Introduction: There are many scales of assessment and prediction of risk of delirium, but they are little known and rarely used by professionals. Recognition of delirium by nurses continues to be limited. Design: The prospective observational study included 50 consecutive non-intubated patients staying in the ICU for more than 24 hours. Setting: Department of anesthesiology and intensive care medicine (5 beds) of AGEL Hospital in Valašské Meziříčí, between September 2020 and March 2021. Methods: Primary outcome was to compare the presence of delirium in non-intubated ICU patients with two simultaneously used assessment tools: the Neelon and Champagne (NEECHAM) Confusion Scale, and the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). A secondary outcome was to verify the NEECHAM Confusion Scale reliability in the Czech ICU setting. Results: The study found that the incidence rates detected by the CAM-ICU (32%) and NEECHAM Confusion Scale (28%) were comparable. Nearly a third of CAM-ICU-negative patients were found to belong to the mild confusion or at-risk NEECHAM Confusion Scale groups. The internal consistency of the NEECHAM Confusion Scale assessed with Cronbach’s α was 0.703. There was a statistically significant relationship between delirium and two of the studied patient parameters (GCS score and use of antipsychotics). Conclusions: Delirium is common in ICU patients, but it often remains undiagnosed. Various tools have been developed to help identify delirium patients. Their use has been shown to result in better outcomes. Both studied tools (the CAM-ICU and NEECHAM Confusion Scale) appear to be suitable and convenient.
引言：有很多评估和预测谵妄风险的量表，但它们鲜为人知，专业人士也很少使用。护士对谵妄的认识仍然有限。设计：前瞻性观察性研究包括50名连续在ICU停留超过24小时的非插管患者。环境：2020年9月至2021年3月，位于瓦拉斯凯梅齐里奇的AGEL医院麻醉学和重症监护医学科（5张床位）。方法：主要结果是比较两种同时使用的评估工具：Neelon and Champagne（NEECHAM）困惑量表和重症监护室困惑评估方法（CAM-ICU）在非插管ICU患者中是否存在谵妄。次要结果是在捷克ICU环境中验证NEECHAM困惑量表的可靠性。结果：研究发现，CAM-ICU（32%）和NEECHAM困惑量表（28%）检测到的发病率具有可比性。近三分之一的CAM ICU阴性患者属于轻度困惑或NEECAM困惑量表高危组。用Cronbachα评定的NEECHAM困惑量表的内部一致性为0.703。谵妄与两个研究患者参数（GCS评分和抗精神病药物的使用）之间存在统计学上显著的关系。结论：谵妄在重症监护室患者中很常见，但通常仍未得到诊断。已经开发了各种工具来帮助识别谵妄患者。事实证明，使用它们可以带来更好的结果。两种研究工具（CAM-ICU和NEECHAM困惑量表）似乎都是合适和方便的。
{"title":"Comparing the Confusion Assessment Method for the Intensive Care Unit and Neelon and Champagne Confusion Scale for assessing delirium in non-intubated intensive care patients","authors":"Hana Locihová, J. Pelikánová","doi":"10.32725/kont.2022.006","DOIUrl":"https://doi.org/10.32725/kont.2022.006","url":null,"abstract":"Introduction: There are many scales of assessment and prediction of risk of delirium, but they are little known and rarely used by professionals. Recognition of delirium by nurses continues to be limited. Design: The prospective observational study included 50 consecutive non-intubated patients staying in the ICU for more than 24 hours. Setting: Department of anesthesiology and intensive care medicine (5 beds) of AGEL Hospital in Valašské Meziříčí, between September 2020 and March 2021. Methods: Primary outcome was to compare the presence of delirium in non-intubated ICU patients with two simultaneously used assessment tools: the Neelon and Champagne (NEECHAM) Confusion Scale, and the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). A secondary outcome was to verify the NEECHAM Confusion Scale reliability in the Czech ICU setting. Results: The study found that the incidence rates detected by the CAM-ICU (32%) and NEECHAM Confusion Scale (28%) were comparable. Nearly a third of CAM-ICU-negative patients were found to belong to the mild confusion or at-risk NEECHAM Confusion Scale groups. The internal consistency of the NEECHAM Confusion Scale assessed with Cronbach’s α was 0.703. There was a statistically significant relationship between delirium and two of the studied patient parameters (GCS score and use of antipsychotics). Conclusions: Delirium is common in ICU patients, but it often remains undiagnosed. Various tools have been developed to help identify delirium patients. Their use has been shown to result in better outcomes. Both studied tools (the CAM-ICU and NEECHAM Confusion Scale) appear to be suitable and convenient.","PeriodicalId":17818,"journal":{"name":"Kontakt","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49318359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Overweight and obesity fall into the category of diseases of civilization. Being overweight causes other diseases. Excessive weight is often the cause of poor quality of life. Goal: This