Introduction: The ability to self-care is considered essential in heart failure management. One of the valid and reliable instruments that allow the measurement of heart failure self-care behaviour is the European Heart Failure Self-Care Behaviour Scale (EHFScBS-9). Objective: To adapt and assess psychometric properties of the Slovak version of the EHFScBS-9. Methods: In this descriptive validation study, 122 Slovak heart failure patients completed the EHFScBS-9, the Cardiac Self-Efficacy Questionnaire (CSEQ), and Personal Well-being Index (PWI). Item analysis, confirmatory factor analysis (CFA), and convergent and discriminant validity were evaluated. Cronbach's alpha was calculated to assess reliability. Results: The results of CFA confirmed a good fit of the two- respectively three-factor structure of the Slovak EHFScBS-9. Convergent validity was confirmed by positive correlation between the Slovak EHFScBS-9 and the CSEQ. Discriminant validity was supported by poor correlation between EHFScBS-9 and PWI. Cronbach's alpha coefficient for the total EHFScBS-9 instrument of Slovak version was 0.77. Conclusion: The Slovak version of the EHFScBS-9 instrument is valid and reliable to measure self-care behaviour in heart failure patients.

• MeSH
• faktorová analýza statistická MeSH
• lidé středního věku MeSH
• lidé MeSH
• péče o sebe metody   psychologie   MeSH
• průzkumy a dotazníky MeSH
• psychometrie * metody   MeSH
• reprodukovatelnost výsledků MeSH
• senioři MeSH
• srdeční selhání * psychologie   MeSH
• statistika jako téma MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• práce podpořená grantem MeSH
• validační studie MeSH
• Geografické názvy
• Slovenská republika MeSH

• Publikační typ
• úvodníky MeSH

Introduction: Effective coping mechanisms and available support systems are essential to managing the disease and maintaining the mental health of women with breast cancer. It has been found that spirituality and religion can be an important supportive element in coping with cancer and its consequences. Aim: To analyse spiritual and religious (s/r) interventions provided by health care professionals to breast cancer patients, and their relationship to physical health, psychosocial, and spiritual outcomes. Methods: Integrative literature review of systematic literature reviews and/or meta-analysis was chosen. PubMed and Web of Science databases for the period 2013-2023 after entering the keywords "spiritual, religious, existential, positive psychology, mindfulness, interventions, breast cancer, cancer" in English were searched. Results: The review included 13 systematic reviews and/or meta-analyses (SRMA). Effect of mindfulness intervention was most frequently analysed. S/r interventions significantly associated with improvements in spiritual and existential well-being, quality of life and personal well-being, hope, optimism, cognitive functions and reductions of anxiety, depression, hopelessness, stress, and fatigue. Two SRMA found that s/r interventions were associated with improvements in cortisol levels, inflammatory cytokine activity, and lymphocyte function. Conclusion: The analysed studies showed that s/r interventions are associated with improved biological, psychosocial and spiritual outcomes, which supports the application of these interventions in clinical practice.

• MeSH
• komplementární terapie klasifikace   metody   MeSH
• kvalita života MeSH
• lidé MeSH
• náboženství a psychologie MeSH
• nádory prsu * psychologie   terapie   MeSH
• přehledová literatura jako téma MeSH
• psychoterapie metody   MeSH
• spirituální terapie * klasifikace   metody   MeSH
• statistika jako téma MeSH
• ukládání a vyhledávání informací metody   statistika a číselné údaje   MeSH
• všímavost metody   MeSH
• Check Tag
• lidé MeSH
• ženské pohlaví MeSH
• Publikační typ
• přehledy MeSH

• MeSH
• dějiny 20. století MeSH
• dějiny ošetřovatelství * MeSH
• ošetřovatelská péče metody   MeSH
• ošetřovatelství MeSH
• vyučování MeSH
• Check Tag
• dějiny 20. století MeSH
• Publikační typ
• historické články MeSH
• Geografické názvy
• Československo MeSH

Aim: To evaluate the associations between nurse burnout, the hospital patient safety climate, the patient safety grade, and adverse events. Design: Cross-sectional. Methods: 117 nurses completed the Copenhagen Burnout Inventory and the Hospital Survey on patient safety culture. Pearson correlation and linear regression analysis was conducted to assess associations between variables. Results: Higher level of burnout significantly met with lower grade of patient safety, overall perception of patient safety, higher frequency of adverse events recorded, and medication errors. The overall perception of safety was positively related to teamwork within hospital units and non-punitive responses to error. The frequency of recorded events was significantly negatively associated with hospital management support and supervisors' activities, and positively with feedback. Medication errors correlated positively with organizational learning and continuous safety improvement and negatively with staffing. Significant relationships have been identified between management support, non-punitive responses to error, teamwork within hospital units, and selected adverse events. Conclusion: Enhancement of the patient safety climate and nurses' mental health are important patient safety improvements in healthcare organisations.

