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Katarina Popović, V. Orlovic Lovren, Aleksandra P. Pejatović, M. Despotović

This paper explores the development and current state of andragogy as a scientific discipline in Serbia, with a particular focus on its professionalisation at the University of Belgrade. Despite periods of crisis and societal transitions, andragogy has demonstrated remarkable resilience, remaining relevant and influential in the educational landscape. The current study program at the Department of Andragogy at the University of Belgrade is depicted at the undergraduate, master’s, and doctoral levels. By analysing master’s and doctoral theses, and published scientific papers, the paper provides insights into the prevalent issues and topics in the field. The findings underscore the impact and relevance of andragogy in Serbia and suggest its future prospects. Upholding its core principles and holistic approach, andragogy can play a pivotal role in bridging the gap between the past and the present, leading to the revitalisation of adult education and shaping the trajectory of the discipline itself in Serbia and beyond.

<p><strong>Introduction.</strong> Conflict is a process during which one person consciously and intentionally makes an effort to prevent the other person&rsquo;s efforts, some kind of blockade that will lead to interruption in achieving the goals and interests of the other person. Conflicts in the healthcare team are common and can lead to reduced productivity in the work of healthcare professionals, which can have a negative impact on the care and treatment of patients. <strong>Methods. </strong>This cross-sectional study involved 100 health professionals, nurses and doctors employed in the primary, secondary and tertiary levels of health care. The research was conducted from March to August 2020. A questionnaire on socio-demographic characteristics of respondents, a questionnaire on conflicts of health professionals, and a standardized scale of depression, anxiety and stress with 21 questions (DASS-21) were used to measure the level of subjective depression, anxiety and stress <strong>Results.</strong> Seventy-four health workers (74%) had experience of conflict in the workplace, doctors (95%) significantly more often than nurses (58%) (p=0.001). Forty percent of health workers stated that communication problems were the most common cause of conflict. Seventy-nine respondents (79%) chose cooperation and compromise as a style in conflict resolution. Doctors chose cooperation more often (84%) than nurses (74%) and the difference was statistically significant (p=0.048). Subjects who had experience of conflict had significantly higher average values of anxiety (8.01&plusmn;2.12) (p=0.026) and stress (10.32&plusmn;2.91) (p=0.008) compared to subjects who had no experience of conflict (6.13&plusmn;1.91; 6.12&plusmn;2.03). <strong>Conclusion.</strong> Doctors were significantly more likely to have conflict situations in the workplace. For conflict resolution doctors were more likely to choose a style of cooperation and compromise than nurses who were more likely to choose a style of conflict avoidance.</p>

Introduction. The patient and his safety should be at the center of quality health care, which is a challenge for every health system. Adverse patient outcomes (APO) are defined as damage caused by a drug or other intervention in a primary, secondary or tertiary health care facility, which results in a complication of the primary or the emergence of a new disease or injury. The aim of our study was to determine how frequent the APO are, and to determine the differences between nurses and doctors in the frequency, causes and attitudes towards APO. Methods. This cross-sectional study included 100 health professionals, nurses and medical doctors employed at the primary and secondary level of health care. The research was conducted in the period from May to October 2020. The questionnaire was partially taken from a general questionnaire offered on the website of the Agency for Healthcare Research and Quality and the standardized Perceived stress scale was used to measure the degree of subjective stress. Results. Forty-four health professionals (44%) experienced adverse patient outcomes in their career, doctors (52%) significantly more often than nurses (36%) (p = 0.039). More than a half of respondents (52.3%) declared that APO happens few times a month. Seventy percent of the respondents blame their own stress burden as the main factor associated with APO. Doctors more often than nurses (69.2%) blame problems in communication between health professionals as the main cause of APO (27.8%) (p = 0.046). Conclusion. For doctors, the main cause of APO is problem in communication, while nurses more often think that patient safety is priority when compared to doctors. Almost two thirds of respondents blame their own stress burden as a factor associated with APO.