paper aims to evaluate the relationship between selected health and social aspects and proper nutrition, discover how lifestyle affects BMI, and body composition, especially fatty tissue, identify the relationship between BMI and the quality of life, compare the quality of life of respondents to population norms, and find out whether there are differences between indicators depending on BMI. Methods: We used BMI to evaluate obesity. We mapped the relationship between body weight, body composition, lifestyle, and quality of life. We obtained data using questionnaires. The first questionnaire focused on the respondents’ lifestyles. The WHOQOL-BREF standardized questionnaire was used second. Furthermore, the respondents underwent a body composition analysis using bioimpedance with the InBody 270 device. The research group included 81 women aged 18–41. The sample group was divided into two groups according to BMI values. Results: The average BMI value in the groups of women divided according to BMI was 20.9 kg/m2 (16.7–24.3 kg/m2), the proportion of body fat averaged 24.8% (13.4–37.3%), or 30.8 kg/m2 (25.4–44.8 kg/m2), body fat content averaged 38.9% (29.5–51.9%). In terms of lifestyle, differences arose in the frequency of food consumption and physical activities. When comparing the quality of life with population norms, there were differences in all evaluated domains.
{"title":"The influence of lifestyle on the quality of life and body composition of women at productive age","authors":"S. Šimková, P. Kohout","doi":"10.32725/kont.2022.005","DOIUrl":"https://doi.org/10.32725/kont.2022.005","url":null,"abstract":"Overweight and obesity fall into the category of diseases of civilization. Being overweight causes other diseases. Excessive weight is often the cause of poor quality of life. Goal: This paper aims to evaluate the relationship between selected health and social aspects and proper nutrition, discover how lifestyle affects BMI, and body composition, especially fatty tissue, identify the relationship between BMI and the quality of life, compare the quality of life of respondents to population norms, and find out whether there are differences between indicators depending on BMI. Methods: We used BMI to evaluate obesity. We mapped the relationship between body weight, body composition, lifestyle, and quality of life. We obtained data using questionnaires. The first questionnaire focused on the respondents’ lifestyles. The WHOQOL-BREF standardized questionnaire was used second. Furthermore, the respondents underwent a body composition analysis using bioimpedance with the InBody 270 device. The research group included 81 women aged 18–41. The sample group was divided into two groups according to BMI values. Results: The average BMI value in the groups of women divided according to BMI was 20.9 kg/m2 (16.7–24.3 kg/m2), the proportion of body fat averaged 24.8% (13.4–37.3%), or 30.8 kg/m2 (25.4–44.8 kg/m2), body fat content averaged 38.9% (29.5–51.9%). In terms of lifestyle, differences arose in the frequency of food consumption and physical activities. When comparing the quality of life with population norms, there were differences in all evaluated domains.","PeriodicalId":17818,"journal":{"name":"Kontakt","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41992957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Nurses are on the frontline in all health practice settings, including public health. It is important to prepare nursing students with public health care training to give them the confidence to practice in a public health center. This study aimed to examine the effects of integrated public health care training on the self-confidence and competence of nursing students. Methods: A quasi-experimental study was applied using a pre-test and post-test control group design. To collect data, simple random sampling was taken, involving 114 respondents (intervention group: n = 76; control group: n = 38). The data were compared between the two groups using independent t-test. The outcomes measured were self-confidence and competence. Results: The results revealed that integrated public health care training can effectively improve self-confidence and competence among nursing students. Following the intervention, the intervention group had a significantly higher self-confidence and competence score than the control group (p < 0.001). Conclusions: Integrated public health care training can effectively improve self-confidence and competence among nursing students.
