Book Of Abstracts International Scientific Conference »Research and Education in Nursing« June 7, 2018, Maribor, Slovenia Editors: Majda PAJNKIHAR, PhD, Full Professor Klavdija ČUČEK TRIFKOVIČ, Ph.D., Senior Lecturer Sonja ŠOSTAR TURK, Ph.D., Full Professor Gregor ŠTIGLIC, Ph.D., Associate Professor June 2018 Title: Book of Abstracts International Scientific Conference »Research and Education in Nursing« Subtitle: June 7th, 2018, Maribor, Slovenia Naslov: Zbornik povzetkov Mednarodna znanstvena konferenca »Raziskovanje in izobraževanje v zdravstveni negi« Podnaslov: 7. junij, Maribor, Slovenija Editors: Majda PAJNKIHAR, PhD, Full Professor, (University of Maribor, Faculty of Health Sciences), Klavdija ČUČEK TRIFKOVIČ, Ph.D., Senior Lecturer, (University of Maribor, Faculty of Health Sciences), Sonja ŠOSTAR TURK, Ph.D., Full Professor, (University of Maribor, Faculty of Health Sciences), Gregor ŠTIGLIC, Ph.D., Associate Professor, (University of Maribor, Faculty of Health Sciences). Review: Dr Margaret DENNY, (Waterford Institute of Technology), Professor Suzanne DENIEFFE, Ph.D., (Waterford Institute of Technology), David HALOŽAN, Ph.D., Assistant Professor, (University of Maribor, Faculty of Health Sciences), Mateja LORBER, Ph.D., Assistant Professor (University of Maribor, Faculty of Health Sciences), Nataša MLINAR RELJIĆ, M.S., Lecturer (University of Maribor, Faculty of Health Sciences), Jasmina NERAT, Lecturer (University of Maribor, Faculty of Health Sciences), Petra POVALEJ BRŽAN, Ph.D., Assistant Professor, (University of Maribor, Faculty of Health Sciences), Urška ROZMAN, Ph.D., Assistant, (University of Maribor, Faculty of Health Sciences), Professor Arun K SIGURDARDOTTIR, Ph.D., (University of Akureyri, School of Health Sciences), Maja STRAUSS, M.S., Lecturer (University of Maribor, Faculty of Health Sciences), Jadranka STRIČEVIĆ, Ph.D., Assistant Professor (University of Maribor, Faculty of Health Sciences) Dominika VRBNJAK, Ph.D., Assistant, (University of Maribor, Faculty of Health Sciences). Design and Marko URŠIČ, (University of Maribor, Faculty of Health Sciences) layout: Technical editor: Jan PERŠA, (University of Maribor Press) Conference: International Scientific Conference »Research and Education in Nursing« Conference date: June 7th, 2018, Maribor, Slovenia Programme Committee: Klavdija ČUČEK TRIFKOVIČ, Ph.D., Senior Lecturer, (Slovenia), Barbara DONIK, M.S., Senior Lecturer, (Slovenia), Zvonka FEKONJA, Assistant, (Slovenia), Vida GÖNC, M.S., Senior Lecturer, (Slovenia), Majda PAJNKIHAR, PhD, Full Professor, (Slovenia), Sonja ŠOSTAR TURK, Ph.D., Full Professor, (Slovenia), Gregor ŠTIGLIC, Ph.D., Associate Professor, (Slovenia), Dominika VRBNJAK, Ph.D., Assistant, (Slovenia). Organizing Committee: Klavdija ČUČEK TRIFKOVIČ, Ph.D., Senior Lecturer, (Slovenia), Aleksandra LOVRENČIČ (Slovenia), Majda PAJNKIHAR, PhD, Full Professor, (Slovenia), Sonja ŠOSTAR TURK, Ph.D., Full Professor, (Slovenia), Gregor ŠTIGLIC, Ph.D., Associate Professor, (Slovenia), Maja ŠTIGLIC (Slovenia), Marko URŠIČ (Slovenia). Co-publisher/Izdajateljica: University of Maribor, Faculty of Health Sciences Žitna ulica 15, 2000 Maribor, Slovenia http://www.fzv.um.si, fzv@um.si Publisher/Založnik: University of Maribor Press Slomškov trg 15, 2000 Maribor, Slovenia http://press.um.si, zalozba@um.si Published: Maribor, June 2018 © University of Maribor Press All rights reserved. No part of this book may be reprinted or reproduced or utilized in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publisher. »The authors are responsible for the linguistic adequacy of abstracts.« CIP - Kataložni zapis o publikaciji Univerzitetna knjižnica Maribor 616-083:378.661(082)(0.034.2) INTERNATIONAL Scientific Conference "Research and Education in Nursing" (2018 ; Maribor) Book of abstracts [Elektronski vir] / International Scientific Conference "Research and Education in Nursing", June 7th, 2018, Maribor, Slovenia ; editors Majda Pajnkihar ... [et al.]. - 1st ed. - El. zbornik. - Maribor : University of Maribor Press, 2018 Način dostopa (URL): http://press.um.si/index.php/ump/catalog/book/340.. - Nasl. v kolofonu: Zbornik povzetkov ISBN 978-961-286-167-4 (pdf) doi: 10.18690/978-961-286-167-4 1. Pajnkihar, Majda COBISS.SI-ID 94662145 Edition: 1st Available at: http://press.um.si/index.php/ump/catalog/book/340 ISBN 978-961-286-167-4 DOI: https://doi.org/10.18690/978-961-286-167-4 Price: Free copy For publisher: Žan JAN OPLOTNIK, Ph.D., Full Professor, Vice Rector, (University of Maribor) ABSTRACT / POVZETEK Abstract Povzetek Along with the 25th anniversary of the establishment Ob obeleženju 25-letnice od ustanovitve Fakultete za of the Faculty of Health Sciences, we organize the zdravstvene vede organiziramo mednarodno znan- scientific conference entitled » Research and stveno konferenco z naslovom »Raziskovanje in Education in Nursing Care« that will take place under izobraževanje v zdravstveni negi«, ki poteka pod the sponsorship of the president of the Republic of častnim pokroviteljstvom predsednika Republike Slovenia, Borut Pahor. Slovenije Boruta Pahorja. The conference's purpose and aim is to present the Namen in cilj konference je predstavitev napredka na progress in the field of research for practice and področju raziskovanja za podporo prakse in education support, to introduce an interdisciplinary izobraževanja, interdisciplinarnega in interprofe- and interprofessional approach in nursing care and sionalnega pristopa v zdravstveni negi in zdravstvu v health care in Slovenia and abroad and also to show slovenskem in mednarodnem prostoru ter prispevek the contribution of core knowledge development. k doprinosu razvoja jedra znanja. Dodana vrednost The added value of the conference is the integration konference je povezovanje visokošoslkih učiteljev, of higher education teachers, higher education visokošolskih sodelavcev in študentov ter izmenjava collaborators and students with the exchange of raziskovalnih dokazov, modelov dobrih praks in research findings, models of good practice and inovativnih idej. Na konferenci bodo predstavljeni innovative ideas. We will present articles from prispevki aktualnih znanstvenoraziskovalnih projek- current scientific-research projects, dealing with an tov za učinkovito, varno, humano in k pacientu ter effective, safe, humane, patient-friendly and family- družini usmerjeno zdravstveno obravnavo. directed healthcare treatment. Ključne besede: Raziskovanje, izobraževanje Keywords: Research, Education, Nursing; Health Zdravstvena nega, Zdravstvene vede; konferenca Sciences; conference Majda Pajnkihar, Ph.D., Full Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: majda.pajnkihar@um.si Klavdija Čuček Trifkovič, Ph.D., Senior Lecturer, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: klavdija.cucek@um.si Sonja Šoštar Turk, Ph.D., Full Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: sonja.sostar@um.si Gregor Štiglic, Ph.D., Associate Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: gregor.stiglic@um.si INDEX Abstract / Povzetek ......................................................................................................................................... 6 Index ............................................................................................................................................................... 7 Programme ..................................................................................................................................................... 9 International Scientific Conference University of Maribor Faculty of Health Sciences “Research and Education in Nursing” - Mednarodna znanstvena konferenca Univerze v Mariboru, Fakultete za zdravstvene vede “Raziskovanje in izobraževanje v zdravstveni negi ” ................................................................................................................... 12 'Research Readiness' of (Newly) Qualified Nurses: A Core Aspect of Fitness for Practice? - A Critical Discussion 16 New Ways for Nurses in Advanced Roles in Hungary ....................................................................................... 17 Using E-portfolios in Nursing Education Practice: A Narrative Review .............................................................. 18 Diabetes is a Challenge: A Ten Year Follow Up of People with Diabetes ........................................................... 19 Nursing and Care During Night Times for Home-Dwelling Elderly People – A Qualitative Needs Study .............. 20 Relationship Between Caring Behaviours and Medication Administration Error Reporting Povezave med skrbnimi ravnanji in sporočanjem napak pri dajanju zdravil ........................................................ 21 Influence of Nurses’ Characteristics on Their Perceptions of Caring Vpliv značilnosti medicinskih sester na njihovo dojemanje skrbi ........................................................................ 23 Jean Watson's Theory of Human Caring: Analysis and Evaluation for Nursing in Croatia................................... 25 The Importance of Scientific Nursing Research Pomembnost znanstveno-raziskovalnega dela v zdravstveni negi ...................................................................... 26 Learning from a Parallel Process Evaluation of Dementia Care Services ........................................................... 28 Supporting the Mental Health of Veterans Through Coproduced Recovery Focused Learning; the Development of a Mental Health Awareness Course ............................................................................................................ 29 Experiencing the Spirituality in People Living with Dementia: A Literature Review Doživljanje spiritualnosti pri starejših osebah z demenco: pregled literature ...................................................... 30 Assessment of the Association Between Social Support and Self-Rated Health in the Elderly Ocena povezanosti med socialno podporo in samooceno lastnega zdravja pri starostnikih ................................ 32 Incidence of Sleep Related Problems Among Elderly with Chronic Non-Communicable Disease: Results of the SHARE Study .................................................................................................................................................. 34 The Efficacy of Probiotics for Treating Gastro-Oesophageal Reflux in Infants ................................................... 36 An Exploration of Peer Assessment on Final Examination in Nursing Adult Simulation Settings Vpliv vrstniškega ocenjevanja na zaključno preverjanje znanja v simuliranem kliničnem okolju zdravstvene nege odraslega pacienta ......................................................................................................................................... 37 Knowledge Among Australian Healthcare Workers on Probiotics .................................................................... 38 The Purpose of Monitoring Pesticides in Drinking Water for Human Health ..................................................... 39 Probiotics: Assessing the Knowledge and Understanding of the Elderly ........................................................... 40 The Role of Nursing Care in Hemodialysis Patients .......................................................................................... 41 Assessing Empathic Skills Related to Social Intelligence .................................................................................. 42 Description, Analysis and Evaluation of Madeleine M. Leininger Theory of Cultural Diversity and Universality Opis, analiza in vrednotenje teorije kulture skrbi: raznolikosti in univerzalnosti avtorice Madeliene M. Leininger. 43 Perception of Nurses Conflict and Assertiveness in Urgent Primary Health Care Services ................................ 45 Interpersonal Collaboration in Double Checking Process of Medicines for Providing Safety of Hospitalised Children Medosebno sodelovanje pri procesu dvojnega preverjanja zdravil za zagotavljanje varnosti hospitaliziranih otrok ..................................................................................................................................................................... 46 Can Continuity of Care Using the Case-Loading Model Reduce the Rates of Depression in Pregnancy and Post- Birth? A Research Proposal ............................................................................................................................ 48 Antenatal Care and Significance in the Conduct of the »Skin to Skin« Contact ................................................. 49 Correlation Between Objective Evaluation of Performance, Stress and Intention to Leave Job Among Nurses . 51 Workplace Violence and Its Impact on Burnout and Stress Among Health Professionals .................................. 