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Assessment of pain in preschoolers (aged 3-7): A scoping review of existing instruments 学龄前儿童(3-7岁)疼痛评估:对现有仪器的范围审查
IF 0.3 Q4 NURSING Pub Date : 2021-11-11 DOI: 10.32725/kont.2021.048
P. Kašparová, Petra Mandysova
Aim: The aim of this study is to evaluate the available scientific knowledge on the assessment of pain in preschool children (aged 3–7). The information obtained will provide a basis for further research. Methods: The data were collected with the help of keywords by PCC and using Boolean operators that were searched for in scientific electronics databases. The data were collected using keywords that were selected based on a research question and targeted at a specific population, concept and context. Four scientific databases were included: PubMed, ProQuest, OVID, EBSCOhost. Results: A total of 243 articles were identified, plus another 10 records were identified from the reference list of retrieved articles. After analysis, 51 articles were subjected to a critical analysis and 14 studies were selected for final use for the scoping review. Conclusions: A literature review confirmed that the topic of pain assessment in childhood is becoming increasingly important. All the presented pain assessment tools assess pain in different ways, but always with the same goal: to properly assess a child’s pain and then treat it as best as possible. Particularly with young children, it is advisable to include more methods of pain assessment and to assess more aspects of pain to provide them with the right treatment.
目的:本研究的目的是评估学龄前儿童(3-7岁)疼痛评估的现有科学知识。所获得的信息将为进一步研究提供基础。方法:利用PCC关键字和在科学电子数据库中搜索的布尔算子收集数据。数据是使用基于研究问题选择的关键词收集的,这些关键词针对特定人群、概念和背景。包括四个科学数据库:PubMed、ProQuest、OVID、EBSCOhost。结果:共鉴定出243篇文章,另外从检索到的文章的参考列表中鉴定出10条记录。分析后,对51篇文章进行了批判性分析,并选择了14项研究作为范围审查的最终用途。结论:一项文献综述证实,儿童疼痛评估的主题越来越重要。所有提供的疼痛评估工具都以不同的方式评估疼痛,但始终有着相同的目标:正确评估孩子的疼痛,然后尽可能最好地治疗。特别是对于年幼的儿童,建议包括更多的疼痛评估方法,并评估疼痛的更多方面,为他们提供正确的治疗。
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引用次数: 0
Use of SWOT analysis to optimize and reduce the risks of the process of administering drugs by nurses in selected departments of South Bohemian hospitals 运用SWOT分析优化和降低南波希米亚医院选定科室护士用药过程的风险
IF 0.3 Q4 NURSING Pub Date : 2021-11-10 DOI: 10.32725/kont.2021.047
Radka Prokešová, I. Brabcová, V. Tóthová, Hana Hajduchová, I. Chloubová, J. Neugebauer, Jozef Filka, H. Kubešová, E. Klavíková, Květoslava Slabáková, Dana Velimská
Objective: Administering medication is one of the key nursing processes in hospitals. Unfortunately, there are many mistakes in drug administering that arise from human error and interfere with all activities related to drug management. Methods: This qualitative research aimed to analyse the process of administering drugs by nurses at selected South Bohemian hospitals using SWOT analysis and SWOT risk analysis. We studied medication processes in selected South Bohemian hospitals. The research was conducted at selected inpatient departments of these hospitals (surgery, internal medicine, and aftercare department). Top management representatives and a nurse manager also attended. Results: The analysis of the drug administration process provided the basis for creating SWOT analysis and SWOT risk analysis for selected hospitals. We identified key factors influencing the quality of the nurse drug administration process and constructed strategic recommendations for improving this process. The improvements included a transition to comprehensive electronic documentation, connection of the hospital pharmacy system with the hospital information system (HIS), increasing the number of staff members according to the situation of the hospital, higher use of clinical pharmacists, and sharing experience between hospitals. The SWOT risk analysis was also used to identify the risk areas of the studied medication processes. Conclusions: The results of this study include an analysis of the key factors that influence the quality of the drug administration process for nurses using SWOT analysis and SWOT risk analysis. Based on the analyses, we defined recommendations for hospital management to improve and reduce the risks of this process.
