Chýbajúca ošetrovateľská starostlivosť predstavuje signifikantný problém, ktorý ohrozuje bezpečnosť pacientov. Jej prevalencia, charakter a dôvody výskytu boli v domácich a zahraničných štúdiách opísané najmä u sestier poskytujúcich starostlivosť dospelým pacientom. Cieľom pilotnej štúdie bolo zistiť prevalenciu a charakter chýbajúcej starostlivosti a identifikovať dôvody jej výskytu na pediatrických oddeleniach. Zber údajov prebiehal v období medzi januárom a marcom 2021 prostredníctvom nástroja MISSCARE Survey – Pediatric. Výskumný súbor tvorilo 62 sestier pracujúcich na pediatrických oddeleniach dvoch fakultných nemocníc v Žilinskom kraji na Slovensku. Údaje boli analyzované prostredníctvom deskriptívnej štatistiky v štatistickom programe SPSS 25.0. Až 80,6 % pediatrických sestier nezabezpečilo počas poslednej pracovnej zmeny jednu alebo viac ošetrovateľských aktivít. Priemerný počet nezabezpečených aktivít bol 9,8 na jednu sestru. Najčastejšie nezabezpečované aktivity boli nezávislé, a to edukácia pacienta a jeho rodiny, zapojenie rodičov do starostlivosti o dieťa, starostlivosť o dutinu ústnu a pasívna mobilizácia. Najvýznamnejšími dôvodmi boli vysoký počet pacientov na jednu sestru, nedostatočný počet sestier a neočakávaný nárast novoprijatých pacientov. Výsledky pilotnej štúdie potvrdzujú a zdôrazňujú aktuálnosť a závažnosť fenoménu chýbajúcej starostlivosti v podmienkach Slovenskej republiky. Vyplývajúc z výsledkov je potrebné pokračovať v ďalšom výskume v danej problematike a skúmať nielen dôvody výskytu chýbajúcej starostlivosti, ale aj faktory, ktoré ju ovplyvňujú v prostredí pediatrických oddelení.
Missed nursing care represents a significant problem, jeopardizing patient safety. National and international studies describe its prevalence, pattern, and reasons for occurrence, mainly in nurses providing care to adult patients. The pilot study aimed to investigate the prevalence and pattern of missed care and identify reasons for its occurrence in pediatric care units. Data were collected between January and March 2021 by using the instrument MISSCARE Survey – Pediatric. The sample consisted of 62 nurses working in pediatric care units of two teaching hospitals in the Žilina region in Slovakia. Data were analyzed through descriptive statistics in the statistical program SPSS 25.0. Up to 80.6 % of pediatric nurses missed at least one or more nursing care activities during their last working shift. The average number of missed activities was 9.8 per one nurse. The most frequently missed activities were independent ones such as patient and family education, parents included in child ́s care, mouth care and passive mobilization of the child. The most important reasons were unbalanced patient assignments, an inadequate number of nurses and an unexpected rise in patient volume. Results of the pilot study confirm and highlight the topicality and severity of the missed care phenomenon in the conditions of the Slovak Republic. Based on the results, it is necessary to continue further research within the issue and investigate the reasons for the missed care occurrence and significant factors that influence it in the pediatric care setting.
Aim: To report the development and psychometric testing of the Factors Affecting Patient Aggression Scale (the FAPAS), a new attitude scale constructed to measure nurses' perception of miscellaneous factors in terms of their potential to increase the risk of patient aggression against nurses. Design: A cross-sectional study. Methods: The study was conducted according to the STROBE checklist. Data were collected using the FAPAS between November 2014 and May 2015. Registered nurses (n = 1,220) from nine teaching hospitals across Slovakia were included in the study. Construct validity and reliability of the instrument were tested using SPSS 18.0. Results: Resulting from the factor analysis, a six-factor structure was revealed. Six subscales representing specific groups of factors affecting patient aggression against nurses can be conditioned by Gender aspects, Situations of physical and emotional distress of a patient, Nurse-related factors, Factors of nursing shift organization, Patient-related factors, Factors of the nursing workplace environment. The Cronbach's alpha of the instrument was 0.91, ranging from 0.63 to 0.88 for subscales. Conclusion: Based on psychometric testing in the Slovak sociocultural context, the FAPAS showed acceptable reliability and construct validity and thus is considered a promising instrument for measuring nurses' perception of miscellaneous factors of patient aggression.
