Browsing by Person "Kmetec, Sergej"

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A qualitative study of family members' experiences of their loved one developing dementia and their subsequent placement in a nursing home
(Wiley, 2021-02-07) Fekonja, Zvonka; Kmetec, Sergej; Novak, Barbara; McCormack, Brendan; Mlinar Reljić, Nataša
Aim: To investigate the family members' experiences with receiving help and support while their loved one develops dementia and their subsequent placement in nursing homes.
Components for providing person-centred palliative healthcare: An umbrella review
(Elsevier, 2021-10-17) Kmetec, Sergej; Fekonja, Zvonka; Kolarič, Jožica Černe; Reljić, Nataša Mlinar; McCormack, Brendan; Sigurðardóttir, Árún Kristín; Lorber, Mateja
Person-centred palliative healthcare is an important approach to maintaining and improving patients' quality of life living with a chronic non-communicable disease and their partners. Such an approach can reduce unnecessary hospitalisation, holistically address the patient and their partners' needs, and help develop an advance care plan. Assess, analyse, and synthesise the currently existing international guidelines for providing person-centred palliative care and identify the key components for providing a high-quality approach. An umbrella review methodology of systematic reviews with the method of examination, analysis and synthesis of literature and the compilation method. Relevant systematic reviews of guidelines for providing person-centred palliative care in English, German and/or Slovenian language in PubMed, CINAHL, Web of Science and Cochrane Library databases, until November 2020. Out of 3,910 records, we included seven reviews for thematic synthesis. We identified four key elements of flourishing in person-centred palliative healthcare: (i) Healthcare staff prerequisites and traits; (ii) Palliative healthcare environment; (iii) Palliative healthcare processes; and (iv) Palliative healthcare outcomes. We concluded that person-centred palliative healthcare plays an important role in the comprehensive treatment of patients living with a non-communicable disease accompanied by disturbing symptoms. Therefore, it is necessary to raise awareness amongst healthcare professionals and especially general practitioners about the possibilities of including patients with a non-communicable disease in early person-centred palliative healthcare. Tweetable Abstract #UmbrellaReview of components for providing #personcentredpalliative #healthcare. Components provide healthcare professionals and interdisciplinary #palliative teams with the steps on how to give #personcentredpalliative #healthcare to #patient and #support to #carepartners.
Developing philosophical and pedagogical principles for a pan-European person-centred curriculum framework
(Foundation of Nursing Studies, 2020-09-30) Dickson, Caroline; van Lieshout, Famke; Kmetec, Sergej; McCormack, Brendan; Skovdahl, Kirsti; Phelan, Amanda; Cook, Neal F.; Cardiff, Shaun; Brown, Donna; Lorber, Mateja; Magowan, Ruth; McCance, Tanya; Dewing, Jan; Štiglic, Gregor
Background: In the associated article in this special issue of the International Practice Development Journal, Phelan et al. (2020) offer an analysis of the global positioning of person-centredness from a strategic policy perspective. This second article, an international person-centred education curriculum development initiative, builds on that foundational work. It outlines the systematic, rigorous processes adopted by academics from five European countries to analyse stakeholder data, theoretically frame the data, and thereby identify philosophical and pedagogical principles to inform the development of person-centred curriculum frameworks.
Elements of person-centred care of older people in primary healthcare: A systematic literature review with thematic analysis
(De Gruyter, 2023-01-30) Kegl, Barbara; Fekonja, Zvonka; Kmetec, Sergej; McCormack, Brendan; Reljić, Nataša Mlinar
Background: Higher life expectancy in the ageing population and, consequently, an increase in the older population bring additional challenges for healthcare providers, especially in primary healthcare. The person-centred care of older people is defined as an approach that puts older people at the centre of care and recognizes the importance of their needs. The chapter aims to identify the key elements of person-centred care for older people, in primary healthcare. Methods: A systematic review of relevant literature was carried out. Literature searches were conducted in international databases, with keywords and their synonyms with Boolean operators. The search was limited to articles published until December 2021. Results: The literature review identified two main themes: (1) personal and communication determinants like the interaction of all participants, the experience of illness and the needs of the older people, the attitude of the primary healthcare team, the wishes of the older people and (2) managerial characteristics that include qualification, leadership, organization, and operationalization. Conclusion: The person-centred care of older people should be caring, compassionate, empathetic, confident, supportive, autonomous, and respectful. All these identified elements need to be heard and respected by all primary healthcare teams. It is important to recognize the needs of older people and, at the same time, have a positive experience with professional healthcare. The person-centred care of older people should focus on the patient's needs, family, and the wider local community. ©2023 the author(s), published by De Gruyter. All rights reserved.