{"title":"Improving nursing student self-confidence and competence through integrated public health care training","authors":"Stefanus Mendes Kiik, Muhammad Saleh Nuwa, Yasinta Betan, Irlin Falde Riti","doi":"10.32725/kont.2022.003","DOIUrl":"https://doi.org/10.32725/kont.2022.003","url":null,"abstract":"Background: Nurses are on the frontline in all health practice settings, including public health. It is important to prepare nursing students with public health care training to give them the confidence to practice in a public health center. This study aimed to examine the effects of integrated public health care training on the self-confidence and competence of nursing students. Methods: A quasi-experimental study was applied using a pre-test and post-test control group design. To collect data, simple random sampling was taken, involving 114 respondents (intervention group: n = 76; control group: n = 38). The data were compared between the two groups using independent t-test. The outcomes measured were self-confidence and competence. Results: The results revealed that integrated public health care training can effectively improve self-confidence and competence among nursing students. Following the intervention, the intervention group had a significantly higher self-confidence and competence score than the control group (p < 0.001). Conclusions: Integrated public health care training can effectively improve self-confidence and competence among nursing students.","PeriodicalId":17818,"journal":{"name":"Kontakt","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42921702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Evaluating quality of life in stroke patients is an essential part of treatment. Quality of life can be predicted not only by the physical disability after a stroke, but also by the patient’s psychosocial state. The aim of the present study is to examine the relationship between depression, anxiety, and quality of life in the acute phase after strokes. Methods: A cross-sectional descriptive type of study was carried out. The research sample consisted of 79 patients after a stroke (Mage = 67.9 ± 12.3). Depression and anxiety were measured using the Hospital Anxiety and Depression Scale, and quality of life using the Stroke Specific Quality of Life Scale. Simple and multiple linear regression analyses were used for data analysis. Results: Depression and anxiety predicted overall quality of life in patients after a stroke. The physical aspect of quality of life and overall quality of life were strongly predicted by depression, while the psychosocial aspect of quality of life was strongly related to anxiety in stroke patients. Higher depression and anxiety are manifested in a worsened quality of life, and it is similar in the physical and psychosocial aspects. Approximately 20% of patients had severe depression and anxiety. Conclusions: A patient’s quality of life after a stroke is affected not only by their functional condition, but also by psychosocial distress. Early diagnostics of psychosocial distress should be an important part of the care and treatment of stroke patients.