- MeSH
- agrese MeSH
- lidé MeSH
- nebezpečné chování MeSH
- pacienti MeSH
- psychometrie metody MeSH
- vztahy mezi ošetřovatelkou a pacientem * MeSH
- zdravotní sestry MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- práce podpořená grantem MeSH
Úvod: Chronický, degeneratívny a progresívny charakter Parkinsonovej choroby (PD) sa odráža v životnej skúsenosti pacientov, pretože má vplyv aj na ich dôstojnosť. Cieľ: Cieľom štúdie bolo zvýšiť porozumenie životnej skúsenosti pacientov s PD v ambulantnej starostlivosti a jej vplyvu na ich dôstojnosť. Metódy: Dizajn štúdie je exploratívny s využitím interpretatívno fenomenologickej analýzy (IPA). Semištruktúrované rozhovory sa uskutočnili s 11 participantmi s PD v období od februára do mája 2018. Rozhovory sa uskutočnili ako individuálne osobné rozhovory, v súkromí bez účasti rodinných príslušníkov podľa protokolu rozhovoru. Analýza údajov sa uskutočnila podľa procesu IPA s použitím programu ATLAS.ti 8.0. Výsledky: Naša štúdia identifikovala päť tém, ktoré odrážajú životnú skúsenosť pacientov s PD v ambulantnej starostlivosti: Ja a môj Parkinson: straty, akceptácia a koping; Potreba zostať sebestačný verzus obava zo závislosti; Ako ma vidia iní: opovrhnutie verzus prijatie; Nedostatok informácií verzus potreba byť informovaný; Nedostatok rešpektu verzus ústretový prístup zdravotníckych pracovníkov. Identifikovali sme ich vplyv na dôstojnosť pacientov, najmä v oblastiach týkajúcich sa autonómie, sebaúcty, vlastnej hodnoty, identity, rešpektu a uznania druhými ľudí. Záver: Pacienti s PD sú denne konfrontovaní s mnohými závažnými zmenami, ktoré výrazne ovplyvňujú ich dôstojnosť. Túto skutočnosť musia zdravotnícki pracovníci poznať a rešpektovať pri poskytovaní starostlivosti orientovanej na pacienta.
Introduction: The chronic, degenerative and progressive character of Parkinson's disease (PD) is reflected in the living experience of patients - and it also has an impact on their dignity. Aim: The aim of the study was to increase the understanding of the lived experience of outpatients with PD and its impact on their dignity. Methods: The study design is explorative using interpretative phenomenological analysis (IPA). Semi-structured interviews were held with 11 participants with PD between February-May 2018. Interviews were conducted as individual face-to-face interviews, in privacy with no involvement of family members according to the interview protocol. Data analysis was performed according to IPA process using the ATLAS.ti 8.0 program. Results: Our study identified five themes that reflect the lived experience of outpatients with PD: Me and my Parkinson's: losses, acceptance and coping; The Need to Remain Self-sufficient versus the Fear of Dependence; How Do Others See Me: Scorn versus Acceptance; Lack of Information versus the Need to Be Informed; Lack of Respect versus the Accommodating Approach of Healthcare Professionals. We discovered their impact on dignity, especially in the areas concerning autonomy, self-esteem, self-worth, identity, respect, and other people's appreciation. Conclusions: Patients with PD are confronted with many serious changes on a daily basis, which significantly influence their dignity. This fact must be known and respected by health care professionals when providing patient-oriented care.
