AIMS: Missed nursing care (MNC) significantly affects patient safety and quality of care. It is a widely used concept that has been studied in different settings, but research in paediatric care is quite limited. Therefore, this descriptive cross-sectional study aimed to report the prevalence, patterns, correlates, factors and predictors of MNC in paediatric care units in two central European countries. DESIGN: A cross-sectional comparative study. METHODS: Data collection was carried out between June and November 2021 using the MISSCARE Survey-Pediatric. The study included 441 registered nurses working in paediatric care units in the Czech Republic and Slovakia. Data were analysed using descriptive and inferential statistics in the SPSS 25.0 statistical program. RESULTS: Almost all nurses, 92.7% of nurses missed at least one nursing activity during the last shift. The most missed care activity in both countries was the promotion of neuroevolutionary development, and the most prominent reasons were labour resources. MNC was weakly but significantly correlated with nurse experience in the current position and was predicted by the country, nurse education and overtime hours (p ≤ .05). Differences in prevalence of MNC and reasons for MNC were identified based on several variables (p ≤ .05). CONCLUSION: The assessment of MNC in paediatric settings is often a neglected area, although the prevalence in this study was moderate. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Nurse staff shortages, as a global problem, have many impacts on patient outcomes in the delivery of nursing care. However, there are also many factors that can reduce the prevalence of MNC. More research should focus on a closer examination of these factors that involve hospital and nurse variables. REPORTING METHOD: The study was carried out according to the STROBE checklist and the RANCARE guideline. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.
- MeSH
- dětské sestry * MeSH
- dítě MeSH
- lidé MeSH
- nemocnice MeSH
- ošetřovatelská péče * MeSH
- personál sesterský nemocniční * MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
Background and Purpose: Nursing students have an essential role in patient safety. The purpose of this study was to evaluate the face validity, content validity, and psychometric properties of the Hospital Survey on Patient Safety Culture for Nursing Students (HSOPS-NS). Methods: The cross-sectional study was carried out between January and October 2021. The participants were undergraduate nursing students (N = 482) from 16 Czech nursing faculties. Results: Exploratory factor analysis revealed an 8-factor structure, which was verified by confirmatory factor analysis using the optimization process that results in adequate goodness-of-fit indices (root mean squared error approximation = .037; standardized root mean squared residuals = .056; comparative fit index = .935; Tucker-Lewis index = .926; incremental fit index = .936). The internal consistency of a new model was excellent (α = .914). Conclusion: The results indicate that the HSOPS-NS shows evidence of reliability and validity and is a valuable measure of safety culture as perceived by nursing students.
- MeSH
- bezpečnost pacientů * normy statistika a číselné údaje MeSH
- dospělí MeSH
- faktorová analýza statistická MeSH
- lidé MeSH
- mladý dospělý MeSH
- organizační kultura MeSH
- průřezové studie MeSH
- průzkumy a dotazníky normy MeSH
- psychometrie * normy MeSH
- reprodukovatelnost výsledků MeSH
- řízení bezpečnosti normy MeSH
- studenti ošetřovatelství * statistika a číselné údaje psychologie MeSH
- studium ošetřovatelství bakalářské * normy statistika a číselné údaje MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- validační studie MeSH
Aim: Autonomy in nursing refers to nurses' ability to make independent decisions in providing nursing care without outside influence or control. Nurse autonomy is a key part of the provision of quality and safe care. Design: A narrative literature review was used for the study, performed according to the PRISMA ScR checklist. Methods: Relevant studies obtained from four databases were included in the narrative review. The data review was performed according to the PRISMA checklist. For data extraction and synthesis, the method of summative content analysis, in accordance with COSMIN criteria, was used. Results: The search identified four relevant studies published between 2003-2014. All instruments used in the studies were designed to measure nurse autonomy and were also used in combination with other instruments closely related to autonomy in nursing. The instruments demonstrated acceptable psychometric properties. Conclusion: Autonomy is an unexplored phenomenon in the context of the Slovak Republic and it deserves attention since nurse autonomy affects not only patients but also nurses themselves and their job satisfaction. It is important to enable nurses to participate in decision-making, planning and development of nursing as autonomous professionals.
