Introduction: Cultural challenges in clinical practice can directly affect the quality and effectiveness of care for patients from different cultures. Aim: To find out and compare Czech and Slovak nurses' cultural challenges in their clinical practice. Methods: This cross-sectional comparative study used a non-standard questionnaire to explore cultural challenges in nurses' clinical practice in the Czech Republic and Slovakia. This study followed the guidelines provided by the STROBE checklist. The statistical analysis was conducted using SASD 1.5.8 and IBM SPSS Statistics version 28.0.0. Results: The study sample comprised 202 nurses from the Czech Republic and 222 nurses from Slovakia. The findings suggest that the most significant cultural challenge identified by nurses in both countries is the language barrier, which is compounded by staff shortages. It was found that nurses who are proficient in multiple languages demonstrated increased sensitivity to cultural challenges, which may indicate a correlation between multilingual ability and the perception of cultural barriers. The results suggest that factors such as gender, role within the healthcare setting, years of experience, and educational level may have an impact on the perception of cultural challenges. Conclusion: As a result, it may be important to develop targeted interventions to improve cultural competence. Interventions such as education about cultures, training, and policy adjustments could be considered to create a more equitable and effective care environment for patients from diverse cultural backgrounds. This approach may lead to improved healthcare outcomes and increased patient satisfaction.
- MeSH
- komunikační bariéry MeSH
- kontinuální vzdělávání zdravotních sester MeSH
- kulturně kompetentní péče * MeSH
- kulturní různorodost MeSH
- lidé MeSH
- ošetřovatelská péče MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- zdravotní sestry MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- práce podpořená grantem MeSH
- srovnávací studie MeSH
Goals: This study aims to identify sociodemographic predictors of breastfeeding and evaluate the effect of nursing interventions on nutritional strategies in premature infants (0-6 months). Methods: A prospective monocentric longitudinal study focused on the nutritional management of 201 preterm infants. Monitoring was performed for two years at specific time intervals. Results: The mother's nationality influences the child's nutrition in the first weeks but this influence decreases with the child's age. The mother's education has a significant effect on nutritional choices. Higher education correlates with using different nutritional combinations. Strong predictors of breastfeeding include the first latch, skin-to-skin contact, and orofacial stimulation. Conclusion: The study identified vital factors influencing the nutrition of preterm infants. These findings enable better targeting of measures and support better health and development of such children. The results provide a scientific basis for the development of nutritional strategies and interventions.
INTRODUCTION: The multifaceted benefits of breastfeeding for mothers and infants include enhanced neurodevelopment and immune function in preterm infants. However, more research is needed to understand the unique factors affecting breastfeeding practices in preterm infants. This study aimed to identify key social predictors of breastfeeding in preterm infants and assess the effectiveness of specific interventions on their feeding practices during the first six months postpartum. METHODS: A prospective, monocentric, longitudinal study involving a cohort of 201 preterm infants was executed at the Neonatology Department, Ceske Budejovice Hospital, Czech Republic, from January 2020 to January 2023. The STROBE guidelines were used. RESULTS: The study results elucidated a transition from breastfeeding to bottle feeding and formula within the infants' first six months. Notable social predictors of breastfeeding encompassed factors such as the number of children in the household, the mother's marital status, and the nature of housing. Certain interventions, including immediate skin-to-skin contact between mother and child, and initiation of nutritive feeding within the first half-hour post-birth, significantly influenced the probability of breastfeeding. CONCLUSIONS: The data underscored that social predictors and nursing interventions substantially shape the breastfeeding practices of preterm infants during the first six months postpartum. Inequities in health outcomes among premature infants can be effectively curbed through comprehensive care models that account for socioeconomic factors influencing breastfeeding.
- Publikační typ
- časopisecké články MeSH
Introduction: Breastfeeding is considered an essential component of children’s nutrition and healthy development. This study examines cultural differences in breastfeeding attitudes among mothers of Ukrainian origin who are currently living in the Czech Republic due to the war in Ukraine. Goal: To explore cultural differences in breastfeeding attitudes among mothers of Ukrainian origin living in the Czech Republic, and to identify the need for culturally sensitive nursing care. Methods: A qualitative analysis was conducted through in-depth interviews with Ukrainian mothers to understand how Ukrainian cultural norms, personal beliefs, and social expectations may influence breastfeeding. Results: The findings highlight significant variation in breastfeeding attitudes that are underpinned by Ukrainian cultural norms, suggesting the need for adequate breastfeeding support in all culturally diverse communities. Conclusion: These findings are essential for developing targeted nursing interventions and breastfeeding support programs that respect and respond to the specifics of Ukrainian culture.
Introduction: Breastfeeding is particularly important for preterm infants, and not only from a nutritional point of view. The nursing goal is to get babies to breastfeed as early as possible, to initiate and maintain lactation. Premature babies who are unable to suck directly from the breast can be fed with expressed breast milk. The professionalism of the paediatric nurse is also an important factor in all areas. In a rapidly changing health service, paediatric nurses with a high level of cultural understanding, who adhere to all ethical principles and keep abreast of current societal developments, are needed. Aim: The aim of the present paper is to describe nursing interventions in breastfeeding premature babies with respect to multicultural specificities. Methods: The review study has a literature review design. Databases such as EBSCOhost, SCOPUS, PubMed, and Web of Science were used to search for relevant sources. Results: A total of 58 articles were identified, of which 11 peer-reviewed articles were included in the analysis. This study highlights the importance of full breastfeeding for preterm infants, both from a nutritional and general multicultural perspective. Conclusions: All mothers and babies should be treated individually. It is important to fully support breastfeeding with respect to individual specific cultural differences. Breast milk should always be the first choice for preterm infants. Appropriate multicultural care can be used to support mothers in providing culturally safe care for preterm infants.
The article deals with the issue of "Milk Baby Sharing", where, due to increased demand, breast milk is transferred from a donor mother to a mother who needs milk for her baby outside the environment of a milk bank or collection centre. The illegal sharing of breast milk between mothers is a cause for concern, particularly in relation to the transmission of infectious diseases, chemicals or pharmaceuticals. This article presents the results of a research investigation that summarizes mothers' personal experiences of breast milk sharing, including a description of the strategies mothers use to obtain milk, the reasons for demand, and which way they handle it over. The reason to write this article is to alert the professional community to the presence of a dangerous phenomenon and to call for an effective solution of the problem.
Článek se zabývá problematikou sdílení mateřského mléka, tzv. "Milk Baby Sharing", kdy dochází v důsledku zvýšené poptávky k předávání mateřského mléka od matky dárkyně k matce, která mléko potřebuje pro své dítě mimo prostředí mléčné banky či sběrny. Vzájemné "nelegální" sdílení mateřského mléka je důvodem k obavám zejména v souvislosti s přenosem infekčních onemocnění, chemických látek či léčiv. V článku jsou uvedeny výsledky výzkumného šetření, které shrnují osobní zkušenosti matek se sdílením mateřského mléka včetně popisu strategie, jak matky mléko získávají, z jakého důvodu ho poptávají a jakým způsobem probíhá jeho předání. Důvodem sepsání tohoto článku je snaha upozornit odbornou veřejnost na přítomnost nebezpečného jevu a vyzvat k hledání účinného řešení tohoto problému.
- Klíčová slova
- sdílení mateřského mléka, banka mateřského mléka, sběrna mateřského mléka,
- MeSH
- banky biologického materiálu MeSH
- kojení MeSH
- lidé MeSH
- mateřské mléko * MeSH
- matky MeSH
- výzkum MeSH
- žijící dárci MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
Moderní způsob ve vzdělávání budoucích dětských sester je především v simulační výuce. Jedná se o aktuální způsob cvičení za pomoci modelů a využití modelových situací v komplexně a odborně zařízených učebnách. Text se zabývá zdokonalováním dětských sester na Zdravotně sociální fakultě Jihočeské univerzity v Českých Budějovicích. Slouží také jako zdroj ucelených informací o simulační medicíně.
The modern way in the education of future pediatric nurses is consisted mainly in a simulation. The simulation form of educational proces of nursing is currently one of the most important way of it and supported by models and the example using situations in comprehensive and professional lecture rooms. The abstract focuses on an education of paediatric nurses at the Faculty of Health and Social Science of University of South Bohemia in České Budějovice. This abstract is usable as a comprehensive information of simulation medicine.
