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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.
The study focuses on the use of follow-up social services by psychiatric patients following their discharge from a psychiatric hospital. The content solely addresses the issue of client referrals to mental health centres ("MHCs") in the Moravian-Silesian Region after discharge from the Psychiatric Hospital in Opava. The research aims to determine why follow-up social services are underused by individuals discharged from a psychiatric hospital, which factors primarily lead to the unsuccessful follow-up of the patient to an MHC after hospitalisation in a mental health facility, and the main reasons for rehospitalisation of persons with mental health challenges from a community MHC back into a psychiatric hospital. The study is based primarily on information from the internal patient database at the Psychiatric Hospital in Opava for 2023, and on field research in MHCs in the Moravian-Silesian Region - in which interviews with MHC staff and questionnaire surveys with clients of these organisations were conducted. The research survey findings identify gaps in the referring of clients to the MHC, which may include, for example, a client's failure to be within a target group, inadequate health condition, a client's lack of cooperation with the referred MHC, or lack of support of the client's family in the process of service referral. The capacity of mental health centres and regional differences in the availability of these services are also important constraints.
- MeSH
- duševní poruchy epidemiologie MeSH
- hospitalizace statistika a číselné údaje MeSH
- komunitní psychiatrická střediska * statistika a číselné údaje MeSH
- lidé MeSH
- předání pacienta do jiné péče statistika a číselné údaje MeSH
- průzkumy a dotazníky MeSH
- rozhovory jako téma MeSH
- ústavy pro duševně nemocné * statistika a číselné údaje MeSH
- zdravotnický personál MeSH
- Check Tag
- lidé MeSH
Team neurorehabilitation care after a cerebrovascular accident (CVA/ stroke) in acute and inpatient facilities is at a very high level. However, models suitable for subsequent rehabilitation in home environments are less known. A review of the literature published between 2013–2023 was conducted using the PRISMA methodology. The search for relevant articles used three electronic databases, i.e., Web of Science, Scopus, and PubMed. Twenty-three articles were initially selected for review. This study summarizes the physiotherapeutic methods and approaches available to stroke patients undergoing rehabilitation in the home environment. The study also characterizes home rehabilitation programs in terms of content, duration, frequency of visits, availability, and use of self-therapy materials, interactions with the therapist, exercise record keeping, tools used to assess the functional status of stroke patients, and whether or what kind of an interprofessional team was involved in home rehabilitation. The goal of successful community rehabilitation is to have an interprofessional neurorehabilitation program specific to each stroke patient, and a program focused on the patient’s current needs and goals relative to their rehabilitation environment.
Ensuring the correct identification of the patient is key to matching the correct patients with the proper care (e.g. correct administration of medications and treatments), but it is also applied, for example, to monitoring the patient's movement in the hospital environment. This scoping review aims to find out what technologies based on unique patient identifiers are used to identify patients in healthcare facilities to increase patient safety and to identify future research trends. PRISMA-ScR guidelines were used, and the search focused on Web of Science and Scopus citation databases from 2000 to February 2024. Thirty-two papers dealing with patient identification methods from the point of view of person identification were found. The solutions found were built on the technologies (linear or 2D) of barcodes, RFID and NFC tags. None of the patient identification solutions found offer complete accuracy due to the human factor, and each solution targets a different problem context associated with a particular type of health facility. Future research can focus on the combination of multiple technologies, including biometric methods, to improve identification and tools to support decisions about the use of technology in a particular context and health facility (e.g. hospitals, medical nursing homes).
- MeSH
- bezpečnost pacientů MeSH
- identifikace na rádiové frekvenci - prostředky MeSH
- identifikační systémy pacientů * MeSH
- lidé MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
OBJECTIVES: Mental illness affects approximately 1 in 8 people globally, with approximately 15% of adults aged 60 years and older experiencing a mental disorder. With the aging population, there is a growing demand for long-term care. This scoping review focuses on older adults with non-neurocognitive and non-neurodevelopmental mental illnesses (NNNDMIs) in nursing homes, exploring how the care is provided. DESIGN: A scoping review. SETTING AND PARTICIPANTS: The review includes studies addressing care for older adults with NNNDMI in nursing homes. METHOD: The PRISMA-ScR protocol was followed. Four research databases (EBSCO, PubMed, Web of Science, and Scopus) and article bibliographies were used for the literature search. Thematic analysis identified the main themes. RESULTS: From a total of 1948 search results, 13 articles were analyzed to reveal 5 themes: (1) challenges and recommendations in nursing home admission for older adults with mental illness; (2) impact on the quality of the care; (3) need for specialized staff training and competency; (4) contributions to psychiatric and behavioral symptoms; and (5) need for a range of interventions. CONCLUSION AND IMPLICATIONS: Older adults with NNNDMI face barriers during admission to long-term care facilities that highlight concerns about care quality and systemic issues. Behavioral symptoms require specialized mental health support, but access to such services is lacking. Deficiencies in staff education and burnout prevention initiatives further underscore the need for comprehensive reforms to address the unique needs of this overlooked population in long-term care settings.
Goal: To seek and describe current scientific knowledge on the preparedness of medical personnel for an active shooter attack, with the identification of an optimal preparation strategy concerning prevention and potential management of this emergency on the premises of a medical facility. Methods: A scoping study with five phases of methodological steps was applied on the basis of the identified research question. According to the PCC (population, concept, context) format, the research question was divided into individual keywords in selected languages used for the search. Primary studies published between 2000 and December 2023 were included in the selection process. The sources were searched in December 2023 and freely available. Licensed databases EBSCOhost, Cinahl Plus with Full text, Medline, Medline Complete, and Google were used to find relevant studies. We used the "find similar articles" function in many databases. Selected English language keywords were searched using Boolean operators and placeholders. Results: The final analysis included nine studies. As precautions, the authors recommended the development of guidelines and establishment of a system, not only at the national level, but also within individual facilities interconnected with the police, regular training of employees with practical simulation, orientation signs in buildings, communication links for quick information and, last but not least, knowledge of warning behaviour. Conclusion: Healthcare providers should be systematically prepared for an active shooter emergency.
- MeSH
- doškolování MeSH
- lidé MeSH
- masová střelba * MeSH
- metaanalýza jako téma MeSH
- zdravotnická zařízení MeSH
- Check Tag
- lidé MeSH
OBJECTIVES: Many studies draw attention to the negative consequences of the pandemic or lockdown on the well-being and lifestyle of different sections of the population. This study considers whether changes occurred in dietary regime and level of physical activity during three periods - before the pandemic, during the lockdown, and during the present in older Slovak adults. We also investigate whether individual weights changed during the pandemic. METHODS: The study has a cross-sectional design. We collected 436 questionnaires from older adults (60+) living in Slovakia; 277 come from the first phase of online data collection (04/2022-06/2022) in university students of the third age, and 159 from the second phase of offline collection (07/2022-11/2022) in social service facilities. We monitored if there were any changes within the observed periods in the variables of diet regime, physical activity, and BMI. The database has been processed in IBM SPSS Statistics. RESULTS: During the lockdown, the frequency of physical activity decreased (p < 0.001), the quality of movement worsened (p < 0.001), and the time respondents devoted to physical activity during the week decreased (p < 0.001). At present, the variables have increased. Within the dietary regimen, statistically significant changes occurred in appetite and non-alcoholic beverage intake (p = 0.002). However, there were no significant changes in the number of daily meals (p = 0.190), or the amount of alcohol consumed (p = 0.066). The BMI of older men and women did not change after the pandemic (p = 0.519), and it did not differ between men and women either before the pandemic (p = 0.281) or after it (p = 0.449). Also there is no difference between UTA students and social facility living seniors before the pandemic (0.933) and now (0.317). The results showed that even though physical activity significantly decreased during the lockdown, the older adults in our study did not eat more during the lockdown, nor did they gain weight. However, this probably had negative consequences for the quality of their movement. CONCLUSION: It is essential to simultaneously create compensatory measures while implementing future anti-epidemic (or other) measures. They would help maintain the desired amount of physical activity or other healthy habits on an optimal level.