52 PROGRAMME 08:30 – 09:00 Registracija / Registration PLENARNI DEL / PLENARY SESSION (Predavalnica 2 / Lecture Room 2) Moderatorji / Session Chairs: Sonja ŠOSTAR TURK & Jozsef BETLEHEM 09:00 – 09:10 Otvoritev mednarodne konference / Opening of the International conference Majda PAJNKIHAR, University of Maribor, Faculty of Health Sciences, SI 09:10 – 09:30 'Research Readiness' of (Newly) Qualified Nurses: A Core Aspect of Fitness for Practice? - A Critical Discussion Laura SERRANT1, Vanessa HEASLIP2, 1Sheffield Hallam University, Faculty of Health and Wellbeing, 2Bournemouth University, Department of Nursing and Clincial Science, UK 09:30 – 09:50 New Ways for Nurses in Advanced Roles in Hungary Jozsef BETLEHEM, University of Pecs, Faculty of Health Sciences, HU 09:50 – 10:10 Using E-portfolios in Nursing Education Practice: A Narrative Review Margaret DENNY, Suzanne DENIEFFE, Laura WIDGER, Waterford Institute of Technology, Department of Nursing, IE 10:10 – 10:30 Diabetes is a Challenge: A Ten Year Follow Up of People with Diabetes Arun K. SIGURDARDOTTIR1,2, Hafdis L. GUDLAUGSDOTTIR3,4, 1University of Akureyri, 2Akureyri Hospital, 3Sudurnes Hospital and Health Center, 4Landspitali University Hospital, IS 10:30 – 10:50 Nursing and Care During Night Times for Home-Dwelling Elderly People – A Qualitative Needs Study Christa THEM, Eva SCHULC, UMIT - Private University of Health Sciences, Medical Informatics and Technology, AT 10:50 – 11:10 Relationship Between Caring Behaviours and Medication Administration Error Reporting Dominika VRBNJAK1, Dušica PAHOR2, John W. NELSON3, Majda PAJNKIHAR1, 1University of Maribor, Faculty of Health Sciences, 2University of Maribor, Medical Faculty, SI, 3President of Healthcare Environment; New Brighton, MN, USA 11:10 – 11:30 Odmor za kavo/Coffee break Sekcija 1/ Session 1 (Predavalnica 1 / Lecture Room 1) Moderatorki / Session Chairs: Nataša MLINAR RELJIĆ & Anne-Marie BRADY 11:30 – 11:45 Influence of Nurses’ Characteristics on Their Perceptions of Caring Majda PAJNKIHAR1, Roger WATSON2, Natalia KASIMOVSKAYA3, Dominika VRBNJAK1, Gregor ŠTIGLIC1, 1University of Maribor, Faculty of Health Sciences, SI, 2University of Hull, Faculty of Health Sciences, 3First Moscow State Medical University Sechenov, Faculty of Higher Nursing Education and Psycho-Social Work, RU 11:45 – 12:00 Jean Watson's Theory of Human Caring: Analysis and Evaluation for Nursing in Croatia Kasandra MUSOVIĆ1, Adriana LOKI1, Antun ILANČIĆ1, Tatjana PETRINEC1, Majda PAJNKIHAR2, Petra KLANJŠEK2, University of Josip Juraj Strossmayer, Faculty of Dental Medicine and Health, HR, 2University of Maribor, Faculty of Health Sciences, SI 12:00 – 12:15 The Importance of Scientific Nursing Research Marija SPEVAN1, Leona CILAR2, 1University of Rijeka, Faculty of Health Studies, HR, 2University of Maribor, Faculty of Health Sciences, SI 12:15 – 12:30 Learning from a Parallel Process Evaluation of Dementia Care Services Anne-Marie BRADY1, Mairéad BRACKEN-SCALLY1, Louise DALY1, Brian KEOGH1, Geralyn HYNES1, Brendan KENNELLY2, Mary MCCARRON1, 1The University of Dublin, Trinity College Dublin, School of Nursing and Midwifery, 2National University of Ireland Galway, School of Business and Economics, IE 12:30 – 12:45 Supporting the Mental Health of Veterans Through Coproduced Recovery Focused Learning; the Development of a Mental Health Awareness Course Gavin HIBBERD-SMITH, University of Nottingham, School of Health Sciences, UK 12:45 – 13:00 Experiencing the Spirituality in People Living with Dementia: A Literature Review Nataša MLINAR RELJIĆ1, Blanka KORES PLESNIČAR2, Majda PAJNKIHAR1, 1University of Maribor, Faculty of Health Sciences, 2University Psychiatric Clinic Ljubljana, SI 13:00 – 13:15 Assessment of the Association Between Social Support and Self-Rated Health in the Elderly Špela VIDOVIČ1, Olivera STANOJEVIĆ-JERKOVIĆ1, Lijana ZALETEL-KRAGELJ2, 1National Institute for Public Health, Regional Unit Maribor, 2University of Ljubljana, Faculty of Medicine, SI 13:15 – 13:30 Incidence of Sleep Related Problems Among Elderly with Chronic Non-Communicable Disease: Results of the SHARE Study Sergej KMETEC, Gregor ŠTIGLIC, Primož KOCBEK, Zvonka FEKONJA, Mateja LORBER, Leona CILAR, University of Maribor, Faculty of Health Sciences, SI Sekcija 2/ Session 2 (Predavalnica 3 / Lecture Room 3) Moderatorki / Session Chairs: Klavdija ČUČEK TRIFKOVIČ & Vida GÖNC 11:30 – 11:45 The Efficacy of Probiotics for Treating Gastro-Oesophageal Reflux in Infants Sabina FIJAN1, Jann FOSTER2, Petra POVALEJ BRŽAN1, Hannah DAHLEN2, 1University of Maribor, Faculty of Health Sciences, SI, 2Western Sydney University, School of Nursing and Midwifery, AU 11:45 – 12:00 An Exploration of Peer Assessment on Final Examination in Nursing Adult Simulation Settings Zvonka FEKONJA, Nataša MLINAR RELJIĆ, Nino FIJAČKO, University of Maribor, Faculty of Health Sciences, SI 12:00 – 12:15 Knowledge Among Australian Healthcare Workers on Probiotics Petra POVALEJ BRŽAN1, Peter LEWIS2, Mateja LORBER1, Sabina FIJAN1, 1University of Maribor, Faculty of Health Sciences, SI, 2Western Sydney University, School of Nursing and Midwifery, AU 12:15 – 12:30 The Purpose of Monitoring Pesticides in Drinking Water for Human Health Natalija BOHINC, Urška ROZMAN, Sonja ŠOSTAR TURK, University of Maribor, Faculty of Health Sciences, SI 12:30 – 12:45 Probiotics: Assessing the Knowledge and Understanding of the Elderly Petra POVALEJ BRŽAN, Mateja LORBER, Urška NEMET, Dunja ŠULC, Anja ŠTANTE, Jana LONČARIČ, Vita PETEK REGORŠEK, Tamara GALUN, Špela JELEN, Sandra TAŠNER, Sabina FIJAN, University of Maribor, Faculty of Health Sciences, SI 12:45 – 13:00 The Role of Nursing Care in Hemodialysis Patients Fatmire AHMETI, Luljeta MUSLIU, Heimerer College, Nursing Department, RKS 13:00 – 13:15 Assessing Empathic Skills Related to Social Intelligence Besarta TAGANOVIQ1, Kaltrina ABAZI2, Medina SIMNICA3, Blertë HYSENI1, 1Heimerer College, Nursing Department, 2Eda Ordinance, 3Dina Kindergarten, RKS Sekcija 3/ Session 3 (Predavalnica 4 / Lecture Room 4) Moderatorki / Session Chairs: Barbara DONIK & Jasmina MAHMUTOVIĆ 11:30 – 11:45 Description, Analysis and Evaluation of Madeleine M. Leininger Theory of Cultural Diversity and Universality Barbara DONIK, Mateja LORBER, Majda PAJNKIHAR, University of Maribor, Faculty of Health Sciences, SI 11:45 – 12:00 Perception of Nurses Conflict and Assertiveness in Urgent Primary Health Care Services Jasmina MAHMUTOVIĆ1, Elvedin ZUKIĆ2, Suada BRANKOVIĆ1, Arzija PAŠALIĆ1, Fatima JUSUPOVIĆ1, 1 University of Sarajevo, Faculty of Health Studies, 2 Emergency Medical Assistance Centre of Canton Sarajevo, BiH 12:00 – 12:15 Interpersonal Collaboration in Double Checking Process of Medicines for Providing Safety of Hospitalised Children Leona CILAR, Dominika VRBNJAK, Barbara KEGL, Majda PAJNKIHAR, University of Maribor, Faculty of Health Sciences, SI 12:15 – 12:30 Can Continuity of Care Using the Case-Loading Model Reduce the Rates of Depression in Pregnancy and Post-Birth? A Research Proposal Saaraa SIDIKHAN, University of Nottingham, School of Health Sciences, UK 12:30 – 12:45 Antenatal Care and Significance in the Conduct of the »Skin to Skin« Contact Jadranka STRIČEVIĆ1, Zoran JOKIĆ2, 1University of Maribor, Faculty of Health Sciences, SI, 2Singidunum University, Faculty of Health, Legal and Business Studies, RS 12:45 – 13:00 Correlation Between Objective Evaluation of Performance, Stress and Intention to Leave Job Among Nurses Blertë HYSENI, Besarta TAGANOVIQ, Heimerer College, Nursing Department, RKS 13:00 – 13:15 Workplace Violence and Its Impact on Burnout and Stress Among Health Professionals Luljeta MUSLIU, Heimerer College, Nursing Department, RKS INTERNATIONAL SCIENTIFIC CONFERENCE UNIVERSITY OF MARIBOR FACULTY OF HEALTH SCIENCES “RESEARCH AND EDUCATION IN NURSING” - MEDNARODNA ZNANSTVENA KONFERENCA UNIVERZE V MARIBORU, FAKULTETE ZA ZDRAVSTVENE VEDE “RAZISKOVANJE IN IZOBRAŽEVANJE V ZDRAVSTVENI NEGI ” On the occasion of the 25th anniversary of the V luči obeležitve 25-letnice ustanovitve Fakultete za establishment of the Faculty of Health Sciences, zdravstvene vede bo pod častnim pokroviteljstvom international scientific conference »Research and predsednika Republike Slovenije Boruta Pahorja in Education in Nursing Care« is to take place under the Zbornice zdravstvene in babiške nege Slovenije – Zveze honorary patronage of the President of the Republic of strokovnih društev medicinskih sester, babic in Slovenia H. E. Mr Borut Pahor and Nurses and Midwives zdravstvenih tehnikov Slovenije potekala mednarodna Association of Slovenia. znanstvena konferenca »Raziskovanje in izobraževanje v zdravstveni negi«. The conference's purpose and aim is to present the progress in the field of research for practice and Namen in cilj konference je predstavitev napredka na education support, to introduce an interdisciplinary and področju raziskovanja za podporo prakse in interprofessional approach in nursing care and health izobraževanja, interdisciplinarnega in interprofesional- care in Slovenia and abroad and also to show the nega pristopa v zdravstveni negi in zdravstvu v contribution of core knowledge development. The slovenskem in mednarodnem prostoru ter prispevek k added value of the conference is the integration of doprinosu razvoja jedra znanja. Dodana vrednost higher education teachers/collaborators and students konference je povezovanje visokošoslkih učiteljev, with the exchange of research findings, models of good visokošolskih sodelavcev in študentov ter izmenjava practice and innovative ideas. We will present articles raziskovalnih dokazov, modelov dobrih praks in from current scientific-research projects, dealing with inovativnih idej. Na konferenci bodo predstavljeni an effective, safe, humane, patient-friendly and family- prispevki aktualnih znanstvenoraziskovalnih projektov directed healthcare treatment. za učinkovito, varno, humano in k pacientu ter družini usmerjeno zdravstveno obravnavo. This year's research and educational week is focused on leadership in nursing care. 12 Within the ERASMUS+project RELATE (European Junior Letošnji teden raziskovanja in izobraževanja je posebej Leadership Academy for Student Nurses and Midwives), usmerjen v vodenje v zdravstveni negi. an intensive education for domestic and foreign V okviru ERASMUS+ projekta RELATE (European Junior students in the field of leadership is taking place. Along Leadership Academy for Student Nurses and Midwives) with the UM Faculty of Health Sciences, the project poteka za domače in tuje študente intenzivno participants are also the University of Nottingham, izobraževanje s področja vodenja. V projektu Great Britain, Escola Superior de Enfermagem de Lisboa poleg UM, FZV sodelujejo The University of – ESEL (Lisbon School of Nursing), Portugal and Trinity Nottingham iz Velike Britanije, Escola Superior de College Dublin, Ireland. Enfermagem de Lisboa – ESEL (Lisbon School Also, within the students' project entitled »The of Nursing) iz Portugalske in Trinity College Dublin iz influence of relaxation techniques on the level of stress Irske. and satisfaction with the lives of students – AntiStres«, V okviru študentskega projekta z naslovom »Vpliv tehnik acquired with the public call »Project work with non- sproščanja na raven stresa in zadovoljstvo z življenjem economic and non-profit sector - student innovative študentov – AntiStres«, pridobljenega v okviru javnega projects for social benefit 2016-2018«, a students' razpisa »Projektno delo z negospodarskim in education will take place, focusing on stress overcome. neprofitnim sektorjem ̶ študentski inovativni projekti za International collaboration, exchange of experiences, družbeno korist 2016–2018«, potekalo izobraževanje knowledge and current scientific-research proof for študentov o premagovanju stresa. application in practice, along with education, are one of Mednarodno sodelovanje, povezovanje, izmenjava the main tasks of the faculty and represent an excellent izkušenj, znanja in aktualnih znanstvenoraziskovalnih opportunity for discussion of conference's participants dokazov za aplikacijo v prakso in izobraževanje so ena on designing joint research projects. izmed temeljnih nalog fakultete ter odlična priložnost za razpravo udeležencev konference o možnostih obliko- The conference is enriched by renowned domestic and vanja skupnih raziskovalnih projektov. invited foreign lecturers and researchers from universities that we have been successfully collabo- Konferenco bogatijo ugledni domači predavatelji in tuji rating in scientific and research fields for many years: vabljeni predavatelji in raziskovalci z univerz, s katerimi že vrsto let uspešno sodelujemo na znanstveno-  Heimerer College, RKS, raziskovalnem in izobraževalnem področju:  Sheffield Hallam University, Faculty of Health and  Wellbeing, Centre for Health and Social Care Heimerer College, RKS,  Research, UK, Sheffield Hallam University, Faculty of Health and  Trinity College Dublin, IE, University of Akureyri Wellbeing, Centre for Health and Social Care School of Health Sciences, IS, Research, UK,   University Josip Juraj Strossmayer Osijek, Faculty of Trinity College Dublin, IE,  Dental Medicine and Health Care, HR, University of Akureyri School of Health Sciences, IS,   University of Nottingham, UK, University Josip Juraj Strossmayer Osijek, Faculty of  University of Pecs, Faculty of Health Sciences, H, Dental Medicine and Health Care, HR,   University of Rijeka, Faculty of Health Studies, HR, University of Nottingham, UK,   Waterford Institute of Technology, IE. University of Pécs, Faculty of Health Sciences, H,  University of Rijeka, Faculty of Health Studies, HR, The main focus of the faculty's development is the  Waterford Institute of Technology, IE. intensification of the international scientific and educational activity. The development of the scientific- Osrednji fokus pri razvoju fakultete je na intenziviranju research core of knowledge for education and practice mednarodne znastvenoraziskovalne in izobraževalne support is intense regarding the changing needs in dejavnosti. Razvoj znanstvenoraziskovalnega jedra nursing care and health care. znanja za podporo izobraževanju in praksi je intenziven glede na spreminjajoče se potrebe v zdravstveni negi in zdravstvu. 