Parkinsonova choroba (PCH) má veľký dopad na pacientovu životnú skúsenosť. Doteraz chýbali literárne prehľady, vrátane systematických, orientovaných na reálnu životnú skúsenosť pacientov s PCH. Cieľom bolo identifikovať, analyzovať, sumarizovať a syntetizovať zistenia z kvalitatívnych štúdií zameraných na životné skúsenosti pacientov s PCH. Realizovali sme kvalitatívnu prehľadovú štúdiu. Pri vyhľadávaní relevantných dokumentov boli použité elektronické databázy na rozhraní EBSCOhost v januári 2018: Academic Search Complete; Health Source: Nursing/Academic Edition and MEDLINE. Na posúdenie metodologickej kvality vyhľadaných štúdií boli použité kritériá CASP (Qualitative Research Checklist). Na syntézu výsledkov vyhľadaných kvalitatívnych štúdií bola zvolená tematická syntéza. Z 241 vyhľadaných dokumentov bolo relevantných 16 kvalitatívnych štúdií. Tematickou syntézou bolo generovaných 6 hlavných tém: Zmenené telo; Rozsah emocionálnej reakcie; Zmena identity, sebaúcty a zmyslu; Limitácie a výzvy v sociálnom živote; Kontrola života a Perspektíva budúcnosti. Prehľad prináša širší pohľad na to, ako pacienti s PCH prežívajú svoj život s týmto ochorením. Zistenia môžu byť užitočné pre zdravotníckych pracovníkov, aby lepšie porozumeli potrebe realizovať na pacienta orientovanú starostlivosť. Naše zistenia môžu byť usmernením pre ďalší kvalitatívny výskum problematiky životných skúseností pacientov s PCH, ako aj pre systematické skúmanie tejto problematiky.
Parkinson's disease (PD) has a major impact on patients' real-life experience. Up to now, there has been a lack of literature reviews, including comprehensive systematic ones oriented on the real life experience of PD patients. The aim was to identify, analyse, summarise and synthesise findings from qualitative studies focused on real-life experiences of PD patients. A qualitative literature review was adopted. Using EBSCOhost interface, the following research databases were searched in January 2018: Academic Search Complete; Health Source: Nursing/Academic Edition and MEDLINE. To appraise the methodological quality of selected studies, the CASP - Qualitative Research Checklist was used. Thematic synthesis was adopted to synthesise qualitative findings. From the 241 records retrieved, 16 studies were relevant to the aim of our review. Six main themes were generated by thematic synthesis: Changing body; Range of emotional responses; Changing identity, self-worth and purpose; Social life limitations and challenges; Life control; and Future perspectives. The review presents a broader perspective on how PD patients experience their life with the disease. The findings may be helpful for healthcare professionals in order to better understand the need to implement individualized patient-centred care. Our findings may be useful to guide further qualitative research on the issue of the life experience of PD patients as well as to conduct systematic review.
Parkinsonova choroba (PCH) má veľký dopad na pacientovu životnú skúsenosť. Doteraz chýbali literárne prehľady, vrátane systematických, orientovaných na reálnu životnú skúsenosť pacientov s PCH. Cieľom bolo identifikovať, analyzovať, sumarizovať a syntetizovať zistenia z kvalitatívnych štúdií zameraných na životné skúsenosti pacientov s PCH. Realizovali sme kvalitatívnu prehľadovú štúdiu. Pri vyhľadávaní relevantných dokumentov boli použité elektronické databázy na rozhraní EBSCOhost v januári 2018: Academic Search Complete; Health Source: Nursing/Academic Edition and MEDLINE. Na posúdenie metodologickej kvality vyhľadaných štúdií boli použité kritériá CASP (Qualitative Research Checklist). Na syntézu výsledkov vyhľadaných kvalitatívnych štúdií bola zvolená tematická syntéza. Z 241 vyhľadaných dokumentov bolo relevantných 16 kvalitatívnych štúdií. Tematickou syntézou bolo generovaných 6 hlavných tém: Zmenené telo; Rozsah emocionálnej reakcie; Zmena identity, sebaúcty a zmyslu; Limitácie a výzvy v sociálnom živote; Kontrola života a Perspektíva budúcnosti. Prehľad prináša širší pohľad na to, ako pacienti s PCH prežívajú svoj život s týmto ochorením. Zistenia môžu byť užitočné pre zdravotníckych pracovníkov, aby lepšie porozumeli potrebe realizovať na pacienta orientovanú starostlivosť. Naše zistenia môžu byť usmernením pre ďalší kvalitatívny výskum problematiky životných skúseností pacientov s PCH, ako aj pre systematické skúmanie tejto problematiky.