目的:用药是医院护理的关键环节之一。不幸的是,在药物管理中有许多错误是由人为错误引起的,并干扰了与药物管理有关的所有活动。方法:采用SWOT分析法和SWOT风险分析法,对选定的南波希米亚医院护士用药过程进行定性研究。我们研究了选定的南波希米亚医院的用药过程。这项研究是在这些医院的选定住院部门(外科、内科和善后部门)进行的。高级管理人员代表和一名护士经理也出席了会议。结果:对药品管理过程的分析为选定医院进行SWOT分析和SWOT风险分析提供了依据。我们确定了影响护士用药过程质量的关键因素,并构建了改进这一过程的战略建议。这些改进包括向全面的电子文档过渡,将医院药房系统与医院信息系统连接起来,根据医院的情况增加工作人员数量,更多地使用临床药剂师,以及在医院之间共享经验。SWOT风险分析也被用于确定所研究的药物过程的风险领域。结论:本研究的结果包括使用SWOT分析和SWOT风险分析来分析影响护士用药过程质量的关键因素。基于这些分析,我们为医院管理制定了建议,以改进和降低这一过程的风险。
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引用次数: 2
Selected aspects of nursing practice related to the usage of evaluation tools for population aged over 60 years 60岁以上人口使用评估工具的护理实践选择方面
IF 0.3 Q4 NURSING Pub Date : 2021-11-05 DOI: 10.32725/kont.2021.044
J. Dolezalová, V. Tóthová, J. Neugebauer
Introduction: The accuracy of evaluation tools is subject to several factors involving nurses. Two of these factors are the level of education and experience. These factors can significantly affect the instrument’s objectivity. In terms of providing quality and specific geriatric care, having objective evaluation tools and applying the results are essential. Objective: The research aimed to determine how nurse education and experience affect the objectivity of evaluation tools. Another aim was to determine how education and experience affected the assessment of selected areas. Methods: The research was conducted using a quantitative survey involving 501 nurses from the South Bohemian Region. The data was obtained using a non-standardized questionnaire that focused explicitly on the use of evaluation tools. Results: The results show that nurses with higher levels of education have more experience in using evaluation tools and consider the tools to be useful and effective. The same was confirmed for nurses who have more nursing experience. Conclusions: Evaluation tools are an essential part of the nursing process, and an emphasis should be placed on learning how to use these tools during nurse training. In the context of geriatric nursing, nurses need special education for the various geriatric specialties. This is also true for the use of geriatric evaluations. In clinical practice, it is necessary to use evaluation tools systematically, logically, and, above all, to implement the results into care plans.
引言:评估工具的准确性取决于涉及护士的几个因素。其中两个因素是教育水平和经验。这些因素会严重影响文书的客观性。就提供高质量和特定的老年护理而言,拥有客观的评估工具并应用结果至关重要。目的:本研究旨在确定护士教育和经验如何影响评估工具的客观性。另一个目的是确定教育和经验如何影响对选定领域的评估。方法:对来自南波希米亚地区的501名护士进行定量调查。数据是使用非标准化问卷获得的,该问卷明确侧重于评估工具的使用。结果:研究结果表明,受过高等教育的护士在使用评估工具方面有更多的经验,并认为这些工具是有用和有效的。有更多护理经验的护士也证实了这一点。结论:评估工具是护理过程的重要组成部分,在护士培训中应重点学习如何使用这些工具。在老年护理的背景下,护士需要接受各种老年专业的特殊教育。老年评估的使用也是如此。在临床实践中,有必要系统地、合乎逻辑地使用评估工具,最重要的是,将结果纳入护理计划。
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引用次数: 0
Psychometric properties of the Polish version of the Quality of Discharge Teaching Scale (QDTS) for postpartum mothers 波兰版产后母亲出院质量教学量表(QDTS)的心理测量特征
IF 0.3 Q4 NURSING Pub Date : 2021-11-04 DOI: 10.32725/kont.2021.046
Małgorzata Nagórska, D. Darmochwal-Kolarz
Introduction: Childbirth is an important event in the life of the family, and at the same time it is a considerable challenge in the light of new responsibilities. Preparation for motherhood is very important for women and it gives them a sense of security and self-confidence. During the stay in the maternity ward, mothers receive a lot of information from the medical staff about self-care after delivery and childcare. The Quality of Discharge Teaching Scale (QDTS) for postpartum mothers is a tool used to assess the quality of women’s health education after delivery. Aim: The aim of the research was to translate and analyze the psychometric properties of the Polish version of the Quality of Discharge Teaching Scale. Methods: The study was conducted from June to October 2017 among 142 adult postpartum women on the day of discharge from the maternity ward of Clinical Provincial Hospital no 2 in Rzeszow, Poland. Cross-sectional study and questionnaire technique were used to collect data. Results: The Cronbach Alpha measure was used to assess the internal consistency of the scale. A Cronbach Alpha value which is greater than 0.7 indicates that the scale has high reliability. Conclusions: The analysis confirms that in Polish conditions the questionnaire has a very high reliability in assessing the quality of health education of mothers after delivery.
