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The Czech version of the Surgical Fear Questionnaire: measuring validity and reliability 捷克版手术恐惧问卷:测量有效性和可靠性
Q3 Nursing Pub Date : 2022-03-05 DOI: 10.15452/cejnm.2021.12.0022
R. Zeleníková, K. Kovářová, P. Bujok, M. Theunissen
Aim: The aim of the study was to examine the psychometric properties of the Czech version of the Surgical Fear Questionnaire. Design: A cross-sectional study design. STROBE guidelines for reporting observational studies were followed for the study. Methods: The study sample consisted of 332 adult patients from the Czech Republic. The Surgical Fear Questionnaire (SFQ) was used to measure preoperative fear. Cronbach’s alpha was calculated to test reliability. The construct validity of the SFQ was tested using exploratory factor analysis. Results: Reliability of the instrument as a whole was confirmed by the high value of the Cronbach alpha coefficient (0.813). Two factors were identified for the Czech version of the SFQ in factor analysis. Conclusion: The Czech version of the Surgical Fear Questionnaire showed good validity and reliability and can be used in research and clinical practice. Further analysis of psychometric properties is needed to confirm
目的:本研究的目的是检验捷克版手术恐惧问卷的心理测量特性。设计:横断面研究设计。本研究遵循了STROBE观察性研究报告指南。方法:研究样本包括来自捷克共和国的332名成年患者。手术恐惧问卷(SFQ)用于测量术前恐惧。计算Cronbachα来检验可靠性。采用探索性因子分析法对SFQ的结构有效性进行检验。结果:Cronbachα系数的高值(0.813)证实了仪器整体的可靠性。在因素分析中,捷克版SFQ有两个因素。结论:捷克版手术恐惧问卷具有良好的有效性和可靠性,可用于研究和临床实践。需要对心理测量特性进行进一步分析以确认
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引用次数: 1
Midwife-led antenatal consultation: towards a communication model 助产士主导的产前咨询:走向沟通模式
Q3 Nursing Pub Date : 2022-03-05 DOI: 10.15452/cejnm.2021.12.0028
A. Siegle, M. Roes
Aim: Evidence on effective communication in antenatal consultations between midwives and pregnant women is lacking. In a study, antenatal consultations implementation outcomes were evaluated. From the data, relevant aspects emerged concerning communication during consultations. This paper presents selected results and proposes a theoretical foundation for antenatal consultations. Design: A qualitative design. Methods: Semi-structured interviews were conducted with ten midwives, eight pregnant women, eight managers, and eight physicians in two hospitals. The interviews were audiotaped, transcribed, and analyzed with framework analysis using the following steps: 1) Familiarization; 2) Coding: first, inductive coding (open coding to identify new themes), followed by deductive coding (by theory-predefined codes); 3) Development and application of an analytic framework; 4) Data-charting in a matrix; and 5) Interpretation. Results: Amongst others, the following findings emerged from the data: communication about childbirth is influenced by the perceptions and conceptions of the midwife and the pregnant woman herself; pregnant women’s degree of participation in the consultation process depends to a significant extent on the attitude of the midwife. Conclusion: To assure the success of consultations, we propose a consultation model comprising the following elements: the life world of the woman and midwife, the construction of a social reality, and the mediation of mutual goals, expectations, intentions, wishes, and beliefs.
目的:缺乏助产士和孕妇在产前咨询中进行有效沟通的证据。在一项研究中,对产前咨询的实施结果进行了评估。从数据来看,在磋商期间出现了与沟通有关的方面。本文介绍了选定的结果,并为产前咨询提供了理论基础。设计:定性设计。方法:对两家医院的10名助产士、8名孕妇、8名管理人员和8名医生进行半结构化访谈。对访谈进行录音、转录和框架分析,采用以下步骤:1)熟悉;2) 编码:首先是归纳编码(识别新主题的开放编码),然后是演绎编码(通过理论预定义的编码);3) 开发和应用分析框架;4) 矩阵中的数据图表;以及5)解释。结果:除其他外,数据中出现了以下发现:关于分娩的沟通受到助产士和孕妇本人的看法和观念的影响;孕妇在咨询过程中的参与程度在很大程度上取决于助产士的态度。结论:为了确保咨询的成功,我们提出了一个咨询模式,该模式包括以下要素:妇女和助产士的生活世界,社会现实的构建,以及相互目标、期望、意图、愿望和信仰的调解。
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引用次数: 0
Complexity and intention to use an innovative device for post-infarction patients: rehabilitation nurses' perspectives 梗死后患者使用创新设备的复杂性和意图:康复护士的观点
Q3 Nursing Pub Date : 2022-03-05 DOI: 10.15452/cejnm.2021.12.0034
Rafael Alves Bernardes, Pedro Parreira, Luís Sávio Sousa, A. Cruz
Aim: This study aims to describe rehabilitation nurses’ perspectives on the complexity of and intention to use an innovative device for post-infarction patients. Design: The research employed a qualitative method, with a video demonstration, and analysis provided by the participants. To guide the study, the Technology Acceptance Model was used in order to measure perceived usefulness and perceived ease of use. Methods: Focus Groups were used to collect nurses’ perspectives on the developed device. Recruitment followed a snowball sampling method. Eligible participants received an email with an informed consent form. Privacy and confidentiality were maintained throughout. Content analysis was performed using ATLAS.ti v7, with Bardin’s technique, i.e., an a posteriori categorical organization. Results: Three categories were identified as relevant to the study objectives: “Therapeutic adherence and motivation”; “Home and autonomy of the patient and caregiver”; and “Factors that facilitate the practice of the rehabilitation nurse”. Participants felt that the innovation and technological complexity of the device might help to increase patient motivation and adherence, which would be of great use to rehabilitation nurses, allowing better intervention development. Conclusion: Participants perceived the device as useful to practice, and beneficial to post-infarction patients. Interestingly, the complexity inherent to the device is regarded as a factor that may increase motivation and adherence.