{"title":"Depression and anxiety as predictors of quality of life after a stroke","authors":"T. Sollár, K. Dančová, A. Solgajová, M. Romanová","doi":"10.32725/kont.2022.002","DOIUrl":"https://doi.org/10.32725/kont.2022.002","url":null,"abstract":"Introduction: Evaluating quality of life in stroke patients is an essential part of treatment. Quality of life can be predicted not only by the physical disability after a stroke, but also by the patient’s psychosocial state. The aim of the present study is to examine the relationship between depression, anxiety, and quality of life in the acute phase after strokes. Methods: A cross-sectional descriptive type of study was carried out. The research sample consisted of 79 patients after a stroke (Mage = 67.9 ± 12.3). Depression and anxiety were measured using the Hospital Anxiety and Depression Scale, and quality of life using the Stroke Specific Quality of Life Scale. Simple and multiple linear regression analyses were used for data analysis. Results: Depression and anxiety predicted overall quality of life in patients after a stroke. The physical aspect of quality of life and overall quality of life were strongly predicted by depression, while the psychosocial aspect of quality of life was strongly related to anxiety in stroke patients. Higher depression and anxiety are manifested in a worsened quality of life, and it is similar in the physical and psychosocial aspects. Approximately 20% of patients had severe depression and anxiety. Conclusions: A patient’s quality of life after a stroke is affected not only by their functional condition, but also by psychosocial distress. Early diagnostics of psychosocial distress should be an important part of the care and treatment of stroke patients.","PeriodicalId":17818,"journal":{"name":"Kontakt","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47516590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Ferkai, B. Schiszler, Bálint Bánfai, A. Pandur, J. Betlehem, K. Deutsch
Background: The effectiveness of emergency children care and first aid is influenced by several external and internal factors, which often do not receive sufficient attention during treatment. The aim of our research was to assess the factors that influences children’s cooperation in real situations. Methods: Our target group consisted of 80 children (<16 years) who required first aid at Lake Balaton during the summer vacation in 2016. The effect of music, child-friendly equipment and rewards on compliance were observed in contrast to ordinary care. For data collection observation, documentation, Wong–Baker and PSS (Pain Severity Score ) scales were used. For statistical analysis descriptive statistics, χ2-test and Cramer coefficient were applied. Results: The research justified that music did not result in any positive changes in behaviour and did not decrease fear or pain, and that the documentation became more difficult. However, colourful tools and rewards led to significant improvements in the children’s mood (p < 0.001), pain (p = 0.001), and behaviour (p = 0.07). Conclusions: In first aid and professional medical training more emphasis should be placed on childcare specialities, highlighting differences in applied equipment and communication. Child-friendly equipment should be widely available, such as colourful tools and simple gifts, and during treatment greater attention should be paid to creating compliance. Adequate communication could help reduce the amount of analgesic given in children’s emergency care.
{"title":"Opportunities to increase compliance when administering first aid to children","authors":"L. Ferkai, B. Schiszler, Bálint Bánfai, A. Pandur, J. Betlehem, K. Deutsch","doi":"10.32725/kont.2022.001","DOIUrl":"https://doi.org/10.32725/kont.2022.001","url":null,"abstract":"Background: The effectiveness of emergency children care and first aid is influenced by several external and internal factors, which often do not receive sufficient attention during treatment. The aim of our research was to assess the factors that influences children’s cooperation in real situations. Methods: Our target group consisted of 80 children (<16 years) who required first aid at Lake Balaton during the summer vacation in 2016. The effect of music, child-friendly equipment and rewards on compliance were observed in contrast to ordinary care. For data collection observation, documentation, Wong–Baker and PSS (Pain Severity Score ) scales were used. For statistical analysis descriptive statistics, χ2-test and Cramer coefficient were applied. Results: The research justified that music did not result in any positive changes in behaviour and did not decrease fear or pain, and that the documentation became more difficult. However, colourful tools and rewards led to significant improvements in the children’s mood (p < 0.001), pain (p = 0.001), and behaviour (p = 0.07). Conclusions: In first aid and professional medical training more emphasis should be placed on childcare specialities, highlighting differences in applied equipment and communication. Child-friendly equipment should be widely available, such as colourful tools and simple gifts, and during treatment greater attention should be paid to creating compliance. Adequate communication could help reduce the amount of analgesic given in children’s emergency care.","PeriodicalId":17818,"journal":{"name":"Kontakt","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41446113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Bartoníčková, E. Gurková, D. Kalánková, Lenka Mazalová, Romana Bečvářová
Objective: To examine the association between missed nursing care and the work environment in selected pediatric care units in the Czech Republic. Design: A descriptive cross-sectional study. Methods: Data collection was carried out from January to March 2021 using the MISSCARE Survey-Pediatric and Practice Environment Scale – Nursing Work Index instruments. The respondents were pediatric nurses (N = 138) from five care units in the Czech Republic. Results: The most frequently missed nursing care activities were assessing the activities attributes to a caregiver, promoting neuroevolutionary development, or emotional support to the child and/or family. Correlations between missed nursing care and work environment have not been confirmed. However, the relationship between the work environment and perceived staff adequacy was proved. Conclusions: Consistent with other studies, we have confirmed that pediatric nurses missed mainly independent nursing care activities, similar to adult nurses. Likewise, we have proved that the workload associated with an unexpected increase in the number or severity of patients on the care units is one of the most important reasons for the phenomenon. Despite unconfirmed associations between missed nursing care and the work environment, further research should focus on its closer examination in a larger sample of pediatric nurses.