分娩是家庭生活中的一件大事,同时,鉴于新的责任,这是一个相当大的挑战。为母亲做准备对女性来说非常重要,它能给她们安全感和自信。在产科病房期间,母亲们从医务人员那里得到了很多关于产后自我护理和育儿的信息。产后母亲出院教学质量量表(QDTS)是一种评估产后妇女健康教育质量的工具。目的:对波兰语版出院教学质量量表的心理测量特征进行翻译和分析。方法:研究于2017年6月至10月在波兰热舒夫第二临床省立医院产房出院当天对142名成年产后妇女进行调查。采用横断面研究和问卷调查法收集资料。结果:采用Cronbach Alpha法评价量表的内部一致性。Cronbach Alpha值大于0.7表明量表具有较高的信度。结论:分析证实,在波兰条件下,问卷在评估产后母亲健康教育质量方面具有非常高的可靠性。
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引用次数: 1
Determinants of postmenopausal osteoporosis 绝经后骨质疏松的决定因素
IF 0.3 Q4 NURSING Pub Date : 2021-10-20 DOI: 10.32725/kont.2021.045
M. Šupínová, Elena Janiczeková, Júlia Jankovičová, Jana Lauková
Introduction: Osteoporosis is generally associated with menopause. Scientific research has shown the existence of several factors involved in decreasing bone density in post-menopausal women. Goal: The aim of the review study is to map in detail the prevalence of osteoporosis in postmenopausal women in the context of postmenopausal age, postmenopausal duration, women’s BMI and selected behavioural factors. Methods: Relevant sources were selected in 2020 using search services and sources in electronic databases (PubMed, BioMed Central, Web of Science). The analytical review was performed using PRISMA and PICO tools. Results and discussion: In analysing the available studies, we found that the most frequently observed significant findings showed a relationship between the prevalence of osteoporosis and age at menopause and the prevalence of osteoporosis and advancing age in postmenopause. Opinions differ on the influence of BMI as a protective or risk factor. Some behavioural factors that are preventable can have a significant effect on bone mineral density in postmenopausal women. The results of several studies suggest an association between the prevalence of osteoporosis and smoking and alcohol consumption. Conclusions: Menopause is a critical period for bone health. The incidence of osteoporosis increases with increasing age of postmenopausal women. As part of prevention, it is recommended to have a suitable type of diet, exposure to sunlight, regular exercise and to stop smoking and drinking alcohol.
骨质疏松症通常与更年期有关。科学研究表明,绝经后妇女骨密度下降有几个因素。目的:回顾研究的目的是在绝经后年龄、绝经后持续时间、女性BMI和选定的行为因素的背景下,详细绘制绝经后妇女骨质疏松症的患病率。方法:通过检索服务和电子数据库(PubMed、BioMed Central、Web of Science)检索2020年的相关文献。使用PRISMA和PICO工具进行分析评价。结果和讨论:在分析现有的研究中,我们发现最常见的重要发现是骨质疏松症的患病率与绝经年龄之间的关系,以及骨质疏松症的患病率与绝经后年龄的增长之间的关系。对于BMI作为保护因素还是风险因素的影响,人们的看法不一。一些可预防的行为因素对绝经后妇女的骨密度有显著影响。几项研究的结果表明,骨质疏松症的患病率与吸烟和饮酒之间存在关联。结论:绝经期是骨骼健康的关键时期。绝经后妇女骨质疏松症的发病率随着年龄的增加而增加。作为预防措施的一部分,建议采取适当的饮食、多晒太阳、经常锻炼、戒烟和戒酒。
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引用次数: 0
Nurses and midwives in Slovakia - important trends and ageing of the nursing workforce 斯洛伐克的护士和助产士——护理人员队伍的重要趋势和老龄化
IF 0.3 Q4 NURSING Pub Date : 2021-10-13 DOI: 10.32725/kont.2021.043
S. Megyesiova
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引用次数: 1
Attachment of vulnerable adolescents in residential facilities in the Czech Republic 捷克共和国居住设施中弱势青少年的依恋
IF 0.3 Q4 NURSING Pub Date : 2021-09-24 DOI: 10.32725/kont.2021.042
P. Doležalová, K. Červenka, V. Vojtová
We are presenting some of the results of a study that examined the prevalence of attachment styles among children with emotional behavioral disorders (EBD) from special educational residential facilities in the Czech Republic. The development of EBD that brought these children into residential facilities was influenced by a variety of factors. One of such risk factors can be an attachment disorder influencing behavior, socialization and resilience. The aim of the research was to determine the prevalence of attachment style, anxiety and avoidance of vulnerable adolescents towards father and mother as possible determinants of behavioral disorders. The research group consisted of 204 respondents aged 15–19 years. The respondents were clients from 15 residential facilities from all over the Czech Republic. We used the ECR-RS self-assessment questionnaire containing 36 items to determine attachment to emotional targets (mother/ father). We processed the data using descriptive statistical procedures using the ANOVA or Spearman coefficient procedure. Findings regarding attachment indicate a high degree of avoidance and anxiety in vulnerable adolescents. In most respondents, an insecure attachment is prevalent. The most represented is preoccupied attachment to the mother in 36%. Only 14% of the examined adolescents formed a secure attachment to the mother. Complex intervention and psychotherapy should focus on alleviating anxiety and avoidance, developing a secure attachment, and enhancing the resilient qualities of vulnerable adolescents.