- MeSH
- bezpečnost pacientů MeSH
- klinická studie jako téma MeSH
- lidé MeSH
- ošetřovatelská péče metody MeSH
- poskytování zdravotní péče organizace a řízení MeSH
- profesionální nezávislost * MeSH
- zdravotní sestry * organizace a řízení MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- práce podpořená grantem MeSH
- přehledy MeSH
- Geografické názvy
- Slovenská republika MeSH
Introduction: Professionalism is a multidimensional and dynamic concept that can be understood and interpreted differently depending on time, job position, or culture context. Objective: To investigate how nurses with advanced practice interpret and understand professionalism in the Slovak sociocultural context. Methods: This qualitative study adopted an interpretative design. The sample consisted of seven advanced practice nurses (APNs). Data were collected between November 2021 and December 2022 using semi-structured interviews. Data were analyzed using reflexive thematic analysis. Results: Professionalism was interpreted through five meaningful themes: Management support; Professional socialization; Nurse professional; Challenges and problems of professionalism in nursing; Relationships. Advanced practice nurses interpreted professionalism as a multidimensional concept that encompasses several interconnected attributes. Nurses highlighted the role of professional organization, the importance of professional socialization, education, and lifelong learning as important attributes in building and maintaining professionalism - and considered the nurse shortage to be one of the biggest challenges that threatens professionalism. Conclusion: Advanced practice nurses contribute to the sustainability of the health system. Their understanding and interpretation of professionalism may support the nursing profession in general.
- MeSH
- nemocnice fakultní MeSH
- postoj zdravotnického personálu * MeSH
- profesionalita * MeSH
- průzkumy a dotazníky MeSH
- rozhovory jako téma MeSH
- zdravotní sestry MeSH
- Publikační typ
- práce podpořená grantem MeSH
- Geografické názvy
- Slovenská republika MeSH
Aim: To determine the level of teamwork among nursing staff in a selected teaching hospital and identify factors that influence the level of teamwork. Design: A descriptive cross-sectional study. Methods: The sample included 292 nursing staff working in a teaching hospital in the Žilina region of Slovakia. Data collection was carried out between April and June 2022 using the Nursing Teamwork Survey (NTS). Data were analyzed using descriptive and inferential statistics. Results: The mean score for the NTS was 2.87 (SD = 0.56) demonstrating a positive perception of teamwork less than 75% of the time. The highest evaluated subscale was the shared mental model (3.23 ± 0.62). Differences were found in the evaluation of teamwork according to education, job position, working hours, total and current professional experience, intention to leave, and staffing adequacy. The correlation analysis revealed associations between teamwork and variables related to satisfaction and quality and safety evaluation. Several variables predicted the general evaluation of teamwork (p < 0.05). Conclusion: The evaluation of teamwork may point to its different perception among members of nursing teams. It may also help to identify strengths and weaknesses of nursing teams and, consequently, to implement effective techniques focused on improving teamwork and, thus, the quality of nursing care in hospitals.
Aim: To investigate how nursing students assess their competencies in patient safety in the Czech Republic. Design: A pilot study. Methods: Data collection was carried out from January to April 2023 using the Health Professional Education in Patient Safety Survey instrument through the Google Forms® platform. The sample consisted of nursing students from seven faculties in the Czech Republic (n = 145). Descriptive and inductive statistics in the statistical program SPSS 25.0 were used in data analysis. Results: Nursing students were more confident in both academic and clinical settings in the subscale of Managing safety risks (M = 3.85), and less confident in the subscale of Culture of safety (M = 3.54). Significant differences in assessment of competencies were found in three dimensions when academic and clinical settings were compared. Numerous associations were also demonstrated between patient safety dimensions and sociodemographic data, with the greatest impact on clinical factors. Conclusion: Evaluation of patient safety competencies is a key element in increasing quality and safe care in general. Integrating sociocultural aspects of patient safety into the nursing curriculum is crucial. The main focus should be on patient safety culture education.