Nurses' perceptions of early person-centred palliative care: A cross-sectional descriptive study
(Wiley, 2019-05-20) Kmetec, Sergej; Štiglic, Gregor; Lorber, Mateja; Mikkonen, Irma; McCormack, Brendan; Pajnkihar, Majda; Fekonja, Zvonka
Palliative care is aimed at improving the quality of life of an individual with chronic noncommunicable disease and their care partners. Limitations in the provision of palliative care are mainly lack of knowledge and experience by nurses, fear of treating palliative persons, loss of control over treatment and fear of providing poor-quality palliative care to persons and care partners. The aim of this study was to investigate the perception, knowledge and attitudes of palliative care by nurses who use palliative care approaches in practice, as well as the difference in perception, knowledge and attitudes of palliative care between nurses in Slovenia and Finland. We conducted a cross-sectional descriptive study. The survey included 440 nurses in clinical environments in Slovenia and Finland with a completed bachelor, master or doctoral level of education. We found statistically significant differences between both countries in the perception of palliative care. Differences between the two countries in the knowledge of palliative care were not confirmed. We confirmed statistically significant differences between both countries in the attitudes of palliative nursing care. Early person-centred palliative care is an important part of the holistic and integrative treatment of a person who has a disease with disturbing symptoms. For such an approach, it is important to educate nurses about knowledge, expectations, values and beliefs in developing a concept of person-centred palliative care to improve quality of life. The better perception, knowledge and attitudes of palliative care by nurses may help persons to improve and raise their quality of life, as well as diminish stress in their care partners and improve quality of life.
Palliative care for patients with heart failure: a cross-sectional study among nursing healthcare professionals
(De Gruyter, 2023-01-30) Kmetec, Sergej; Fekonja, Zvonka; Gönc, Vida; McCormack, Brendan
Background: Acute heart failure is a problem that the public healthcare system faces worldwide. Despite improving healthcare systems and the resulting treatment, the disease's incidence and frequency has increased annually. Therefore, patients with acute heart failure often seek help in the emergency room, where nursing health professionals encounter the condition early or late. In the final stages, they need to focus on providing palliative care to such patients. The chapter aims to determine the nursing healthcare professionals' knowledge, perceptions, and attitudes towards palliative care in patients with heart failure in the emergency and cardiology departments. Methods: A cross-sectional study was carried out. The survey took place in August 2019 involving nursing healthcare professionals. Results: Of 104 nurses, 50% (n = 52) had received training in palliative care throughout their education and 7.7% (n = 8) had received additional training. Nursing healthcare professionals in both the emergency and the cardiology departments have similar knowledge about palliative care. With regard to the perception of implementing palliative care, the data shows a statistically significant difference between both departments. Furthermore, statistically significant differences between the emergency and cardiology departments have been found in some statements regarding their attitudes, namely that there remains a need for palliative care in treating patients with heart failure. Discussion and conclusion: We believe that the knowledge of palliative care in the cardiology and emergency departments is good, and that there are no major differences between the knowledge and departments. However, further training is required to improve the healthcare staff's knowledge, perceptions, and attitudes towards palliative care in patients with heart failure. ©2023 the author(s), published by De Gruyter. All rights reserved.
