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Introduction. Patient safety during hospitalisation is one of the biggest concerns for hospitals worldwide and one obligation of all medical professionals is to create a safe environment for patients and prevent accidents. Approximately 50% of adverse events can be prevented with a systematic approach. Aim. This study aimed to examine the underlying dimensions and psychometric properties of the Hospital Survey on Patient Safety Culture questionnaire in Croatian hospital settings, and to compare the results with the original questionnaire from the United States of America. Methods. The sample consisted of 438 nurses from four Croatian university hospitals. All participants signed an informed consent document, and the questionnaires were provided to the nurses in their units by the head nurses of their departments. Data analysis was performed using IBM SPSS 25.0. Bartlett's test of sphericity and the Kaiser-Meyer-Olkin (KMO) indicator were performed with Cronbach’s alpha test and sample standard deviation. Results. All factors explain the total of 59% of variance of the measured questionnaire. Additionally, the reliability of the entire questionnaire was determined by using the internal consistency coefficient (Cronbach’s alpha) on the Hospital Survey on Patient Safety Culture with 12 of 0.88 particles, which is high internal consistency reliability. Our results show that the particles that make up the questionnaire are very homogeneous according to their object of measurement. Conclusion. The results of our study found that the survey can be applied to Croatian settings and used in hospitals. We also believe that more research on this topic is needed and is crucial for improving patient safety in hospitals. It is necessary to emphasize continuous education of nurses regarding patient safety in hospitals.

Background: Burnout is a psychological, work-related syndrome associated with long-term exposure to emotional and interpersonal stressors in the workplace. Burnout syndrome in nurses is often caused by an imbalance between work requirements and preparation and fitness for work, a lack of control, insufficient performance recognition and a prolonged exposure to stress. Aim: The aims of this study were to explore the associations between levels of burnout syndrome, coping mechanisms and job satisfaction in critical care nurses in multivariate modelling process. A specific aim was also to explore whether coping and job satisfaction in critical care nurses are gender related. Methods: A cross-sectional multicentre study was conducted in a convenience sample of 620 critical care nurses from five university hospitals in Croatia in 2017. The data were collected using the Maslach Burnout Inventory and the Ways of Coping and Job Satisfaction Scale together with the nurses’ demographic profiles and were analysed using a multivariable model. Results: The results showed no significant association between gender, coping mechanisms and job satisfaction. However, significant negative associations between burnout and job satisfaction (OR = 0.01, 95%CI = 0.00–0.02, p < 0.001) and positive association between burnout and passive coping (OR = 9.93, 95%CI = 4.01–24.61, p < 0.001) were found. Conclusion: The association between job satisfaction and burnout in nurses urges hospital management teams to consider actions focused on job satisfaction, probably modifications of the work environment. Given that passive coping may increase the incidence of burnout, it is recommendable for active coping to be implemented in nurses’ training programmes as an essential element of capacity building aimed at reducing the incidence of burnout in nurses.