Maja Mrkić, Violeta Ilić-Todorović, Jasmina Jovanović-Mirković, D. Radosavljevic, M. Despotović, H. Aleksopulos

Health care is the most important activity and human kind is dealing with its organization for centuries. Public health policies and functional health care systems have as their primary objectives the preservation and improvement of public health. Problems of intensive aging of the population, continuous growth of health spending, ensuring sustainable financing of health systems and efficient use of resources are present in all world health systems. Health care system reforms have become a global phenomenon for the last twenty years of the last century. The goal of this review paper is to point out the importance and need for timely modifications of the strategy of the health care optimization plan in Serbia by 2035, so that the health care system of Serbia would be ready to respond to potential global health crises in the future. The Plan for optimizing the health care institutions network by 2035 as a key document of the Master Plan will be briefly presented with an analysis of key parameters of health care effectiveness and above all improvement of the implementation of basic principles of health care - uniformity and availability of health services on the territory of Republic of Serbia. In order to present future key changes in the health system, it is necessary to take into account the current situation, as well as the potential consequences of the global pandemic of COVID-19 virus on health systems. Databases were used for analysis: WHO, OECD, World Bank Reports. The tendency of increasing the share of health care costs in GDP, with the problems of efficient use of health care resources, is becoming the most important reason for reforming health insurance and health care in almost all countries in the world. Numerous researches of eminent experts in the field of economy and finance indicate that the introduction of compulsory health insurance with a clearly defined package of health conditions is the most rational choice in the implementation of the World Health Organization project: "Health for all in the 21st century". A health system could be said to be effective if it provides health care of maximum quality in terms of medical outcome, with minimal costs in relation to the allocated funds. Health care systems around the world today face very similar problems, and the COVID-19 pandemic has shown how "vulnerable" it is not only the health system but all of humanity when faced with such challenges.

Bojan Veljković, Jelena Aleksandrić, M. Despotović, I. Milojević, Marija Mladenović, Christos Alexopoulos

. Healthcare professionals have a key role to play in the introduction, application and use of technology in clinical practice. The lack of technical expertise and technological understanding poses a challenge to the quality of health services and probably to the safety, dignity and quality of life of patients. Experience so far speaks of computer literacy, which is the basis of the implementation of the health information system and varies according to gender, age and years of work experience. Determine whether computer literacy depends on gender, age, and years of service. The research was conducted according to the type of cross-sectional study, in the population of health workers employed at the Health Center in Jagodina and the General Hospital in Ćuprija. Yesterday’ s sample consisted of 142 respondents. A structured questionnaire was used for data collection, statistical data processing was performed with the computer support of the statistical package for social sciences IBM SPSS Statistics, Version 23 (Statistical Package for Social Sciences). Analysis of variance was used from statistical tests. Results. Sample composed of 78.2% of respondents and 27.2% of respondents; in both groups of respondents, the average achievement on the literacy scale is around 17 points. Age 40 and over is 59%; the first two groups (less than 30 years of age and 30 to 39 years of age) are statistically significantly different from the oldest groups of respondents (F = 4.949, p = 0.003, df = 3). The largest percentage of respondents have a work experience of 10-29 years; younger respondents have more knowledge of computers (F = 7.239, p = 0.000, df = 3). Computer literacy depends on age and years of service.

Bojan Veljković, Mina Mihajlović, Sandra Dukić, M. Despotović

The intent to humiliate, hurt or cause harm through the use of digital technology, that is through the use of smartphones and internet is called cyberbullying. Cyberbullying can take a number of different ways and forms. Most common ways of cyberbullying are blackmailing, threats, harassment, sexual harassment, creating and using fake profiles impersonating the victim as well using their photos without permission. Within the program "Skola bez nasilja" (School without violence), in which 50 elementary (primary) schools participated, showed that 28% of students in Serbia have been involved in cyberbullying either as the victim or the bully, whilst 64% of the students stated that they have been a victim of cyberbullying in the last three months. A survey done by UNICEF showed that 1 in 3 young people have been a victim of cyberbullying. The survey was done across 30 different countries. The goal of the review paper is firstly to point out the importance of the protection of privacy and prevention of cyberbullying among minors, as well as the people that interact with kids and help in their education. To keep ourselves and our kids as safe as possible, it is necessary to inform all internet and social media users on how to protect their privacy and how to safely use digital devices in today's age. Idea behind this work is to raise awareness among young people about the possible dangers of social media which could lead to negative consequences such as anxiety, depression, isolation, suicidal thoughts and even suicide.