• Klíčová slova
• adverse events, burnout syndrome, hospital patient safety climate, nursing profession, quality of nursing care,
• MeSH
• bezpečnost pacientů MeSH
• kvalita zdravotní péče MeSH
• lidé MeSH
• profesionální vyhoření MeSH
• zdravotní sestry * psychologie   MeSH
• Check Tag
• lidé MeSH

Úvod: Cievna mozgová príhoda je treťou najčastejšou príčinou hospitalizácie pacientov na Slovensku. Predstavuje vážny sociálny a ekonomický problém, pretože u takmer polovice pacientov ostáva po prekonaní tohto stavu trvalý neurologický deficit. Dizajn: Kvantitatívna prierezová štúdia. Cieľ: Cieľom výskumu bolo posúdiť kvalitu života u pacientov v akútnom štádiu po cievnej mozgovej príhode. Metodika: Dotazník Stroke Impact Scale (SIS 3.0, Škála vplyvu mŕtvice) vyplnilo 80 pacientov s priemerným vekom 69,9 (± 9,49) rokov v období do 28 dní po CMP. Výsledky boli analyzované Mann-Whitneyho U testom a Spearmanovou koreláciou. Výsledky: Priemerné skóre sa v jednotlivých doménach SIS 3.0 pohybovalo od 48,28 (sociálna participácia) po 75,18 (komunikácia) bodov. Celková miera zotavenia bola hodnotená priemerne 54,10 (± 29,19) bodmi. Podľa pohlavia neboli zistené signifikantné rozdiely v doménach SIS, iba v doméne pamäte a myslenie dosiahli horšie skóre ženy (p ≤ 0,05). Vyšší vek signifikantne negatívne koreloval s väčšinou domén (p ≤ 0,05). Potvrdila sa asociácia medzi celkovou mierou zotavenia a všetkými doménami SIS (p ≤ 0,05), okrem domény emócií.

Introduction: Strokes are the third most common cause of hospitalization in Slovakia. This is a serious social and economic problem, because after a stroke almost half of the patients have a persistent neurological deficit. The goal of this research was to assess the quality of life of patients who have had an acute stroke. Design: Quantitative cross-sectional study. Methods: The Stroke Impact Scale (SIS 3.0) was completed by 80 patients, an average age of 69.9 (± 9.49) years within 28 days after a stroke. The results were analyzed by the Mann-Whitney U test and Spearman correlation. Results: The average score for each SIS 3.0 domain ranged from 48.28 (social participation) to 75.18 (communication). The overall recovery rate was estimated at an average of 54.10 (± 29.19) points. There were no significant differences in the SIS domains by gender, and a worse score in the memory and thinking domain was only identified in women (p ≤ 0.05). Older age significantly correlated with most domains (p ≤ 0.05). The association between overall recovery rate and all SIS domains (p ≤ 0.05), except the emotion domain, was confirmed. Conclusions: Assessing the consequences of strokes is important for the effective management of healthcare, psychological and social care, respecting the individual needs of the patient.

• MeSH
• cévní mozková příhoda * MeSH
• kvalita života * MeSH
• lidé MeSH
• průzkumy a dotazníky MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH

• Publikační typ
• úvodníky MeSH

Aim: To assess nurses´ perception of hospital patient safety culture and its impact on perceived patient´ safety degree. Methods: 1 244 nurses participated in a study evaluating the hospital patient safety culture in Slovakia assessed by The Hospital Survey on Patient Safety Culture (HSOPSC). As optimal safety level is considered average percentages of positive responses at the level of 75 % or more. The relationships between variables were tested by Spearman's rho. Linear regression analysis was used to determine the predictors of the patient safety degree. Results: The degree of patient safety was assessed as very good to excellent by 63.3 % of nurses. The highest number of positive responses was observed in the domain of feedback and communication about errors (74 %), the frequency of events reported (73 %) and superior/management expectation (70 %). The lowest number of positive responses was identified in the domain staffing (35 %) and non-punitive response to errors (23 %). The degree of patient safety was significantly negatively affected by the number of events reported, number of weekly working hours and the positively influenced by higher education, and especially by the domains of teamwork, superior/management expectation, management support, staffing etc. These variables explained 44.8 % of the patient safety degree variance. Conclusion: Understanding the impact of the safety culture components on the patient safety and their regular assessment is essential for health institutions in developing strategies to promote a culture of commitment to provide the safest patient care. In the context of nursing care, creating the culture of justice and optimal staffing is needed to improve hospital patient safety in Slovakia.