- MeSH
- bezpečnost pacientů MeSH
- lidé MeSH
- odborná způsobilost * MeSH
- pilotní projekty MeSH
- průzkumy a dotazníky MeSH
- studenti ošetřovatelství * zákonodárství a právo MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
OBJECTIVE: To examine nurse managers' perspectives on missed nursing care (MNC) on surgical units. BACKGROUND: The phenomenon of MNC is an important concern for nurse researchers. However, the reality of how it is experienced by clinical nurse managers is largely unexplored. Understanding nurse managers' experiences with MNC could help develop useful approaches to reducing levels of MNC. METHODS: A descriptive qualitative study was conducted between December and June 2020, using face-to-face semistructured interviews with 10 nurse managers. RESULTS: Five themes were identified: 1) awareness of MNC; 2) rationale for MNC; 3) consequences of MNC; 4) questions of reporting; and 5) management of MNC. CONCLUSIONS: Nurse managers must use their positions and leadership skills to expect appropriate staffing approaches and material resources for surgical units, effective process for newly hired nurses, and the establishment of a reporting system for MNC to reduce the phenomenon in practice.
- MeSH
- kvalitativní výzkum MeSH
- lidé MeSH
- ošetřovatelská péče * MeSH
- vůdcovství MeSH
- zdravotní sestry v řízení a kontrole * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
Úvod: Bezpečnosť pacienta je jednou z hlavných priorít zdravotníckych zariadení na celom svete. Pohľad študentov ošetrovateľstva na bezpečnosť pacienta je nevyhnutný pre plánovanie stratégií na zlepšenie bezpečnosti pacienta a jej kultúry. Vnímanie bezpečnosti pacienta študentmi ošetrovateľstva sa môže líšiť medzi vyučovacími a vzdelávacími postupmi na katedrách ošetrovateľstva, ale závisí aj od klinických skúseností získaných počas klinickej praxe. Cieľ: Zhromaždiť a porovnať existujúce empirické výskumné štúdie o faktoroch ovplyvňujúcich vnímanie bezpečnosti pacienta z pohľadu študentov ošetrovateľstva. Metódy: Vyhľadávanie bolo realizované vo vedeckých databázach PubMed, Scopus a ProQuest vo februári 2023 a bolo limitované na jeden jazyk (angličtina). Výsledkom vyhľadávania bolo 1 703 štúdií. Pri syntéze údajov bola použitá metóda obsahovej analýzy. Výsledky: 36 štúdií bolo relevantných pre tento prehľad. Identifikovaných bolo 23 faktorov, ktoré ovplyvňujú vedomosti, zručnosti a postoje študentov ošetrovateľstva k bezpečnosti pacienta. Opísané boli štyri hlavné skupiny faktorov: Faktory súvisiace s demografickými údajmi; Faktory súvisiace s klinickým prostredím; Faktory súvisiace s akademickým prostredím; Kontextové faktory. Záver: Vnímanie bezpečnosti pacienta študentmi ošetrovateľstva bolo ovplyvnené vzdelávacím a klinickým prostredím. Vo vzťahu k vzdelávaniu je potrebné integrovať tému bezpečnosti pacienta na začiatku štúdia v odbore ošetrovateľstvo a posilniť doterajšie poznatky o nežiaducich udalostiach.