Aleksandar Bulajić, M. Despotović, T. Lachmann

Abstract. The article discusses the emergence of a functional literacy construct and the rediscovery of illiteracy in industrialized countries during the second half of the 20th century. It offers a short explanation of how the construct evolved over time. In addition, it explores how functional (il)literacy is conceived differently by research discourses of cognitive and neural studies, on the one hand, and by prescriptive and normative international policy documents and adult education, on the other hand. Furthermore, it analyses how literacy skills surveys such as the Level One Study (leo.) or the PIAAC may help to bridge the gap between cognitive and more practical and educational approaches to literacy, the goal being to place the functional illiteracy (FI) construct within its existing scale levels. It also sheds more light on the way in which FI can be perceived in terms of different cognitive processes and underlying components of reading. By building on the previous work of other authors and previous definitions, the article brings together different views of FI and offers a perspective for a needed operational definition of the concept, which would be an appropriate reference point for future educational, political, and scientific utilization.

Katarina Popović, M. Despotović

This paper discusses the situation of older people in Serbia – development and current state of art, their marginalization and ageism in the society. Stereotypes and media are in the focus, since many researches show that their impact on the adult population is huge, and they act as a ‘massive’ adult educator in the public space. An educational measure and its impact are shown in the paper, and the results of the project are presented, where several adult education organisations took part, aiming at change of the image of elderly in the society.

K. Popović, M. Despotović

The article analyses and compares two main concepts in the field of civic education: education for democratic citizenship (EDC), prevailing in European discourse, and global citizenship education (GCE), dominant in international organisations like UNESCO. The concepts and their content are presented and analysed, and the need for the shift to the GCE is illustrated by some global tendencies and serious challenges of the global world. The responsibility to include GCE into the European concept of civic education is pointed out, as well as the challenges GCE is facing within the policy and implementation of the global agenda, SDG 4 and Education 2030.

Violeta Orlović-Lovren, M. Despotović, Aleksandar Bulajić

The paper analyses the role of teachers and of education in encouraging the development and practice of critical thinking in teaching of adults. The focus of theoretical discussion are constructivist and cognitive approaches to defining critical thinking, but also the results of various current studies that point to important implications for the teaching practice and the learning process of adults. The paper strongly supports a comprehensive multidisciplinary approach to studying and application of critical thinking development. We question the traditional framework for encouraging critical thinking that dominates the system of formal education, and offer an overview of relevant, often conflicted, conclusions provided by the range of research. We emphasise the fact that the complex and composite nature of critical thinking requires the same attributes in the approach to its studying and development. By acknowledging the heterogeneity of both adults and teachers, as well as the particularities of the context of teaching and learning, we consider the possibility of encouraging critical thinking through a choice of adequate teaching strategies, which opens further questions and points towards possible directions for future reseatrch. Based on the authors' experiences in teaching critical thinking within a higher education context, as well as a theoretical review of earlier studies, the paper offers a synthesis of principles about, and relatively new insights into, necessary bases for a successful lesson that aims to develop critical thinking, such as: teacher's highly saturated and explicit metacognitive narrative, active approach to the transformation of learners' internal constructs, as well as the (self )reflexive and dialogical quality of communication during lessons.

This paper neither attacks nor defends the Bologna Declaration; rather, it attempts a critical assessment of its implementation in Serbia. Review of the available data shows that the higher education system in Serbia is inefficient and in profound need of reform. Analysis of some of the reform processes shows that the Bologna Declaration as a general concept and a regulatory principle always has various local (national) interpretations and that some reform measures are far from the Declaration's fundamental principles and intentions. On the other hand, the analysis of higher education reform in Serbia also shows that this reform is not independent of the reform of a broader social context. Decontextualization in the implementation of the Bologna Declaration has as its consequence formalism, irrationality, and the loss of authenticity and the ability to respond effectively to specific needs and goals.

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