WHAT IS KNOWN ON THE SUBJECT: Missed, rationed or unfinished nursing care represents a global problem that jeopardizes the provision of quality and safe care. This phenomenon is frequently observed in adult, paediatric and child healthcare facilities and various care units. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE: The findings of this review contribute valuable information to inform evidence-based practices, foster organizational improvements and ultimately optimize the overall quality of care in psychiatric healthcare settings. In addition, the review illuminates the far-reaching consequences of care on both patient and nurse outcomes, emphasizing the urgent need for tailored strategies to mitigate these effects. WHAT ARE THE IMPLICATIONS FOR PRACTICE: Based on the synthesis of the literature, a thorough and continuous assessment of patient care needs in the physical, psychological and social domains is needed, primarily utilizing standardized instruments designed for psychiatric settings to ensure a comprehensive understanding of unmet needs. Based on identified unmet needs, nurses should develop individualized care plans and tailor interventions to address them. In addition, nurse managers must adopt and implement regular monitoring mechanisms to track the prevalence of unmet care needs and at the same time establish reporting systems that capture the proportion of unmet needs, allowing timely interventions and adjustments to care delivery. Lastly, nurse managers must not only emphasize the importance of ethical care practices and dignity-focused interventions but also educate healthcare providers, especially nurses, on the potential threats to patient dignity arising from unmet care needs. ABSTRACT: INTRODUCTION: Despite frequent observations of unmet care needs in acute care adult settings, there are a limited number of studies that focus on investigating this phenomenon in the psychiatric setting. AIM: To synthesize the existing empirical research on unmet care needs in psychiatric healthcare settings. METHODS: The search was carried out in August 2023 in four scientific databases, PubMed, ProQuest, Web of Science and OVID Nursing, based on their institutional availability. The search produced 1129 studies. The search and retrieval process reflected the recommendations of the Preferred Reporting Items for systematic reviews and meta-analyses. RESULTS: This review included 14 studies investigating unmet care needs in the psychiatric healthcare setting. Unmet care needs included three domains: physical, psychological and social. The analysis of the factors revealed factors related to the characteristics of the organization, nurse and patient. DISCUSSION: The classification of unmet needs provides a comprehensive understanding of the various challenges facing people in psychiatric healthcare settings. IMPLICATION FOR PRACTICE: Identified factors that influence the occurrence of unmet care needs will help prevent the occurrence of unmet care needs and timely assessment. The resolution of needs helps to achieve patient and nurse outcomes, increase the quality of care provided and patient satisfaction in a psychiatric healthcare setting.
Príspevok sa venuje problematike výskytu morálneho distresu a pracovnej spokojnosti u sestier. Tento fenomén, ktorý ovplyvňuje prežívanie sestier, môže mať dopad na ich zdravie, na kvalitu poskytovania ošetrovateľskej starostlivosti a môže prispieť k opusteniu profesie.
The article deals with the issue of the occurrence of moral distress and job satisfaction among nurses. This phenomenon, which affects the survival of nurses, can have an impact on their health, on the quality of nursing care and can contribute to leaving the profession.
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
Nedokončená ošetrovateľská starostlivosť predstavuje bežný fenomén v zdravotníckych zariadeniach, a to najmä v dôsledku pôsobenia systémových faktorov, ako sú nedostatok personálu, či materiálu. Študenti ošetrovateľstva sú neoddeliteľnou súčasťou ošetrovateľských tímov a vnímajú tento fenomén, ako aj jeho príčiny počas svojej klinickej praxe. Cieľom našej štúdie bolo zistiť, aké sú názory študentov ošetrovateľstva bakalárskeho študijného programu na výskyt nedokončenej ošetrovateľskej starostlivosti počas ich poslednej klinickej praxe. Výskumný súbor tvorilo 49 študentov, ktorí odpovedali na otvorenú otázku v nástroji Unfinished Nursing Care Scale for Nursing Students. Zber údajov prebiehal medzi septembrom a decembrom 2023. Získané údaje boli analyzované pomocou sumatívnej obsahovej analýzy. Na jej základe sme identifikovali štyri nosné kategórie, ktoré reprezentovali príčiny výskytu nedokončenej starostlivosti z perspektívy študentov ošetrovateľstva, a to: Prístup sestier; Prístup lekárov; Manažment a kontrola; Nedostatok personálu. Z výsledkov je zrejmé, že študenti dokážu rozpoznať fenomén nedokončenej ošetrovateľskej starostlivosti, ako aj príčiny, ktoré k nemu vedú. Výsledky, ktoré sme získali, sa vzťahujú najmä k manažmentu zdravotníckych zariadení, v ktorých študenti realizujú klinickú prax. Manažment týchto zariadení by mal prijať potrebné opatrenia s cieľom eliminácie nedokončenej ošetrovateľskej starostlivosti z prostredia klinickej praxe. Ďalšie výskumy by sa mali zameriavať na detailnejšiu analýzu príčin nedokončenej ošetrovateľskej starostlivosti z perspektívy študentov ošetrovateľstva.
Unfinished nursing care represents a common phenomenon in healthcare facilities, primarily due to the influence of systemic factors such as understaffing and material shortages. Nursing students are integral members of nursing teams and perceive this phenomenon, along with its causes, during their clinical practice. Our study aimed to explore the perspectives of bachelor’s degree nursing students on the occurrence of unfinished nursing care during their latest clinical placement. The sample comprised 49 students who responded to an open-ended question in the Unfinished Nursing Care Scale for Nursing Students tool. Data collection took place between September and December 2023. The collected data were analyzed using summative content analysis. Based on this analysis, we identified four main categories representing the causes of unfinished care from the perspective of nursing students: Nurse attitude; Physician attitude; Management and control; Staff shortage. The results indicate that students can recognize the phenomenon of unfinished nursing care and its contributing factors. Our findings primarily relate to the management of healthcare facilities where students undertake clinical placement. Management of these facilities should take necessary measures to eliminate unfinished nursing care from the clinical practice environment. Further research should focus on a more detailed analysis of the causes of unfinished nursing care from the perspective of nursing students.
- Klíčová slova
- nedokončená ošetřovatelská péče,
- MeSH
- chybná zdravotní péče prevence a kontrola MeSH
- hodnocení rizik MeSH
- ochrana zájmů pacientů MeSH
- ošetřovatelská péče normy organizace a řízení MeSH
- průzkumy a dotazníky MeSH
- řízení kvality MeSH
- studenti ošetřovatelství MeSH
- studium ošetřovatelství bakalářské MeSH
Príspevok sa venuje rómskej komunite, demografii, podmienkam na bývanie, jej zdravotnému stavu a prístupe k zdravotným službám, prevencii a problémom, ktorým čelí táto skupina obyvateľstva a zároveň popisuje špecifiká prístupu sestier k tejto komunite.
The article focuses on the Romany community, its demographics, living conditions, its health status and access to health services, prevention and the problems faced by this population group, and also describes the specifics of nurses' approach to this community.
Nurse educators' competence requirements are constantly evolving. Continuous professional development opportunities vary and there are very few programmes that utilize international collaboration. An Erasmus+ funded New Nurse Educator project developed and implemented a 30 ECTS study programme for nurse educator education and continuous professional development. The aim of the current study is to report the evaluation of the utility of the Empowering Nurse Educators in the Changing World (ENEC) study programme. International descriptive multi method study with a pre-test post-test design was conducted. Evaluation of the impact of the programme on the participants utilized five different instruments and participants' learning diaries. Programme participants were nurse educators and nurse educator candidates from six European countries (n = 42). Analyses indicate that the participants' competence increased in all areas measured after the programme, and that their competence is good. Participants highly valued the international collaboration and exchange of experiences and expertise. The evaluation indicates that international nurse educator education programmes are beneficial for both seasoned and aspiring nurse educators. This study provides novel information on the development and enhancement of nurse educator competence. For further development of continuing professional development, it is crucial to support the development of nurse educator education study programmes in Europe.