• MeSH
• bezpečnost pacientů * MeSH
• kvalita zdravotní péče MeSH
• lidé MeSH
• průřezové studie MeSH
• řízení bezpečnosti * MeSH
• řízení nemocnice MeSH
• zdravotní sestry MeSH
• Check Tag
• lidé MeSH

Aim: To outline the purpose and meaning of using simulation methods in education in nursing study program. Background: The transformation of university education is becoming mandatory in medical and paramedical sciences. This transformation is due to the progressive development of health care and medicine informatics, an increase of new knowledge, and advanced diagnostic and therapeutic procedures and well. Methodology: Content analysis of selected studies published in EBSCO databases for the period 2005-2015 and synthesis of collected data. Results: Application of simulation methods (SM) in the learning process in nursing improves cognitive skills of students (knowledge, critical thinking, clinical judgment, and communication skills), psychomotor skills and affective abilities (increased confidence and motivation, improving satisfaction, relieve anxiety) and it has positive impact on outcomes in patients. Conclusion: The groups exposed to simulation demonstrated positive transformation of cognitive and affective abilities and motor skills in clinical practice. Education based on simulations is an effective teaching strategy in nursing.

• MeSH
• klinické kompetence MeSH
• lidé MeSH
• osoby simulující pacienta ve výuce * MeSH
• studium ošetřovatelství * metody   MeSH
• tréninková simulace metody   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• práce podpořená grantem MeSH
• přehledy MeSH

Cieľ: Posúdiť vplyv vybraných demografických (vek, pohlavie), sociálno-ekonomických (rodinný stav, vzdelanie, príjem) a zdravotných faktorov (funkčný stav, úzkosť, depresia) na kvalitu života (QOL) seniorov v košickom regióne. Dizajn: Prierezová štúdia. Metodika: QOL bola posúdená dotazníkom WHOQOL-BREF a WHOQOL-OLD, funkčný stav bol hodnotený Barthelovej testom aktivít denného života (ADLs), úzkosť Beckovým dotazníkom úzkosti a depresia Zungovým seba-hodnotiacim dotazníkom depresie. Vzťahy medzi premennými boli posúdené Pearsonovým korelačným koeficientom, lineárna regresná analýza slúžila na vyhodnotenie prediktorov QOL. Výsledky: Vo vzorke stodva seniorov bola zistená najlepšia QOL v doméne sociálnych vzťahov, smrť a umieranie a blízke vzťahy, najhoršia QOL v doméne fyzické zdravie, sociálne zapojenie a naplnenie. QOL bola u seniorov redukovaná najmä depresiou, polymorbiditou a životom bez partnera. Pozitívny vplyv na väčšinu domén QOL malo udržiavanie nezávislosti v ADLs. Záver: Výsledky indikujú potrebu vytvárania príležitostí pre utváranie a udržiavanie sociálnych kontaktov, realizáciu rôznych aktivít voľného času, zapájanie seniorov do rôznych programov či dobrovoľníckych aktivít. Pre zlepšenie kvality života seniorov je veľmi dôležitý skríning a liečba depresie a úzkosti, ako aj udržiavanie a zlepšovanie sebestačnosti v ADLs.

Aim: To assess the impact of selected demographic (age, sex), socio-economic (marital status, education, income) and health factors (functional status, anxiety, depression) on quality of life (QOL) of seniors in the Košice region. Design: Cross-sectional study. Methods: QOL was assessed by the WHOQOL-BREF and WHOQOL-OLD questionnaires, functional status was assessed by the Barthel test Activities of Daily Living (ADLs), anxiety by the Beck Anxiety Inventory, and depression by the Zung Self-Rating Depression Scale. Relations between variables were assessed by Pearson correlation coefficients. Linear regression analysis was used to evaluate QOL predictors. Results: In a sample of a hundred and two elderly people, the best QOL was found in the domain of social relationships, death and dying, and intimacy. The worst QOL was found in physical health, social participation, and past, present and future activities. QOL was reduced particularly by depression, poly-morbidity, and life without a partner. The maintenance of independence in ADLs had a positive impact on most QOL domains. Conclusion: The results indicate the necessity of creating opportunities for the development and maintenance of social contacts, the involvement of seniors in various leisure activities and in different programs or voluntary activities. The screening for and treatment of depression and anxiety is very important in improving quality of life in older adults, as is maintaining and improving self-care in ADLs.

• Klíčová slova
• WHOQOL-BREF, WHOQOL-OLD,
• MeSH
• činnosti denního života MeSH
• deprese MeSH
• kvalita života * MeSH
• lidé MeSH
• lineární modely MeSH
• průřezové studie MeSH
• průzkumy a dotazníky MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• socioekonomické faktory MeSH
• stárnutí * psychologie   MeSH
• úzkost MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH