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.

• MeSH
• duševní poruchy terapie   MeSH
• lidé MeSH
• ošetřovatelství v psychiatrii * normy   MeSH
• služby péče o duševní zdraví normy   MeSH
• zdravotnické služby - potřeby a požadavky MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• přehledy MeSH

To provide high-quality and effective cancer care, problems and unmet needs of family members during their relatives' hospitalisation have to be identified as well. The aims were to determine how needs of family members of patients with terminal cancer are met and to analyse factors that influence them. The needs were assessed with the Family Inventory of Needs. Each item (n = 20) represents one need of family members, for which the importance and satisfaction are rated. The study comprised 270 family members of hospitalised advanced cancer patients staying in the University Hospital Ostrava who were receiving palliative care. The family members preferred sufficient basic information and patient comfort. The unmet needs were support of hope (73%) and provision of information (65%). The unmet needs were more frequently identified by women, individuals with lower education, younger persons, unemployed, patients' children and family members of patients with generally unfavourable health status (P < 0.05). There was a correlation between lower quality of life and higher numbers of unmet needs. Targeted interventions aimed at meeting important needs of the family members may improve their quality of life.

• MeSH
• dospělí MeSH
• hospitalizace MeSH
• hospitalizovaní pacienti psychologie   MeSH
• lidé středního věku MeSH
• lidé MeSH
• nádory psychologie   MeSH
• odhad potřeb MeSH
• osobní uspokojení MeSH
• paliativní péče psychologie   MeSH
• průřezové studie MeSH
• rodina psychologie   MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• pozorovací studie MeSH

Background: The availability of various oral contraceptive (OC) pill formulations with different hormone compositions suggests that there is potential to align a particular product with an individual user's needs and preferences. To explore this concept further, a survey was conducted of current users of OCs to define and confirm areas of specific needs, and to gain insight into their views and preferences for OC formulations. Methods: During November and December 2015, women users (n=615) of OCs in five Central and Eastern European countries were surveyed in face-to-face interviews conducted by experienced interviewers. The survey questionnaire comprised 34 questions about the use of and specific needs for OCs. Results: Four basic needs of women taking OCs were identified: reliable contraception, reversibility of contraception, no effect on body weight and safety. Overall, 85% of surveyed women indicated that prevention of pregnancy was the main reason for taking OCs. Weight gain was the side effect of greatest concern with OC use (46% spontaneous answer; 65% aided answer). Independent behavioural segmentation analysis identified four groups - Solved Cycle Problems (46% of participants), Low Hormone Content (22%), Lifestyle (17%) and Beauty (14%) - which characterised the women according to needs and preferences beyond the basic needs of OCs. Each group had unique features and distinct preferences for different formulations of OCs. Conclusions: Aligning product advantages with specific individual needs may enhance users' overall experience with OCs as a contraceptive option.

• Publikační typ
• časopisecké články MeSH

Onkologické onemocnění v dětském věku významně modifikuje potřeby dětí, preference jednotlivých potřeb a rovněž i jejich naplnění. Cílem našeho šetření byla identifikace potřeb onkologicky nemocných dětí včetně jejich saturace/naplnění a vnímání těchto potřeb rodiči dětí s onkologickým onemocněním. Výzkumný soubor byl tvořen 50 dětmi a 70 rodiči, kteří byli hospitalizováni nebo přítomni na ambulanci ve vybraných zdravotnických zařízeních Olomouckého kraje bez uvedení konkretizace daného zařízení, a dále rodiči a dětmi sdružujícími se v nadačním fondu Šance onkoláčkům. Šetření probíhalo formou nestandardizovaného dotazníku, který mapoval biologické, psychosociální i spirituální potřeby. Pro statistické vyhodnocení byl použit mediánový test a dále neparametrické testy – chí-kvadrát test, Fisherův exaktní test a Wilcoxonův pořadový test pro dva výběry. Byly nalezeny nedostatky v identifikaci a saturaci potřeb dětí s onkologickým onemocněním ve všech dílčích oblastech potřeb. Rodiče a děti mají odlišný pohled z hlediska preference i saturace jednotlivých potřeb. Výsledky by měly vést ke zkvalitnění ošetřovatelské péče a především k uspokojování nalezených deficitních potřeb onkologicky nemocných dětí.