Introduction: Patient safety is one of the main priorities of healthcare facilities worldwide. The perspective of nursing students on patient safety is essential for planning strategies to improve patient safety and its culture. Nursing students' perception of patient safety may differ between teaching and learning practices in nursing faculties, but also depends on the clinical experience gained during clinical placement. Objective: To collate existing empirical research studies on factors influencing the perception of patient safety from the perspective of nursing students. Methods: The search was performed in scientific databases PubMed, Scopus, and ProQuest in February 2023 and was limited to one language (English). The search produced 1,703 studies. The content analysis method was used in data synthesis. Results: 36 studies were considered relevant for the review. 23 factors that affect the knowledge, skills, and attitudes of nursing students towards patient safety were determined. Four main factor groups were described as follows: Factors related to demographic data; Factors related to clinical environment; Factors related to academic environment; Contextual factors. Conclusion: Nursing students' perception of patient safety was influenced by the educational and clinical environment. In relation to education, there is a need to integrate the patient safety subject at the beginning of nursing studies and to strengthen existing knowledge about adverse events.
Profesionálna identita je považovaná za centrálny fenomén profesijného vývoja jednotlivca, ktorý integruje postoje a správanie vzťahujúce sa k profesii. Vytvára a formuje sa v procese socializácie. Pod socializáciou môžeme rozumieť postupné začleňovanie sa jednotlivca do spoločnosti prostredníctvom napodobňovania a identifikácie, najprv v základnej (nukleárnej) rodine, ďalej v malých spoločenských skupinách, až po zapojenie sa do najširších, celospoločenských vzťahov. Je to proces sociálneho učenia, v ktorom si jednotlivec osvojuje kultúru vlastnej spoločnosti a formuje sa ako sociálna i ako individuálna osobnosť. Socializácia tak predstavuje celoživotný proces. Pokiaľ hovoríme o profesionálnej socializácii, tak ide o periodický proces socializácie, ktorý pokračuje počas života jednotlivca. Socializácia v profesii je kľúčovou súčasťou sekundárnej socializácie. Profesionálna socializácia študentov ošetrovateľstva začína vstupom do študijného programu a pokračuje vstupom do pracovného procesu. Profesionálna socializácia je kritickým aspektom rozvoja študentov ošetrovateľstva. Je zamýšľaným ale aj nezamýšľaným dôsledkom vzdelávacieho procesu a získavania pracovných skúseností.
Professional identity is considered a central phenomenon of an individual’s professional development, integrating attitudes and behaviors related to the profession. It is developed and shaped in the process of socialization. By socialization, we understand the gradual integration of an individual into society through imitation and identification, first in the essential (nuclear) family, then in small social groups, up to participation in the broadest, society- wide relationships. It is a process of social learning in which individuals learn their own society’s culture and are formed as a social and individual personality. Socialization represents a lifelong process. If we talk about professional socialization, then it is a systematic socialization process that continues throughout an individual’s life. Socialization in the profession is a key part of secondary socialization. The professional socialization of nursing students begins with the entry into the study program and continues with the entry into the work process. Professional socialization is a critical aspect of the development of nursing students. It is an intended but also an unintended consequence of the educational process and the acquisition of work experience.
- Klíčová slova
- profesní identita, profesní socializace,
- MeSH
- klinické praxe MeSH
- socializace MeSH
- studenti ošetřovatelství MeSH
Aim: To investigate the perception of patient safety culture of nursing students on their clinical placement during the Covid-19 pandemic. Design: A cross-sectional study. Methods: Data were collected using the online form of the Hospital Survey on Patient Safety Culture for Nursing Students, between January and March 2021. The respondents were 248 nursing students from the Czech Republic. Results: Although overall level of patient safety was high in nursing students, the recommended limit of over 75% was not achieved in any dimension. Factors that influenced assessment of individual dimensions included age, student status, form of study, current clinical placement, and clinical supervision. Overall level of patient safety was found to be a predictor of the values of individual dimensions. Conclusion: The role of nursing students during the Covid-19 pandemic was invaluable. However, it is important to raise awareness about adverse events in nursing students in the Czech Republic.
- MeSH
- bezpečnost pacientů * statistika a číselné údaje MeSH
- COVID-19 * MeSH
- lidé MeSH
- postoj MeSH
- průzkumy a dotazníky MeSH
- studenti ošetřovatelství statistika a číselné údaje MeSH
- Check Tag
- lidé MeSH
- Geografické názvy
- Česká republika MeSH