- MeSH
- kontinuální vzdělávání zdravotních sester * metody organizace a řízení MeSH
- odborná způsobilost statistika a číselné údaje MeSH
- postoj MeSH
- průzkumy a dotazníky MeSH
- statistika jako téma MeSH
- studium ošetřovatelství vysokoškolské * metody organizace a řízení MeSH
- zdravotní sestry MeSH
- Publikační typ
- práce podpořená grantem MeSH
Úvod: Hodnotenie kvality života u pacientov po prekonaní cievnej mozgovej príhody (CMP) je nevyhnutnou súčasťou liečby. Kvalitu života predikujú nielen telesné postihnutie po CMP, ale aj psychosociálny stav pacienta. Cieľom štúdie je zistiť vzťah medzi depresiou, úzkosťou a kvalitou života v akútnej fáze po prekonaní CMP. Metódy: Výskum bol realizovaný ako prierezová deskriptívna štúdia. Výskumnú vzorku tvorilo 79 pacientov po CMP (Mvek = 67,9 ± 12,3). Depresia a úzkosť boli merané prostredníctvom dotazníka Hospital Anxiety and Depression Scale a kvalita života dotazníkom Stroke Specific Quality of Life Scale . Dáta boli analyzované jednoduchou a viacnásobnou lineárnou regresiou. Výsledky: Depresia a úzkosť predikujú celkovú kvalitu života pacientov po CMP štatisticky významne. Fyzický aspekt kvality života a celkovú kvalitu života viac predikuje depresia, naopak psychosociálny aspekt kvality života viac súvisí s úzkosťou pacientov po prekonaní CMP. Vyššia depresia aj úzkosť sa prejavujú v zhoršenej kvalite života, obdobne vo fyzickom aj psychosociálnom aspekte. Závažnú mieru depresie a úzkosti vykazovalo približne 20 % pacientov. Záver: Na kvalitu života pacienta po prekonaní CMP má vplyv nielen jeho funkčný stav, ale aj psychosociálny distres. Včasná diagnostika psychosociálneho distresu by mala byť dôležitou súčasťou starostlivosti a liečby pacientov po CMP.
Introduction: Evaluating quality of life in stroke patients is an essential part of treatment. Quality of life can be predicted not only by the physical disability after a stroke, but also by the patient's psychosocial state. The aim of the present study is to examine the relationship between depression, anxiety, and quality of life in the acute phase after strokes. Methods: A cross-sectional descriptive type of study was carried out. The research sample consisted of 79 patients after a stroke (Mage = 67.9 ± 12.3). Depression and anxiety were measured using the Hospital Anxiety and Depression Scale, and quality of life using the Stroke Specific Quality of Life Scale. Simple and multiple linear regression analyses were used for data analysis. Results: Depression and anxiety predicted overall quality of life in patients after a stroke. The physical aspect of quality of life and overall quality of life were strongly predicted by depression, while the psychosocial aspect of quality of life was strongly related to anxiety in stroke patients. Higher depression and anxiety are manifested in a worsened quality of life, and it is similar in the physical and psychosocial aspects. Approximately 20% of patients had severe depression and anxiety. Conclusions: A patient's quality of life after a stroke is affected not only by their functional condition, but also by psychosocial distress. Early diagnostics of psychosocial distress should be an important part of the care and treatment of stroke patients.
- MeSH
- cévní mozková příhoda * terapie MeSH
- deprese komplikace MeSH
- kvalita života MeSH
- lidé MeSH
- úzkost komplikace MeSH
- Check Tag
- lidé MeSH
V predkladanom príspevku sa zaoberáme problematikou simulácie vo vzdelávaní sestier. Charakterizujeme simuláciu ako inovatívnu metódu vyučovacieho procesu, ktorá otvára priestor aplikovať teoretické vedomosti a praktické zručnosti, rozvíja kritické myslenie študentov a zároveň umožňuje okamžitú spätnú väzbu a reakciu učiteľa. Simulovanie reálnych klinických prípadov zlepšuje vzájomnú komunikáciu a umožňuje nácvik spolupráce v multidisciplinárnom tíme. Popisujeme kreovanie základov simulačného centra. Simulačné centrá sa stávajú v jednotlivých európskych krajinách štandardným nástrojom na poskytovanie kvalitného vzdelávania v zdravotníckych odboroch. Podmienkou vybudovania centra je zabezpečenie moderných simulátorov pacientov s možnosťou voľby zhoršeného stavu zdravia, systému pre nahrávanie nácviku starostlivosti o pacienta a nástrojov na cvičenie s virtuálnymi pacientmi v rámci existujúcich systémov riadenia učenia (LMS). Vytvorenie základov simulačného centra pre zdravotnícke odbory na Fakulte sociálnych vied a zdravotníctva obsahuje bezdrôtové ošetrovateľské simulátory pacienta, systém pre nahrávanie nácviku založeného na simulácii. Realizovanie vzdelávania založeného na zážitkovom učení s využitím simulátorov a systémom nahrávania a zaznamenávania simulácie posúva vzdelávanie sestier vyššie kvalitatívnym smerom, hoci si vyžaduje veľa štúdia a prípravy situácií, scenárov, učebných materiálov a testov zo strany pedagógov.
In the presented contribution, we deal with the issue of simulation in the education of nurses. We characterize the simulation as an innovative method of the teaching process, which opens up the spac e to apply theoretical knowledge and practical skills, develops students' critical thinking, and at the same time enables immediate feedback and the teacher's response. Simulating real clinical cases improves mutual communication and enables practicing cooperation in a multidisciplinary team. We describe the creation of the basics of the simulation center. In individual European countries, simulation centers are becoming a standard tool for providing quality education in the health professions. The condition for building the center is the provision of modern patient simulators with the option of selecting a deteriorated health status, a system for recording patient care training and tools for training with virtual patients within the existing learning management systems (LMS). Creating the foundations of a simulation center for health professions at the Faculty of Social Sciences and Health, includes wireless nursing patient simulators, a system for recording simulation-based training. The realization of education based on experiential learning with the use of simulators and a simulation recording and recording system moves the education of nurses in a higher quality direction, although it requires a lot of study and preparation of situations, scenarios, teaching materials and tests on the part of educators.
BACKGROUND: An appropriate clinical learning environment has been identified as pivotal in nursing undergraduate education and should be planned responsibly. Specifically, night shifts placements have been documented as an important opportunity for developing a full understanding of the nursing profession and the whole process of nursing care. However, night shifts during placement have been reported to be stressful and anxiety-provoking, so their usefulness for nursing students is still debated. OBJECTIVES: To elicit nursing students' perceptions of night shift placement through metaphors, with the aim of discussing the pedagogical and ethical implications. DESIGN: A descriptive qualitative study was performed based on metaphors collected in an international cross-sectional study in 2016. SETTINGS: A network comprising five Bachelor of Nursing Science degrees located in the Czech Republic, Italy, Poland, Portugal, and Slovakia was established. METHODS: A total of 907 out of 1347 eligible nursing students from the five European countries described their learning experience on night shifts using a metaphor. RESULTS: Overall, 288/907 (31.7%) metaphors emerged as being negative-oriented and 137/907 (15.1%) as positive, while the remaining students (482; 53.2%) did not report any metaphors. In all five countries, negative metaphors prevailed: 'Wasting time' (37/288), 'Useless' (32/288) and 'Handyman' (22/288) were the most negative reported metaphors on working a night shift. However, doing a night shift is also perceived as a 'Learning opportunity' (22/137), a 'New experience' (20/137) and an 'Opportunity to socialize with the profession' (14/137) as underlined by the positive metaphors. CONCLUSIONS: Students perceive night shift placements mainly as a negative experience, which has little to do with education. While planning night shift placements, nursing educators should responsibly consider the whole process of education, analysing not only the learning outcomes that should be achieved but also the position of students and their experience as a person. Clinical mentoring can be a key resource in supporting students in transforming their night shift placements' experiences into a more meaningful or worthwhile experience. Moreover, night shifts should be offered to more experienced students, independent in their self-learning processes and capable of managing the limited possibility of interacting with other team members and patients.
- MeSH
- lidé MeSH
- průřezové studie MeSH
- studenti ošetřovatelství * MeSH
- studium ošetřovatelství bakalářské * MeSH
- studium ošetřovatelství * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- Geografické názvy
- Evropa MeSH
- Itálie MeSH
- Portugalsko MeSH
