INTRODUCTION: Patient satisfaction is an important indicator of the quality of care provided. Evaluating women's satisfaction with childbirth is essential to improving obstetric care and ensuring a positive experience for mothers and newborns. The tools used to measure women's satisfaction with childbirth are very heterogeneous and multidimensional. Assessment tools used in practice should be tested and meet characteristics that are consistently validated.The aim is to identify currently available instruments measuring women's satisfaction with childbirth and to evaluate their structure, content and psychometric properties. METHODS: A systematic search for sources was carried out according to the criteria set. For the included studies, psychometric properties were assessed in accordance with the principles of the guideline for completing systematic reviews of patient-reported outcome measures, COSMIN. RESULTS: The review included 31 studies that reported the psychometric properties of six measurement instruments (questionnaires, scales). Content validity, structural validity, internal consistency, reliability and cross-cultural validity were assessed for the included studies. The Childbirth Experience Questionnaire (CEQ/CEQ2) and Birth Satisfaction Scale - Revised (BSS-R) were the most commonly used questionnaires in the studies. CONCLUSIONS: Thorough testing of tools measuring women's satisfaction with childbirth, and adapting them to cultural and social contexts, is still essential. It is crucial that valid and reliable questionnaires are available for midwives in practice, for use in research, to inform clinical practice and for the results to help develop the services offered.
UVOD: Zadovoljstvo bolnikov je pomemben kazalnik kakovosti zagotovljene oskrbe. Ocenjevanje zadovoljstva žensk s porodom je bistveno za izboljšanje porodniške oskrbe in zagotavljanje pozitivne izkušnje za matere in novorojenčke. Orodja za merjenje zadovoljstva žensk s porodom so zelo heterogena in večdimenzionalna. Orodja za ocenjevanje, ki se uporabljajo v praksi, bi morala biti preizkušena in imeti lastnosti, ki se dosledno potrjujejo.Cilj je opredeliti trenutno razpoložljive instrumente za merjenje zadovoljstva žensk s porodom ter oceniti njihovo strukturo, vsebino in psihometrične lastnosti. METODE: Opravljeno je bilo sistematično iskanje virov skladno z določenimi merili. Za vključene študije so bile ocenjene psihometrične lastnosti skladno z načeli smernic za izvajanje sistematičnih pregledov merjenja rezultatov, ki jih sporočajo bolniki COSMIN. REZULTATI: Pregled je zajemal 31 študij, ki so poročale o psihometričnih lastnostih šestih merilnih instrumentov (vprašalniki, lestvice). Za vključene študije so bile ocenjene veljavnost vsebine, strukturna veljavnost, notranja usklajenost, zanesljivost in medkulturna veljavnost. Najpogosteje uporabljena vprašalnika v študijah sta o porodni izkušnji (Childbirth Experience Questionnaire – CEQ/CEQ2) in revidirana lestvica zadovoljstva s porodom (Birth Satisfaction Scale – Revised – BSS-R). ZAKLJUČKI: Temeljito preizkušanje orodij za merjenje zadovoljstva žensk s porodom in njihovo prilagajanje kulturnim in družbenim okoljem je še vedno izjemno pomembno. Ključno je, da so na voljo veljavni in zanesljivi vprašalniki, ki se lahko uporabljajo v babiški praksi, v raziskavah, za podporo klinični praksi in za doseganje rezultatov, ki bodo prispevali k razvoju ponujenih storitev.
- Klíčová slova
- Psychometric properties of assessment tools, Systematic reviews, Women’s satisfaction with birth,
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
BACKGROUND/OBJECTIVE: Hormone receptor (HR) status is one of the key factors in determining the treatment of breast cancer. Previous studies suggested that HR status may change in metastatic tissue. However, available studies focused mainly on primary biopsies and there are only few trials comparing HR status in the primary tumour and the metastasis using material from complete resection. The aim of the study was to determine the frequency of HR alterations in metastatic breast cancer. MATERIALS AND METHODS: The study retrospectively examines a total of 50 patients who underwent brain, lung, or liver metastasectomy for metastatic breast cancer between January 2000 and January 2019. RESULTS: HR conversion was observed in a total of 30 cases (60.0%), while HER-2/neu (human epidermal growth factor receptor 2) discrepancy surprisingly occurred only in one case (2.0%). A change in immunophenotype occurred in 28% of cases. Triple-negativity was more frequent in brain metastases (p = 0.039). CONCLUSIONS: We have confirmed that HR conversion between the primary tumour and its metastases occurs in a significant number of cases, which has important implications for further treatment decisions.