{"title":"Missed nursing care and its association with the work environment of nurses working in pediatrics","authors":"D. Bartoníčková, E. Gurková, D. Kalánková, Lenka Mazalová, Romana Bečvářová","doi":"10.32725/kont.2021.053","DOIUrl":"https://doi.org/10.32725/kont.2021.053","url":null,"abstract":"Objective: To examine the association between missed nursing care and the work environment in selected pediatric care units in the Czech Republic. Design: A descriptive cross-sectional study. Methods: Data collection was carried out from January to March 2021 using the MISSCARE Survey-Pediatric and Practice Environment Scale – Nursing Work Index instruments. The respondents were pediatric nurses (N = 138) from five care units in the Czech Republic. Results: The most frequently missed nursing care activities were assessing the activities attributes to a caregiver, promoting neuroevolutionary development, or emotional support to the child and/or family. Correlations between missed nursing care and work environment have not been confirmed. However, the relationship between the work environment and perceived staff adequacy was proved. Conclusions: Consistent with other studies, we have confirmed that pediatric nurses missed mainly independent nursing care activities, similar to adult nurses. Likewise, we have proved that the workload associated with an unexpected increase in the number or severity of patients on the care units is one of the most important reasons for the phenomenon. Despite unconfirmed associations between missed nursing care and the work environment, further research should focus on its closer examination in a larger sample of pediatric nurses.","PeriodicalId":17818,"journal":{"name":"Kontakt","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47564192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The nursing discipline in the post-pandemic era","authors":"E. Cabrera","doi":"10.32725/kont.2021.052","DOIUrl":"https://doi.org/10.32725/kont.2021.052","url":null,"abstract":"","PeriodicalId":17818,"journal":{"name":"Kontakt","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49185386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ira Rahmawati, Ade Dilaruri, Rosmalinda Rosmalinda, L. Palupi, Esti Widiani
Background: The presence of family during resuscitation attempts provides moral and religious support for the patient. It also strengthens the relationship between the family and the health care team, as well as the patients. However, the implementation of this practice remains unclear. Purpose: This study aimed to explore the nurses’ perception and their self-confidence in relation to family presence during resuscitation in Indonesia, in order to adapt the Indonesian version of the Family Presence Risk-Benefit Scale and Family Presence Self-Confidence Scale tools. Methods: The study was cross-sectional, using the Indonesian version of the Family Presence Risk-Benefit Scale and Family Presence SelfConfidence Scale tools. Results: 174 nurses working in the intensive care/intensive cardiac care unit and emergency room at a tertiary referral hospital in Riau Province of Indonesia completed the questionnaire, including the opinion-based questions. Our respondents had neither positive nor negative perceptions of family presence during resuscitation (mean score 3.37; SD 1.00). The Pearson r correlation test showed that nurses who perceived more benefits of this practice are more confident when it comes to implementing it (r = 0.618; P-value 0.000). We found that the only demographic factor determining the nurses’ attitudes toward family-witnessed resuscitation was the number of times they had been involved in a resuscitation scenario. Conclusions: A high self-confidence score in implementing family-witnessed resuscitation was found among our respondents. In fact, most of them had invited family members to witness the resuscitation attempt. However, the nurses had a neutral attitude toward family presence during resuscitation. This study also suggests that nurses will likely support this practice when other doctors also support it.