Introduction. Patient safety during hospitalisation is one of the biggest concerns for hospitals worldwide and one obligation of all medical professionals is to create a safe environment for patients and prevent accidents. Approximately 50% of adverse events can be prevented with a systematic approach. Aim. This study aimed to examine the underlying dimensions and psychometric properties of the Hospital Survey on Patient Safety Culture questionnaire in Croatian hospital settings, and to compare the results with the original questionnaire from the United States of America. Methods. The sample consisted of 438 nurses from four Croatian university hospitals. All participants signed an informed consent document, and the questionnaires were provided to the nurses in their units by the head nurses of their departments. Data analysis was performed using IBM SPSS 25.0. Bartlett's test of sphericity and the Kaiser-Meyer-Olkin (KMO) indicator were performed with Cronbach’s alpha test and sample standard deviation. Results. All factors explain the total of 59% of variance of the measured questionnaire. Additionally, the reliability of the entire questionnaire was determined by using the internal consistency coefficient (Cronbach’s alpha) on the Hospital Survey on Patient Safety Culture with 12 of 0.88 particles, which is high internal consistency reliability. Our results show that the particles that make up the questionnaire are very homogeneous according to their object of measurement. Conclusion. The results of our study found that the survey can be applied to Croatian settings and used in hospitals. We also believe that more research on this topic is needed and is crucial for improving patient safety in hospitals. It is necessary to emphasize continuous education of nurses regarding patient safety in hospitals., Uvod. Sigurnost pacijenata tijekom hospitalizacije predstavlja jednu od najvećih briga bolnicama diljem svijeta. Obveza je svih medicinskih stručnjaka stvoriti sigurno okruženje za pacijente i spriječiti nesreće. Približno 50 % nuspojava može se spriječiti sustavnim pristupom. Cilj. Cilj ove studije bio je ispitati temeljne dimenzije i psihometrijska svojstva upitnika Hospital Survey on Patient Safety Culture u hrvatskim bolničkim uvjetima te usporediti rezultate s izvornim upitnikom iz Sjedinjenih Američkih Država. Metode. Uzorak se sastoji od 438 medicinskih sestara iz četiri kliničke bolnice. Svi sudionici potpisali su dokument o informiranom pristanku, a upitnike su medicinskim sestrama u njihovim jedinicama dostavile glavne sestre njihovih odjela. Analiza podataka provedena je s pomoću softvera IBM SPSS 25.0. Bartlettov test sferičnosti i Kaiser-Meyer-Olkinov (KMO) indikator izvedeni su s Cronbachovim alfa testom i standardnom devijacijom uzorka. Rezultati. Svi čimbenici objašnjavaju ukupno 59 % varijance izmjerenog upitnika. Pouzdanost upitnika određena je primjenom internog koeficijenta konzistentnosti (Cronbachov alfa) na Hospital Survey on Patient Safety Culture s 12 čestica od 0,88, što je visoka interna pouzdanost konzistencije. Naši rezultati pokazuju da su čestice koje čine upitnik vrlo homogene prema objektu mjerenja. Zaključak. Rezultati našeg istraživanja pokazali su da se upitnik može primijeniti u hrvatskim uvjetima i upotrebljavati u bolnicama. Također vjerujemo da je potrebno više istraživanja na ovu temu i da je to ključno za poboljšanje sigurnosti pacijenata u bolnicama. Potrebno je naglasiti kontinuiranu edukaciju medicinskih sestara o sigurnosti pacijenata u bolnicama.

Introduction. Hemodynamic monitoring is of great importance because it covers all vital organic systems and their functioning, and any error in the interpretation of the monitored parameters can lead to a drastic deterioration of the patient’s condition and cause death. Aim. The aim of this study was to determine the levels of knowledge about hemodynamic monitoring of full-time and part-time students of the first, second, and third year of the undergraduate study of nursing at the University of Applied Health Sciences in Zagreb. Methods. A cross sectional study was conducted. The survey subjects were students at the University of Applied Health Sciences in Zagreb (N=280) in the period between December 2020 and February 2021. For the purposes of the study, the authors created a questionnaire that students filled in using an online platform, and the results of the questionnaire were anonymous. Results. The research found that most students have an adequate level of knowledge in the field of hemodynamic monitoring. By determining differences in knowledge of part-time and full-time nursing students, it was observed that students with work experience showed statistically significantly better results (p, Uvod. Hemodinamski monitoring od neizmjerne je važnosti jer obuhvaća sve vitalne organske sustave i njihovo funkcioniranje, a svaka greška u interpretaciji praćenih parametara može rezultirati drastičnim pogoršanjem bolesnikova stanja te dovesti do smrti. Cilj. Cilj ove studije bio je istražiti razine znanja o hemodinamskom monitoringu redovnih i izvanrednih studenata prve, druge i treće godine na preddiplomskom studiju sestrinstva Zdravstvenog veleučilišta u Zagrebu. Hipoteze istraživanja bile su da je razina znanja povezana s višom godinom studija te da je razina znanja o hemodinamskom monitoringu veća kod izvanrednih studenata. Metode. Ispitanici istraživanja bili su redovni i izvanredni studenti Zdravstvenog veleučilišta u Zagrebu (N = 280) u periodu od prosinca 2020. do veljače 2021. Za potrebe istraživanja autori su izradili upitnik koji su studenti rješavali online, a rezultati upitnika bili su anonimni. Rezultati. Istraživanjem je utvrđeno da je kod svih godina redovnog i izvanrednog studija sestrinstva prisutna adekvatna razina znanja u području hemodinamskog monitoringa. Utvrđivanjem razlika u znanju studenata izvanrednog studija sestrinstva i redovnog studija sestrinstva uočeno je kako izvanredni studenti postižu nekoliko statistički značajno boljih rezultata (p < 0,05). Zaključak. Provedena studija pokazuje zadovoljavajuću razinu znanja kod studenata redovnog studija sestrinstva, s obzirom na to da veliki dio studenata, izvan fakultetskih obveza, nije bio u kontaktu s hemodinamskim monitoringom. Specifičnost i kompleksnost rada u jedinici intenzivnog liječenja proizlazi iz posebno ranjive i osjetljive populacije pacijenata koji zahtijevaju maksimalnu skrb, zbog čega medicinske sestre i tehničari trebaju kontinuiranu edukaciju, usavršavanje starih i novih vještina i znanja te upoznavanje s novim metodama monitoringa.

