti asmens sveikatos priežiūros įstaigoje dirbantys gydytojai, slaugytojai ir slaugytojų padėjėjai. Priekabiavimui darbe įvertinti buvo naudojama priekabiavimo darbe skalė (WHS), 1994 m. sudaryta tyrėjų K. Björkqvisto ir K. Östermano. Rezultatai. Atliktas bandomasis tyrimas parodė, kad psichologinis priekabiavimas darbo aplinkoje pasireiškia įvairiomis formomis – tokiomis kaip galimybių išreikšti save ribojimas, situacijos, kai respondentai buvo vienokiu ar kitokiu būdu tikslingai žlugdomi, garsus apšaukimas ir kt. Šie veiksniai yra paplitę daugelyje organizacijų. Darant prielaidą, kad dėl veiklos specifškumo asmens sveikatos priežiūros įstaigų darbuotojai dažniau nei kitų profesijų darbuotojai susiduria su psichologinio priekabiavimo apraiška, nustatytos šios dažniausiai pasireiškiančios psichologinio priekabiavimo formos: situacijos, kai darbuotojas buvo garsiai apšauktas (17,3%) ar kritikuojamas (17,4%), sakomas melas apie darbuotoją (23,9%). Rečiau pasitaikančios psichologinio priekabiavimo formos – kaltinimai, kad turi protinių sutrikimų, arba izoliacija. Išvados. Medicinos personalo darbo aplinkoje psichologinis priekabiavimas gali pasireikšti įvairiomis formomis. Tyrimui atlikti naudota psichologinio priekabiavimo darbe vertinimo skalė yra tinkama asmens sveikatos priežiūros įstaigos darbuotojų psichologinio priekabiavimo tolimesniems tyrimams.Raktažodžiai: psichologinis priekabiavimas, psichologinis smurtas
Accreditation Process and Employee Well-Being in Healthcare Organizations
No full textOrganizations may choose means for their aim of accomplishing an extensive spectrum of activities. One of the possible choices is performance accreditation—a voluntary undertaking evaluating organizational performance compliance with the determined standards. Accreditation is considered a tool not only for improving the quality of services but also for developing coherence in the organization; such a process contributes to the achievement of the organization members’ well-being. Yet personal healthcare organizations choose accreditation as an alternative to the execution of their quality management system, and accreditation is considered a tool for service quality improvement by these organizations, even though several studies provide data on the impact on employees. This study evaluates the attitudes of employees of personal healthcare organizations toward the effect of accreditation on organizational cohesion and employee well-being. Five hundred sixty-nine employees of healthcare organizations participated in the study. This study revealed that healthcare professionals statistically significantly better evaluate the impact of accreditation on service quality improvement than on organizational performance, which is related to the influence on the employees’ well-being
Change in Nurses’ Reactions to Psychosocial Work Environment Factors During the Accreditation Period
No full textIn the modern healthcare system, significant focus is given to ensuring the quality of services, leading to the necessity of selecting the most suitable quality improvement measure for healthcare organizations. However, it has not been clear which quality improvement measure is the most appropriate for the healthcare services sector, as quality is understood and assessed differently in this field compared to other sectors. Various regulatory methods for healthcare service organizations are used worldwide, including licensing, accreditation, and certification. The application of quality assurance standards in healthcare organizations is based on the fact that these organizations seek to change their current practices to improve outcomes. Implementing each quality measure elicits certain reactions from healthcare professionals, which are not always favorable to the organization. This article examines the impact of accreditation on the changes in psychosocial work environment factors experienced by nurses during each accreditation phase
IMPACT OF PSYCHOSOCIAL FACTORS ON NURSES‘ SELF-SATISFACTION
No full textThe aim of the research is to evaluate the impact of psychosocial factors on nurses‘ self-satisfaction. The research was completed in 2016 in stationary personal healthcare institutions. The research method was survey. The questionnaire includes two other questionnaires PSO-100 and WHS. 1182 people participated in this research. The highest level of self-dissatisfaction among nurses was noticed while the authors analyzed their sleep quality, energy, and health assessment. The most often negative psychosocial factors in the working environment were giving meaningless tasks, negative glances or/and gestures. Possibly, the more often the nurses experience a negative impact of a psychosocial factor, the wors they assess their self-satisfaction.</jats:p
The impact of quality management practice implementation in an organization on the psycho-emotional well-being of employees /
No full textThis article presents the challenges and opportunities the application of a quality management practice in healthcare organizations presents in view of the psycho-emotional well-being of employees when implementing quality management practices. The article addresses the academic challenge of the impact implementation of a quality management practice has on the emotional well-being of employees, which is formulated as the following conundrum: does an implemented quality management practice improve the emotional well-being of employees. Although studies show that a quality management practice put in place has a positive impact on the quality of work, the introduction of a quality management practice sometimes has a negative impact on the emotional well-being of employees. The objective - to assess the impact of a quality management practice implementation on the emotional well-being of employees – has been met. Analysis and synthesis methods were applied, and a quantitative survey of 285 workers in three healthcare organizations was conducted. It was established that although all employees of organizations surveyed experience stressful situations at work, they feel better in organizations where a quality management practice is in place than in those where the practice is not in place. Therefore, we can argue that the implementation of a quality management practice improves the emotional well-being of employees