- Klíčová slova
- breast cancer metastases, hormone receptor status, receptor status discrepancy,
- Publikační typ
- časopisecké články MeSH
OBJECTIVES: Patient falls deteriorate patients' functional condition and quality of life, and increase their treatment costs. E-learning is considered an effective way to gain knowledge and competencies for quality and safety in nursing practice. The aim of the study is to evaluate the effectiveness of an e-learning course for nurses in preventing in-patient falls. METHODS: The research design was mixed. In the first phase of the study, a five-year retrospective analysis of 2,280 in-patient falls was performed. Based on the analysis of risk factors for patient falls and group interviews with clinic managers an e-learning course was designed and completed by 250 nurses from five surgical and internal departments. The course's effectiveness was evaluated based on the incidence of patient falls and the consequences of the falls before and after e-learning. RESULTS: At surgical departments, there was a statistically significant decrease in patient fall indices after the implementation of the e-learning course (from 4.4 to 2.6 falls per 1,000 patients; p=0.022). On the contrary, in internal departments, this index increased in the monitored period (from 19.0 to 26.9 falls per 1,000 patients; p=0.001). In all departments, there was a decrease in the incidence of patient injuries caused by falls after the implementation of the e-learning course; in internal medicine, this decrease was statistically significant (from 54.5% to 33.3%; p=0.014). CONCLUSIONS: The study confirmed that e-learning forms of education for healthcare professionals have a positive effect in preventing patient falls.
CILJI: Padci pacientov poslabšajo njihovo funkcijsko stanje in kakovost življenja ter povečajo stroške zdravljenja. E-izobraževanje velja za učinkovit način pridobivanja znanj in kompetenc na področju kakovosti in varnosti zdravstvene nege. Cilj raziskave je oceniti uspešnost e-izobraževanja za medicinske sestre pri preprečevanju padcev hospitaliziranih pacientov. METODE: Raziskava je bila zasnovana kot mešana raziskava. V prvi fazi raziskave je bila opravljena petletna retrospektivna analiza 2.280 padcev hospitaliziranih pacientov. Na podlagi analize dejavnikov tveganja za padce pacientov in skupinskih razgovorov z vodji klinik je bilo zasnovano e-izobraževanje, ki ga je opravilo 250 medicinskih sester iz petih kirurških in internih oddelkov. Uspešnost izobraževanja je bila ocenjena na podlagi pojavnosti padcev pacientov in posledic padcev pred e-izobraževanjem in po njem. REZULTATI: V kirurških oddelkih je bilo ugotovljeno statistično značilno znižanje stopnje padcev pacientov po izvedenem e-izobraževanju (s 4,4 na 2,6 padca na 1.000 pacientov; p = 0,022). Nasprotno se je v internih oddelkih ta stopnja v opazovanem obdobju povišala (z 19,0 na 26,9 padca na 1.000 pacientov; p = 0,001). V vseh oddelkih je bilo ugotovljeno zmanjšanje pojavnosti poškodb pacientov zaradi padcev po izvedenem e-izobraževanju – v internem oddelku je bilo to zmanjšanje statistično značilno (s 54,5 na 33,3 %; p = 0,014). ZAKLJUČKI: Ta raziskava je potrdila, da oblike e-izobraževanja pozitivno vplivajo na zdravstvene delavce pri preprečevanju padcev pacientov.
- Klíčová slova
- e-learning, effectiveness, falls, nurses, patients, prevention,
- Publikační typ
- časopisecké články MeSH