{"title":"Factors associated with nurses' perceptions and self-confidence in relation to family presence during resuscitation: a cross-sectional study in Indonesia","authors":"Ira Rahmawati, Ade Dilaruri, Rosmalinda Rosmalinda, L. Palupi, Esti Widiani","doi":"10.32725/kont.2021.050","DOIUrl":"https://doi.org/10.32725/kont.2021.050","url":null,"abstract":"Background: The presence of family during resuscitation attempts provides moral and religious support for the patient. It also strengthens the relationship between the family and the health care team, as well as the patients. However, the implementation of this practice remains unclear. Purpose: This study aimed to explore the nurses’ perception and their self-confidence in relation to family presence during resuscitation in Indonesia, in order to adapt the Indonesian version of the Family Presence Risk-Benefit Scale and Family Presence Self-Confidence Scale tools. Methods: The study was cross-sectional, using the Indonesian version of the Family Presence Risk-Benefit Scale and Family Presence SelfConfidence Scale tools. Results: 174 nurses working in the intensive care/intensive cardiac care unit and emergency room at a tertiary referral hospital in Riau Province of Indonesia completed the questionnaire, including the opinion-based questions. Our respondents had neither positive nor negative perceptions of family presence during resuscitation (mean score 3.37; SD 1.00). The Pearson r correlation test showed that nurses who perceived more benefits of this practice are more confident when it comes to implementing it (r = 0.618; P-value 0.000). We found that the only demographic factor determining the nurses’ attitudes toward family-witnessed resuscitation was the number of times they had been involved in a resuscitation scenario. Conclusions: A high self-confidence score in implementing family-witnessed resuscitation was found among our respondents. In fact, most of them had invited family members to witness the resuscitation attempt. However, the nurses had a neutral attitude toward family presence during resuscitation. This study also suggests that nurses will likely support this practice when other doctors also support it.","PeriodicalId":17818,"journal":{"name":"Kontakt","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45582340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Prosen, Boštjan Žvanut, Patrik Pucer, A. P. Mivšek, Petra Petročnik, J. Tuomi
Introduction: Preconception care practices include physical activity, which is identified as an important indicator of behavioural preconception health. A scoping review was conducted to examine the association between physical activity in preconception health and its long-term effects on the later life of the offspring. Methods: The literature was searched in databases CINAHL, ScienceDirect and PubMed, using keywords determined by the study objective. In total, 755 published manuscripts were identified. Two additional manuscripts were identified through manual searching. A total of 17 manuscripts was selected for the final analysis. The data were extracted and summarized using thematic analysis. Results: The selected studies were summarized in two categories: (1) studies associated with physical activity and preconception health behaviour (n = 8), and (2) studies associated with preconception physical activity, fertility, and pregnancy outcomes (n = 9). Conclusions: Despite limited evidence, other indirect scientific evidence shows that physical activity positively affects health, and is therefore strongly recommended during the preconception period. Policymakers, researchers, and healthcare professionals should join efforts in examining the impact of physical activity on preconception health, fertility and birth outcomes, and effectively translate the findings into preconception health guidelines and public policies.
