Aim: This study aimed to evaluate the perception of the work environment among intensive care unit (ICU) nurses in Slovakia and identify factors that influence their evaluation. Design: A cross-sectional descriptive study. Methods: The study was conducted between July and October 2023 using the Practice Environment Scale-Nursing Work Index (PES-NWI). Data were collected from 153 ICU nurses across four hospitals. Descriptive statistics, correlation analysis, and nonparametric tests were used for data analysis. Results: The work environment received a generally positive evaluation, with collegial nurse-physician relations receiving the highest ratings, whereas staffing and resource adequacy scored the lowest. Significant correlations were found between job satisfaction, satisfaction with material resources, and perception of patient safety and positive evaluations of the work environment (p ≤ 0.05). Multiple regression analysis identified job satisfaction, satisfaction with material resources, and patient safety evaluation as key predictors of a positive work environment (p ≤ 0.05). Conclusion: These findings underscore the importance of addressing staffing adequacy, resource availability, and leadership support to improve the work environment for ICU nurses, with implications for both nurse retention and patient outcomes.
- MeSH
- bezpečnost pacientů statistika a číselné údaje MeSH
- jednotky intenzivní péče * MeSH
- korelace dat MeSH
- lidé MeSH
- postoj zdravotnického personálu MeSH
- pracovní podmínky * psychologie statistika a číselné údaje MeSH
- pracovní uspokojení MeSH
- průzkumy a dotazníky MeSH
- zdravotní sestry psychologie statistika a číselné údaje MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- hodnotící studie MeSH
- Geografické názvy
- Slovenská republika MeSH
Introduction: Patient safety culture is a fundamental aspect of healthcare delivery, profoundly impacted by factors such as teamwork or organizational traits. Research on unfinished nursing care has underscored its importance in relation to patient safety. Objective: To explore the associations between perceived patient safety culture, unfinished nursing care, and the level of teamwork during the clinical placement of nursing students. Methods: A descriptive cross-sectional study was conducted between September and December 2023 using a set of questionnaires comprising the Hospital Survey on Patient Safety Culture for Nursing Students, the Unfinished Nursing Care Survey for Students, and the Nursing Teamwork Survey. The study involved 242 Slovak nursing students. Results: Significant associations were found between nursing students' perceptions of patient safety culture, the level of teamwork, and particular reasons for unfinished nursing care. Four dimensions of patient safety culture predicted the level of teamwork (p < 0.05) and explained 49.1% of the variability in the teamwork perceived during clinical placement. Conclusion: Understanding nursing students' perceptions of patient safety culture and its influencing factors is essential for enhancing the safe provision of nursing care. Future research should continue to explore the dynamic interaction between investigated variables to inform educational and organizational interventions aimed at improving patient care outcomes.
- MeSH
- bezpečnost pacientů * statistika a číselné údaje MeSH
- dospělí MeSH
- klinické praxe metody statistika a číselné údaje MeSH
- lidé MeSH
- ošetřovatelská péče metody MeSH
- ošetřovatelství - vzorové postupy MeSH
- průřezové studie MeSH
- studenti ošetřovatelství * statistika a číselné údaje MeSH
- týmová péče o pacienty statistika a číselné údaje MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- Publikační typ
- práce podpořená grantem MeSH
- Geografické názvy
- Slovenská republika MeSH
Soubor a metodika: Primárním cílem studie je zjistit hodnoty související s pocitem ztráty důstojnosti pomocí dotazníku PDI-CZ u nemocných s revmatologickým onemocněním. Studijní soubor tvořilo 170 pacientů s revmatologickým onemocněním, kteří byli hospitalizováni ve vybrané fakultní nemocnici v České republice. Výsledky: Většinu respondentů tvořily ženy (n = 128; 75,3 %) ve věku do 64 let (n = 102; 60,0 %). Respondenti měli nejčastěji diagnostikovanou revmatoidní artritidu (n = 81; 47,6 %). Průměrné souhrnné skóre nástroje PDI-CZ bylo 45,00 (SD = 15,496). Statisticky významné korelace byly zjištěny mezi průměrným souhrnným skóre nástroje PDI-CZ a psychologickými funkcemi (r = –0,308), aktivitami denního života (r = –0,458) a hodnocením bolesti (r = 0,307). Diskuze: Revmatologickým pacientům často onemocnění zasahuje do jejich identity. Onemocnění ovlivňuje jejich vnější obraz těla a pacienti mohou pociťovat silné obavy o budoucnost. Pokud chceme objektivně zhodnotit kvalitu života u revmatologického pacienta, musíme zároveň hodnotit i vlivy vnímání jeho osobní důstojnosti. Závěr: PDI v každodenních situacích může lékařům a sestrám nabídnout nové možnosti jak lépe porozumět a prozkoumat problémy a obavy pacientů s chronickým onemocněním.
Patients: The primary aim of the study is to determine the values related to the sense of loss of dignity using the PDI-CZ questionnaire in patients with rheumatological diseases. The study population consisted of 170 patients with rheumatological disease who were hospitalized in a selected teaching hospital in the Czech Republic. Results: Statistically significant correlations were found between the mean PDI-CZ tool summary score and psychological functions (r = –0.308), activities of daily living (r = –0.458), and pain ratings (r = 0.307). Discussion: Rheumatology patients often find their disease interferes with their identity. The disease affects their external body image and patients may feel strong anxiety about the future. Thus, if we want to objectively assess the quality of life of a rheumatology patient, we must also assess the effects of the patient’s perception of personal dignity. Conclusion. The PDI in everyday situations may offer new opportunities for physicians and nurses to better understand and explore the problems and concerns of patients with chronic illness.
Aim: To assess the perceived health-related quality of life (HRQoL) in hospitalized patients with rheumatic diseases and to determine whether selected characteristics can affect their perceived quality of life. Design: A cross-sectional study. Methods: Data were collected between September 2022 and March 2023 using the standardized instrument to measure HRQoL, namely the RAND 36-Item Health Survey (SF-36). The sample consisted of 170 patients with rheumatic diseases hospitalized in a teaching hospital in the Czech Republic. Results: The average perceived HRQoL was 34.94 (SD = 17.06), indicating poor quality of life. The most highly rated subscale was 'emotional well-being' (56.02 ± 15.71), and the lowest rated subscale was 'role limitations due to physical health' (11.76 ± 28.54). The HRQoL subscales were significantly correlated with Mini-Mental State Examination (MMSE) score, self-care activities, pain severity, age of the patients, and length of hospitalization. Differences in HRQoL were identified based on education, social status, use of compensatory aids, attendance at social events, and history of falls in the past year (p < 0.05). Conclusion: The study contributes to the existing body of knowledge on the subject, but also underscores the importance of considering holistic factors when evaluating HRQoL in individuals with rheumatic diseases.
Aim: To investigate the reasons for unfinished nursing care (UNC), its prevalence and patterns, and to explore its relationship to level of teamwork as perceived by Slovak postgraduate nursing students. Design: A descriptive cross-sectional study. Methods: The study was conducted between November 2022 and January 2023. Data collection was carried out using a set of questionnaires that involved the Unfinished Nursing Care Survey tool to measure UNC and the Nursing Teamwork Survey (NTS) to investigate level of teamwork. The sample consisted of 159 postgraduate nursing students from five public universities in different regions of the Slovak Republic. Results: The mean composite score of UNC was 2.41 (SD = 0.71) and for the NTS, 3.25 (SD = 0.51). An overall weak association was found between UNC and Trust (r = -0.164), Backup (r = -0.157), Shared mental model (r = -0.158), and Team leader (r = -0.187). Teamwork did not predict perceptions of UNC. Conclusion: These findings suggest that nursing students are aware of the phenomenon of UNC and reflect on reasons for its occurrence, including ineffective teamwork among nursing staff. During clinical placements, nursing students should be integrated into nursing teams and the importance of teamwork should be emphasized during nursing studies. However, there is a need for further research to better understand and address these phenomena in nursing education and practice.
- MeSH
- klinické praxe * klasifikace organizace a řízení MeSH
- kontinuální vzdělávání zdravotních sester MeSH
- lidé MeSH
- průřezové studie MeSH
- studenti ošetřovatelství psychologie MeSH
- studium ošetřovatelství vysokoškolské * MeSH
- týmová péče o pacienty MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- práce podpořená grantem 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
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.
Chybějící ošetřovatelské péči na dětských lůžkových pracovištích je v současné době věnována čím dál vyšší pozornost. Dětští pacienti jsou na negativní důsledky hospitalizace velmi citliví. Prostřednictvím nástroje MISSCARE Survey-Ped/Chybějící ošetřovatelská péče v pediatrii, který byl vytvořen pro hodnocení chybějící péče na dětských standardních pracovištích, byla zrealizována deskriptivní průřezová studie v České republice. Výzkumný soubor tvořilo 216 dětských sester z pěti zdravotnických zařízení. Až 92,1 % dětských sester vynechalo během poslední směny alespoň jednu ošetřovatelskou činnost. Průměrně sestry neprovedly 12,1 ošetřovatelských činností. Identifikovány byly rovněž nejčastější chybějící ošetřovatelské činnosti, stejně jako důvody k jejich vynechání. Cílené intervence managementem či integrací do vzdělání lze posílit prevenci chybějící ošetřovatelské péče.
Missed nursing care in children's inpatient units is currently receiving increasing attention. Pediatric patients are much more sensitive to the negative consequences of hospitalization. A descriptive cross-sectional study was conducted in the Czech Republic using the MISSCARE Survey-Ped, which was developed to assess missed care in pediatric standard departments. The study population consisted of 216 pediatric nurses from five health care institutions. Up to 92,1% of pediatric nurses missed at least one nursing activity during their last shift. On average, nurses did not perform 12,1 nursing activities. The most common missed nursing activities were also identified, as well as the reasons for missing them. Targeted management interventions or integration into education can enhance the prevention of missed nursing care.
- Klíčová slova
- chybějící ošetřovatelská péče, MISSCARE Survey-Ped,
- MeSH
- dítě MeSH
- hospitalizace MeSH
- lidé MeSH
- ošetřovatelská péče * normy statistika a číselné údaje MeSH
- personál sesterský nemocniční MeSH
- průřezové studie MeSH
- průzkumy zdravotní péče statistika a číselné údaje MeSH
- zajištění kvality zdravotní péče * normy statistika a číselné údaje MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- Geografické názvy
- Česká republika MeSH