13 I wish the conference participants, faculty's employees Udeležencem konference, zaposlenim in študentom and student a successful, professional, scientific- želim uspešno, strokovno, utrjevanje znanstveno- research and educational strengthening of professional, raziskovalnih, izobraževalnih, medsebojnih, nenazadnje personal and friendly relationships that are the core of pa tudi prijateljskih vezi, ki predstavljajo temelj razvoja our faculty's development and recognition. in prepoznavnosti fakultete. Prof. Dr (Združeno kraljestvo Velike Britanije in Severne Irske) Majda Pajnkihar 14 INVITED LECTURES / VABLJENA PREDAVANJA 'Research Readiness' of (Newly) Qualified Nurses: A Core Aspect of Fitness for Practice? - A Critical Discussion Laura SERRANT1, Vanessa HEASLIP2, 1Sheffield Hallam University, Faculty of Health and Wellbeing, 2Bournemouth University, Department of Nursing and Clincial Science, UK New Ways for Nurses in Advanced Roles in Hungary Jozsef BETLEHEM, University of Pecs, Faculty of Health Sciences, HU Using E-portfolios in Nursing Education Practice: A Narrative Review Margaret DENNY, Suzanne DENIEFFE, Laura WIDGER, Waterford Institute of Technology, Department of Nursing, IE Diabetes is a Challenge: A Ten Year Follow Up of People with Diabetes Arun K. SIGURDARDOTTIR1,2, Hafdis L. GUDLAUGSDOTTIR3,4, 1University of Akureyri, 2Akureyri Hospital, 3Sudurnes Hospital and Health Center, 4Landspitali University Hospital, IS Nursing and Care During Night Times for Home-Dwelling Elderly People – A Qualitative Needs Study Christa THEM, Eva SCHULC, UMIT - Private University of Health Sciences, Medical Informatics and Technology, AT Relationship Between Caring Behaviours and Medication Administration Error Reporting Dominika VRBNJAK1, Dušica PAHOR2, John W. NELSON3, Majda PAJNKIHAR1, 1University of Maribor, Faculty of Health Sciences, 2University of Maribor, Medical Faculty, SI, 3President of Healthcare Environment; New Brighton, MN, USA 15 LAURA SERRANT, VANESSA HEASLIP 'RESEARCH READINESS' OF (NEWLY) QUALIFIED NURSES: A CORE ASPECT OF FITNESS FOR PRACTICE? - A CRITICAL DISCUSSION 'RESEARCH READINESS' OF (NEWLY) QUALIFIED NURSES: A CORE ASPECT OF FITNESS FOR PRACTICE? - A CRITICAL DISCUSSION LAURA SERRANT, VANESSA HEASLIP Introduction Critical question Research and clinical practice education are often Do nurse educators have a responsibility to ensure that conceptualised as related but opposing areas of research and practice are unified and that nurses at the professional development. While nurse education and point of qualification and beyond are 'research ready'? training highlights the importance of evidence based Discussion and conclusion practice, often in reality the career trajectories and leadership development of nurses working as This paper explores the critical relationship between researchers or practitioners exist as parallel entities. In research readiness and fitness to practice in a nursing many countries this is further complicated by the fact context and argues that failure to ensure that education that becoming a nurse researcher, educationalist or programmes equip nurses with the skills to use, clinical practitioner requires an individual to select understand, create and apply research evidence fail to disparate career pathways. Professional regulatory adequately prepare them for practice in the 21st bodies for nursing stipulate that utilising evidence to century. inform education, policy and practice of healthcare is an essential part of nurses’ fitness to practice. In addition, in Europe, as elsewhere, national strategic priorities for Keywords: Nurse education; Evidence based practice; nurses highlight nurses’ responsibility to evidence the Nursing research work they do and the impact it has on patient care. CORRESPONDENCE ADDRESS: Laura Serrant, PhD, Full Professor, Sheffield Hallam University, Faculty of Health and Wellbeing, United Kingdom e-mail: l.serrant@shu.ac.uk, Vanessa Heaslip, Professor, MA, BSc (Hons), DipHE, RN, DN, Bournemouth University, Deputy Head of Research Department of Nursing and Clincial Science, United Kingdom email: vheaslip@bournemouth.ac.uk 16 JOZSEF BETLEHEM NEW WAYS FOR NURSES IN ADVANCED ROLES IN HUNGARY NEW WAYS FOR NURSES IN ADVANCED ROLES IN HUNGARY JOZSEF BETLEHEM Introduction following: anaesthesiology nurse 9; intensive therapy nurse 14; geriatric nurse 9; primary health care nurse In many countries the introduction of new medical 34; perioperative nurse 14; emergency nurse 44. A new technologies was not followed by appropriate allocation scholarship has been established for them named after of new tasks in the health care system. In Hungary a new the first president of the civil Hungarian Nursing model has been introduced to train nurses at master’s Association Jozsef Mihalicza. This fellowship was level following the concept of advanced practice awarded to 111 applicants supporting them with nursing. 320.000-640.000 HUF (1000-2100 Euro) pro semester. Aim Furthermore health care institutions could apply for fee The aim of this paper is to present the current stage of to substitute nurses who are studying for APN MSc and introducing of the advanced practice orientated the MD’s who participated as mentor in the programme master’s level nursing education in Hungary and to could get extra salary for their mentorship as well. The highlight the consecutive steps for the near future. simulation based training was supported with financial matters at the universities too. The first APN Methods: universities providing MSc nursing education professionals will enter into the health care system in and National Healthcare Services Center were asked to the spring of 2019. To ensure advanced practice nurses’ provide data after the enrolment of novice nurses for unique role a row of new ministerial decree has to be MSc programme from 2017. Descriptive statistics were established and issued regulating their competencies in used for analyses. the system. The new working regulation should be Results based on the consensus among medical boards, universities and ministry of health. Professional The evolution in the health care system established an guidelines and protocols should be adapted and extended role for MSc nurses in many OECD countries. developed. Out of four eligible Hungarian universities three have enrolled altogether 124 students for the academic year Conclusion 2017/2018 (University of Debrecen 27 persons; The education of new advanced practice nurses started University of Pecs 80 persons; University of Szeged 17 in Hungary last year but to secure a safe working persons.) For the spring semester Semmelweis environment for them is essential and there is a need University has admitted 31 students additionally. The for clear legal background. distribution of students among the specializations is the CORRESPONDENCE ADDRESS: Jozsef BETLEHEM, Ph.D., Full Professor, University of Pecs, Faculty of Health Sciences, Pécs, Vörösmarty Mihály utca 4, 7621, Hungary, e-mail: betlehem@etk.pte.hu 17 MARGARET DENNY, SUZANNE DENIEFFE, USING E-PORTFOLIOS IN NURSING EDUCATION LAURA WIDGER PRACTICE: A NARRATIVE REVIEW USING E-PORTFOLIOS IN NURSING EDUCATION PRACTICE: A NARRATIVE REVIEW MARGARET DENNY, SUZANNE DENIEFFE, LAURA WIDGER Introduction system for students while on placement. Results further highlight that e-portfolios require minimum information An e-portfolio is a contemporary e-learning system technology literacy; are a cost effective educational advancement for collating learning and reflective tool; improve student results in summative experiences for undergraduate nursing students during assessments. E-portfolios, however, pose challenges, practice placements. The objective of this paper is to such as learner motivation and the need for lecturer provide a comprehensive review of published empirical input and feedback; curricula review; software and studies on the current knowledge of e-portfolio use in access issues during practice placement; data undergraduate nursing education. protection security and issues of confidentiality. Methods Discussion and conclusion A literature search was undertaken, and inclusion Notwithstanding the challenges, e-portfolios for criteria focused on e-portfolio and undergraduate learning and assessment are to be embraced. An e- nursing education. Databases searched were EBSCO portfolio framework that is embedded in curricula is host, CINAHL, MEDLINE, PUB MED and the period was required. Key stakeholders (e-mentors) must be 2013-2018. Eight hundred and fifty-three articles were involved in the e-portfolio development trajectory to reviewed and after removal of duplicate and non- overcome potential obstacles. Practicum in-depth e- relevant articles, 18 articles met the criteria for review. portfolio reflexivity learning and assessment is pivotal to Results contemporary undergraduate nursing education and The findings highlight that e-portfolios promote a post qualification portability of competency evidence. learner centric focus; are a catalyst for competency development and structured reflection; enable Keywords: E-mentor; undergraduate nursing; flexibility of access; are a documentation management competency development; information technology CORRESPONDENCE ADDRESS: Dr Margaret DENNY, BSc, RNT, RBT, M.Phil (Applied Psychology) D.Phil Applied Psychology), Waterford Institute of Technology, Ireland, e-mail: denny.margaret@gmail.com, Dr. Suzanne DENIEFFE, RGN, RPN, RNT, PhD, MSc, BNS, Waterford Institute of Technology, Ireland, e-mail: sdenieffe@wit.ie, LAURA WIDGER, BSc, MSc Waterford Institute of Technology, Ireland, e-mail: lwidger@wit.ie 18 ARUN K. SIGURDARDOTTIR, HAFDIS L. DIABETES IS A CHALLENGE: A TEN YEAR GUDLAUGSDOTTIR FOLLOW UP OF PEOPLE WITH DIABETES DIABETES IS A CHALLENGE: A TEN YEAR FOLLOW UP OF PEOPLE WITH DIABETES ARUN K. SIGURDARDOTTIR, HAFDIS L. GUDLAUGSDOTTIR Introduction decreased significantly to 2015. Most achieved international guidelines in HbA1c goals in 2005 (51%), Diabetes is a chronic disease often with serious and systolic blood pressure in 2010 (63.4%) and diastolic costly complications. Therefore, well organised diabetes blood pressure in 2015 (74.2%). BMI was around 32 care is needed. The purpose was to research outcome kg/m² in all three years. In 2015, association was found of treatment on biological parameters in people with between neuropathic symptoms and higher HbA1c type one and two diabetes in one primary care setting level. Documentation regarding diabetes complications over ten years and compare with international became much better in 2015 when a new form for guidelines. electronic documentation was launched. Methods Conclusion Retrospective cohort study, information was gathered Nurses need to focus their attention on methods from medical records at one primary health care setting, enabling patients’ self-care to lessen the HbA1c level. in the years 2005, 2010 and 2015. The sample was According to international guidelines tighter blood persons listed in diabetes unit in beginning of 2005. One glucose control is needed, which also reduces risk of measurement for every participant each of the three complications. Nurse need to improve documentation years was used (n=113). Biological parameters were of their care. analysed and compared to international guidelines and attendance to clinic examined. Results HbA1c level was 7.22% in 2005 but increased Keywords: diabetes; longitudinal design; complications; significantly to 7.56% in 2015. Diastolic blood pressure international guidelines; health service CORRESPONDENCE ADDRESS: Arun K. SIGURDARDOTTIR, PhD, Full Professor, University of Akureyri, School of Health Sciences, 600 Akureyri, Iceland, e-mail: arun@unak.is, Hafdis L. GUDLAUGSDOTTIR, RN, MS, Landspitali University Hospital, Hringbraut 101, 101 Reykjavík, Iceland 19 CHRISTA THEM, EVA SCHULC NURSING AND CARE DURING NIGHT TIMES FOR HOME-DWELLING ELDERLY PEOPLE – A QUALITATIVE NEEDS STUDY NURSING AND CARE DURING NIGHT TIMES FOR HOME-DWELLING ELDERLY PEOPLE – A QUALITATIVE NEEDS STUDY CHRISTA THEM, EVA SCHULC Introduction call services as well as planned night shifts for people with complex care situations. Additionally, most of the In Tyrol – a federal state of Austria - there is no care providers postulated an appropriate need when availability of night nursing from mobile nursing and clients live alone or the family caregiver is of old age. care providers for clients living at home or their family Possible implementation obstacles and problems were caregivers. The aim of this explorative qualitative study mentioned with regard to (a) staffing (lack of nighttime was to identify a possible need for mobile night nursing staff, safety regulations); (b)organizational challenges from the viewpoint of various service recipients and (different computer-based documentation systems and service providers. Furthermore, potential quality processes); (c) the current Austrian Nursing Law implementation obstacles should be identified from the (RNs are not allowed to administer drugs in an viewpoint of service providers. emergency). Method Conclusions Guideline-based interviews were carried out with 16 Currently, older people in need of care in a complex care care-dependent persons, 19 family caregivers, four situation, regardless of the care level and/or recently nursing and four administrative managers of mobile been discharged from hospital and/or whose health nursing services as well as four district physicians. Data status is weakened and needs stabilization, can take analysis was performed by using the qualitative content advantage of nursing and care during night times in analysis according to Mayring (2015). Tyrol. Findings All of the interviewees expressed an obvious lack of Keywords: Mobile night nursing; unscheduled on-call nursing services during the night for affected people. services; planned night shifts; people with complex care Care providers perceived a particular need for the use situations of mobile night nursing in the form of unscheduled on- CORRESPONDENCE ADDRESS: Christa THEM, PhD, Full Professor, MIT - Private University of Health Sciences, Medical Informatics and Technology, Austria, e-mail: christa.them@umit.at, Eva SCHULC, PhD Assoc Professor, MIT - Private University of Health Sciences, Medical Informatics and Technology, Austria, e-mail: eva.schulc@umit.at 20 DOMINIKA VRBNJAK, DUŠICA PAHOR, RELATIONSHIP BETWEEN CARING BEHAVIOURS AND JOHN W. NELSON, MAJDA PAJNKIHAR MEDICATION ADMINISTRATION ERROR REPORTING RELATIONSHIP BETWEEN CARING BEHAVIOURS AND MEDICATION ADMINISTRATION ERROR REPORTING POVEZAVE MED SKRBNIMI RAVNANJI IN SPOROČANJEM NAPAK PRI DAJANJU ZDRAVIL DOMINIKA VRBNJAK, DUŠICA PAHOR, JOHN W. NELSON, MAJDA PAJNKIHAR ABSTRACT Results Introduction In total, 91 surveys were returned (return rate=75.8%). Total mean total scores of CFS-CP, CFS-CC, CFS-CM were There is a lack of evidence of positive correlations 6.06 (SD=0.64), 5.33 (SD=1.00) and 5.93 (SD=1.00), between caring and patient safety outcomes, therefore respectively. 42.6 % of respondents assessed that all we researched relationships between caring behaviours types of medication administration errors are reported and medication administration error reporting. between 0% and 20%, suggesting that there is Methods underreporting. CFS-CP and CFS-CC and medication A cross-sectional survey design using three different administration error reporting were not statistically versions of the Caring Factor Survey – Care Provider significantly correlated, rs=0.203 (p>0.05), rs=0.106 Version (CFS-CP), Caring for Co-worker (CFS-CC), Caring (p>0.05), respectively. We found a weak positive of Manager (CFS-CM) and Medication Administration correlation of CFS-CM and medication administration Error Reporting Survey were used to collect data from a error reporting, rs=0.343 (p=0.004). convenience sample of 120 nurses and nursing Discussion and conclusion assistants working in internal or surgical wards at two Our study findings highlight the importance of caring Slovene health care institutions. Data were collected leadership also for medication administration error from April to May in 2015 and analysed by descriptive reporting and therefore for patient safety. Knowing and and inferential statistics. Ethical and institutional understanding the elements influencing the reporting is approval were obtained prior research. an important step to strengthen medication safety. Keywords: caring; patient safety; medication administration error reporting CORRESPONDENCE ADDRESS: Dominika VRBNJAK, PhD, Assistant, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: dominika.vrbnjak@um.si, Dušica PAHOR, PhD, Full Professor, University of Maribor, Faculty of Medicine, Taborska ulica 8, 2000 Maribor, Slovenia, e-mail: dusica.pahor@um.si, Dr John W. NELSON, MS, RN; President of Healthcare Environment; New Brighton, MN, United States of America, e-mail: jn@hcenvironment.com, Majda PAJNKIHAR, PhD, Full Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: majda.pajnkihar@um.si 21 DOMINIKA VRBNJAK, DUŠICA PAHOR, RELATIONSHIP BETWEEN CARING BEHAVIOURS AND JOHN W. NELSON, MAJDA PAJNKIHAR MEDICATION ADMINISTRATION ERROR REPORTING Uvod Rezultati Obstaja pomanjkanje dokazov o pozitivnih korelacijah Vrnjenih je bilo 91 vprašalnikov (75,8 % stopnja med skrbjo za pacienta in varnostjo pacientov, zato smo odzivnosti). Skupna povprečna ocena za CFS-CP je raziskali povezave med skrbnimi ravnanji zaposlenih v znašala 6,06 (SD=0,64), za CFS-CC 5,33 (SD=1,00) in za zdravstveni negi in sporočanjem napak pri dajanju CFS-CM 5,93 (SD=1,00). 42,6 % anketirancev je ocenilo, zdravil. da se vse vrste napak pri dajanju zdravil sporočijo v 0– 20 %, kar kaže na pomanjkljivo sporočanje. Statistično Metode značilnih povezav med CFS-CP in sporočanjem napak pri Izvedli smo presečno opazovalno raziskavo z porabo dajanju zdravil (rs=0,203, p > 0.05) ter CFS-CC in treh različic vprašalnika Caring Factor Survey – Care sporočanjem napak (rs=0,106, p>0.05) nismo ugotovili. Provider Version (CFS-CP), Caring for Co-worker (CFS- Ugotovili smo šibko pozitivno korelacijo med CFS-CM in CC), Caring of Manager (CFS-CM) in vprašalnika Napake sporočanjem napak pri dajanju zdravil (rs=0,343, pri dajanju zdravil. Podatke smo zbrali na priložnostnem p=0,004). vzorcu 120 zaposlenih v zdravstveni negi na internih ali Diskusija in zaključek kirurških oddelkih v dveh slovenskih zdravstvenih ustanovah. Podatke smo zbirali od aprila do maja 2015 Ugotavljamo, da imajo skrbna ravnanja nadrejenih ter jih analizirali z uporabo deskriptivne in inferenčne pomembno vlogo pri sporočanju napak pri dajanju statistike. Pred pričetkom raziskave smo pridobili zdravil in s tem zagotavljanju varnosti pacientov. soglasje etične komisije in soglasja v raziskavo Poznavanje in razumevanje elementov, ki vplivajo na vključenih ustanov. sporočanje je pomembno za izboljševanje varnosti pri ravnanju z zdravili. Ključne besede: skrb; varnost pacientov; sporočanje napak pri dajanju zdravil 22 MAJDA PAJNKIHAR, ROGER WATSON, INFLUENCE OF NURSES’ CHARACTERISTICS NATALIA KASIMOVSKAYA, ON THEIR PERCEPTIONS OF CARING DOMINIKA VRBNJAK, GREGOR ŠTIGLIC INFLUENCE OF NURSES’ CHARACTERISTICS ON THEIR PERCEPTIONS OF CARING VPLIV ZNAČILNOSTI MEDICINSKIH SESTER NA NJIHOVO DOJEMANJE SKRBI MAJDA PAJNKIHAR, ROGER WATSON, NATALIA KASIMOVSKAYA, DOMINIKA VRBNJAK, GREGOR ŠTIGLIC ABSTRACT Results Introduction A stepwise multiple regression model which consisted of country, age, working position and experience in Some differences in nurses’ perceptions of caring have specialty showed that Russian nurses perceived caring been found when referring to different cultures, aspects as more professional and technical than Slovene however there is lack of research regarding nurses’ nurses (β = .222). Age was positively related with characteristics and caring behaviours. Aim was to perception of caring (β = .194). Nurse managers explore relations between the characteristics of nurses perceived caring aspects as more professional and and perceptions of caring in Slovenia and the Russia. technical when compared to their employees (β = .082). Methods Nurses with more experience in their specialty A cross sectional survey design was used. Research was perceived caring as more psychosocial than less conducted in April 2015 using a convenience sample of experienced nurses (β = -.132). 825 nurses and nursing assistants in two university Discussion and conclusion clinical centres in Slovenia and the Russia. Data were Results add to the literature on researching nurses’ collected using Caring Dimensions Inventory (CDI-25). individual characteristics on their perceptions of caring CDI-25 data from 294 Slovenian and 531 Russian nurses and understanding of caring in a cross-cultural context. and nursing assistants was used to create a stepwise Further research is needed to confirm and explain these multiple regression-based model. Ethical and results using not only quantitative approach, but also institutional approvals were obtained prior research. qualitative or mixed methods research. Keywords: cross-sectional study, cultural differences; stepwise multiple regression analysis CORRESPONDENCE ADDRESS: Majda PAJNKIHAR, PhD, Full Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: majda.pajnkihar@um.si, Roger WATSON, PhD, Full Professor, University of Hull, Faculty of Health Sciences, School of Health and Social Work, United Kingdom e-mail: r.watson@hull.ac.uk, Natalia KASIMOVSKAYA, PhD, Assoc Professor, First Moscow State Medical University them. Sechenov, Faculty of Higher Nursing Education and psycho-social work, Rusija, Dominika VRBNJAK, PhD, Assistant, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: dominika.vrbnjak@um.si, Gregor ŠTIGLIC, Ph.D., Associate Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: gregor.stiglic@um.si 23 MAJDA PAJNKIHAR, ROGER WATSON, INFLUENCE OF NURSES’ CHARACTERISTICS NATALIA KASIMOVSKAYA, ON THEIR PERCEPTIONS OF CARING DOMINIKA VRBNJAK, GREGOR ŠTIGLIC Uvod Rezultati Znano je, da obstajajo določene kulturne razlike v Rezultati regresijskega modela, ki je vključeval dojemanju skrbi, vendar obstaja pomanjkanje dokazov spremenljivke država, starost, delovno mesto in izkušnje o vplivu značilnosti medicinskih sester na dojemanje na strokovnem področju, so pokazali, da ruske skrbi. Namen raziskave je bil zato ugotoviti povezave medicinske sestre skrb dojemajo iz bolj strokovnega in med značilnostmi medicinskih sester in dojemanjem tehničnega vidika kot slovenske medicinske sestre (β = skrbi v Sloveniji in Rusiji. 0,222). Starost je bila pozitivno povezana s percepcijo skrbi (β = 0,194). Vodilne medicinske sestre so skrb Metode dojemale iz bolj strokovnega in tehničnega vidika kot Izvedena je bila presečna opazovalna raziskava na ostali zaposleni v zdravstveni negi (β = 0,882). priložnostnem vzorcu 825 zaposlenih v zdravstveni negi Medicinske sestre z več izkušnjami na strokovnem v dveh univerzitetnih kliničnih centrih, v Sloveniji in področju so skrb dojemale iz bolj psihosocialnega vidika Rusiji v aprilu 2015. Podatki so bili zbrani s pomočjo kot tiste z manj izkušnjami (β = –0,132). vprašalnika Caring Dimensions Inventory (CDI-25). Diskusija in zaključek Podatki vprašalnika CDI-25 na vzorcu 294 zaposlenih v zdravstveni negi v Sloveniji in 531 v Rusiji so bili Rezultati predstavljajo doprinos k literaturi o uporabljeni za izdelavo regresijskega modela. Pred raziskovanju individualnih značilnosti medicinskih sester pričetkom raziskave so bila pridobljena etična in in njihovem dojemanju ter razumevanju skrbi v institucionalna soglasja. medkulturnem kontekstu. Za potrditev in razlago rezultatov bodo potrebne nadaljnje ne samo kvantitativne ampak tudi kvalitativne raziskave in raziskave mešanih metod. Ključne besede: presečno opazovalna raziskava; kulturne razlike; postopna multipla regresijska analiza 24 KASANDRA MUSOVIĆ, ADRIANA LOKI, JEAN WATSON'S THEORY OF HUMAN CARING: ANTUN ILANČIĆ, TATJANA PETRINEC, ANALYSIS AND EVALUATION FOR NURSING IN CROATIA MAJDA PAJNKIHAR, PETRA KLANJŠEK JEAN WATSON'S THEORY OF HUMAN CARING: ANALYSIS AND EVALUATION FOR NURSING IN CROATIA KASANDRA MUSOVIĆ, ADRIANA LOKI, ANTUN ILANČIĆ, TATJANA PETRINEC, MAJDA PAJNKIHAR, PETRA KLANJŠEK Introduction phenomenological, existential and spiritual orientation. The theory has seven central concepts. Transpersonal Care is the foundation for performing systematic, relationships are crucial for nurse’s work with a patient, holistic and individual patient care, and the foundation and Watson emphasizes that knowing oneself is for the development of people, professional and essential in loving and accepting other’s experiences. interpersonal relationships. Aim of this research was to The theory contains guidelines from humanism which describe, analyze and evaluate “Nursing: Human has equal goals as nursing. Science and Human Care: A Theory of Nursing” by Jean Watson, and to determine whether the Theory is Discussion and Conclusion applicable in practice. The theory places emphasis on transpersonal Methods relationships. Watson wants to preserve human care, as ever-greater administrative restructuring results in the The available books and articles found through various dehumanization of nursing. As the author says, if the search engines (EBSCO, Ovid, MEDLINE, and PubMed) profession does not have its own language, then it does were used for description, analysis and evaluation. The not exist. However, a thorough education and theory was analyzed and evaluated according to the understanding of the Theory is necessary in order to criteria proposed by McKenna, Pajnkihar and Murphy implement it in nursing in Croatia. (2014). Results Keywords: Theory; Analysis; Jean Watson; Care 13 articles, 16 books and 8 other sources were analyzed. The theory is defined as a grand theory. It consists of 10 Caritas Processes derived from metaphysical, CORRESPONDENCE ADDRESS: Kasandra MUSOVIĆ, BSc, University of Josip Juraj Strossmayer, Faculty of Dental Medicine and Health, Crkvena 21, HR - 31000 Osijek, Croatia, e-mail: kasandra.musovic@gmail.com, Adriana LOKI, BSc,University of Josip Juraj Strossmayer, Faculty of Dental Medicine and Health, Crkvena 21, HR - 31000 Osijek, Croatia, Antun ILANČIĆ, BSc,University of Josip Juraj Strossmayer, Faculty of Dental Medicine and Health, Crkvena 21, HR - 31000 Osijek, Croatia, Tatjana PETRINEC, BSc,University of Josip Juraj Strossmayer, Faculty of Dental Medicine and Health, Crkvena 21, HR - 31000 Osijek, Croatia, Majda PAJNKIHAR, PhD, Full Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: majda.pajnkihar@um.si, Petra KLANJŠEK, AssistUniversity of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: petra.klanjsek@um.si 25 MARIJA SPEVAN, LEONA CILAR THE IMPORTANCE OF SCIENTIFIC NURSING RESEARCH THE IMPORTANCE OF SCIENTIFIC NURSING RESEARCH POMEMBNOST ZNANSTVENO-RAZISKOVALNEGA DELA V ZDRAVSTVENI NEGI MARIJA SPEVAN, LEONA CILAR Introduction Results Nursing practice and nursing as a science can be The study included 130 clinical nurses. Most of them improved through scientific research. Nursing in clinical were female (86.2 %) and employed (96.9 %). A total of area must be based on the newest and best evidence to 85.6 % nurses think that scientific nursing work is ensure quality of care based on patients wishes and important; 72.1 % have never written a research paper; needs. Science in nursing is also important for improving 88.5 % has a wish for scientific research which could further knowledge in health care and the satisfaction of improve nursing practice. A total of 64.3 % nurses think nurses. Scientific-research work in nursing creates that scientific nursing research is important for information in this area that will explain the unique improving personal satisfaction and 57.7 % nurses are responsibility of nurses in their profession. The aim of motivated for scientific nursing research. this research was to examine nurses’ view on scientific Discussion and conclusions nursing research in Croatia and to find out what influences their motivation for work in the field of Nursing research is important for the development of science. nursing as a science. Nurses can make significant changes and with their knowledge and experience Methods contribute to the quality of care and to the development Cross-sectional study design was used. Data were of nursing as a scientific discipline. collected using online questionnaire. The study was conducted among clinical nurses in Croatia. Keywords: scientific research work; nurse; science; motivation; health care. CORRESPONDENCE ADDRESS: Marija SPEVAN, BSc, RN, University of Rijeka, Faculty of Health Studies, Viktora Cara Emina 5, Rijeka, Croatia, e-mail: marija.sp88@gmail.com, Leona CILAR, Assistant, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: leona.cilar1@um.si 26 MARIJA SPEVAN, LEONA CILAR THE IMPORTANCE OF SCIENTIFIC NURSING RESEARCH Uvod Rezultati Praksa zdravstvene nege in znanost zdravstvene nege se V raziskavi je sodelovalo 130 medicinskih sester iz lahko izboljšata skozi znanstveno raziskovalno delo. kliničnega okolja. Večina je bila ženskega spola (86.2 %) Zdravstvena nega v kliničnem okolju mora temeljiti na in zaposlena (96.9 %). 85.6 % medicinskih sester meni, najnovejših in najboljših dokazih, da bi zagotovili da je znanstveno-raziskovalno delo v zdravstveni negi kakovostno zdravstveno nego, ki temelji na pacientovih pomembno, 72.1 % nikoli ni napisalo znanstveno- željah in potrebah. Znanost v zdravstveni negi je raziskovalnega dela. 64.3 % medicinskih sester meni, da pomembna za izboljšanje znanja in zadovoljstva je znanstveno-raziskovalno delo pomembno za medicinskih sester. Namen raziskave je ugotoviti izboljšanje osebnega zadovoljstva in 57.7 % je mnenje medicinskih sester o znanstveno-raziskovalnem motiviranih za znanstveno-raziskovalno delo. delu v zdravstveni negi na Hrvaškem in ugotoviti kaj Diskusija in zaključek medicinske sestre motivira za znanstveno-raziskovalno delo. Raziskovanje v zdravstveni negi, ki temelji na dokazih je pomembno za razvoj zdravstvene nege kot znanosti. Metode Medicinske sestre lahko z svojim znanjem in izkušnjami Izvedena je bila presečna študija. Podatki so bili zbrani s veliko prispevajo k kakovostni zdravstveni negi in pomočjo spletnega vprašalnika. Študija je bila izvedena razvoju zdravstvene nege kot znanstvene discipline. med medicinskimi sestrami v kliničnem okolju na Hrvaškem. Ključne besede: raziskovanje; medicinska sestra; znanost; motivacija; zdravstvo. 