Infantile oncological illnesses significantly modify the needs of children, the preference of the individual needs as well as their fulfillment. The aim of our analysis was the identification of the needs of ontological ill children including their saturation/fulfillment and the perception of these needs through the eyes of parents with ontological ill children. The research group consisted of 50 children and 70 parents, who were hospitalized or present at the outpatients’ department in selected health care institutions of the Olomouc region without a concretization of the given facility. In addition, the group consisted of parents and children, who are united in the fond Šance onkoláčkům (Give ontological ill children a chance). The survey was conducted with a non-standardized questionnaire, which mapped the biological, psychosocial and spiritual needs. For the statistical evaluation, we used a median text and paramedic tests – the Chi-squared test, Fischer’s exact test and the Wilcoxon rank text for two selections. In our research, we have found insufficiencies in the identification and saturation of the needs of children with ontological illnesses in all subdomains of needs. The parents and the children have different views from their perspective of preference and saturation of the particular needs. The results should lead to an improvement in the quality of the health care and mainly to the satisfaction of the needs of ontological children, which are according to our research lacking.

• MeSH
• dětská psychologie MeSH
• dítě MeSH
• lidé MeSH
• mladiství MeSH
• nádory * ošetřování   psychologie   MeSH
• neparametrická statistika MeSH
• odhad potřeb * statistika a číselné údaje   MeSH
• poskytování zdravotní péče MeSH
• postoj ke zdraví MeSH
• průzkumy a dotazníky MeSH
• rodiče psychologie   MeSH
• zdravotnické služby - potřeby a požadavky MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mladiství MeSH
• Publikační typ
• práce podpořená grantem MeSH
• srovnávací studie MeSH

Úvod: Vzhledem ke vzrůstajícímu počtu osob trpících nadváhou, obezitou nebo metabolickým syndromem vzrůstá potřeba diagnostiky tělesného složení a stravovacích návyků. Analýza tělesného složení, zejména hodnocení množství a distribuce tělesného tuku u mladých osob, má poměrné značný klinický význam k odhalení poruch výživy. Metodika: U vysokoškolských studentů ve věku od 19–25 let bylo měřeno složení těla pomocí bioimpedančího přístroje (BIA) InBody 370S a probíhalo dotazníkové šetření prostřednictvím odpovědí studentů na standardizované dotazníky Food preference questionnaire for adolescents and adults (FPQ) a Food Choice Questionnaire (FCQ) týkající se faktorů ovlivňujících výběr jídla a preference výběru potravin. Výzkum probíhal v laboratořích Lékařské fakulty Ostravské univerzity od října 2020 do května 2021. Výsledky: Bylo zjištěno, že v normálním rozmezí mělo hmotnost (kg) 107 studentů (81,0 %), index tělesné hmotnosti (BMI) 105 studentů (79,5 %), avšak poměr pasu a boků (WHR) jen 70 studentů (53 %). Nad hranicí normy mělo WHR 59 studentů (44,7 %). U této skupiny studentů bylo vyhodnoceno nejnižší skóre oblíbenosti zeleniny (3,96), masa (včetně ryb) (3,55) a nejvyšší skóre oblíbenosti ovoce (4,65). Ovoce bylo nejvíce preferovanou skupinou potravin u všech studentů (4,6 ± 0,61). Nejvýše hodnoceným faktorem ovlivňujícím volbu jídel bylo „pohodlí“ (3,1 ± 0,55), senzorická přitažlivost (3,1 ± 0,55) a zdraví (3 ± 0,59). Celkem 88 studentů (66,7 %) vybíralo jídlo podle chuti a 57 studentů (43,2 %) s ohledem vlivu jídla na zdraví. Závěr: Prevence vzniku obezity a jejich komorbidit je důležitá v každém věku. U mladistvých, kteří mají sklon k tzv. „westernizaci“ stravování, je vhodné v rámci preventivní prohlídky připomenout důležitost správného stravování a vhodného životního stylu. V případě diagnostikované nadváhy či obezity u mladistvých by praktický lékař měl odkázat pacienta na další specializovaná zdravotnická pracoviště.

