BACKGROUND: Rehabilitation facilities have among the highest prevalence of Multidrug resistant organism (MDRO) colonisation of any inpatient population.1 There is no formal consensus on how patients with MDROs should be managed in the rehabilitation setting. AIM: To assess how rehabilitation hospitals throughout Europe manage patients with MDROs, and the impact of MDRO carriage on outcomes. DESIGN: Cross-sectional study. SETTING: Online questionnaire distributed to European rehabilitation facilities POPULATION: European rehabilitation facilities METHODS: A Survey Monkey questionnaire was designed and circulated to rehabilitation hospitals via the European Union of Medical Specialists - Physical and Rehabilitation Medicine Section. RESULTS: Fifty-four responses were received of which 45 were suitable for analysis. Six out of 26 (23%) countries included in the study reported at least one rehabilitation facility with an estimated MDRO prevalence rate of 31% or higher. Screening of all patients on admission was always carried out in 33% (15/45) of facilities. Twenty-five of the 45 facilities (69%), aim to isolate, or cohort patients who have MDROs. Patients with MDROs wait longer for admission (36%, 16/45) and in the case of five hospitals admission is refused. Fifty-one percent (23/45) of facilities, reported that colonisation with an MDRO severely or moderately limits rehabilitation outcome. CONCLUSIONS: Our research shows that many of the challenges posed by MDROs are common...
F.17 Transfer of existing technologies, know-how, methods and procedures into practice
COBISS.SI-ID: 2617193Introduction: An effective leadership is critical to the development of a safety culture within an organization. With this study, the authors wanted to assess the self-perceived level of safety culture among the employees with a leadership function in the Ljubljana Community Health Centre. Methods: This was a cross-sectional study in the largest community health centre in Slovenia. We sent an invitation to all employees with a leadership role (N=211). The Slovenian version of the SAQ - Short Form as a measurement of a safety culture was used. The data on demographic characteristics (gender, age, role, work experience, working hours, and location of work) were also collected. An electronic survey was used. Results: The final sample consisted of 154 (69.7%) participants, out of which 136 (88.3%) were women. The mean age and standard deviation of the sample was 46.2-10.5 years. The average scores for the safety culture domains on a scale from 1 to 5 were 4.1-0.6 for Teamwork Climate, Safety Climate, and Working Conditions and Satisfaction, 3.7-0.5 for Perception of Management, 3.6-0.4 for Communication, and 3.5-0.6 for Stress Recognition. Conclusion: The safety culture among leaders in primary healthcare organizations in Slovenia is perceived as positive. There is also a strong organizational culture. Certain improvements are needed, especially in the field of communication and stress recognition with regards to safety culture.
F.01 Acquisition of new practical knowledge, information and skills
COBISS.SI-ID: 34629081: Due to the complexity of heart failure (HF) and its treatment process, a high level of patient and informal caregiver engagement is required for management results. We aimed to explore the views of HF patients, informal caregivers, and healthcare professionals about personal experiences, perceived needs, and barriers to optimal HF management. A qualitative study using semi-structured interviews with HF patients (n = 32), their informal caregivers (n = 21), and healthcare professionals (n = 5) was conducted in the outpatient HF clinic in Slovenia in 2018. A content analysis method was used to analyze the data. Negative emotional response to disease and its limitations (especially the inability to continue with work) and changes in family roles were the most prevalent topics regarding the impact of HF on livelihood. Among the most common barriers to HF self-care, were the difficulties in changing lifestyle, financial difficulties due to the disease, traditional cuisine/lack of knowledge regarding a healthy diet and lack of self-confidence regarding physical activity. Despite psychological and social difficulties due to HF being highlighted by patients and informal caregivers, only healthcare professionals emphasized the need to address psychosocial aspects of care in HF management. Established differences could inform the implementation of necessary support mechanisms in HF management.
F.22 Improvement to existing health/diagnostic methods/procedures
COBISS.SI-ID: 4738021Background:Burnout syndrome occurs in people who work in jobs which involve frequent and intense contact with people, especially healthcare workers. High dependency departments such as critical care units are very stressful environments, and this can lead to a greater incidence of burnout, especially of emotional exhaustion and poor personal accomplishment. Nurses are the largest group of healthcare workers, and so it is reasonable to expect they would have a high prevalence of burnout.Subjects and methods: The aim of this study was to assess the prevalence of burnout in critical care nurses in Croatia and explore its association with demographic features. A cross-sectional study of 620 nurses was conducted in several university hospitals, using convenience sampling. The Maslach Burnout Inventory was administered, together with questions about the socio-demographic and work characteristics of the participants (age, gender, length of work in ICU, education, type of ICU). Results:The majority of the sample were female nursing staff (87.7%), aged 26-35 (38.9%). The results showed that approxi-mately every fifth nurse (22.1%) expressed a high emotional exhaustion (EE), with lesser burden of a high depersonalisation (D) in 7.9%, yet every third nurse (34.5%) scored low on PA. Male nurses reported more depersonalisation (p=0.045), yet neither EE northe PA dimensions differed by gender. Conclusion:The results of this study concerning burnout are comparable to those of studies of...
D.09 Tutoring for postgraduate students
COBISS.SI-ID: 39266563