- MeSH
- COVID-19 * epidemiologie prevence a kontrola MeSH
- cvičení * MeSH
- dieta * statistika a číselné údaje MeSH
- index tělesné hmotnosti MeSH
- karanténa MeSH
- lidé středního věku MeSH
- lidé MeSH
- pandemie MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- SARS-CoV-2 MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- tělesná hmotnost MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Slovenská republika MeSH
Úvod: Bezpečnosť pacienta je jednou z hlavných priorít zdravotníckych zariadení na celom svete. Pohľad študentov ošetrovateľstva na bezpečnosť pacienta je nevyhnutný pre plánovanie stratégií na zlepšenie bezpečnosti pacienta a jej kultúry. Vnímanie bezpečnosti pacienta študentmi ošetrovateľstva sa môže líšiť medzi vyučovacími a vzdelávacími postupmi na katedrách ošetrovateľstva, ale závisí aj od klinických skúseností získaných počas klinickej praxe. Cieľ: Zhromaždiť a porovnať existujúce empirické výskumné štúdie o faktoroch ovplyvňujúcich vnímanie bezpečnosti pacienta z pohľadu študentov ošetrovateľstva. Metódy: Vyhľadávanie bolo realizované vo vedeckých databázach PubMed, Scopus a ProQuest vo februári 2023 a bolo limitované na jeden jazyk (angličtina). Výsledkom vyhľadávania bolo 1 703 štúdií. Pri syntéze údajov bola použitá metóda obsahovej analýzy. Výsledky: 36 štúdií bolo relevantných pre tento prehľad. Identifikovaných bolo 23 faktorov, ktoré ovplyvňujú vedomosti, zručnosti a postoje študentov ošetrovateľstva k bezpečnosti pacienta. Opísané boli štyri hlavné skupiny faktorov: Faktory súvisiace s demografickými údajmi; Faktory súvisiace s klinickým prostredím; Faktory súvisiace s akademickým prostredím; Kontextové faktory. Záver: Vnímanie bezpečnosti pacienta študentmi ošetrovateľstva bolo ovplyvnené vzdelávacím a klinickým prostredím. Vo vzťahu k vzdelávaniu je potrebné integrovať tému bezpečnosti pacienta na začiatku štúdia v odbore ošetrovateľstvo a posilniť doterajšie poznatky o nežiaducich udalostiach.
Introduction: Patient safety is one of the main priorities of healthcare facilities worldwide. The perspective of nursing students on patient safety is essential for planning strategies to improve patient safety and its culture. Nursing students' perception of patient safety may differ between teaching and learning practices in nursing faculties, but also depends on the clinical experience gained during clinical placement. Objective: To collate existing empirical research studies on factors influencing the perception of patient safety from the perspective of nursing students. Methods: The search was performed in scientific databases PubMed, Scopus, and ProQuest in February 2023 and was limited to one language (English). The search produced 1,703 studies. The content analysis method was used in data synthesis. Results: 36 studies were considered relevant for the review. 23 factors that affect the knowledge, skills, and attitudes of nursing students towards patient safety were determined. Four main factor groups were described as follows: Factors related to demographic data; Factors related to clinical environment; Factors related to academic environment; Contextual factors. Conclusion: Nursing students' perception of patient safety was influenced by the educational and clinical environment. In relation to education, there is a need to integrate the patient safety subject at the beginning of nursing studies and to strengthen existing knowledge about adverse events.