Review of developments in person-centred healthcare
(Foundation of Nursing Studies, 2020-09-30) Phelan, Amanda; McCormack, Brendan; Dewing, Jan; Brown, Donna; Cardiff, Shaun; Cook, Neal F.; Dickson, Caroline; Kmetec, Sergej; Lorber, Mateja; Magowan, Ruth; McCance, Tanya; Skovdahl, Kirsti; Štiglic, Gregor; van Lieshout, Famke
In recent years, there has been a shift in orientation towards person-centredness as part of a global move towards humanising and centralising the person within healthcare. Person-centredness, underpinned by robust philosophical and theoretical concepts, has an increasingly solid footprint in policy and practice, but research and education lag behind. This article considers the emergence of person-centredness, including person-centred care, and how it is positioned in healthcare policy around the world, while recognising a dominant philosophical positioning in Western philosophy, concepts and theories. Second, the evolution of person-centred healthcare over the past five years is reviewed. Published evidence of person-centred healthcare developments is drawn on, as well as information gathered from key stakeholders who engaged with the partner organisations in an Erasmus+ project to develop a European person-centred healthcare curriculum framework. Five themes are identified, which underpin the literature and stakeholder perspectives: Policy development for transformation Participatory strategies for public engagement Healthcare integration and coordination strategies Frameworks for practice Process and outcome measurement These themes reflect the World Health Organization’s global perspective on people-centred and integrated healthcare, and give some indication of development priorities as person-centred healthcare systems continue to be developed.
Symptoms experienced by patients with acute myocardial infarction that the triage nurses should know in the emergency department: a systematic review
(De Gruyter, 2023-01-30) Fekonja, Zvonka; Perkič, Rok; Strnad, Matej; Kmetec, Sergej; McCormack, Brendan
Background: Vascular and heart disease present a big problem in public health society. Acute myocardial infarction (AMI), which belongs under acute coronary syndromes, is one of the most common diseases and biggest causes of early death in developed countries. Symptoms in patients with myocardial infarction vary between typical and atypical symptoms. This review aims to identify different AMI symptoms of patients who seek medical attention in the emergency department (ED). Methods: A systematic review of the literature in CINAHL, MEDLINE, ScienceDirect, and SAGE was conducted to identify studies on detected symptoms in patients with myocardial infarction over 18 years in the ED. The search was limited to studies on this topic published up to December 2021. The data analysis was based on thematic analysis. Results: Out of 2,814 studies retrieved, 11 studies were included. The data analysis identified one main theme: clinical symptoms and three subcategories. Conclusion: The triage nurses need to pay attention to cardiovascular symptoms, such as chest pain, the most common symptom. Their focus also needs to be redirected to epigastric pain and cold sweating, which are abdominal and systemic symptoms, and anxiety and nausea/vomiting in patients with diabetes. Impact: AMI is one of the most common diseases and causes of early death in developed countries. The literature lacks knowledge about the different symptoms of AMI, which the triage nurses must be careful about. The knowledge and rapid identification of myocardial infarction helps triage nurses provide the best outcomes. ©2023 the author(s), published by De Gruyter. All rights reserved.
Triage of patients with acute coronary syndrome at the emergency department: A retrospective study
(2023-01-30) Kmetec, Sergej; Fekonja, Zvonka; Markež, Urša; McCormack, Brendan; Fekonja, Urška; Strnad, Matej; Lorber, Mateja
Background: Acute coronary syndrome represents a considerable challenge worldwide as one of the causes of death; its diagnosis is often very complex. It includes acute myocardial infarction with ST-segment elevation, acute myocardial infarction without ST-segment elevation, unstable angina pectoris, and sudden cardiac arrest. Methods: This retrospective cohort study included 678 patients who were admitted to the emergency department between 2015 and 2019 with acute coronary syndrome. Triage data were reviewed for vital signs, baseline characteristics, chief complaints, demographic variables, mode and time of arrival, triage, diagnosis, and treatment. Regression was used to identify key symptoms and patient characteristics at triage encounter to predict acute coronary syndrome. Results: A total of 678 triage records were identified. The average age of the sample was 67 years old, 58.6% male, and 31.8% came by themselves to the emergency department. The most common diagnosis was acute myocardial infarctions without ST elevation (38.2%). Chest pain and difficulty in breathing were the two most common symptoms. Most patients were not assigned to the appropriate triage category, i.e., were diagnosed as less urgent. Discussion and conclusion: This study presents the triage of patients with acute coronary syndrome at the emergency department to provide a comprehensive insight into their care. By identifying patient symptoms at the emergency department, nurse triage recognizes patients with acute coronary syndrome on time, thus increasing the accuracy of determining the triage category, which will impact the treatment outcome of patients. ©2023 the author(s), published by De Gruyter. All rights reserved.