Introduction: Due to the growing number of people suffering from overweight, obesity or metabolic syndrome, there is a growing need to diagnose body composition and eating habits. Body composition analysis, especially the assessment of the amount and distribution of body fat in young people, is of relatively considerable clinical importance for the detection of eating disorders. Methods: This research included students aged 19–25, body composition was measured using a bioimpedance device (BIA) InBody 370S and a questionnaire survey was conducted through students answers to standardized questionnaires - Food preference questionnaire for adolescents and adults (FPQ) and Food Choice Questionnaire (FCQ). The research was execuded in the laboratories of Faculty of Medicine of the University of Ostrava from October 2020 to May 2021. Results: It was found normal weight (kg) in 107 students (81.0%), body mass index (BMI) 105 (79.5%) students, but waist to hip ratio (WHR) has in normal range only 70 students (53 %). Above the upper limit WHR was 59 students (44.7%). In this group students (with WHR above upper limit) was evaluated the lowest popularity score in vegetable (3.96) and meat (also fish) (3.55), the highest popularity score in fruits (4.65). Fruit was the most preferred food group of all students (4.6 ± 0.61). The highest rated factor influencing the choice of food was "comfort" (3.1 ± 0.55), sensory attraction (3.1 ± 0.55) and health (3 ± 0.59). Total 88 students (66.7%) selected food to taste and 57 students (43.2%) selected food with regard to the effect of food on health. Conclusion: At any age is prevention of obesity and its comorbidities very important. For adolescents who have a tendency to "westernization" of eating, is appropriate to remind the importance of proper eating and a suitable lifestyle in the preventive examination. When is diagnosed overweight or obesity in adolescents, general practitioner should be this patients refers to other specialized health care facilities.

• MeSH
• dospělí MeSH
• elektrická impedance MeSH
• lidé MeSH
• mladý dospělý MeSH
• obezita prevence a kontrola   MeSH
• preference v jídle MeSH
• průzkumy a dotazníky MeSH
• složení těla MeSH
• stravovací zvyklosti * MeSH
• studenti * MeSH
• univerzity MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mladý dospělý MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• práce podpořená grantem MeSH
• Geografické názvy
• Česká republika MeSH

PURPOSE: Falls are a major and growing health care problem in older adults. A patient portal has the potential to provide older adults with fall-prevention advice to reduce fall-risk. However, to date, the needs and preferences regarding a patient portal in older people who have experienced falls have not been explored. This study assesses content preferences, potential barriers and facilitators with regard to using a patient portal, as perceived by older people who have experienced falls, and explores regional differences between European participants. METHODS: We conducted a survey of older adults attending an outpatient clinic due to a fall or fall-related injury, to explore their content preferences, perceived barriers, and facilitators with respect to a fall-prevention patient portal. Older adults (N = 121, 69.4% female, mean age: 77.9) were recruited from seven European countries. RESULTS: Almost two-thirds of respondents indicated they would use a fall-prevention patient portal. The portal would preferably include information on Fall-Risk-Increasing Drugs (FRIDs), and ways to manage other related/relevant medical conditions. Facilitators included a user-friendly portal, with easily accessible information and physician recommendations to use the portal. The most-commonly-selected barriers were privacy issues and usage fees. A family member's recommendation to use the portal was seemingly more important for Southern and Eastern European participants compared to the other regions. CONCLUSION: The majority of older people with lived falls experience expressed an interest in a fall-prevention patient portal providing personalized treatment advice to prevent further falls. The results will be used to inform the development of a fall-prevention patient portal. The fall-prevention patient portal is intended to be used in addition to a consultation with a physician. Future research is needed to explore how to prevent falls in older patients who are not interested in a fall-prevention patient portal.