Parkinson's disease (PD) has a major impact on patients' real-life experience. Up to now, there has been a lack of literature reviews, including comprehensive systematic ones oriented on the real life experience of PD patients. The aim was to identify, analyse, summarise and synthesise findings from qualitative studies focused on real-life experiences of PD patients. A qualitative literature review was adopted. Using EBSCOhost interface, the following research databases were searched in January 2018: Academic Search Complete; Health Source: Nursing/Academic Edition and MEDLINE. To appraise the methodological quality of selected studies, the CASP - Qualitative Research Checklist was used. Thematic synthesis was adopted to synthesise qualitative findings. From the 241 records retrieved, 16 studies were relevant to the aim of our review. Six main themes were generated by thematic synthesis: Changing body; Range of emotional responses; Changing identity, self-worth and purpose; Social life limitations and challenges; Life control; and Future perspectives. The review presents a broader perspective on how PD patients experience their life with the disease. The findings may be helpful for healthcare professionals in order to better understand the need to implement individualized patient-centred care. Our findings may be useful to guide further qualitative research on the issue of the life experience of PD patients as well as to conduct systematic review.
- NLK Publikační typ
- studie
Aim:The aim of thestudy was to investigate the use and effectiveness of a valid and reliable rating scale for summative clinical evaluation of student performance. Design:Adescriptive cross-sectional study. Methods:The study was carried out attwo Slovak universities in the academic years of 2015 and 2016. The study sample included performance evaluations of 82 students made by different lecturers using the Nursing Student Clinical Performance Evaluation Scale(NSCPES), before thepractical component of their final examinations. The students’ performances were repeatedly evaluated by five lecturers. This evaluation was compared with the grade point for the students’ clinical performance obtained in the practical component of their final examinations. The data were analysedusing descriptive statistics, Pearson’s chi-square test, Cohenʼs Kappa, factor analyses, and the p-value < 0.05 was taken to indicate statistical significance for all comparisons. Results:Significant positive correlations were noted between two evaluations –before the final examinations using the NSCPES rating scale, and standard clinical assessment during the final examinations (r= 0.334; p≤0.01). The value of Cohen's Kappa was very low (0.04) and insignificant (p = 0.32), indicating low agreement between the two evaluations. The Slovak version was not conceptually consistent with the original version. In the Slovak version, two originally independent domains (professionalismand ethical principles) were merged into one variable –responsibility and professionalism. Conclusion:The multidimensional nature of clinical practice necessitates the use of a complex of assessment measures. A validand reliable tool may allow anobjective evaluation of nursing student performance in clinical settings. The Nursing Student Clinical Performance Evaluation Scaleis useful for summative evaluation of student performance, allowing teachers and clinical mentors to rate performance over time, and to note patterns of performance.
- Klíčová slova
- Nursing Student Clinical Performance Evaluation Scale,
- MeSH
- lidé MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- reprodukovatelnost výsledků MeSH
- studenti ošetřovatelství * statistika a číselné údaje MeSH
- studium ošetřovatelství MeSH
- zaměstnanci - hodnocení výkonnosti * metody statistika a číselné údaje MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- práce podpořená grantem MeSH
- Geografické názvy
- Slovenská republika MeSH
Aim: The aim of study was to determine the presence of selected risk factors and the level of the fall risk in hospitalized pediatric patients. Method: A record sheet was used to gather the empirical data, which included risk assessment tool Humpty Dumpty Scale – Inpatient. Sample: The sample consisted of 100 pediatric patients (63 boys, 37 girls) admitted at the Clinic of Children and Adolescents of the University Hospital in Martin at the age of 8 months to 18 years. The average age of the children was 5.6 ± 4.96 years. The fall risk assessment was carried out within 24 hours after the child was admitted to hospital. Results: Of the risk factors for the fall, hospitalized children were: respiratory (54%), gastrointestinal (12 %), neurological (11 %) and psychiatric diseases (7 %), taking laxatives (12 %). Most children (69 %) were hospitalized with a family member. Additional risk factors included: established peripheral venous cannula (66 %), limited mobility (52 %), visual impairment (17 %), altered cognitive function (44 %), baby in the crib (51 %), diagnostic procedure in anesthesia (10 %). The assessment tool Humpty Dumpty Scale – Inpatient average score was at a high risk level of falling (13.65 ± 2.35). High risk of fall (≥ 12 points) was 79 % of children, average fall risk score was 14.5 ± 1.82. Conclusion: The presence of fall risk factors in hospitalized children underline the need to address attention this issue. The use of the assessment tool has identified that most children are at high risk of falling, which could lead to further testing for real-time use under the conditions of our clinical practice. Numerous representation of high-risk children points to the importance of preventative measures.
