Good psychological well-being contributes to a satisfying life, reduces loneliness, and enables a better quality of life. Due to the COVID-19 pandemic, people worldwide have faced various challenges, which manifest in mental health problems, dissatisfaction with life and increased loneliness. This study aimed to investigate the influence of loneliness on mental well-being and life satisfaction among the adult population during the COVID-19 pandemic. A cross-sectional study was conducted between October 2021 and January 2022. A total of 664 participants took part in the survey, of whom 484 (73%) were female and 180 (27%) were male. Our results show that loneliness can explain 48% of the total variability in mental well-being and 52% of the variability in life satisfaction. The results show a higher level of loneliness and use of information and communication technology and a lower level of contact with relatives and friends, life satisfaction, and well-being during COVID-19 than they considered before the time of COVID-19. Study findings can help improve loneliness and mental well-being, and, consequently, life satisfaction.
The review examines the long-term impact of community psychiatric care on improving the quality of life of people with schizophrenia. It addresses the global burden of this disorder and the need for effective community-based care strategies. A systematic literature search was conducted in databases such as CINAHL, Medline, Web of Science, Sage and ScienceDirect, with the search lasting until March 2024 and following the PRISMA guidelines. The inclusion criteria targeted studies that addressed the long-term effects of community mental health care for people aged 18 years and older with schizophrenia and included both quantitative and qualitative research designs. Studies unrelated to the research question or with significant methodological flaws were excluded. The risk of bias was assessed using GRADE and GRADECERqual, in addition to critical appraisal using the Joanna Briggs Institute (JBI) checklists. Independent screening and data extraction was performed, with results summarised by thematic analysis. In total, 11 studies met the inclusion criteria and included cross-sectional, cohort, qualitative and randomised controlled trial designs. The results showed that community psychiatric care significantly improves the quality of life, well-being and social integration of people with schizophrenia. Effective interventions identified include psychoeducation, cognitive behavioural therapy, social skills training and individualised care plans. However, challenges such as limited resources, labour shortages and social stigma, particularly in low-income neighbourhoods, were also identified. This study highlights the importance of continuous, personalised, multidisciplinary community-based care for sustainable mental health outcomes. Further research is recommended to investigate the long-term impact and strategies to overcome implementation challenges.
The patient safety culture is key to ensuring patient safety in healthcare organizations. The triage environment is inherently demanding for patient safety and is characterized by high stress, rapid decision-making, and quick action. In several countries, including Slovenia, there is a lack of studies on the patient safety culture among triage nurses. This study aimed to assess the perceptions of the patient safety culture among triage nurses. A cross-sectional survey design was used. The Emergency Medical Services-Safety Attitudes Questionnaire, distributed to triage nurses, was used to collect data. A total of 201 triage nurses participated in this study. The results revealed that the overall average perception of the patient safety culture was 57.27% (SD = 57.27), indicating that the perception of the patient safety culture among triage nurses in the emergency department was non-positive and requires improvement. “Job Satisfaction” received the highest score (63.18%; SD = 17.19), while “Working Conditions” received the lowest (49.91%; SD = 17.37). The perception of positive and negative safety culture responses was statistically significant for age (χ2 (3) = 17.750, p ≤ 0.001), education (χ2 (2) = 6.957, p = 0.031) and length of working experience (χ2 (3) = 8.875, p = 0.031). The findings emphasize the significance of improving the safety culture in relation to several areas of patient care during the triage process. This research serves as a crucial foundation for enhancing patient safety in triage, providing quality care, and reducing adverse events.
Uvod: Podaljšana življenjska doba je pripomogla k povečani razširjenosti kroničnih bolezni, ki zahtevajo dolgoročno zdravljenje z upoštevanjem adherence jemanja zdravil. Neadherenca jemanja zdravil je izrazit problem v zdravstvu in družbi nasploh, zato je bil namen s pregledom literature poiskati učinkovite pristope, ki prispevajo k adherenci jemanja zdravil pri starejših osebah.Metode: Uporabiljen je bil krovni pregled literature, ki je potekal v marcu 2023. Pri tem so bile upoštevane smernice PRISMA. Pregled literature je bil izveden v naslednjih podatkovnih bazah: PubMed, CINAHL Ultimate, Cochrane Library, ScienceDirect in Web of Sciences. Za oceno kakovosti vključenih virov je bilo uporabljeno ocenjevalno orodje Joanna Briggs Institute.Rezultati: Izmed 242-ih identificiranih člankov je bilo sedem člankov vključenih v vsebinsko analizo, sintezo in kompilacijo. Oblikovane so bile štiri podkategorije, ki prispevajo k adherenci jemanja zdravil pri starejših osebah: 1) zdravstvena vzgoja starejših oseb; 2) nadzor nad jemanjem zdravil; 3) uporaba dozatorjev za zdravila; 4) orodja za ocenjevanje sposobnosti adherence jemanja zdravil.Diskusija in zaključek: Identificiranih je bilo več pristopov za izboljšanje adherence jemanja zdravil pri starejših osebah. Med ključnimi pristopi so zdravstvena vzgoja, nadzor nad jemanjem zdravil, uporaba dozatorjev za zdravila in orodij za ocenjevanje spodobnosti adherence jemanja zdravil. Ti pristopi nudijo dragocene vpoglede v izboljšanje zdravstvenega stanja in kakovosti življenja starejših oseb.
Uvod: Staranje prebivalstva in krhkost povečujeta potrebo po dolgotrajni oskrbi ter obremenjujeta zdravstvene in socialne sisteme. Namen pregleda je opredeliti izzive dolgotrajne oskrbe starejših oseb z vidika izvajalcev formalne (zdravstveno osebje) in neformalne oskrbe.Metode: Izveden je bil sistematični pregled po priporočilih PRISMA. Iskanje je potekalo v bazah CINAHL Ultimate, MEDLINE, SAGE in Web of Science od začetka indeksiranja do marca 2025, brez omejitve leta objave; vključeni so bili izvirni članki v angleščini. Kakovost je bila ocenjena z orodjem JBI, raven dokazov pa razvrščena po Politu in Becku. Podatki so bili analizirani z narativno sintezo po Popayu et al. (kodiranje ugotovitev, tematsko združevanje, primerjava med raziskavami).Rezultati: Identificirana sta bila 1802 zadetka; po odstranitvi 133 duplikatov je bilo pregledanih 1669 naslovov oziroma povzetkov in 43 celotnih besedil. Vključenih je bilo šest raziskav (pet kvalitativnih – raven 7; ena kvantitativna – raven 4). Ključne teme: nejasne oziroma nasprotujoče si smernice, vrzeli v koordinaciji in prehodih oskrbe, komunikacijske pomanjkljivosti ter visoka čustvena obremenitev neformalnih oskrbovalcev.Diskusija in zaključek: Potrebni so integrirani modeli oskrbe, izvedljive smernice ter strukturirana podpora neformalnim oskrbovalcem, posebej v prehodu iz bolnišnice na dom.