• MeSH
• lidé MeSH
• pacientova volba * MeSH
• portál pacienta * MeSH
• průzkumy a dotazníky MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• úrazy pádem * prevence a kontrola   MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Evropa MeSH

Purpose: Health should be a universal phenomenon. However, little is known about the relationship between disability status and health issues - particularly in rural areas. This study looks at health issues of persons with disabilities in Madwaleni, a rural impoverished area in South Africa in 2011, and compares them to persons with no disabilities. Materials and Methods: Standardized questionnaires were used in the survey to assess disability and health status. The sample comprised of 773 individuals - 322 persons with disability and 451 comparisons (without disability) - covering 527 households. Children under the age of five were excluded from the sample. We used purposive sampling. Results and Conclusion: This study found that persons with disabilities have poorer reported health outcomes than persons with no disabilities. There is also an association between disability severity and mental health issues as assessed by the GHQ-12. A significantly higher percentage of persons with disability did not get health care when needed. Persons with disabilities also have less favorable attitudes toward competence of health care workers. This study has shown greater health needs and less satisfaction with services, which strongly indicates insufficient access for persons with disabilities in a rural impoverished are within South Africa. Implications for rehabilitation Persons with disabilities in rural South Africa have poorer reported health outcomes. Persons with disabilities have less favorable attitudes towards competence of health care workers in rural South Africa. Better access to health care for persons with disabilities is needed in rural South Africa.

• MeSH
• dospělí MeSH
• dostupnost zdravotnických služeb * normy   statistika a číselné údaje   MeSH
• duševní zdraví MeSH
• lidé MeSH
• pacientova volba * MeSH
• postižení * psychologie   rehabilitace   statistika a číselné údaje   MeSH
• postoj ke zdraví MeSH
• posuzování pracovní neschopnosti MeSH
• průzkumy a dotazníky MeSH
• venkovské obyvatelstvo statistika a číselné údaje   MeSH
• výsledek terapie MeSH
• zdravotnické služby - potřeby a požadavky * MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Geografické názvy
• Jihoafrická republika MeSH

Cíl. Cooper-Norcross Inventory of Preferences (C-NIP) představuje nejnovější a slibný nástroj určený k měření preferencí klientů ve vztahu k psychoterapii. Psychometrické zhodnocení tohoto nástroje je však zatím sporé a u české verze zcela chybí. Cílem této studie bylo ověřit faktorovu strukturu české verze C-NIP, ověřit invarianci měření a stanovit hraniční skóry. Metody. N = 772 dospělých respondentů vyplnilo C-NIP v online průzkumu. K ověření faktorové struktury a invariance měření mezi pohlavími a napříč různými úrovněmi zkušenosti s psychoterapií byla použita konfirmační faktorový analýza. Výsledky. Původní faktorová struktura nebyla podpořena. Namísto toho byl navržen pětifaktorový model, který vykazoval adekvátní shodu s daty a byl striktně invariantní ve vztahu k pohlaví i úrovni zkušenosti s psychoterapií. Závěr. Českou verzi C-NIP lze považovat za validní a reliabilní nástroj na měření preferencí klientů ve vztahu k psychoterapii. Je zapotřebí replikovat navrženou faktorovou strukturu.

Objective. The Cooper-Norcross Inventory of Preferences (C-NIP) is a new and promising tool for measuring clients’ preferences regarding psychotherapy. However, the psychometric evaluation of this measure is scarce in general and completely missing for the Czech adaptation of the measure. This study aimed to test the Czech version of the C-NIP factor structure, test its measurement invariance, and establish cut points. Methods. N = 772 adults answered the C-NIP in an online survey. Confirmatory and exploratory factor analyses were used to test the factor structure and assess the C-NIP measurement invariance between men and women and across several levels of psychotherapy experience. Results. The original four-factor model was not supported. Instead, a five-factor model was suggested that fit the data adequately and was strictly invariant with respect to gender and levels of experience with psychotherapy. Conclusions. The Czech C-NIP can be considered a valid and reliable measure of clients’ preferences regarding psychotherapy. The replication of the new factor model is needed.

In this paper, we map navigational needs and preferences of patients and visitors to evaluate the appropriateness of a smartphone navigation application in the hospital in contrast to other, more traditional navigational cues. We test the effects of sociodemographic variables (age, gender, education) on wayfinding strategies and preferences of respondents (using chi2 tests). Empirical research is based on the survey among 928 patients/visitors of the Vítkovice Hospital in Ostrava, Czechia. We found a relatively weak association between gender and wayfinding-no major differences between men and women in navigational preferences were found. Age was the most important predictor of wayfinding. Respondents in the over-60-year age group were characteristic of a lower interest in changes of the navigational system and low willingness to use mobile applications for navigation-people between 41 years and 60 years were the biggest supporters of changes. Correspondingly, demand for improvement of navigation (including a mobile application) was positively correlated with educational level.

