It is necessary for nursing staff to have adequate knowledge of malnutrition in older people in order to provide high quality care. This study was conducted to update the Knowledge of Malnutrition-Geriatric (KoM-G) questionnaire to fit different settings and to cross-culturally adapt it to the German, Czech, Dutch and Turkish languages. In Part 1 of the study, the KoM-G questionnaire was updated and adapted for use in different settings. Content validation of the KoM-G 2.0 was carried out in a Delphi study with 16 experts. The final KoM-G 2.0 questionnaire consists of 16 items with a Scale Content Validity Index/Average of 94.5%. In Part 2, the English KoM-G 2.0 was cross-culturally adapted into the German, Czech, Dutch and Turkish languages. In the pilot test, between 96.9% (The Netherlands) and 97.8% (Austria) of the nursing staff rated the items as understandable. The KoM-G 2.0 is an up-to-date questionnaire with a highly satisfactory Content Validity Index. It was cross-culturally adapted into the German, Czech, Dutch, and Turkish languages, and the understandability was high. At the moment, the necessary comprehensive psychometric testing of the KoM-G 2.0 is in process. Afterwards it can be used to compare nurses' knowledge between various countries and settings.
- MeSH
- delfská metoda MeSH
- dospělí MeSH
- jazyk (prostředek komunikace) MeSH
- lidé středního věku MeSH
- lidé MeSH
- podvýživa * diagnóza MeSH
- překlady MeSH
- průzkumy a dotazníky MeSH
- psychometrie MeSH
- reprodukovatelnost výsledků MeSH
- senioři MeSH
- srovnání kultur * MeSH
- zdraví - znalosti, postoje, praxe MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
- Německo MeSH
- Nizozemsko MeSH
- Turecko MeSH
AIMS AND OBJECTIVES: The aim of this study was to find tools for screening the risk of malnutrition in adult hospitalised patients, evaluate their key characteristics including selected psychometric properties and propose the most appropriate tools for nursing practice. BACKGROUND: A large number of existing tools for nutritional screening make it difficult to be aware of all the possibilities and especially to select the optimal tool. DESIGN: The research methodology was designed as secondary research using a scoping review search to map and compare existing tools for assessing the risk of malnutrition in hospitalised adults. METHODS: The analysis focused on the selected psychometric properties of the instruments (sensitivity, specificity, positive and negative predictive value) and key characteristics relevant to the selection of an appropriate instrument. This study follows the PRISMA-ScR Checklist. RESULTS: The review included 27 publications containing 17 tools. The best sensitivity (57%-100%) and specificity (76%-96%) were achieved by the Malnutrition Universal Screening Tool (MUST) and the Nutritional Risk Screening 2002 (NRS 2002). Minimal Eating Observation and Nutrition Form-Version II (MEONF-II) has solid sensitivity (up to 73%), specificity (88%) and high positive predictive values (81%-82%). CONCLUSIONS: The MUST, NRS 2002 and MEONF-II showed satisfactory psychometric properties. MEONF-II and MUST are able to assess risk without weighing the patient. The Hand Grip Strength (HGS) assessment can be recommended to detect reductions in muscle strength. RELEVANCE TO CLINICAL PRACTICE: We recommend the MUST, NRS 2002 and MEONF-II tools for use in clinical practice, as they have the best psychometric properties and are user-friendly. The HGS, which proved to be related to the length of hospital stay (LOS) and used as an indicator of protein-energy malnutrition in obese patients, may be a useful complementary tool. For nursing practice, we recommend selecting a tool with respect to the specifics of a particular workplace.
