Aim: The aim of our study was to identify the opinions of nursing students on the content and formal design of the electronic training simulator, which allows the training of cognitive competencies important for the assessment, nursing diagnostics and planning of nursing care. Methods and sample: Based on open-ended questions, 18 bachelor's and master's nursing students expressed their opinions on 2 selected chapters of the electronic simulator. Students' opinions were analyzed and then summarized. Results: Students consider the benefits of the electronic simulator to support education in the diagnostics process, a description of the real clinical problem of the patient in connection with the demonstration of a specific diagnostic algorithm and the planning of individualized nursing care; support for interdisciplinary relationships, critical and clinical thinking; enabling interactive learning. As weaknesses of the content of the simulator, the students mentioned in particular the absence of the number of correct answers that the student has to state in the solution of individual tasks; duplication of some patient data in the case report; reduced comprehensibility of the text due to the use of professional terminology in the text; unattractive trainer design. Conclusion: Based on student's feedback, it can be stated that the electronic teaching simulator can support the development of knowledge of nursing students in the field of nursing diagnostics and planning of specific nursing interventions.
Aim: Evaluation of the quality of life, subjective perception of changes in voice and vocal functions using the objective methods in patients with laryngeal cancer. Methodology: Selective quantitative survey. Data collection was performed using standardized tools (The World Health Organization Quality of Life Questionnaire, Voice Handicap Index) and a self-designed questionnaire. The Real Voice Lab (RVL) system was used to measure the voice field objectively, the subjective patients‘ evaluation of voice was done with Voice handicap Index. The research group consisted of 30 patients with laryngeal cancer, who were at least three months after their treatment and without relapse of the disease. The exclusion criteria were the condition after total laryngectomy. The obtained data were evaluated by descriptive statistics. Results: The quality of life was rated worse in the area of physical health (14.47). On the other hand, the quality of life was higher in the domains of experience (15.19), social relations (14.85) and the environment (15.4), when compared with the population of the given average age. The respondents rated the voice difficulties as moderate (36.3), which matched the results of the objective voice examination (RVL). Conclusion: The quality of life was rated worse in the area of physical health when compared to the Czech population of the given average age. On the other hand, the quality of life was higher in the other domains. The objective examination of the voice corresponded to the subjective evaluation of the voice by patients. In comparison with the height and dynamic parameters of the voice fields of the Czech population, there were minimal differences in the normal volume and the loud volume; the values set for calls were significantly lower for patients. The research investigation created a methodology for objective voice examination performed by a general nurse.
- MeSH
- hlas MeSH
- kvalita hlasu MeSH
- lidé MeSH
- nádory hrtanu * komplikace MeSH
- ošetřovatelská péče MeSH
- poruchy hlasu * klasifikace MeSH
- Check Tag
- lidé MeSH
- Geografické názvy
- Česká republika MeSH
Aim: This study aimed to research the awareness and willingness of laypersons to perform cardiopulmonary resuscitation and use an automated external defibrillator. Methods and sample: In the cross-sectional study, a random sample of 198 people from five municipalities in Slovenia was selected. The self-designed questionnaire was prepared based on a literature review (Cronbach's alpha = 0.911). Results: Most of the respondents had a good level of awareness, but the younger gave more correct responses on questions of cardiopulmonary resuscitation. Also, respondents who had participated in a Basic Life Support course in the last five years were significantly more aware of what was needed and willing to help a person who does not show any signs of life. Conclusion: This study shows that effective public cardiopulmonary resuscitation training programs may increase the awareness of, and readiness to implement cardiopulmonary resuscitation in the general population. Basic life support courses have to be long-term to meet the needs of population. The new questionnaire has high internal consistency and could be used for evaluation of public cardiopulmonary resuscitation training programs.