Aim: The aim of study was to assess the adherence of children with type 1 diabetes to the treatment with an emphasis on insulin application using insulin pen. Method: The method of observation was used to gather empirical data. Observation form contained 15 items (representing individual interventions of insulin application technique) which were monitored directly during administration and were based upon the recommendations on the interventions leading to proper application of insulin by insulin pen. Sample: We observed 45 children with type 1 diabetes at the age of 6-18 years who administered insulin by insulin pen. The study was conducted in the household of children, at the Clinic of Children and Adolescents of the University Hospital in Martin and at the Paediatric Department of the National Endocrinology and Diabetology Institute in Ľubochňa. Results: Adhering to recommendations for proper application of insulin was particularly noticeable in following interventions: choosing the right injection site, adjusting the right insulin dose, injection site disinfection, verification of insulin cartridge. Failure to comply with recommendations for proper application of insulin using insulin pen appeared most frequently in the interventions: applying pressure to the injection site, handwashing prior the application. With regard to adherence, age period 13-18 years was noticed to be a problematic one. In this period, we recorded the lowest percentage of success in performing the interventions while administering insulin. When comparing individual interventions of insulin application in relation to the age, statistically significant differences (p < 0.05) were confirmed in following skills: handwashing prior the application, insulin administration in 90 degree angle, and applying pressure to the injection site. Conclusions: The age and developmental maturity are significant factors that affect not only children’s adherence to the treatment but also their responsibility for insulin application that is closely related to the adherence.
- MeSH
- adherence pacienta * statistika a číselné údaje MeSH
- diabetes mellitus 1. typu * farmakoterapie ošetřování MeSH
- dítě MeSH
- injekční stříkačky MeSH
- inzulin aplikace a dávkování MeSH
- lidé MeSH
- mladiství MeSH
- motorické dovednosti MeSH
- statistika jako téma MeSH
- věkové faktory MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mladiství MeSH
- Publikační typ
- pozorovací studie MeSH
Background: Considering current demographic trends in society, education of seniors has become real needs and a challenge for the field of education and training institutions. Universities of the Third Age (UTA) represent one option for senior education allowing them to study various fields at university level. Within UTA studies, the seniors are interested in studying mainly the issues of health and disease, aging and the social and legal issues. Seniors represent a group of students with specific educational needs. In teaching them it is therefore important to choose teaching methods that take account of developmental changes of the period, contain elements of clearness, and provide the space for communication and activity with the use of previous experiences of seniors. In the framework of elderly education at the UTA at Jessenius Faculty of Medicine in Martin (JFM CU) the simulation methods are also used that bring elements of clarity and attractiveness into the teaching and serve to bridge theoretical education and practical training. Objective: The aim of the study was to determine the UTA senior students’ views on the use of simulation models and simulations in education and to find out what is their satisfaction with the training in the Simulation Center at JFM CU in Martin. Methods: Questionnaire of own construction was used to gather empirical data. The study involved 30 senior students of the third year of studies in the program “Elderly Care”, out of which 25 were women and 5 men. The average age of respondents was 67.3 years (SD 5.6). Results: Within education and training in Simulation Center, the seniors most positively evaluated preparedness, presentation and interpretation of the lecturer (4.96) and the way in which information were administered (4.76). They had the opportunity of hands-on work with the simulation models and practical training of their skills and such experience was evaluated as excellent (4.70). Seniors also acclaimed the opportunity of active discussion with the lecturers and with each other that was also rated to be excellent (4.70). Results of the study proved overall evaluation of teaching and training in the Simulation Center was highly positive (4.80). Conclusions: Using appropriate educational strategies within senior education at UTA at JFM CU in Martin contributes to formation of the proper attitude to the health of the elderly and healthy aging.