27 ANNE-MARIE BRADY, MAIRÉAD BRACKEN- LEARNING FROM A PARALLEL PROCESS EVALUATION OF SCALLY, LOUISE DALY, BRIAN KEOGH, DEMENTIA CARE SERVICES GERALYN HYNES, BRENDAN KENNELLY, MARY MCCARRON LEARNING FROM A PARALLEL PROCESS EVALUATION OF DEMENTIA CARE SERVICES ANNE-MARIE BRADY, MAIRÉAD BRACKEN-SCALLY, LOUISE DALY, BRIAN KEOGH, GERALYN HYNES, BRENDAN KENNELLY, MARY MCCARRON Introduction from a significant project set-up stage. It would have been beneficial to agree the required recording of In 2013, innovation funding was awarded to five information and reporting mechanisms at the project projects to develop personalised supports in the planning stage. The realities of dementia and dementia- community and three projects to develop integrated inclusive research are highlighted as a key area of care pathways in acute hospitals in Ireland. The authors learning. The projects took place over a relatively short were commissioned to evaluate the programme and period and raises plenty of questions about initial learning from this process evaluation is discussed sustainability as it was vulnerable to larger here. organisational changes. Method Discussion and Conclusion The methodology was informed by action research with A number of issues arose which require consideration in emphasis on context, relationship, process and the development and planning of process evaluation of outcomes, and was underpinned by the well- complex projects and initiatives. The complexities established RE-AIM evaluation framework. An concerning dementia care provision, alongside the exploratory mixed methods approach was used. Data capacity of the health system to respond, present was collected at two time points (T1 & T2), with an significant challenges for any project seeking to improve ongoing process component. care and support for the PwD. Results The projects evolved as they responded to issues Keywords: arising; therefore, the conduct of the evaluation was by its nature dynamic. The projects would have benefitted Project planning; integration of care; dementia research CORRESPONDENCE ADDRESS: Anne-Marie BRADY, PhD, Full Professor, The University of Dublin, Trinity College Dublin, School of Nursing and Midwifery, Irland, e-mail: anne-marie.brady@canterbury.ac.nz, Dr Mairéad BRACKEN-SCALLY, The University of Dublin, Trinity College Dublin, School of Nursing and Midwifery, Irland, email: brackem1@tcd.ie, Dr Louise DALY, Assistant Profesor, The University of Dublin, Trinity College Dublin, School of Nursing and Midwifery, Irland, e-mail: louise.daly@tcd.ie, Dr Brian KEOGH, Assistant Profesor, The University of Dublin, Trinity College Dublin, School of Nursing and Midwifery, Irland, e-mail: keoghbj@tcd.ie, Geralyn HYNES, PhD, Full Professor The University of Dublin, Trinity College Dublin, School of Nursing and Midwifery, Irland, e-mail: hynesg2@tcd.ie, Brendan KENNELLY, Full Professor, National University of Ireland Galway, School of Business and Economics Irland, e-mail: brendan.kennelly@nuigalway.ie, Mary MCCARRON, PhD, Full Professor The University of Dublin, Trinity College Dublin, School of Nursing and Midwifery, Irland, e-mail: mccarrm@tcd.ie 28 GAVIN HIBBERD-SMITH SUPPORTING THE MENTAL HEALTH OF VETERANS THROUGH COPRODUCED RECOVERY FOCUSED LEARNING; THE DEVELOPMENT OF A MENTAL HEALTH AWARENESS COURSE SUPPORTING THE MENTAL HEALTH OF VETERANS THROUGH COPRODUCED RECOVERY FOCUSED LEARNING; THE DEVELOPMENT OF A MENTAL HEALTH AWARENESS COURSE GAVIN HIBBERD-SMITH Introduction veteran’s that have or have had a mental health condition have not sought help. It is therefore vital to This is research into the development of course to raise develop resources to support veterans to engage with mental health awareness within the veteran population; mental health services in an arena that they feel supporting veterans through coproduced, recovery comfortable with and par. focused learning. Discussion and conclusion Methods This course will initially run as a pilot programme in an This course will be coproduced at every level and have attempt to encourage veterans to engage with NHS a physical base with access to resources. The course services. Research shows that approximately 60% of should be available for everyone involved; carers, military veteran’s that have or have had a mental health families and have a tutor to enhance individual learning. condition have not sought help, it is hoped that this The course will consist of 5 sessions evaluated after the course would raise mental health awareness within the completion of the pilot session by all course students veteran population. and co-producers completing a discussion group as well as individual questionnaires. Results Keywords: Veterans; mental health; recovery; coproduction Research shows that veterans do not actively engage with mental health services. 60% of United Kingdom CORRESPONDENCE ADDRESS: Gavin HIBBERD-SMITH, Assistant Professor, University of Nottingham, School of Health Sciences, United Kingdom, e-mail: Gavin.Smith@nottingham.ac.uk 29 NATAŠA MLINAR RELJIĆ, BLANKA KORES EXPERIENCING THE SPIRITUALITY IN PEOPLE LIVING PLESNIČAR, MAJDA PAJNKIHAR WITH DEMENTIA: A LITERATURE REVIEW EXPERIENCING THE SPIRITUALITY IN PEOPLE LIVING WITH DEMENTIA: A LITERATURE REVIEW DOŽIVLJANJE SPIRITUALNOSTI PRI STAREJŠIH OSEBAH Z DEMENCO: PREGLED LITERATURE NATAŠA MLINAR RELJIĆ, BLANKA KORES PLESNIČAR, MAJDA PAJNKIHAR Introduction Results Spirituality is an inner dimension that leads a person to The search output yielded a total of 177 records. Ten find a meaning and a sense of life. Every individual articles were included in the final analysis. The analysis experiences it in their own way. Spiritual care in a key resulted in two main thematic categories: Spirituality as factor in providing a holistic nursing care for older the core of the individual and The inner source of people living with dementia from a personal and ethical power. The results show that spirituality helps older point of view, in terms of dealing with the disease, people living with dementia to cope with the disease assessing and providing spiritual care. The aim of this and the approaching death and allows them to perceive systematic review was to find out how older people a life that is sensible and valuable, despite the illness. living with dementia experiencing spirituality. Discussion and conclusion Methods We found that experiencing the spirituality in older Systematic literature review was conducted considering people living with dementia change very little despite the inclusion and exclusion criteria established by PEO the disease. They still retain their essence, their inner approach. The search was conducted in international being, but their awareness changes. In order to provide databases: CINAHL, Medline, and PubMed. The CASP spiritual care, these findings are essential, as it serves as tool was used for the methodological evaluation of a guideline for the planning and providing spiritual care articles. The thematic analysis and synthesis of data in the nursing care practice for older people living with were used. dementia. Keywords: spiritual care; elderly; Alzheimer disease CORRESPONDENCE ADDRESS: Nataša MLINAR RELJIĆ, Lecturer, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: natasa.mlinar@um.si, Blanka KORES – PLESNIČAR, PhD, Full Professor, University Psychiatric Clinic Ljubljana, Studenec 48, 1260 Ljubljana, Slovenia, e-mail: blanka.kores@psih-klinika.si, Majda PAJNKIHAR, PhD, Full Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: majda.pajnkihar@um.si 30 NATAŠA MLINAR RELJIĆ, BLANKA KORES EXPERIENCING THE SPIRITUALITY IN PEOPLE LIVING PLESNIČAR, MAJDA PAJNKIHAR WITH DEMENTIA: A LITERATURE REVIEW Uvod Rezultati Spiritualnost je notranja dimenzija, ki človeka vodi v Izmed 177 identificiranih člankov, jih je bilo v končno iskanju pomena in smisla življenja. Vsak posameznik jo analizo vključenih deset. Izpostavljeni sta bili dve lahko doživlja na svoj način. Spiritualna oskrba je tematski kategoriji: duhovnost kot jedro posameznika in pomemben dejavnik v zagotavljanju holistične duhovnost kot notranji vir moči. Rezultati kažejo, da zdravstvene nege starejših oseb obolelih za demenco z duhovnost pomaga starejši osebi z demenco pri osebnega in etičnega vidika, z vidika soočanja z soočanju z boleznijo in bližajočo se smrtjo ter omogoča boleznijo, ocenjevanja in zagotavljanja spiritualnih dojemati življenje kot smiselno in dragoceno navkljub potreb. Namen sistematičnega pregleda je ugotoviti, bolezni. kako spiritualnost doživljajo starejše osebe z demenco. Diskusija in zaključek Metode Doživljanje spiritualnosti pri starejših osebah z demenco Opravljen je bil sistematični pregled literature glede na se kljub bolezni zelo malo spreminja. Starejše osebe z vključitvene in izključitvene kriterije oblikovane po PEO demenco še vedno ohranjajo svojo globoko notranjo bit, pristopu. Iskanje je potekalo v mednarodnih bazah spreminja pa se njihovo zavedanje. Za zagotavljanje podatkov: CINAHL, Medline in PubMed. Za metodološko spiritualne oskrbe, je ta podatek bistvenega pomena, saj oceno člankov je bilo uporabljeno orodje CASP. služi kot smernica za načrtovanje in zagotavljanje Uporabljena je bila tematska analiza in sinteza spiritualne oskrbe v praksi zdravstvene nege starejših podatkov. oseb z demenco. Ključne besede: spiritualna oskrba; starostnik; izkušnje 31 ŠPELA VIDOVIČ, OLIVERA STANOJEVIĆ- ASSESSMENT OF THE ASSOCIATION BETWEEN SOCIAL JERKOVIĆ, LIJANA ZALETEL-KRAGELJ SUPPORT AND SELF-RATED HEALTH IN THE ELDERLY ASSESSMENT OF THE ASSOCIATION BETWEEN SOCIAL SUPPORT AND SELF-RATED HEALTH IN THE ELDERLY OCENA POVEZANOSTI MED SOCIALNO PODPORO IN SAMOOCENO LASTNEGA ZDRAVJA PRI STAROSTNIKIH ŠPELA VIDOVIČ, OLIVERA STANOJEVIĆ-JERKOVIĆ, LIJANA ZALETEL-KRAGELJ Background Results Elderly are at risk for social exclusion because of Poor social support is associated with poor SRH in inevitable experience of loss in later life – loss of elderly, especially in those who do not have any existing significant others and activity. Aiming at preparing basis social network. The association was persistent even for evidence-based policy making to promote healthy when several confounders were included in the model. aging in Slovenia, objective of the study was to assess Odds ratio (OR) for poor SRH was 1.49 (p=0,053) for the association of social support and self-rated health single or divorced with at least one person in extended (SRH) in the elderly. social network and 2.99 (p=0,005) for single or divorced without extended social network in comparison with Methods married with social network. Study was designed as a pooled individual-level data Conclusion study from three cross-sectional surveys in 2008, 2012 and 2016, based on methodology of CINDI Health Present study shows that, after controlling the Monitor in Slovenia. 4599 participants aged 65-75 were background variables, there is statistically significant included in the study. Multivariate logistic regression association between social support and self-rated analysis was conducted with poor SRH as observed health in the elderly. outcome and social support as explanatory factor. SRH was assessed through the question: "How do you assess your present state of health/general health?". In Keywords: social network; healthy aging; social assessing social support of individuals, new variable was exclusion. created by cross-classification of two questions, asking about their marital status and extended social network. CORRESPONDENCE ADDRESS: Špela VIDOVIČ, dr. med., National Institute for Public Health, Regional Unit Maribor, Prvomajska 1, 2000 Maribor, Slovenia, e-mail: spela.vidovic@nijz.si, Dr Olivera STANOJEVIĆ-JERKOVIĆ, National Institute for Public Health, Regional Unit Maribor, Prvomajska 1, 2000 Maribor, Slovenia, e-mail: olivera.stanojevic@nijz.si, Lijana ZALETEL-KRAGELJ, PhD, Full Professor, University of Ljubljana, Faculty of Medicine, Department of Public Health, Zaloška 4, 1000 Ljubljana, Slovenia, e-mail: lijana.kragelj@mf.uni-lj.si 32 ŠPELA VIDOVIČ, OLIVERA STANOJEVIĆ- ASSESSMENT OF THE ASSOCIATION BETWEEN SOCIAL JERKOVIĆ, LIJANA ZALETEL-KRAGELJ SUPPORT AND SELF-RATED HEALTH IN THE ELDERLY Uvod kompleksna spremenljivka iz podatka o zakonskem stanu ter razširjeni socialni mreži. Starostniki so zelo dovzetni za socialno izključenost zaradi neizogibnih izgub v poznem življenjskem Rezultati obdobju, kot je izguba življenjskega partnerja in izguba aktivne vloge ob upokojitvi. Z namenom priprave Slabša socialna podpora je povezana s slabo samooceno podlage za pripravo na dokazih temelječe politike lastnega zdravja pri starostnikih, posebej pri tistih, ki promocije zdravega staranja v Sloveniji, je bil cilj nimajo socialne mreže. Povezanost je bila očitna tudi ob raziskave oceniti povezanost socialne podpore in upoštevanju nekaterih motečih dejavnikov. Razmerje obetov za slabo samooceno lastnega zdravja je bilo 1,49 samoocene lastnega zdravja pri starostnikih. (p=0,053) za samske ali ločene z vsaj eno osebo v Metode razširjeni socialni mreži ter 2,99 (p=0,005) za samske ali ločene brez razširjene socialne mreže v primerjavi s Raziskava je bila oblikovana kot študija združenih poročenimi s socialno mrežo. podatkov na individualni ravni, pridobljenih v treh presečnih raziskavah v 2008, 2012 in 2016 po Zaključek metodologiji CINDI Health Monitor Slovenija. 4599 Izvedena raziskava je pokazala, da tudi po prilagoditvi za udeležencev je bilo starih od 65-75 let in so bili vključeni v študijo. Opravljena je bila multipla logistična regresija, nekatere dejavnike ozadja, obstaja statistično značilna kjer je slaba samoocena lastnega zdravja predstavljala povezava med socialno podporo posameznika in opazovan izid, socialna podpora pa pojasnjevalni samooceno lastnega zdravja pri starostnikih. dejavnik. Lastno zdravje je bilo ocenjeno na podlagi vprašanja "Kakšno je vaše splošno zdravstveno stanje?". Za oceno socialne podpore je bila ustvarjena Ključne besede: socialna mreža; zdravo staranje; socialna izključenost. 33 SERGEJ KMETEC, GREGOR ŠTIGLIC, PRIMOŽ INCIDENCE OF SLEEP RELATED PROBLEMS AMONG KOCBEK, ZVONKA FEKONJA, MATEJA ELDERLY WITH CHRONIC NON-COMMUNICABLE LORBER, LEONA CILAR DISEASE: RESULTS OF THE SHARE STUDY INCIDENCE OF SLEEP RELATED PROBLEMS AMONG ELDERLY WITH CHRONIC NON- COMMUNICABLE DISEASE: RESULTS OF THE SHARE STUDY SERGEJ KMETEC, GREGOR ŠTIGLIC, PRIMOŽ KOCBEK, ZVONKA FEKONJA, MATEJA LORBER, LEONA CILAR Introduction the elderly (ρ= 0.165; p= 0.001). There is a correlation between Alzheimer disease and sleep problems (ρ= - With progress in technology and medicine, the life 0.063; p= 0.011), between hip fracture and sleep expectancy of the population is increasing at the global problems (ρ= -0.062; p= 0.013), and between diabetes and European level. This also increases the incidence of and sleep problems (ρ= -0.083; p= 0.001) among many chronic non-communicable diseases and their women. There is also a correlation between disruptive symptoms, which have big impact on quality osteoarthritis and sleep related problems (ρ= -0.060; p= of life and quality of sleep. The aim of this research was 0.034) among men. Therefore, the elderly who have a to explore the correlation between sleep related chronic communicable disease are more prone to sleep problems and chronic non-communicable diseases problems than those who did not have those diseases. among elderly. Discussion and conclusions Methods According to data analysis, we found that chronic non- The cross-sectional analysis of the data was performed. communicable diseases have an impact on the quality We included only data from Slovenian participants of of sleep. On the basis of what we assumed, the the Survey of Health, Ageing and Retirement in Europe inadequate sleep possibly affects daily activities and [SHARE] older than 60 years (n= 2953) collected in 2013 consequently decreases quality of life in older (wave 5). The data were analyzed using Spearman population. correlation coefficient in IBM SPSS. Results Keywords: sleep troubles; SHARE database; cross- There is a positive correlation between chronic sectional data analysis. communicable diseases and the quality of sleep among CORRESPONDENCE ADDRESS: Sergej KMETEC, Assistant, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: sergej.kmetec1@um.si, Gregor ŠTIGLIC, Ph.D., Associate Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: gregor.stiglic@um.si, Primož KOCBEK, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: primoz.kocbek@um.si, Zvonka FEKONJA, Assistant, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: zvonka.fekonja@um.si, Mateja LORBER, Ph.D., Assistant Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: mateja.lorber@um.si, Leona CILAR, Assistant, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: leona.cilar1@um.si 34 SERGEJ KMETEC, GREGOR ŠTIGLIC, PRIMOŽ INCIDENCE OF SLEEP RELATED PROBLEMS AMONG KOCBEK, ZVONKA FEKONJA, MATEJA ELDERLY WITH CHRONIC NON-COMMUNICABLE LORBER, LEONA CILAR DISEASE: RESULTS OF THE SHARE STUDY Uvod Rezultati Z napredkom tehnologije in medicine se podaljšuje Obstaja pozitivna korelacija med kroničnimi življenjska doba prebivalstva na svetovni in evropski nenalezljivimi bolezni in kakovostjo spanja med ravni. S tem pa se povečuje tudi pojavnost številnih starostniki (ρ= 0.165; p= 0.001). Obstaja povezava med kroničnih nenalezljivih bolezni s spremstvom motečih Alzheimerjevo boleznijo in težavami v spanju (ρ= -0.063; simptomov, ki imajo vpliv na kakovost življenja in p= 0.011), zlomom kolka in težavami v spanju (ρ= -0.062; kakovost spanca. Namen raziskave je ugotoviti p= 0.013), ter med diabetesom in težavami v spanju (ρ= povezavo med pojavnostjo s spanjem povezanih težav -0.083; p= 0.001) pri ženskah. Prav tako obstaja in prisotnostjo kroničnih nenalezljivih bolezni pri povezava med osteoartritisom in težavami v spanju ρ= - starostnikih. 0.060; p= 0.034) pri moških. Starostniki, ki imajo kronične nenalezljive bolezni, so bolj dovzetni za težave Metode pri spanju, kot tisti, ki nimajo teh bolezni. Izvedena je bila presečna študija. Uporabili smo podatke Diskusija in zaključek slovenskih udeležencev študije Survey of Health, Ageing and Retirement in Europe [SHARE], ki so bili starejši od Na podlagi analize podatkov smo ugotovili, da imajo 60 let (n= 2953) iz vala 5, kjer je bilo anketiranje kronične nenalezljive bolezni vpliv na kakovost spanja. izvedeno v letu 2013. Podatki so bili analizirani s Slabša kakovost spanja jih ovira pri vsakodnevnem pomočjo Spearmanovega koeficienta korelacije v delovanju ter posledično niža njihovo kakovost življenja. programu IBM SPSS. Ključne besede: težave s spanjem; SHARE podatkovna baza; presečna analiza podatkov. 35 SABINA FIJAN, JANN FOSTER, PETRA THE EFFICACY OF PROBIOTICS FOR TREATING GASTRO- POVALEJ BRŽAN, HANNAH DAHLEN OESOPHAGEAL REFLUX IN INFANTS THE EFFICACY OF PROBIOTICS FOR TREATING GASTRO-OESOPHAGEAL REFLUX IN INFANTS SABINA FIJAN, JANN FOSTER, PETRA POVALEJ BRŽAN, HANNAH DAHLEN Introduction treating gastrointestinal disorders was: Lactobacillus reuteri DSM 17938. Gastrooesophageal reflux (GER/GOR) is very common during infancy and most often manifests itself as Discussion and conclusion episodes of regurgitation/vomiting. The conservative One study advised administration of probiotics to therapy for improving GOR include: administration of women in the perinatal period to reduce neonatal thickened formulas, feeding frequency modification. gastrointestinal symptoms by modulating the mother’s There is strong evidence that the amount and type of cytokine profile in breastmilk resulting in decreasing microbial species in the gastrointestinal microbiota is regurgitation in infants. In all the other studies the influenced by the mode of birth (caesarean birth) and breastfed and/or infant formula fed; preterm and/or full use of antibiotics. Using probiotics to restore the term infants received probiotics orally and the treated intestinal microbiota has been considered as an infants demonstrated a significant reduction in daily alternative for treating gastrointestinal disorders. regurgitations. Therefore, the current research Methods indicates that prophylactic use of probiotics for infants during the first three months of life could reduce We prepared a review of all English PubMed articles in functional gastrooesophageal reflux. However, more March 2018 using the keywords: research is necessary to be able to make such a ‘’GOR‘’/‘’GER‘’/‘’regurgitation‘’ AND ‘’probiotic‘’. recommendation. Articles relating to colic rather than GOR/GER or regurgitation and were excluded. Results Keywords: probiotics, gastro-oesophageal reflux, infants, regurgitation The search of PubMed produced 23 results, 5 were review articles. The most commonly used probiotic for CORRESPONDENCE ADDRESS: Sabina FIJAN, Ph.D., Associate Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: sabina.fijan@um.si, Dr.Jann FOSTER, Senior Lecturer, Western Sydney University, School of Nursing and Midwifery, Sydney, Australia, email: j.foster@westernsydney.edu.au, Petra POVALEJ BRŽAN, Ph.D., Assist Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: petra.povalej@um.si, Hannah DAHLEN Full Professor, Western Sydney University, School of Nursing and Midwifery, Sydney, Australia, email: H.dahlen@westernsydney.edu.au 36 ZVONKA FEKONJA, NATAŠA MLINAR RELJIĆ, AN EXPLORATION OF PEER ASSESSMENT ON FINAL NINO FIJAČKO EXAMINATION IN NURSING ADULT SIMULATION SETTINGS AN EXPLORATION OF PEER ASSESSMENT ON FINAL EXAMINATION IN NURSING ADULT SIMULATION SETTINGS VPLIV VRSTNIŠKEGA OCENJEVANJA NA ZAKLJUČNO PREVERJANJE ZNANJA V SIMULIRANEM KLINIČNEM OKOLJU ZDRAVSTVENE NEGE ODRASLEGA PACIENTA ZVONKA FEKONJA, NATAŠA MLINAR RELJIĆ, NINO FIJAČKO Introduction assessment for all students was based on an OSCE. The data were analysed using SPSS statistical program and Objective structured clinical examination (OSCE) is an the methods of descriptive statistics. internationally established approach for assessing clinical skills in a simulated settings for nursing care. Results Peer assessment (PA) present a modern didactic Results of final OSCE at undergraduate nursing students approach in the field of andragogical and pedagogical in adult simulation settings shows that groups with PA nursing education. The purpose of the study was to find has achieved higher grade (8,98; 95% confidence out whether the PA during clinical training in an adult interval [CI]: 8,62 - 9,33; p < 0.0002) than groups simulation settings has an influence on the level of without PA (7,98; 95% IZ: 7,60-8,36; p < 0.0002). competence for performing clinical skills and on the final assessment of an OSCE. Discussion and Conclusion Methods The study showed a diferences in the final assessment of an OSCE in knowledge between both groups of A single-blind randomized controlled trial was nursing students. PA has a significant impact on the conducted in the Podravska statistical region. The study competence level of clinical skills and on the final involved the first year students of the undergraduate assessment of an OSCE. study programe Nursing Care (n = 97). During the clinical training, four groups (n = 45) performed PA with checklists, while the other four groups (n = 47) Keywords: Peer assessment; Objective structured performed clinical training without PA. The final clinical examination; Simulation; Nursing care; Students CORRESPONDENCE ADDRESS: Zvonka FEKONJA, Assistant, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: zvonka.fekonja@um.si, Nataša MLINAR RELJIĆ, Lecturer, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: natasa.mlinar@um.si, Nino FIJAČKO, Assistant, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: nino.fijacko@um.si 37 PETRA POVALEJ BRŽAN, PETER LEWIS, KNOWLEDGE AMONG AUSTRALIAN HEALTHCARE MATEJA LORBER, SABINA FIJAN WORKERS ON PROBIOTICS KNOWLEDGE AMONG AUSTRALIAN HEALTHCARE WORKERS ON PROBIOTICS PETRA POVALEJ BRŽAN, PETER LEWIS, MATEJA LORBER, SABINA FIJAN Introduction respondents knew the correct definition of probiotics and 77.3% of them have already tried using probiotics. Probiotics have many scientifically proven health 64.2% of respondents don’t know if it’s possible to benefits including improving symptoms of antibiotic- prescribe probiotics and 32.6% of respondents have associated diarrhoea, constipation, irritable bowel never advised probiotics to anyone. syndrome, inflammatory bowel disease, etc. General practitioners may sometimes advise patients to try Discussion and conclusion probiotics, although patients are able to purchase the The results show even higher percentage of advised products themselves as they are widely available and probiotics (71% of nurses and 85% of midwifes) relatively inexpensive. Nurses have a key part to play, compared to similar study from UK (51.6%). However, because they are involved not just in the routine care of compared to UK nurses even more nurses from our patients, but also provide them with advice and study said they had a poor or non-existent educational tools. understanding of probiotics (33% vs 42%). As scientific Methods evidence for probiotics continues to accumulate, with positive results reported in a wide range of health areas, A snowball sampling method with online validated health professionals need to keep up to date, so that questionnaire containing 29 questions was used in they can advise patients. February and March 2018. Results Keywords: Australia, nurse, understanding, beneficial The sample included 102 healthcare professionals from microorganisms Australia (86% female and 14% male), 68% of them were nurses or midwifes and 9% were physicians. The average age of respondents was 47±12 years. 78.4% of CORRESPONDENCE ADDRESS: Povalej BRŽAN, Ph.D., Assist Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: petra.povalej@um.si, Dr. Peter LEWIS, Senior Lecturer, Western Sydney University, School of Nursing and Midwifery, Sydney, Australia, email: p.lewis@westernsydney.edu.au, Mateja LORBER, Ph.D., Assistant Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: mateja.lorber@um.si, Sabina FIJAN, Ph.D., Associate Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, email: sabina.fijan@um.si 38 NATALIJA BOHINC, URŠKA ROZMAN, THE PURPOSE OF MONITORING PESTICIDES IN SONJA ŠOSTAR TURK DRINKING WATER FOR HUMAN HEALTH THE PURPOSE OF MONITORING PESTICIDES IN DRINKING WATER FOR HUMAN HEALTH NATALIJA BOHINC, URŠKA ROZMAN, SONJA ŠOSTAR TURK Introduction Results Pesticides can cause contamination of drinking water The highest measured value for individual pesticide and are harmful to environment and human health. were 3,2 μg/L (Murska Sobota in 2010) and 1,2 µg/L Therefore, the monitoring of pesticides in drinking (Maribor in 2009). The highest value for the sum of water is very important for public health. The limit value pesticides were 3,4 μg/L (Murska Sobota), 0,97 µg/L for the individual pesticide in drinking water is 0,1 μg/L (Maribor) and 0,96 µg/L (Novo mesto), all three and for the sum of pesticides is 0,5 μg/L. The aim of the measurements in year 2010. research was to present the content of pesticides in Discussion and conclusion drinking water in Slovenia during the period of 2005- 2015. Pesticides contamination of drinking water is a result of intensive agricultural activity, mostly in the area of Methods north-eastern Slovenia. In future it will necessary to Data were collected in the frame of monitoring by devote more attention in education and raising of users’ National Laboratory of Health, Environment and Food awareness about the correct pesticides usage. In areas and from the website of the Slovenian environmental where drinking water is excessively contaminated with agency. 