Aim: To see if there is a statistically significant difference in the assessment of quality of life for Crohn's disease patients found in relapse or remission with the population norm. Methods: The quantitative research investigation was conducted using the general WHOQOL-BREF quality of life questionnaire and the Best Index for evaluating the clinical activity of the disease. The investigation was conducted from March 2017 to August 2019 in 121 Crohn's disease patients monitored in a gastroenterological ambulance or biotherapy center. Results: Based on the test hypothesis, a statistically significant difference in quality of life rating between the population norm and relapse sufferers in all domains of concern except the social relationship domain was confirmed. Furthermore, a statistically significant difference in quality of life assessment between the population norm and patients in remission in the physical health domain, the environment domain and health satisfaction was confirmed. Conclusion: The results showed that the measured values using the general questionnaire were always lower for respondents in relapse than for those in remission. Comparing patients' quality of life in relapse/remission to the population norm shows the smallest difference in quality of life assessment for those in remission. Almost identical results were found in the domain of mental health, social relationships and overall quality of life.
Aim: To describe the process of two final phases of creating a knowledge questionnaire for patients with type 1 diabetes mellitus (DM1T) and type 2 diabetes mellitus (DM2T), which consisted in evaluating the difficulty of its items and its internal consistency. Methods: The last phase of data collection for calculating the difficulty of items and the internal consistency of the questionnaire took place in the period 08–11/2018. From the results obtained from 258 patients (DM2T 226; DM1T 32), the difficulty of the questionnaire items was evaluated by calculating the value of difficulty Q (value 0 = simple item; value 1 = difficult item). The reliability of the created tool was evaluated by calculating the coefficient of internal consistency according to the formula Kuder-Richardson 20 (minimum acceptable value 0.7). Results: The difficulty values of the items ranged from 0.24–0.72. According to generally accepted recommendations, none of the items falls into the area of extremely simple or extremely difficult items. The internal consistency for the individual parts of the questionnaire ranged from 0.70–0.88. Conclusion: The items of the newly created knowledge questionnaire can be evaluated as average difficult based on the calculation of the difficulty from the data obtained from the respondents. All parts of the questionnaire reached a minimum acceptable value of internal consistency. The created questionnaire is verified and suitable for use in Czech-speaking patients.
Objective: To determine the level of knowledge of diabetics II. Type of risk factors for the development of diabetic foot syndrome and determine whether the principles of foot care for the prevention of diabetic foot syndrome in men and women are followed. Methodology: A quantitative survey was conducted using a questionnaire. The questionnaire contained identification information about the respondent and questions focused on knowledge about risk factors and prevention of diabetic foot development. The survey included 101 diabetics II. type over 18 years. The presence of diabetic foot syndrome in the past and present was not a condition. Results: The most frequently mentioned risk factors for the development of diabetic foot syndrome were smoking 76 (75.2%), insufficient foot care 67 (66.3%) and minor leg injuries 56 (55.4%). In the area of adherence to the correct principles of foot care for prevention, a statistically significant difference was found between gender and preventive measures to trim the nails with flushing the edges (p = 0.045), lubricate the feet with moisturizing cream without interdigitation (p = 0.007) and hard skin care by a podiatrist (p = 0.022). These precautions are more respected by women. Conclusion: The survey showed that respondents are not aware of all risk factors and do not follow all the principles for prevention of the syndrome. Furthermore, a statistically significant difference was found between gender and compliance with preventive measures. The results show that more consistent and repeated education of respondents is necessary.
Aim: To review qualitative studies that examine missed and rationed care. Background: The qualitative research of missed and rationed care is limited but offers us a perspective on this multidimensional problem. Methods: The research was conducted between March 2018 and December 2019 using three scientific databases PubMed, Scopus, and Web of Science. We examined 22 full-text qualitative studies using the CASP tool resulting in 16 eligible studies for further analysis. A thematic analysis was used. Results: Five themes were identified in our review - elements of care regularly missed or rationed, main reasons and consequences of missed and rationed care, barriers to report the phenomena and strategies on how to prevent its occurrence. Studies reflected the insight of nursing students, nurse managers, patients and nurses. Conclusion: According to the findings of this review, more focus should be placed on the implications for nursing students, nurse managers and patients, but also for nurses to gain a deeper understanding of the phenomenon of missed and rationed care.