目的:本研究旨在描述康复护士对梗死后患者使用创新设备的复杂性和意图的看法。设计:研究采用了定性方法,通过视频演示和参与者提供的分析。为了指导这项研究,使用了技术接受模型来衡量感知的有用性和感知的易用性。方法:使用焦点小组收集护士对所开发设备的看法。招聘采用滚雪球抽样法。符合条件的参与者收到了一封带有知情同意书的电子邮件。全程保持隐私和保密。内容分析使用ATLAS.ti v7进行,采用Bardin的技术,即后验分类组织。结果:确定了三个与研究目标相关的类别:“治疗依从性和动机”;“病人和护理者的家和自主性”;以及“促进康复护士执业的因素”。参与者认为,该设备的创新性和技术复杂性可能有助于提高患者的积极性和依从性,这对康复护士非常有用,可以更好地进行干预。结论:参与者认为该设备对实践有用,对梗死后患者有益。有趣的是,该设备固有的复杂性被认为是一个可能增加动机和依从性的因素。
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引用次数: 0
Comparing the CAM-ICU and ICDSC for assessing delirium in non-intubated intensive care patients CAM-ICU和ICDSC评估非插管重症监护患者谵妄的比较
Q3 Nursing Pub Date : 2022-03-05 DOI: 10.15452/cejnm.2021.12.0033
Hana Locihová, K. Axmann
Aim: The study compared two instruments for detecting delirium, the Intensive Care Delirium Screening Checklist (ICDSC) and the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) as a reference method. Design: Prospective observational study. Methods: The study included 126 consecutive patients staying in the intensive care unit (ICU) for more than 24 hours. The diagnostic properties of both questionnaires and agreement between them were studied and compared. Additionally, the two tests were used to assess the relationship between selected patient parameters and the presence of delirium. Results: There was a high level of agreement between the CAM-ICU and ICDSC, as expressed by Cohen’s κ of 0.829 (95% CI: 0.821–0.838). Cronbach’s α assessing the internal consistency of a Czech version of the CAM-ICU and ICDSC was 0.903 and 0.865, respectively. The CAM-ICU had 85.5% sensitivity (95% CI: 84.6–91.8) and 94.1% specificity (95% CI: 92.4–95.5); the ICDSC (cut-off ≥ 4) had 90.6% sensitivity (95% CI: 87.0–93.5) and 89.0% specificity (95% CI: 86.8–91.0). Conclusion: Both compared diagnostic instruments, the CAM-ICU and ICDSC, appear to be adequate and usable. When compared with the CAM-ICU as a reference method, the ICDSC showed similar results and a good level
目的:比较两种检测谵妄的仪器,重症监护谵妄筛查清单(ICDSC)和重症监护病房混淆评估方法(CAM-ICU)作为参考方法。设计:前瞻性观察研究。方法:研究纳入126例连续在重症监护病房(ICU)住院24小时以上的患者。对两份问卷的诊断特性及一致性进行了研究比较。此外,这两项测试用于评估选定的患者参数与谵妄存在之间的关系。结果:CAM-ICU与ICDSC之间存在高度一致性,Cohen 's κ为0.829 (95% CI: 0.821-0.838)。评价捷克版CAM-ICU和ICDSC内部一致性的Cronbach’s α分别为0.903和0.865。CAM-ICU的敏感性为85.5% (95% CI: 84.6 ~ 91.8),特异性为94.1% (95% CI: 92.4 ~ 95.5);ICDSC(截止值≥4)的敏感性为90.6% (95% CI: 87.0 ~ 93.5),特异性为89.0% (95% CI: 87.8 ~ 91.0)。结论:CAM-ICU和ICDSC两种比较诊断仪器都是足够的和可用的。ICDSC与CAM-ICU作为参考方法比较,结果相似,处于较好的水平
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引用次数: 0
Assessing nurse professionalism: a literature review of instruments and their measurement properties 评估护士专业:仪器及其测量特性的文献综述
Q3 Nursing Pub Date : 2022-03-05 DOI: 10.15452/cejnm.2021.12.0020
K. Žiaková, D. Kalánková, Martina Tomagová
