Aim: The main objective was to determine how hospitalized patients subjectively perceive sleep disturbances. The study also assessed the influence of selected factors (physiological, physical, environmental, and psychological) and clinical and demographic variables on sleep disruption. Design: A multicenter descriptive study. Methods: Conducted in seven Czech hospitals from February to May 2023, the study included 397 patients in general wards. Data were collected using a modified questionnaire on sleep disturbances, and the results were analyzed using non-parametric statistical tests. Results: The sample comprised 193 males (48.6 %) and 204 females (51.4%). Females reported more sleep disturbances than males (p = 0.023). Psychological and physical factors had a greater impact on females. Younger patients reported poorer sleep quality (p = 0.015). Pain was the strongest clinical factor that negatively affected sleep (Ra = 0.730). Environmental factors were the leading cause of sleep disturbance in patients (Ra = 0.836). The variability associated with all the factors studied (environmental, psychological, physiological, and physical) accounted for 97.6% of the total variability in sleep disturbance. Conclusion: Females and younger patients experienced more sleep disturbance. Pain and environmental factors were the primary causes of disrupted sleep. Differences were noted in the factors affecting sleep between genders.
Aim: The aim of the study was to examine the psychometric properties of the Czech version of the Surgical Fear Questionnaire. Design: A cross-sectional study design. STROBE guidelines for reporting observational studies were followed for the study. Methods: The study sample consisted of 332 adult patients from the Czech Republic. The Surgical Fear Questionnaire (SFQ) was used to measure preoperative fear. Cronbach's alpha was calculated to test reliability. The construct validity of the SFQ was tested using exploratory factor analysis. Results: Reliability of the instrument as a whole was confirmed by the high value of the Cronbach alpha coefficient (0.813). Two factors were identified for the Czech version of the SFQ in factor analysis. Conclusion: The Czech version of the Surgical Fear Questionnaire showed good validity and reliability and can be used in research and clinical practice. Further analysis of psychometric properties is needed to confirm these results.
Aim: The aim of this study was to analyze published studies focusing on quality of life (QoL) in patients with non-healing wounds, with particular focus on assessment tools. Design: Type of study – literature review. Methods: Articles focusing on QoL in patients with non-healing wounds were searched for in various electronic databases using relevant terms. The search was limited to articles in English issued between January 2014 and April 2019, in the electronic databases Scopus, PubMed, and CINAHL. Results: In total, 24 studies were found which met the established criteria. Conclusion: Non-healing wounds significantly affect patients' QoL. Research is leading towards the creation of a standardized QoL tool in patients with chronic wounds, which could be included in the wound care standard care protocol. There are many generic and specific tools for evaluating QoL in patients with non-healing wounds, differing in length and complexity. The Wound-QoL was created by comparing and simplifying proven tools, and the follow-up research has proven it to be internally consistent, valid and reliable, and, due to its ease of use, suitable for re-measuring QoL.
Aim: The objective was to determine the psychometric properties of the Czech version of the evaluation tool “Screen for early eating disorder signs” (SEEDS-CZ). Design: Validation study. Methods: The group of respondents consisted of young women aged 15–21 (mean = 17.7). From the total of 230 subjects, 106 had type 1 diabetes and 124 were without disease. Psychometric analysis was implemented with regard to factor analysis and reliability. With respect to reliability, the internal consistency was determined by the Cronbach alpha coefficient. In order to verify the domains of the SEEDS-CZ questionnaire, exploration factor analysis with promax rotation and confirmation factor analysis were used. Convergence validity was assessed by correlation with independent testing of the same or similar areas. Results: On the basis of the exploratory factor analysis, three factors arose in the Czech version. Factor 1 (Body Image) was saturated by seven items, Factor 2 (Feelings) was saturated by seven items, and Factor 3 (Quality of life) was saturated by five items. Contrary to the original version, item 5 was assigned to Factor 1. The correlation between factors was strong. Correlations with the Diabetes Eating Problem Survey – Revised version, the Eating Attitude Test-26, and the Rosenberg scale were significant. The Cronbach alpha coefficient was 0.89 for the tool as a whole. Conclusion: The SEEDS-CZ evaluation tool is conceptually consistent with the original version of the SEEDS. From the psychometric point of view, it is suitable for use, particularly with diabetics.
Aim: The study aimed to identify possible dysphagia in elderly patients with neurological deficits. Design: A cross-sectional study. Methods: A cross-sectional study was carried out using a standardized tool, the Brief Bedside Dysphagia Screening Test-Revised (BBDST-R). The study comprised 141 patients. Data were statistically processed; the sensitivity and specificity of the screening tool were calculated. The level of significance was set at 5%. Results: In the sample, the majority of screening results were positive (67.4%), that is, most patients had possible swallowing disorders. There was a statistically significant difference in the presence of possible dysphagia depending on cognitive functioning. As many as 77% of individuals with cognitive impairment had possible dysphagia. Analysis of the data suggested an increase in the proportion of individuals with possible dysphagia with increasing age. The sensitivity of the screening test with regard to speech pathology assessment was 100% (CI = 89.7–100.0%.). The mean time needed to complete the BBDST-R in one person was 1.3 minutes. Conclusion: For its high sensitivity and short completion time, the BBDST-R is suitable for use in clinical practice to detect possible swallowing disorders in elderly patients with neurological deficits.