3,170 samples of drinking water were analysed pesticides, it would be necessary to encourage people by using descriptive statistics, comparing the content of to implement ecological farming and use of biological pesticides by years in drinking water between individual means for the suppression of weeds and pests. geographical regions. Keywords: plant protection products; environmental pollution; public health. CORRESPONDENCE ADDRESS: Natalija BOHINC, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: natalija.bohinc@student.um.si, Urška ROZMAN, Ph.D., Assist, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: urska.rozman@um.si, Sonja ŠOSTAR TURK, Ph.D., Full Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: sonja.sostar@um.si 39 PETRA POVALEJ BRŽAN, MATEJA LORBER, PROBIOTICS: ASSESSING THE KNOWLEDGE AND URŠKA NEMET, DUNJA ŠULC, ANJA ŠTANTE, UNDERSTANDING OF THE ELDERLY JANA LONČARIČ, VITA PETEK REGORŠEK, TAMARA GALUN, ŠPELA JELEN, SANDRA TAŠNER, SABINA FIJAN PROBIOTICS: ASSESSING THE KNOWLEDGE AND UNDERSTANDING OF THE ELDERLY PETRA POVALEJ BRŽAN, MATEJA LORBER, URŠKA NEMET, DUNJA ŠULC, ANJA ŠTANTE, JANA LONČARIČ, VITA PETEK REGORŠEK, TAMARA GALUN, ŠPELA JELEN, SANDRA TAŠNER, SABINA FIJAN Introduction have had experience with probiotics, the majority have consumed probiotics for better digestion and 46 % Probiotics are live microorganisms, that when consumed them in the form of probiotic beverages or administered in adequate amount, confer a positive yogurt. benefit to the host. Intestinal microbiota varies with age; therefore, probiotics are important in old age. In Discussion and conclusion this research, we studied the extent to which older More than half of elderly have had experience using people know the importance of probiotics. probiotics. According to the International Probiotic Methods Association, Americans most often consume probiotic food supplements, while Europeans and Asians A convenience sample of 276 elderly people from consume probiotic yoghurts and beverages, which is Eastern Slovenia was included in the study. The survey consistent with our results. Using probiotics has positive questionnaire containing 23 questions was distributed effects in the elderly, such as: relieving constipation, among elderly people between June and July 2017 improving immune response, and reducing during their visit at one of five drug stores, which agreed inflammatory processes. Elderly people enjoy more to participate in the study. The collected data was then medicines that can affect microbial intestines, so analysed using R programming language. knowledge of probiotics is important to them. Results Most participants evaluated their knowledge of Keywords: beneficial microorganisms; older people; probiotics as being average. Respondents are most food supplements; survey; knowledge familiar with the Lactobacillus strains. 63% of elderly CORRESPONDENCE ADDRESS: Povalej BRŽAN, Ph.D., Assist Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: petra.povalej@um.si, Mateja LORBER, Ph.D., Assistant Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: mateja.lorber@um.si, Urška NEMET, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: urska.nemet@student.um.si, Dunja ŠULC, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: dunja.sulc@student.um.si, Anja ŠTANTE, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: anja.stante@student.um.si, Jana LONČARIČ, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: jana.loncaric@student.um.si, Vita PETEK REGORŠEK, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: vita.petek@student.um.si, Tamara GALUN, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: tamara.galun@student.um.si, Špela JELEN, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: spela.jelen@student.um.si, Sandra TAŠNER, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: sandra.tasner@student.um.si, Sabina FIJAN, Ph.D., Associate Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: sabina.fijan@um.si 40 FATMIRE AHMETI, LULJETA MUSLIU THE ROLE OF NURSING CARE IN HEMODIALYSIS PATIENTS THE ROLE OF NURSING CARE IN HEMODIALYSIS PATIENTS FATMIRE AHMETI, LULJETA MUSLIU Introduction environment, 60% good management, and 40% continuation of education. Correlation is significant in Nurses in hemodialysis (HD) have several roles, direct terms of job satisfaction and work efforts of the nurses care during the process of treatment, preparation, in order to be a successful institution (r=.-495, p<.05). switching, monitoring, prevention and management of Intercommunication is also found significant barriers in complications, supporting, encouraging and counseling the education and raising of the role of nurses (r=.-447, for the inter-dialysis period. Aim of this paper was to p<.05). But, earlier retire would correlate with workload identify nurses’ role in treatment. (r =.-533, p<.05). Nurses spend 75% of their time in Methods direct treatment of HD, 20% in clinical intervention, and Cross sectional survey was conducted using two 5% in patient education. standardized questionnaires: Jackson Nurse Survey Discussion and conclusion Professionals and Kidney Disease Quality of Life Better managerial support, improvements in training Questionnaire. In total 50 respondents, 30 patients, and and education, cooperation in scientific projects and 20 nurses were included in research. Data was analyzed opportunities for specialization in nephrology nursing with IBM SPSS using descriptive and inferential are needed. Opportunities to undertake research to statistics. implement evidence-based practice and to participate Results in clinical audit are also required. 90% of respondent think that appropriate regulations are applied during the preparation, monitoring and Keywords: nurse, chronic disease, managerial support completion of treatment; 60% of nurses thinks that training plays the most important role, 40% work CORRESPONDENCE ADDRESS: Fatmire AHMETI, MSc, Heimerer College Nursing Department& head nursing Dialysis centre Pristina, Kosovo, e-mail: fatmire.ahmeti@kolegji-heimerer.eu, Luljeta MUSLIU, MSc,Teacher Assistant - Heimerer College, Nursing Department & Dialysis Nurse, Prishtina,Kosovo, e-mail: luljeta.musliu@kolegji-heimerer.eu 41 BESARTA TAGANOVIQ, KALTRINA ABAZI, ASSESSING EMPATHIC SKILLS RELATED TO SOCIAL MEDINA SIMNICA, BLERTË HYSENI INTELLIGENCE ASSESSING EMPATHIC SKILLS RELATED TO SOCIAL INTELLIGENCE BESARTA TAGANOVIQ, KALTRINA ABAZI, MEDINA SIMNICA, BLERTË HYSENI Introduction Results The performance assessment should include the nature The results of the correlation analysis show that there is and the position of the work, the number of the a negative link between the objective assessment and patients, quality of services, technical difficulties and the resignation (r = -.197, p <.05). While positive the patient’s satisfaction, all of these factors will impact correlation is found between objective assessment and in the level of payment for every nurse. satisfaction at work (r = .253 & p < .01), there is no correlation between evaluation and stress at work. Methods Correlational analyzes have also shown that stress has a The methodology of one sample from N=228 negative correlation with work satisfaction (r = - 138, p respondents. Nurses were chosen in a random order in <.05), while stress-related work-leaving relationships health institutions both public and private. From these have not been found. 56 nurses (24.6%) were male and 171 nurses (75.0%) were female. The data were collected by a structured instrument Nursing Scale Stress (ENSS). Keywords: satisfaction, work, stress, scale CORRESPONDENCE ADDRESS: Besarta TAGANOVIQ, MSc., Teaching Assistant, Heimerer College, Pristina 10000, Kosovo, e-mail:besarta.taganoviq @kolegji-heimerer.eu, Kaltrina ABAZI, Medina SIMNICA, MSc., Physiotherapist, Eda ordinance, Gjilan, Kosovo e-mail:kaltrina_abazi@live.com, Blertë HYSENI, MSc., Teaching Assistant, Heimerer College, Pristina 10000, Kosovo e-mail: besarta.taganoviq @kolegji-heimerer.eu, 42 BARBARA DONIK, MATEJA LORBER, DESCRIPTION, ANALYSIS AND EVALUATION OF MAJDA PAJNKIHAR MADELEINE M. LEININGER THEORY OF CULTURAL DIVERSITY AND UNIVERSALITY DESCRIPTION, ANALYSIS AND EVALUATION OF MADELEINE M. LEININGER THEORY OF CULTURAL DIVERSITY AND UNIVERSALITY OPIS, ANALIZA IN VREDNOTENJE TEORIJE KULTURE SKRBI: RAZNOLIKOSTI IN UNIVERZALNOSTI AVTORICE MADELIENE M. LEININGER BARBARA DONIK, MATEJA LORBER, MAJDA PAJNKIHAR Introduction Results The focus of the theory of culture care: diversity and Cultural-based factors of care have an impact on universality is on the development of new practices for patient's needs relating to health, illness, well-being or nursing, to meet the patient's cultural needs and facing death and disability; therefore, culture and care provide holistic nursing with respect of the uniqueness that are linked with three propositions in the theory are of individuals according to their cultural values. The recognized as the main concepts. The theory stems from purpose of the study was to describe, analyse and historicism and empiricism. We find that the theory is evaluate the Lininger’s theory of culture care: diversity complex and abstract. It has a clear application and universality. component and can be implemented in all health care areas. Methods Discussion and conclusion The descriptive method was used. References were searched through databases: Web of Science, ProQuest The theory represents the provision of a and Science Direct. The inclusion criteria were: comprehensive, holistic nursing care and it is suitable publication of full-text papers, publication in English for implementation in the Slovenian nursing practice. In language and articles related to the description of M.M. the future, it would be necessary to explore the cultural Leininger theory. Exclusion criteria were articles that are awareness of nurses for providing culturally competent related to cultural safety. The model of the author care, as well as their cultural sensitivity. Pajnkihar was used to describe, analyse and evaluate the chosen theory. Keywords: cultural diversity; cultural competent nursing; 'Leininger's theory' CORRESPONDENCE ADDRESS: Barbara DONIK, Senior Lecturer, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: barbara.donik@um.si, Mateja LORBER, Ph.D., Assistant Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: mateja.lorber@um.si, Majda PAJNKIHAR, PhD, Full Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: majda.pajnkihar@um.si 43 BARBARA DONIK, MATEJA LORBER, DESCRIPTION, ANALYSIS AND EVALUATION OF MAJDA PAJNKIHAR MADELEINE M. LEININGER THEORY OF CULTURAL DIVERSITY AND UNIVERSALITY Uvod Rezultati Teorija kulture skrbi: raznolikosti in univerzalnosti Kulturni dejavniki skrbi, ki se nanašajo na zdravje, temelji na razvoju novih praks za zadovoljevanje bolezen, dobro počutje ali soočanje s smrtjo in kulturnih potreb pacienta in zagotavljanja holistične invalidnostjo, vplivajo na pacientove potrebe, zato sta zdravstvene nege in oskrbe na podlagi upoštevanja kultura in skrb, ki se v teoriji povezujeta s tremi edinstvenosti in spoštovanja posameznika glede na propozicijami prepoznana kot glavna koncepta. Teorija njegove kulturne vrednote. Namen prispevka je izhaja iz historicizma in empiricizma. Ugotavljamo, da je prikazati opis, analizo in vrednotenje teorije kulture teorija kompleksna in abstraktna. Ima jasno aplikativno skrbi: raznolikosti in univerzalnosti avtorice M. M. komponento in jo je moč uporabiti na vseh področjih Leininger. zdravstvene nege. Metode Diskusija in zaključek Uporabljena je bila deskriptivna metoda dela. Literaturo Ugotavljamo, da teorija predstavlja zagotavljanje smo iskali po podatkovnih bazah Web of Science, celovite, holistične zdravstvene nege in oskrbe, in je ProQuest in Science Direct. Kriteriji za vključitev primerna za implementacijo v slovensko prakso literature v podrobnejšo analizo so bili: objava člankov s zdravstvene nege. V prihodnosti bi bilo potrebno polnimi besedili, objava člankov v angleškem jeziku in raziskati zavedanje medicinskih sester o pomenu članki, ki so se vsebinsko nanašali na teorijo M. M. zagotavljanja kulturno kompetentne zdravstvene nege v Leininger. Izključitveni kriteriji so bili članki, ki so se praksi, kot tudi njihovo kulturno občutljivost. nanašali na kulturno varnost. Za opis, analizo in vrednotenje izbrane teorije smo uporabili model avtorice Pajnkihar. Ključne besede: kulturna raznolikost; kulturno kompetentna zdravstvena nega; teorija M. M. Leininger 44 JASMINA MAHMUTOVIĆ, ELVEDIN ZUKIĆ, PERCEPTION OF NURSES CONFLICT AND SUADA BRANKOVIĆ, ARZIJA PAŠALIĆ, ASSERTIVENESS IN URGENT PRIMARY HEALTH CARE FATIMA JUSUPOVIĆ SERVICES PERCEPTION OF NURSES CONFLICT AND ASSERTIVENESS IN URGENT PRIMARY HEALTH CARE SERVICES JASMINA MAHMUTOVIĆ, ELVEDIN ZUKIĆ, SUADA BRANKOVIĆ, ARZIJA PAŠALIĆ, FATIMA JUSUPOVIĆ Introduction structure of respondents (p = 0.788), age (p = 0.243), work experience (p=0.354) and education level (p = Nursing practice includes interaction and 0.514). communication in which nurses are exposed to numerous conflict situations on their workplace. In More assertive nurses: are more likely to notice the solving these problems, assertive capabilities play an behaviour of colleges that can be the source of conflict important role. Our research goals were to examine (r =0.238 p =0.0017), more often enter in conflicts due level of assertiveness, correlate assertiveness with to problematic college’s behaviour (r = 0.359 p = sociodemographic variables of nurses and to correlate 0.00011), more often notice problems in work perception of nurses’ conflict and assertiveness in organisation (r=0.200 p=0.045), resolve conflicts urgent primary health care services. immediately (r=0,384 p=0,00011) and personally (r=0.394 p=0.00011) and evaluate themselves as Methods successful in constructive workplace conflict solving (r = Cross-sectional study was carried out in March 2017. 0.200 p = 0.045) (r = 0.293 p = 0.003). The sample was consisted of 101 nurses who were Discussion and conclusion employed at urgent primary health care services in Sarajevo and Konjic. The research instrument was Nurses are not educated enough about assertive skills, questionnaire about assertiveness and perception of which in our opinion should be involved in nursing conflict workplace and modified questionnaire for curricula. sociodemographic variables. Results Keywords: stress, communication, nursing curricula The mean value of the nurse’s assertiveness was 61.64±7.07. Assertiveness doesn't depend on: pole CORRESPONDENCE ADDRESS: Jasmina MAHMUTOVIĆ,PhD, University of Sarajevo, Faculty of Health, Bolnička 25, Sarajevo, Bosnia and Herzegovina, email: jmahmutovic@yahoo.com, Elvedin Zukić, University of Sarajevo, Faculty of Health, Bolnička 25, Sarajevo, Bosnia and Herzegovina, Suada BRANKOVIĆ, University of Sarajevo, Faculty of Health, Bolnička 25, Sarajevo, Bosnia and Herzegovina, Arzija PAŠALIĆ, University of Sarajevo, Faculty of Health, Bolnička 25, Sarajevo, Bosnia and Herzegovina, Fatima JUSUPOVIĆ, University of Sarajevo, Faculty of Health, Bolnička 25, Sarajevo, Bosnia and Herzegovina 45 LEONA CILAR, DOMINIKA VRBNJAK, INTERPERSONAL COLLABORATION IN DOUBLE BARBARA KEGL, MAJDA PAJNKIHAR CHECKING PROCESS OF MEDICINES FOR PROVIDING SAFETY OF HOSPITALISED CHILDREN INTERPERSONAL COLLABORATION IN DOUBLE CHECKING PROCESS OF MEDICINES FOR PROVIDING SAFETY OF HOSPITALISED CHILDREN MEDOSEBNO SODELOVANJE PRI PROCESU DVOJNEGA PREVERJANJA ZDRAVIL ZA ZAGOTAVLJANJE VARNOSTI HOSPITALIZIRANIH OTROK LEONA CILAR, DOMINIKA VRBNJAK, BARBARA KEGL, MAJDA PAJNKIHAR Introduction observational. All were evaluated as low quality on the hierarchy of evidence. Paediatric nurses’ knowledge and Evidence based approaches are needed to reduce perceptions about double checking as well their medication errors in paediatric patients. Double adherence to double checking were researched. Nurses checking is considered as approach reducing the risk of perceived lack of knowledge and training about double medication errors, however, there is a lack of evidence checking of medication administration and inconsistent regarding its efficacy. Therefore, the aim of this review conceptualization. Where double checking is is to evaluate current research on independent double implemented, adherence varies between weekdays and checking in reducing medication errors in paediatric weekends and is better on weekends. patients. Discussion and conclusions Methods Clinical trials are needed as there is still insufficient Systematic literature review was conducted using five evidence regarding double checking in reducing electronic databases (PubMed, Medline, CINAHL, medication errors. Clear policy, guidelines, dedicated ScienceDirect and Cochrane Library). Literature environment in addition to education and training are published between January 2008 and March 2018 was essential. Effectiveness of combining double checking searched. Search was limited to English language. with other strategies could be evaluated. Interpersonal Inclusion criteria were studies addressing independent relationship between nurses, physicians and clinical double checking of medication administration in pharmacists are foundation to ensure caring, safety, paediatric patients. quality and efficiency in patient care. Results Only four studies from 174 met the inclusion criteria. Keywords: double checking; nurse; medication error; Analysed studies were quantitative and qualitative collaboration. CORRESPONDENCE ADDRESS: Leona CILAR, Assistant, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: leona.cilar1@um.si, Dominika VRBNJAK, PhD, Assistant, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: dominika.vrbnjak@um.si, Barbara KEGL, M.S., Senior Lecturer, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: barbara.kegl@um.si, Majda PAJNKIHAR, PhD, Full Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: majda.pajnkihar@um.si 46 LEONA CILAR, DOMINIKA VRBNJAK, INTERPERSONAL COLLABORATION IN DOUBLE BARBARA KEGL, MAJDA PAJNKIHAR CHECKING PROCESS OF MEDICINES FOR PROVIDING SAFETY OF HOSPITALISED CHILDREN Uvod dokazov. Nanašale so se na znanje, percepcijo in upoštevanje smernic dvojnega preverjanja pediatričnih Za zmanjševanje pojavnosti napak pri dajanju zdravil so medicinskih sester. Medicinske sestre so izpostavile potrebni pristopi, ki temeljijo na dokazih. Čeprav je pomanjkanje znanja, usposabljanja in nedoslednost pri dvojno preverjanje pri dajanju zdravil pristop, usmerjen konceptualizaciji dvojnega preverjanja pri dajanju v zmanjševanje napak, primanjkuje dokazov o zdravil. Na oddelkih, kjer je dvojno preverjanje že učinkovitosti le-tega. Zato smo želeli pregledati in uvedeno, se upoštevanje smernic med tednom in oceniti obstoječe raziskave o neodvisnem dvojnem vikendih razlikovalo in je bilo boljše v vikendih. preverjanju pri dajanju zdravil na zmanjšanje napak pri pediatričnih pacientih. Diskusija in zaključek Metode Obstaja pomanjkanje dokazov o dvojnem preverjanje zdravil na zmanjševanje napak pri dajanju zdravil. Za Izvedli smo sistematičen pregled literature v petih izboljšanje praske so potrebna jasna priporočila, podatkovnih bazah (PubMed, Medline, CINAHL, smernice, izobraževanje in usposabljanje ter podporno ScienceDirect in Cochrane Library). V analizo so bile okolje. Prav tako bi bilo smiselno oceniti učinkovitost vključene raziskave, objavljene od januarja 2008 do dvojnega preverjanja z drugimi pristopi preprečevanja marca 2018 v angleškem jeziku, ki so se nanašale na napak. Medosebno sodelovanje med medicinskimi neodvisno dvojno preverjanje v procesu dajanja zdravil sestrami, zdravniki in kliničnimi farmacevti je temelj za pri pediatričnih pacientih. zagotavljanje skrbne, varne, kakovostne in učinkovite Rezultati oskrbe pacientov. Iz iskalnega nabora 174 zadetkov so bile v končno analizo vključene 4 raziskave. Analizirane raziskave so Ključne besede: dvojno preverjanje; medicinska sestra; bile kvantitativne in kvalitativne opazovalne. Iz vidika napake pri dajanju zdravil; sodelovanje. hierarhije dokazov so bile ocenjene kot nizka kakovost 47 SAARAA SIDIKHAN CAN CONTINUITY OF CARE USING THE CASE-LOADING MODEL REDUCE THE RATES OF DEPRESSION IN PREGNANCY AND POST-BIRTH? A RESEARCH PROPOSAL CAN CONTINUITY OF CARE USING THE CASE-LOADING MODEL REDUCE THE RATES OF DEPRESSION IN PREGNANCY AND POST-BIRTH? A RESEARCH PROPOSAL SAARAA SIDIKHAN Introduction intervention and control, and distinguish whether there is a relationship between the caseloading model and Perinatal mental health is a phenomenon that continues rates of depression. to affect maternal mortality and morbidity. Previous research has shown that continuity of care improves Discussion birth outcomes and increases maternal satisfaction, Postnatal depression is a significant perinatal illness however, its effects on emotional wellbeing has not affecting women and their families. Applying the been sufficiently researched. The following proposal caseloading model to practice may further improve aims to investigate the relationship between using the maternal satisfaction, birth outcomes, and possibly caseloading model and the rates of depression in reduce the rates of depression. Midwives are ideally pregnancy and after birth. situated to address perinatal illness by offering holistic Method care that is individualised, built by a trusting relationship where women are at the heart of all decisions made. The research proposes a pilot randomised controlled Positive findings could encourage the wider use of the trial (RCT) with a caseloading or standard care model as caseloading model of care in practice to improve rates the intervention and control groups, respectively. If of perinatal mental illness, ultimately improving public findings show a significant correlation, a large scale RCT health, and possibly saving costs within the NHS. will be undertaken. All participants will be required to complete the Edinburgh Depression Scale (EDS) questionnaire throughout their pregnancy. Keywords: Pregnancy, Continuity of Care, Depression, Results Case-loading The chi-square test will be used to determine any statistical differences between EDS scores from the CORRESPONDENCE ADDRESS: Saaraa SIDIKHAN, Bsc (Hons), University of Nottingham, Midwifery, NG7 2RD, Nottingham, e-mail: ntyss43@nottingham.ac.uk 48 JADRANKA STRIČEVIĆ, ZORAN JOKIĆ ANTENATAL CARE AND SIGNIFICANCE IN THE CONDUCT OF THE »SKIN TO SKIN« CONTACT ANTENATAL CARE AND SIGNIFICANCE IN THE CONDUCT OF THE »SKIN TO SKIN« CONTACT JADRANKA STRIČEVIĆ, ZORAN JOKIĆ Introduction Results Every birth goes its own course, while doctors, The paper results showed the significance of the neonatologists, nurses and midwives who, with their acquired information on the course and the way of expertise, skills and experience, help the future mother completing the delivery, the level of how pregnant during and after childbirth. Positive communication, women are informed, the presence of accompanying atmosphere, partnership and cooperation lead to better and supportive delivery, frequency and use of results. The support given by the nurse at these medication in childbirth, the experience of delivery and moments is of paramount importance for creating a contact "skin to skin" and the quality of the relationship of trust and cooperation with the woman in implementation of the contact itself. labour. The aim is to show the meaning of the method Discussion and Conclusion the skin to skin and the importance of a new born and mother. A review of the relevant literature has shown that the most common delivery is vaginal, that being informed Methods itself is growing as well as the support at birth. It is also When analysing and reviewing published domestic and considered that the first contact of "skin to skin" with a foreign research and the guidelines found in databases child is important and that it stimulates further PubMed, CINAHL and ScienceDirect. More precisely, we lactation. analyzed seven papers. Keywords: Birth, Newborn, »Skin to skin«, Team work CORRESPONDENCE ADDRESS: Jadranka STRIČEVIĆ, Ph.D., Assistant Professor, University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia, e-mail: jadranka.stricevic@um.si, Zoran JOKIĆ, Ph.D., Assistant Professor, Singidunum University, Faculty of Health, Legal and Business Studies,Valjevo, Serbia, e-mail: zjovic@singidunum.ac.rs 49 JADRANKA STRIČEVIĆ, ZORAN JOKIĆ ANTENATAL CARE AND SIGNIFICANCE IN THE CONDUCT OF THE »SKIN TO SKIN« CONTACT Uvod so bili obdelani s statističnim program SPSS in metodo deskriptivne statistike. Objektivno strukturirano klinično preverjanje znanja (OSKPZ) je mednarodno uveljaven pristop pri Rezultati ocenjevanju kliničnih veščin v simuliranem okolju Zaključna ocena študentov zdravstvene nege, ki so zdravstvene nege. Vrstniško ocenjevanja (VO) tekom kliničnih vaj v simuliranem okolju za zdravstveno predstavlja sodoben didaktični doprinos na področju nego odraslega pacienta uporabljali VO, je bila pri andragoško-pedagoškega izobraževanja v zdravstveni zaključnem vrednotenju OSKPZ višja (8,98; 95% interval negi. Namen študije je bil preveriti ali VO tekom kliničnih zaupanja [IZ]: 8,62 - 9,33; p < 0.0002) kot pri skupini brez vaj v simuliranem okolju zdravstvene nege odraslega VO (7,98; 95% IZ: 7,60-8,36; p < 0.0002). pacienta vpliva na raven usposobljenosti izvajanja kliničnih veščin in na zaključno oceno OSKPZ. Diskusija in zaključek Metode Raziskava je prikazala razlike v zaključni oceni OSKPZ med obema primerjanima skupinama študentov. VO v Izvedena je bila randomizirana enojno slepa kontrolna času kliničnih vaj pomembno vpliva na raven pilotna študija v Podravski statistični regiji. Vzorec je usposobljenosti izvajanja kliničnih veščin in na zaključno predstavljal študente prvega letnika redne oblike oceno OSKPZ. študijskega programa Zdravstvene nega prva stopnja (n=92). V času kliničnih vaj so štiri skupine (n=45) izvajale VO v obliki kontrolnih listov, druge štiri skupine Ključne besede: Vrstniško ocenjevanje; Objektivno (n=47) pa so izvajale klinične vaje brez VO. Končna strukturirano klinično preverjanje znanja; Simulacije; ocena pri vseh študentih je temeljila na OSKPZ. Podatki Zdravstvena nega; Študenti 50 LULJETA MUSLIU WORKPLACE VIOLENCE AND ITS IMPACT ON BURNOUT AND STRESS AMONG HEALTH PROFESSIONALS CORRELATION BETWEEN OBJECTIVE EVALUATION OF PERFORMANCE, STRESS AND INTENTION TO LEAVE JOB AMONG NURSES BLERTË HYSENI, BESARTA TAGANOVIQ Introduction the resignation (r = -.197, p <.05). While positive correlation is found between objective assessment and The performance assessment should include the nature satisfaction at work (r = .253 & p < .01), there is no and the position of the work, the number of the correlation between evaluation and stress at work. patients, quality of services, technical difficulties and Correlational analyzes have also shown that stress has a the patient’s satisfaction, all of these factors will impact negative correlation with work satisfaction (r = - 138, p in the level of payment for every nurse. <.05), while stress-related work-leaving relationships Methods have not been found. The methodology of one sample from N=228 Discussion and conclusion respondents. Nurses were chosen in a random order in The results show that there is a negative link between health institutions both public and private. From these the objective assessment and the resignation, while 56 nurses (24.6%) were male and 171 nurses (75.0%) positive correlation has been found between objective were female. The data were collected by a structured assessment and satisfaction at work. There is no instrument Nursing Scale Stress (ENSS). correlation between evaluation and stress at work. Results The results of the correlation analysis show that there is Keywords: satisfaction, work, stress, scale a negative link between the objective assessment and CORRESPONDENCE ADDRESS: Blertë HYSENI, MSc., Teaching Assistant, Heimerer College, Pristina 10000, Kosovo e-mail: besarta.taganoviq @kolegji-heimerer.eu, Besarta TAGANOVIQ, MSc., Teaching Assistant, Heimerer College, Pristina 10000, Kosovo, e-mail:besarta.taganoviq @kolegji-heimerer.eu 51 LULJETA MUSLIU WORKPLACE VIOLENCE AND ITS IMPACT ON BURNOUT AND STRESS AMONG HEALTH PROFESSIONALS WORKPLACE VIOLENCE AND ITS IMPACT ON BURNOUT AND STRESS AMONG HEALTH PROFESSIONALS LULJETA MUSLIU Introduction Results Violence at work has become an alarming phenomenon The results show that more than one third of all around the world. Many researchers have respondents (32.4%) experienced violence, while 49.5% concentrated their work towards violence against of them reported that their colleagues had experienced nurses sincethey are the first health professionals with violence. Correlational analysis of the collected data, whom patients and their family members are in contact indicates that safety at workplace and cases of violence and they are suffering particularly from post-traumatic have significant negative interconnection (r= -.445**, symptoms and burnout. p<.01). Purpose Discussion and conclusions The main purpose of this research was to identify Based on the findings found in this research, we violence against doctors and nurses at three levels of conclude that incidents of violence and aggression are care in different departments and the impact on stress also apparent to our professionals. Most common form at work and burnout. of violence is verbal violence - it affects the symptoms of stress at work and professional burnout. As far as Methods reporting is concerned, most respondents do not know The research was descriptive, the approach used in this where to report cases of violence. Deeper knowledge is research was quantitative. A sample of 200 respondents recommended with respect to managing such was selected through randomization of different health circumstances. profiles, of which 133 (66.3%) were women, and 67 (33.7%) men, between January 2016 and October 2017. Keywords: health professionals, problems, management CORRESPONDENCE ADDRESS: Luljeta MUSLIU, MSc,Teacher Assistant - Heimerer College, Nursing Department & Dialysis Nurse, Prishtina,Kosovo, e-mail: luljeta.musliu@kolegji-heimerer.eu 52