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BACKGROUND: Europe continues to have among the highest worldwide prevalence of adult smoking (28%) and the highest among females (19%). Nurses' rates of smoking in the region are comparable or higher than the general female population. Nurses who smoke are less likely to intervene with patients who smoke; therefore, supporting nurses' efforts to quit is critical to promoting nurses' well-being and strengthening the profession's impact on prevention of tobacco-induced diseases. OBJECTIVE: The aim of this study was to explore nurses' perceptions of hospital workplace factors that influence nurses' smoking and quitting behaviors in Central and Eastern Europe. METHODS: Each country had a project director involved in the recruitment of participants and the translation of instruments. Using a moderator guide, focus groups (N = 9) about smoking and quitting were conducted in 5 countries (Czech Republic, Hungary, Romania, Slovakia, Slovenia) among 82 nurses who self-reported as current or former smokers. Recorded transcripts were translated and analyzed using content analysis methods. RESULTS: The majority of nurses were female (94%) and currently smoking (65%). Four major themes were identified that describe workplace factors influencing nurses' smoking behaviors and efforts to quit: (1) taking breaks, (2) effect of smoking on patient interactions, (3) perceived collegial support for quitting, and (4) impact of workplace policies. CONCLUSIONS: Workplace factors influence nurses smoking and quitting behaviors. IMPLICATIONS FOR PRACTICE: Changes in healthcare systems and policies are needed to support nurses' quit efforts. Additional education is needed to ensure that nurses understand issues related to smoking and interactions with patients.

MeSH
dospělí MeSH
kouření psychologie MeSH
lidé středního věku MeSH
lidé MeSH
odvykání kouření psychologie MeSH
personál sesterský nemocniční psychologie statistika a číselné údaje MeSH
postoj zdravotnického personálu * MeSH
pracoviště psychologie MeSH
zjišťování skupinových postojů MeSH
Check Tag
dospělí MeSH
lidé středního věku MeSH
lidé MeSH
mužské pohlaví MeSH
ženské pohlaví MeSH
Publikační typ
časopisecké články MeSH
práce podpořená grantem MeSH
Research Support, N.I.H., Extramural MeSH
Geografické názvy
Evropa MeSH

Článek

Mediánová výplata lékaře v akutní nemocnici: 78 600 korun

Medical tribune. 2020 ; 16 (12) : A5. [pub] 20200707

ISSN 1214-8911
Medvik
Zdroj

MeSH
lékaři hospitalisté ekonomika MeSH
lékařský personál nemocniční statistika a číselné údaje trendy MeSH
lidé MeSH
personál sesterský nemocniční statistika a číselné údaje trendy MeSH
Check Tag
lidé MeSH
Publikační typ
novinové články MeSH

Článek online

Zdravotní péče se musí diferencovat - rozhovor

Svačina, Štěpán, 1952-
Autor Autorita ORCID

Medical tribune. 2020 ; 16 (6) : B2. [pub] 20200414

ISSN 1214-8911
Medvik
Zdroj

MeSH
dostupnost zdravotnických služeb MeSH
personál sesterský nemocniční normy statistika a číselné údaje trendy MeSH
poskytování zdravotní péče * organizace a řízení MeSH
Publikační typ
novinové články MeSH
rozhovory MeSH

Článek

Psychometric testing of perceived implicit rationing of nursing care (PIRNCA)

Journal of advanced nursing. 2020 ; 76 (6) : 1469-1482. [pub] 20200406

J Adv Nurs
ISSN 1365-2648
Medvik
Zdroj

AIMS: To evaluate the psychometric properties of the Perceived Implicit Rationing of Nursing Care (PIRNCA) instrument and to report the prevalence of rationed care at university and faculty hospitals. DESIGN: A cross-sectional study. METHODS: The study was carried out at two university and five faculty hospitals in the Slovak Republic. Participants were 895 Registered Nurses recruited by the purposive sampling method between December 2017-July 2018. Data were collected using the PIRNCA instrument. Construct validity and reliability of the instrument were tested. RESULTS: The prevalence of rationed care at university and faculty hospitals was identified as being 42.1%. Furthermore, 87.6% of nurses reported rationing one or more nursing care activities. Using both statistical methods when evaluating the PIRNCA resulted in the confirmation that the tool is valid and reliable. CONCLUSION: Rationed care is a common phenomenon at university and faculty hospitals. The PIRNCA is a suitable instrument to measure the phenomenon in adult acute care units because of its high reliability and validity. We recommend using the instrument in different contexts, not only for specific conditions that were presented for this study. IMPACT: Rationed care at university and faculty hospitals has never been reported. Psychometric properties of the instrument that measures nurses ́ perception of rationed care have never been evaluated by using different approaches. The most frequently rationed nursing care activities are those that nurses are competent to initiate on the basis of their knowledge and skills - the independent ones. The PIRNCA is a valid and reliable instrument. Hospital management can use the instrument to explore the prevalence of rationed care, followed by the application of prevention strategies. Our findings represent the base for further exploration of rationed care using the PIRNCA.