{"title":"The importance of physical activity in improving preconception health: a scoping review","authors":"M. Prosen, Boštjan Žvanut, Patrik Pucer, A. P. Mivšek, Petra Petročnik, J. Tuomi","doi":"10.32725/kont.2021.051","DOIUrl":"https://doi.org/10.32725/kont.2021.051","url":null,"abstract":"Introduction: Preconception care practices include physical activity, which is identified as an important indicator of behavioural preconception health. A scoping review was conducted to examine the association between physical activity in preconception health and its long-term effects on the later life of the offspring. Methods: The literature was searched in databases CINAHL, ScienceDirect and PubMed, using keywords determined by the study objective. In total, 755 published manuscripts were identified. Two additional manuscripts were identified through manual searching. A total of 17 manuscripts was selected for the final analysis. The data were extracted and summarized using thematic analysis. Results: The selected studies were summarized in two categories: (1) studies associated with physical activity and preconception health behaviour (n = 8), and (2) studies associated with preconception physical activity, fertility, and pregnancy outcomes (n = 9). Conclusions: Despite limited evidence, other indirect scientific evidence shows that physical activity positively affects health, and is therefore strongly recommended during the preconception period. Policymakers, researchers, and healthcare professionals should join efforts in examining the impact of physical activity on preconception health, fertility and birth outcomes, and effectively translate the findings into preconception health guidelines and public policies.","PeriodicalId":17818,"journal":{"name":"Kontakt","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45063626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Martina Tomagová, Ivana Bóriková, Martina Lepiešová, J. Nemcova, I. Farský, Mária Zanovitová
Introduction: The chronic, degenerative and progressive character of Parkinson’s disease (PD) is reflected in the living experience of patients – and it also has an impact on their dignity. Aim: The aim of the study was to increase the understanding of the lived experience of outpatients with PD and its impact on their dignity. Methods: The study design is explorative using interpretative phenomenological analysis (IPA). Semi-structured interviews were held with 11 participants with PD between February–May 2018. Interviews were conducted as individual face-to-face interviews, in privacy with no involvement of family members according to the interview protocol. Data analysis was performed according to IPA process using the ATLAS.ti 8.0 program. Results: Our study identified five themes that reflect the lived experience of outpatients with PD: Me and my Parkinson’s: losses, acceptance and coping; The Need to Remain Self-sufficient versus the Fear of Dependence; How Do Others See Me: Scorn versus Acceptance; Lack of Information versus the Need to Be Informed; Lack of Respect versus the Accommodating Approach of Healthcare Professionals. We discovered their impact on dignity, especially in the areas concerning autonomy, self-esteem, self-worth, identity, respect, and other people’s appreciation. Conclusions: Patients with PD are confronted with many serious changes on a daily basis, which significantly influence their dignity. This fact must be known and respected by health care professionals when providing patient-oriented care.
{"title":"Lived experience of outpatients with Parkinson's disease: an interpretative phenomenological analysis","authors":"Martina Tomagová, Ivana Bóriková, Martina Lepiešová, J. Nemcova, I. Farský, Mária Zanovitová","doi":"10.32725/kont.2021.049","DOIUrl":"https://doi.org/10.32725/kont.2021.049","url":null,"abstract":"Introduction: The chronic, degenerative and progressive character of Parkinson’s disease (PD) is reflected in the living experience of patients – and it also has an impact on their dignity. Aim: The aim of the study was to increase the understanding of the lived experience of outpatients with PD and its impact on their dignity. Methods: The study design is explorative using interpretative phenomenological analysis (IPA). Semi-structured interviews were held with 11 participants with PD between February–May 2018. Interviews were conducted as individual face-to-face interviews, in privacy with no involvement of family members according to the interview protocol. Data analysis was performed according to IPA process using the ATLAS.ti 8.0 program. Results: Our study identified five themes that reflect the lived experience of outpatients with PD: Me and my Parkinson’s: losses, acceptance and coping; The Need to Remain Self-sufficient versus the Fear of Dependence; How Do Others See Me: Scorn versus Acceptance; Lack of Information versus the Need to Be Informed; Lack of Respect versus the Accommodating Approach of Healthcare Professionals. We discovered their impact on dignity, especially in the areas concerning autonomy, self-esteem, self-worth, identity, respect, and other people’s appreciation. Conclusions: Patients with PD are confronted with many serious changes on a daily basis, which significantly influence their dignity. This fact must be known and respected by health care professionals when providing patient-oriented care.","PeriodicalId":17818,"journal":{"name":"Kontakt","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43004720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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