- MeSH
- délka pobytu MeSH
- dospělí MeSH
- hodnocení rizik MeSH
- hodnocení stavu výživy MeSH
- lidé MeSH
- nutriční stav * MeSH
- podvýživa * diagnóza MeSH
- síla ruky MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
BACKGROUND: Nursing staff must have sufficient knowledge in order to adequately prevent and treat malnutrition. However, only a marginal amount of information on this topic is available in the literature. OBJECTIVES: This paper provides a comparison of the malnutrition knowledge among nursing staff in Austria, the Czech Republic, the Netherlands, and Turkey and presents factors associated with the malnutrition knowledge of nursing staff. DESIGN: A cross-sectional study was performed. SETTING AND PARTICIPANTS: Nursing staff from different care settings in Austria, the Czech Republic, the Netherlands, and Turkey participated in the study. METHODS: The KoM-G 2.0 (Knowledge of Malnutrition - Geriatric) questionnaire was used for data collection. RESULTS: In total, 2056 participants from different care settings took part in the study. Between 11.7 % (Turkey) and 32.5 % (Austria) of the participants had high levels of malnutrition knowledge. The country itself was the factor most strongly associated with malnutrition knowledge. The nurses' educational level and specialised training of nursing staff were also significantly (p < 0.001) associated with malnutrition knowledge. Questions about "factors that should be considered during older persons' food intake" were most frequently answered correctly, while questions about "different aspects of nutritional screening" were less often answered correctly in all four countries. CONCLUSIONS: This study was one of the first to describe the rather low level of malnutrition knowledge among nursing staff in different countries. The country itself was identified as the factor most strongly associated with the nurses' knowledge of malnutrition, while the nursing staff's basic education as well as further training were also detected as significant factors. These results indicate that it is necessary to extend and improve (academic) nursing education and to offer specialised training programmes which may improve nutritional care across country borders over the long run.
- MeSH
- hodnocení stavu výživy MeSH
- klinické kompetence MeSH
- lidé MeSH
- nutriční stav MeSH
- personál sesterský * výchova MeSH
- podvýživa * prevence a kontrola MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- zdravotní sestry * MeSH
- Check Tag
- lidé MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- Publikační typ
- časopisecké články MeSH
The dramatic rise in diagnostic procedures, radioisotope-based scans and intervention procedures has created a very valid concern regarding the long-term biological consequences from exposure to low doses of ionizing radiation. Despite its unambiguous medical benefits, additional knowledge on the health outcome of its use is essential. This review summarizes the available information regarding the biological consequences of low-dose radiation (LDR) exposure in humans (e.g. cytogenetic changes, cancer risk and radiation-induced cataracts. However, LDR studies remain relatively new and thus an encompassing view of its biological effects and relevant mechanisms in the human body is still needed.
- MeSH
- dávka záření MeSH
- ionizující záření * MeSH
- lidé MeSH
- počítačová rentgenová tomografie metody MeSH
- radiační poranění * etiologie prevence a kontrola MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
INTRODUCTION: Periprocedural stroke represents a rare but serious complication of cardiac catheterization. Pooled data from randomized trials evaluating the risk of stroke following cardiac catheterization via transradial versus transfemoral access showed no difference. On the other hand, a significant difference in stroke rates favoring transradial access was found in a recent meta-analysis of observational studies. Our aim was to determine if there is a difference in stroke risk after transradial versus transfemoral catheterization within a contemporary real-world registry. METHODS: Data from 14,139 patients included in a single-center prospective registry between 2009 and 2016 were used to determine the odds of periprocedural transient ischemic attack (TIA) and stroke for radial versus femoral catheterization via multivariate logistic regression with Firth's correction. RESULTS: A total of 10,931 patients underwent transradial and 3,208 underwent transfemoral catheterization. Periprocedural TIA/stroke occurred in 41 (0.29%) patients. Age was the only significant predictor of TIA/stroke in multivariate analysis, with each additional year representing an odds ratio (OR) = 1.09 (CI 1.05-1.13, p < 0.000). The choice of accession site had no impact on the risk of periprocedural TIA/stroke (OR = 0.81; CI 0.38-1.72, p = 0.577). CONCLUSION: Observational data from a large prospective registry indicate that accession site has no influence on the risk of periprocedural TIA/stroke after cardiac catheterization.
- MeSH
- cévní mozková příhoda * diagnóza epidemiologie MeSH
- koronární angiografie * škodlivé účinky MeSH
- lidé MeSH
- registrace MeSH
- rizikové faktory MeSH
- výsledek terapie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
34 stran ; 30 cm
A collection of abstracts of papers presented at a conference that focused on nursing and the quality of health care. Intended for professional public.
- MeSH
- kvalita zdravotní péče MeSH
- ošetřovatelská péče MeSH
- péče o pacienta MeSH
- Publikační typ
- abstrakty MeSH
- kongresy MeSH
- sborníky MeSH
- Konspekt
- Patologie. Klinická medicína
- NLK Obory
- ošetřovatelství
- veřejné zdravotnictví
125 stran : ilustrace, tabulky ; 24 cm
Publikace se zaměřuje na hodnocení kvality života pacientů se stabilní anginou pectoris. Určeno odborné veřejnosti.
- MeSH
- chronická nemoc MeSH
- kardiovaskulární systém MeSH
- kvalita života MeSH
- pozorování MeSH
- průzkumy a dotazníky MeSH
- stabilní angina pectoris MeSH
- Publikační typ
- monografie MeSH
- Konspekt
- Patologie. Klinická medicína
- NLK Obory
- kardiologie
Úvod: Tato studie se zabývá popisem strategií zvládání stresu u studentů zdravotnických oborů všeobecná sestra a zdravotnický záchranář. Stres je nedílnou a každodenní součástí těchto dvou povolání. Neustálé změny, péče o pacienty nebo dokonce život zachraňující výkony, které přes veškerou snahu končí smrtí, všechny tyto události působí nadlimitní a dlouhodobý stres. Cíle: Cílem této studie je popsat rozdíly ve využívání pozitivních a negativních copingových strategií u všeobecných sester a zdravotnických záchranářů včetně porovnání oproti populační normě. Metody: Průřezové dotazníkové šetření nástrojem SVF-78. Vzorek respondentů tvořilo 74 studentů oboru zdravotnický záchranář a 50 studentů oboru všeobecná sestra. Výsledky: Statistickým zpracováním výsledků bylo zjištěno, že v celkovém užívání strategií mezi obory všeobecná sestra a zdravotnický záchranář je statisticky významný rozdíl (p = 0,005). Ve využívání pozitivních strategií jsou výsledky stejné, avšak ve využívání negativních strategií se liší ve prospěch studentů oboru zdravotnický záchranář (p = 0,001). Oba obory však vykazují vyšší skóre nežli je populační norma (p = 0,003 resp. p = 0,001). Závěr: Přestože výsledky ukazují, že studenti zdravotnických oborů mají dobře rozvinuté zvládací strategie stresu vůči běžné populaci, při bližším prozkoumání vyplynulo, že především studentky oboru všeobecná sestra více využívají negativních strategií, a to především útěk od problému, neschopnost odpoutání a pociťování bezmoci.
Introduction: The study is focused on the description of stress management strategies in students of general nurse and paramedic study programmes. Stress is an integral and everyday part of these two occupations. Constant changes, patient care or even life-saving procedures that, despite all efforts, end in death, all these events cause over-limit and long-term stress. Objectives: This study aims to describe the differences in the use of positive and negative coping strategies in students of general nurse and paramedic, including comparison with the population standard. Methods: Cross-sectional questionnaire survey by SVF-78. The sample of respondents consisted of 74 students of the paramedic and 50 students of the general nurse. Results: Statistical processing of the results revealed that there was a statistically significant difference in the overall use of strategies between general nurse and paramedic (p = 0.005). The results are the same in the use of positive strategies, but in the use of negative strategies, they differ in favour of paramedics (p = 0.001). However, both fields show higher scores than the population standard (p = 0.003 resp. p = 0.001). Conclusion: Although the results show that medical students have well-developed coping strategies of stress towards the general population, a closer examination revealed that students of nursing used more negative strategies, especially escape from the problem, inability to detach and feel helpless.
- Publikační typ
- abstrakt z konference MeSH
- Publikační typ
- abstrakt z konference MeSH