- MeSH
- histologie výchova MeSH
- kontinuální vzdělávání organizace a řízení MeSH
- lidé středního věku MeSH
- lidé MeSH
- počítačem řízená výuka metody přístrojové vybavení MeSH
- počítačová simulace * MeSH
- senioři MeSH
- studium lékařství metody MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- senioři MeSH
- Geografické názvy
- Slovenská republika MeSH
Cieľ: Cieľom výskumnej štúdie je identifikovať vybrané ukazovatele psychického zdravia, ako sú zmysel života, prežívanie pohody, nádeje, prítomnosti osamelosti a depresie, u seniorov absolvujúcich univerzitu tretieho veku vo vzťahu k ich pohlaviu, veku. Design: Práca má charakter kvantitatívnej štúdie. Metodika: Výber respondentov bol zámerný. Výskumný súbor tvorilo 147 seniorov s priemerným vekom 67,4 (± 4,9) roka zúčastnených na vzdelávaní na Univerzite tretieho veku Jesseniovej lekárskej fakulty Univerzity Komenského. Zber údajov bol realizovaný pomocou sebaposudzovacích škál – Škály životnej zmysluplnosti, Snyderovej škály nádeje, Škály emocionálnej habituálnej subjektívnej pohody, Škály osamelosti a Geriatrickej škály depresie. Výsledky: Seniori v priemere považovali svoj život za zmysluplný, vyjadrili vysokú mieru prežívania nádeje. Prevažovalo u nich prežívanie pozitívnych emócií nad negatívnymi. Identifikovali sme u nich prítomnosť nízkej miery osamelosti a nezistili sme prítomnosť depresívnej nálady. Medzi súborom žien a mužov sme identifikovali štatisticky významné rozdiely z hodnotených ukazovateľoch psychického zdravia iba pri frekvencii pozitívnych pocitov. Záver: Štúdia poukazuje na prítomnosť salutogénnych faktorov psychického zdravia v súbore seniorov v procese aktívneho starnutia. Výsledky môžu byť východiskom pre implementáciu preventívnych stratégií v klinickej ošetrovateľskej praxi.
Aim: The aim of the research study is to identify the selected indicators of mental health, such as meaning of life, experience of well-being, hope, and feelings of loneliness and depression in the elderly participating in the University of the Third Age, in relation to their age and gender. Design: A quantitative descriptive study. Methods: The selection of respondents was deliberate. The sample consisted of 147 seniors with a mean age of 67.4 (± 4.9) years enrolled at the University of the Third Age at Jessenius Faculty of Medicine, Comenius University. Data were collected by means of self-assessment scales - the Life Meaningfulness Scale, Snyder´s Hope Scale, the Emotional Habitual Subjective Well-being Scale, the Loneliness Scale, and the Geriatric Depression Scale. Results: Seniors considered their life meaningful, and expressed a high level of hope. Their emotions were predominately positive. We identified low levels of loneliness and found no indication of depressed mood. We identified significant differences between men and women in evaluation indicators of mental health only in the frequency of positive emotions. Conclusion: The study indicates the presence of salutogenic factors affecting the mental health of the sample of seniors in the process of active aging. The results could form the basis for implementing preventive strategies in clinical nursing practice.
- Klíčová slova
- univerzita třetího věku,
- MeSH
- deprese MeSH
- duševní zdraví * statistika a číselné údaje MeSH
- kvalita života MeSH
- lidé MeSH
- osamocení MeSH
- průzkumy a dotazníky MeSH
- senioři MeSH
- stárnutí * psychologie MeSH
- univerzity MeSH
- výchova a vzdělávání MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