Beginning December 2019, world has faced an unprecedented pandemic of COVID-19, an infectious disease caused by a novel strain of coronavirus family, also referred to as 2019 Novel Coronavirus or more simplified 2019-nCoV. Today, there is more than 130 million recorded cases of COVID-19 among population worldwide. Despite plethora of new research and academic discussion focused primarily on symptoms of the acute illness, there is still necessity for further studies regarding its wider impact on chronic and immunodeficient patients, as well as patients on continuous therapy. It is now confirmed that chronicity and comorbidity increase the risk of obtaining COVID-19 infection, as well as the course and severity of the disease itself. Some of the high-risk conditions that are important to manage to help prevent severe symptoms of COVID-19 include asthma and lung disease, diabetes, heart disease, immunodeficiency, oncology treatment and chronic kidney disease. It is of utmost importance that chronically ill patients adhere to recommended public health guidelines regarding proper hand hygiene, social distancing measures and wearing a properly fitted face masks.As a result of these new global circumstances, health systems are facing numerous challenges – public health prevention programs for chronic non-infectious diseases have been brought to abrupt stop, newly diagnosed chronic patients could face lacking education and support, mental health burden caused by a pandemic as well as recent significant earthquakes in Central and Southeast Europe, is showing to rise. Despite the majority of other elective medical treatments being postponed, it is still important to stress the necessity for chronic and immunodeficient patients to be in continuous contact with their primary care physicians as well as to continue their course of treatment. Nurses and other public health officials have an important role to act in the community as much as possible, given the epidemiological provisions. It is important to improve communication between primary care (family) physicians with other levels of health care. It is necessary to increase the number and availability of educational – printed and video materials, so that the newly diagnosed chronic patients would have a reliable source of information.

Background: Burnout is usually defined as a prolonged response to chronic emotional and interpersonal stressors, characterrized by emotional exhaustion, depersonalization and lack of social accomplishment. Coping mechanisms and job satisfaction are associated with the incidence of burnout symptoms in a work context. Subjects and methods: The aim of this paper was to make a systematic analysis of the literature related to nurses’ stress and the incidence of burnout syndrome in intensive care nurses, and also to determine the research into associations between coping mechanisms and job satisfaction on one side, and burnout on the other side. Appropriate databases (Scopus, PubMed) were searched with the aim of finding relevant studies and articles published in the last 15 years. The keywords were burnout, coping mechanisms, job satisfaction, nurses, and intensive care. Two independent reviewers carried out a selection of the studies. Results: The literature review found 786 studies about burnout and its association with different variables. Twenty-nine original research papers were discovered in this review process. Open questions still remain concerning burnout and the associations between the considered variables. We also found that studies using a qualitative approach, which could provide better insight into the investigation of burnout, was insufficient in this area. Conclusion: Burnout syndrome is serious problem for healthcare systems and affects almost all profiles of healthcare workers. Although burnout is an evidence-based public health problem, there is still no systematic approach to prevention. Prevention activities to reduce stress and the incidence of burnout should be provided for nurses, especially those in very demanding posts.