我们将介绍一项研究的一些结果,该研究调查了来自捷克共和国特殊教育设施的情感行为障碍(EBD)儿童中依恋类型的流行程度。EBD的发展使这些儿童进入了住宅设施,受到多种因素的影响。其中一个风险因素可能是影响行为、社交和恢复能力的依恋障碍。这项研究的目的是确定依恋类型的普遍性,焦虑和逃避脆弱的青少年对父亲和母亲的行为障碍的可能决定因素。研究小组由204名年龄在15-19岁之间的受访者组成。受访者是来自捷克共和国各地15个住宅设施的客户。采用包含36个条目的ECR-RS自评问卷来确定对情感目标(母亲/父亲)的依恋。我们使用描述性统计程序处理数据,使用方差分析或斯皮尔曼系数程序。关于依恋的研究结果表明,脆弱的青少年有高度的回避和焦虑。在大多数受访者中,不安全的依恋很普遍。最具代表性的是对母亲的依恋,占36%。在接受调查的青少年中,只有14%的人对母亲形成了安全的依恋关系。复杂的干预和心理治疗应侧重于减轻焦虑和回避,发展安全的依恋,并提高弱势青少年的适应能力。
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引用次数: 2
Interdisciplinary care of people after a brain stroke 脑卒中患者的跨学科治疗
IF 0.3 Q4 NURSING Pub Date : 2021-09-03 DOI: 10.32725/KONT.2021.037
Lenka Krhutová
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引用次数: 0
Zkušenosti účastníků rekondičních pobytů 参与者在翻修住宿方面的经验
IF 0.3 Q4 NURSING Pub Date : 2021-09-03 DOI: 10.32725/KONT.2021.034
Zuzana Rodová, Petra Sládková, Anna Kuželková
Uvod: Umožnit osobam po ziskanem poskozeni mozku (ABI) navrat do samostatneho života je výzvou pro rehabilitaci. Ve spolupraci s Klinikou rehabilitacniho lekařstvi 1. LF UK a VFN v Praze organizuje obecně prospěsna spolecnost Rehalb týdenni rekondicni pobyty (RC). Jde o cilene odvezeni osob s postiženim z nemocnicniho prostředi do narocnějsich podminek v přirodě, aby se podpořila a povzbudila jejich samostatnost. Cil: Cilem teto studie bylo odhalit a popsat osobni zkusenosti ucastniků rekondicniho pobytu. Metody: Byl použit fenomenologický přistup. Data byla ziskana z 6 hloubkových rozhovorů. Výsledky: RC přinasi vice přiležitosti pro pozměněný potencial (kapacitu) ucastniků. Aktivity provaděne během pobytu jim poskytuji přiležitosti pro snadnějsi opětovne zacleněni do spolecnosti. Významný pokrok byl pozorovan v souvisejicich aspektech. Bylo identifikovano sest temat, ktera zahrnovala několik kategorii: "Dělat vice"; "Uniknuti stereotypům"; "Objevovani skryteho potencialu"; "Hledani nezavislosti"; "Přenos do normalniho života" a "Budovani vztahů". Zavěr: Přirozene, podnětne rehabilitacni prostředi pobytů je považovano za velmi vhodne pro interdisciplinarni stimulaci a trenink nezavislosti klientů s ABI. V tomto ohledu lze RC považovat za důležitou soucast rehabilitacniho procesu u osob s diagnozou ABI.
引言:让人们在遭受脑损伤(ABI)后恢复独立生活是康复的挑战。与康复医学诊所合作1。布拉格的LF UK和VFN组织Rehalb的每周翻新住宿(RC)。将残疾人从医院带到更苛刻的自然条件下,以支持和鼓励他们的独立性是一件困难的事。Cil:本研究的目的是揭示和描述翻修住宿参与者的个人经历。方法:采用现象学方法。数据是从六次深入访谈中提取的。结果:RC为参与者改变潜力(能力)带来了更多机会。在他们逗留期间开展的活动为他们提供了更容易重新融入社会的机会。在相关方面取得了重大进展。确定了第一个主题,其中包括几个类别:“做得更多”;“摆脱陈规定型观念”;“发现隐藏的潜力”;“寻求独立”;“回归正常生活”和“建立关系”结论:自然,刺激康复中心被认为非常适合ABI独立患者的跨学科刺激和培训。在这方面,RC可以被认为是诊断为ABI的患者康复过程的重要来源。
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引用次数: 0
Typologie neformálních pečujících o blízké po cévní mozkové příhodě 中风后亲属非正式护理人员的类型学
IF 0.3 Q4 NURSING Pub Date : 2021-09-03 DOI: 10.32725/KONT.2021.039
Miroslav Paulíček, Lenka Krhutová, Iva Kuzníková, Kamila Vondroušová, I. Tichá, Hana Lukšová, Petra Blahová, Veronika Valoušková, Marcela Dabrowská, Jarmila Kristiníková, Petr Šaloun
Uvod: Studie se opira o výzkum osob pecujicich o blizke po cevni mozkove přihodě mimo veřejne instituce - tzv. neformalnich pecujicich. Jejim cilem bylo vytvořit typologii pecujicich, ktera odraži jejich způsob konstrukce identity, přistup k vlastnim emocim, reflexi a proživani pece, formy komunikace nebo způsoby prace s informacemi. Metody: Výzkum byl veden kvalitativnim přistupem s využitim principů biografickeho výzkumu. Studie vychazi z třiceti polostrukturovaných rozhovorů. Jejich prostřednictvim byly identifikovany oblasti, v nichž pecujici mluvili sami o sobě a jimiž se navzajem odlisuji v proživani sve role pecujiciho. Výzkum byl doplněn o dotaznikove setřeni k doplněni demografických a dalsich dat na stejnem vzorku. Výsledky: Výsledkem studie je typologie, ktera obsahuje pět cistých typů neformalnich pecujicich o blizke po cevni mozkove přihodě: (1) racionalni, (2) sebekonstruujici, (3) depresivni, (4) tradicni a (5) optimistický typ. Diskuse: Výsledky studie jsou diskutovany v kontextech pece obecně a v komparaci s výzkumy zabývajicimi se tim, jak se neformalni pecujici vyrovnavaji se sniženou autonomii, emocemi, genderem nebo jejich přistupem k informovanosti. Zavěr: V ramci uvedených typů se pecujici vyznacuji různosti ovladani svých emoci, rozmanitým vztahem k sobě nebo uvažovanim o budoucnosti. Zařazeni do typů zavisi na velikosti zatěže pecujiciho, době pecovani, možnostech pomoci ci osobnostnim zaměřeni. Tato typologie může být užitecna jak analyticky, tak z hlediska potencialnich intervenci k podpoře informovanosti a sdileni zkusenosti pecujicich.
引言:这项研究是基于对那些在公共机构外的船只附近准备中风的人的研究,即所谓的中风。非正式的烤炉。他们的目标是创造一种窑炉类型,反映他们构建身份的方式、对自己情感的处理方式、对窑炉的反思和体验、沟通形式或信息处理方式。方法:采用传记研究的原则进行研究。这项研究将以30次半结构化访谈为基础。通过它们,确定了窑炉自我表达的领域,以及我在体验自己作为窑炉的角色时相互挤压的领域。这项研究得到了一份问卷的补充,该问卷被取消,以补充同一样本的人口统计和其他数据。结果:该研究的结果是一个类型学,包含五种纯粹类型的靠近大脑动脉的非正式熔炉:(1)理性型,(2)自我建构型,(3)抑郁型,(4)传统型和(5)乐观型。讨论:这项研究的结果是在熔炉的一般背景下进行讨论的,并与关于非正规窑炉如何应对自主性、情绪、性别或信息获取方式降低的研究进行比较。结论:在上述类型的框架内,烤箱的特点是对情绪的控制不同,彼此之间的关系或对未来的思考不同。包括在zavisi类型上的炉负荷大小、烘烤时间、帮助或个人关注的可能性。这种类型学在分析和潜在干预方面都很有用,以促进对窑炉经验的认识和分享。
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引用次数: 0
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