Background This study examines disparities in the place of death in patients in the United States with diabetes mellitus (DM) using data from the CDC WONDER (Centers for Disease Control and Prevention's Wide-Ranging Online Data for Epidemiologic Research) database covering a 22-year period (1999-2020). Looking at age, gender, ethnicity, and census location, among other variables, the study aims to understand trends and determinants of mortality at home or hospice care compared to mortality at a medical or nursing facilities. Materials and methods An online freely accessible mortality database, CDC WONDER database, was used to collect information regarding DM-related mortality, using the International Classification of Diseases, 11th Revision (ICD-11) code range E10-E14. To investigate patterns in location of death, the research population was split by census regions, racial categories, age groups, and gender. Statistical techniques such as univariate logistic regression and graphical representations were employed. Results Based on a study of 1,674,724 DM-related deaths, medical or nursing facilities recorded higher deaths (1,041,602) compared to home or hospice deaths (572,567). The highest number of deaths in home or hospice setting was recorded for the age group of 75-84 years (146,820), male gender (324,325), Census Region 3 (South) (225,636), and white race (458,690). Among the patients with death at home or a hospice center; the odds were highest for the age group of 55-64 years, male gender, Census Region 4 (West), and American Indian or Alaska Native race. Discussion The results showed a general upward trend in DM patients' deaths at home and in hospice care in the United States. Males, white people, and those in the age group of 75-84 years notably had the highest death rates. Regional differences also came into play, with the South showing the biggest trend in mortality. To better understand the underlying causes of these changes and to increase at-risk groups' access to healthcare facilities, more research is required. Conclusion There is an overall rising trend in home and hospice deaths in the United States for patients with DM, but with a steady dip between the years 2005 and 2010. Patient deaths from DM were categorized by age groups, gender, race, and census regions. The highest mortality trends are exhibited in whites, males, and those aged 75-84 years. Out of the census regions, the South has the highest mortality trend. Further studies could be carried out to determine the reasons for the rising trends in home or hospice deaths in the aforementioned groups and how to provide these groups with better access to healthcare facilities.
- Publikační typ
- časopisecké články MeSH
Cíl: Sekundární analýza zdrojů týkajících se předávání informací při překládání pacienta pomocí komunikačního nástroje SBAR. Metody: Vyhledávání probíhalo s využitím vědeckých databází CINAHL, MEDLINE, PubMed, EBSCO Discovery Service, Google Scholar, Science Direct a ProQuest v období od září 2022 do února 2023. Nalezli jsme 1 262 odborných článků. Po vyhodnocení relevance publikací jsme použili 17 odborných publikací v angličtině. Výsledky: Můžeme konstatovat, že standardizovaný formulář SBAR je účinným nástrojem pro předávání informací při překladu pacienta. Bezpečnost pacientů a kvalita péče se zvyšuje za předpokladu, že zdravotníci jsou dostatečně vyškoleni. Komunikace ohledně přenosu informací ve zdravotnických zařízeních je špatná a kvalita přenášených informací vyžaduje další výzkum a zaměření na konkrétní klinické obory a pracovní pozice ve zdravotnictví. Závěr: Z dostupných výzkumů vyplývá, že není možné zobecnit použití komunikačního nástroje SBAR na všechna klinická pracoviště. Nebyla nalezena jednoznačná shoda, ale přijetí nástroje SBAR je z výsledků výzkumu patrné.
Goal: Secondary analysis of resources related to the transmission of information during the patient transfer using the SBAR communication tool. Methods: The search was carried out using the scientific databases CINAHL, MEDLINE, PubMed, EBSCO Discovery Service, Google Scholar, Science Direct and ProQuest between September 2022 and February 2023. We found 1,262 scientific articles. After evaluating the relevance of the publications, we used 17 expert publications in English. Results: We can conclude that the SBAR standardised form is an effective tool for the transfer of information when translating a patient. Patient safety and quality of care are increased provided that health professionals are adequately trained. Communication regarding the transfer of information in healthcare facilities is poor and the quality of the information transmitted requires further research and a focus on specific clinical disciplines and positions in healthcare. Conclusion: The available research shows it is impossible to generalise the use of the SBAR communication transfer tool to all clinical workplaces. An unequivocal agreement was not found, but accepting the SBAR tool is evident from the research results.