• MeSH
• dospělí MeSH
• lidé MeSH
• nemocnice MeSH
• podněty MeSH
• prostorová navigace * MeSH
• průzkumy a dotazníky MeSH
• technologie MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH

Teoretická část popisuje pojmy autonomie, heteronomie, závislost a nezávislost ve stáří a jejich vzájemné vztahy. Autorka se zabývá rozdělením potřeb, jejich významem a uspokojováním u osob vyššího věku. Autonomii definuje Pichaud a Thareauová (1998) jako schopnost vést život podle svých vlastních pravidel. Podle tohoto pojetí se význam slova autonomie přibližuje slovu svoboda. Být autonomní ve stáří znamená svobodně se rozhodovat o sobě a o svém způsobu života. Heteronomie je opakem autonomie. Hovoříme-li o heteronomii ve stáří, znamená to, že se senior nemůže svobodně rozhodovat o svém způsobu života a že jeho chování, jednání a rozhodování podléhá kontrole či vedení druhých lidí. Závislost a nezávislost ve stáří souvisí se soběstačností seniora. Soběstačnost je definována jako schopnost postarat se adekvátním způsobem o sebe a svoji domácnost. Soběstačnost má fyzickou, psychickou, sociální a hmotnou složku. V praktické části jsou uvedeny výsledky z dotazníkového šetření, které se týkalo uspokojování potřeb osob vyššího věku v domově důchodců, domu-penzionu a u seniorů žijících ve vlastní domácnosti. Výzkum byl realizován v období od počátku července do poloviny srpna roku 2004 v jihočeském regionu a cílem jeho výzkumu bylo zjistit, zda jsou u klientů seniorů v domově důchodců a domu-penzionu uspokojovány potřeby fyziologické, potřeba bezpečí, sociální potřeby, potřeba autonomie, potřeba seberealizace a rozvoje vlastní činnosti. Bylo rovněž zjišťováno, zda jsou senioři žijící v domácím prostředí nezávislí nebo zda potřebují pomoc druhé osoby.

The theoretical part describes concepts of the autonomy, heteronomy, dependence and independence in old age and relationships between each other. The author deals with the classification of needs, with their importance and satisfying needs of senior. The autonomy is defined by Pichaud and Thareau (1998) as a capability of conducting the live in accordance with one´s own rules. Within this concept, the meaning of the world autonomy is close to the world freedom. To be autonomous in older age means to make free decisions about one´s own style of life. The heteronomy is the concept opposite to the autonomy. If we speak about the heteronomy in old age, this means that a senior cannot make free decisions about his/her style of life and that his/her behaviour and decisions are subjected to a control or management by other people. The dependence and independence in the old age is associated with self-sufficiency of the senior. The self-sufficiency is defined as his/her ability to take adequate care of himself/herself and of his/her household. The self-sufficiency has its physical, psychical, social and material components. In the practical part, there are results of questionnaire examinations, which concern satisfying needs of seniors in an old people´s home or in a boarding house and of those living in their own households. The research was implemented from the beginning of July to the half of August 2004 in the South-Bohemian region and the target of the research was determination, whether physiological requirements, necessary safety, social means, requirements for autonomy, need of self-fulfilment and development of their own activities are satisfied in the old people´s home and in the boarding house. A question was also considered, whether seniors living in home environment are independent of or dependent on the help of the other person.

• MeSH
• chování spotřebitelů statistika a číselné údaje   MeSH
• domovy pro seniory statistika a číselné údaje   MeSH
• lidé MeSH
• osobní autonomie MeSH
• průzkumy a dotazníky využití   MeSH
• senioři nad 80 let fyziologie   psychologie   MeSH
• senioři fyziologie   psychologie   MeSH
• sociální psychologie MeSH
• životní styl MeSH
• Check Tag
• lidé MeSH
• senioři nad 80 let fyziologie   psychologie   MeSH
• senioři fyziologie   psychologie   MeSH