- MeSH
- ischemická cévní mozková příhoda komplikace MeSH
- lidé MeSH
- neurodegenerativní nemoci * komplikace MeSH
- ošetřovatelská péče MeSH
- polykání MeSH
- poruchy polykání * diagnóza prevence a kontrola terapie MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- Check Tag
- lidé MeSH
- senioři nad 80 let MeSH
- senioři MeSH
Aim: To find an association between missed nursing care and hospital-acquired infections or other adverse events. Design: A literature review. Methods: The literature review included full texts of articles published in English in 2009–2018 and obtained by searching the following bibliographic databases: PubMed, Bibliographia Medica Čechoslovaca and ProQuest Central. Twenty-six articles were assessed for eligibility, of which nine articles meeting all the criteria were analyzed in detail. Results: The analyzed studies have confirmed that missed nursing care is associated with hospital-acquired infections, with bloodstream infections, urinary tract infections and pneumonia being most frequent. Apart from hospital-acquired infections and missed nursing care, other adverse events were reported such as pressure ulcers, patient falls and medication error; moreover, patient dissatisfaction rose. Lower levels of missed nursing care were associated with a lower incidence of hospital-acquired infections and other adverse events. Conclusion: Tackling the issue of missed nursing care would contribute to a lower incidence of hospital-acquired infections that harm patient health, prolong hospital stays and considerably increase healthcare costs.
Aim: To identify the incidence of workplace violence against nurses in the Czech Republic and Slovakia, its sources, ways of dealing with violence against nurses, the intensity of nurse's psychological problems as a result of their experience of workplace violence. Design: A cross-sectional study. Methods: Workplace Violence in the Health Sector Country Case Study – Questionnaire was used. The sample consisted of 526 nurses from selected healthcare settings in the Czech Republic and Slovakia. Data was collected from June to November 2016. Results: Verbal as well physical violence against nurses is a frequent phenomenon in nurses' workplace in the Czech Republic and Slovakia. We identified statistically significant difference in verbal aggression from patients and higher intensity of nurse's psychological problems as a result of patients' aggression. In both countries, we have found an incomplete problem solution by the management of healthcare facilities. Conclusion: Verbal as well physical violence against nurses is a frequent phenomenon in the workplace of Czech and Slovak nurses. The management of healthcare facilities must establish appropriate procedures to reduce the occurrence of this phenomenon.
Aim: The quantitative study aimed to assess nutritional status of elderly patients with coronary heart disease using two standardized tools. Design: A quantitative study. Methods: Data were obtained with the Mini Nutritional Assessment (MNA) and Malnutrition Universal Screening Tool (MUST). In addition, sociodemographic data were collected and the Barthel Index of Activities of Daily Living was used to assess patients’ functional independence. The sample comprised 103 patients staying on a cardiovascular ward between April and September 2018. Results: Based on assessment with MNA and MUST, malnutrition or the risk of malnutrition was revealed in approximately 37% and 26% of participants, respectively. Comparison of the two tools revealed significant statistical asymmetry between the results (p = 0.028). Full agreement was observed in 75.7% of participants, with a kappa coefficient of 0.44; this may be interpreted as “average” statistically significant agreement (p < 0.001). The study revealed statistically significant relationships between functional independence and nutritional status assessed with both the MNA (p < 0.001) and MUST (p = 0.001). There was also a statistically significant relationship between age and nutritional status assessed with both tools (p = 0.038). Conclusion: Over a third of elderly patients diagnosed with coronary heart disease staying on a cardiovascular ward suffered from malnutrition. Therefore, more attention should be paid to nutritional status of cardiac patients.
Aim:The aim of the cross-sectional study was to assess attitudes of nursing students towards the elderly and to determine whether they are influenced by their age, field, type and current year of study. Design: Cross-sectional study. Methods: The research sample comprised 459 nursing students (nursing assistants, andnursing students on a bachelorʼs and masterʼs degree course). To collect data we used the Koganʼs Attitude towards Old People Scale (KAOP) which is designed to measure attitudes toward the elderly. Good psychometric properties were found in the Czech version of KAOP (Cronbach alpha > 0.7). Results:The attitudes towards the elderly were quite balanced; 55% of nursing students reported a slightly positive attitude and 42 % demonstrated a slightly negative attitude toward the elderly. The highest KAOP score was recorded in students on the master's degree course. A statistically significant difference was found in students' attitudes towards the elderly according to theirlevel of education (p < 0.01) and age (p < 0.05). Conclusion: Nursing education should include programs and interventions focusing on improving attitudes of students towards the elderly and their motivation for working with them.