Aim: To provide an overview of instruments measuring nurse professionalism, and to analyze and critically evaluate the psychometric properties of these instruments. Design: A narrative literature review. Methods: A search was made for studies focusing on instruments measuring nurse professionalism using relevant terms. The literature search was conducted between September and December 2020 in two scientific databases: Scopus, and ProQuest. A total of eleven studies featuring instruments to measure nurse professionalism were included in the analysis. A content analysis approach was adopted. Results: We identified eleven self-report instruments measuring nurse professionalism, seven of which were designed to measure nurse professionalism in general, and four which measured more specific concepts, such as nursing values or nurse-nurse collaboration. The instruments demonstrated acceptable psychometric properties. Conclusion: There is a lack of research focusing on nurse professionalism in a European context, and in Slovakia in particular. With increasing demands on nursing care, it is necessary to examine this phenomenon within nursing practice. We, therefore, recommend that research be conducted using instruments to measure nurse professionalism in Europe and in Slovakia.
目的:概述护士职业精神的测量工具,并对这些工具的心理测量特性进行分析和批判性评价。设计:叙事性文献综述。方法:检索有关护士专业精神测量仪器的相关研究。文献检索于2020年9月至12月在Scopus和ProQuest两个科学数据库中进行。共有11项研究采用测量护士专业精神的工具纳入分析。采用内容分析法。结果:我们确定了11种测量护士专业精神的自我报告工具,其中7种用于测量一般的护士专业精神,另外4种用于测量更具体的概念,如护理价值观或护士-护士合作。这些仪器显示出可接受的心理测量特性。结论:在欧洲背景下,特别是在斯洛伐克,缺乏对护士专业精神的研究。随着护理需求的增加,有必要在护理实践中研究这一现象。因此,我们建议在欧洲和斯洛伐克使用测量护士专业水平的仪器进行研究。
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引用次数: 2
The quality of life in colorectal cancer patients: a mixed-methods study 结直肠癌患者的生活质量:一项混合方法研究
Q3 Nursing Pub Date : 2022-03-05 DOI: 10.15452/cejnm.2021.12.0035
Dilek Gürçayır, N. Karabulut
Aim: This study was carried out to determine quality of life in patients who have had colorectal cancer surgery. Design: A sequential explanatory mixed methods design was used. Methods: The study sample consisted of 120 patients who had had colorectal cancer surgery, met the inclusion criteria for the study, and agreed to participate in the study. In-depth interviews were conducted with 20 of the patients from the study sample. The quantitative data were collected using the “Introductory information form” and the The Functional Assessment of Cancer Therapy-Colorectal Version “FACT-C scale”, while the qualitative data were collected using the “Introductory information form” and the “Semi-structured interview form”. Results: The FACT-C scale total mean score of the patients was 100.95 (± 10.07) before the surgery and 88.90 (± 10.55) after the surgery. From the in-depth interviews performed with the patients, the factors affecting the patients’ physical, mental, and social well-being after discharge from hospital were identified. Conclusion: According to the results of this research, following colorectal cancer surgery, the patients faced problems that affected their physical, mental, and social well-being, and their quality of life diminished.
目的:本研究旨在确定结直肠癌手术患者的生活质量。设计:采用顺序解释混合方法设计。方法:研究样本为120例结直肠癌手术患者,符合研究纳入标准,同意参加研究。对研究样本中的20名患者进行了深入访谈。定量数据采用“介绍信息表”和“肿瘤治疗-结直肠功能评估版”FACT-C量表”收集,定性数据采用“介绍信息表”和“半结构化访谈表”收集。结果:患者术前FACT-C量表总平均得分为100.95(±10.07)分,术后得分为88.90(±10.55)分。通过对患者的深入访谈,确定了影响患者出院后身体、心理和社会幸福感的因素。结论:根据本研究结果,结直肠癌手术后,患者面临影响其身体,心理和社会福祉的问题,其生活质量下降。
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引用次数: 0
Sleep quality and body mass index of nurses: a cross-sectional study 护士睡眠质量与体重指数的横断面研究
Q3 Nursing Pub Date : 2021-12-07 DOI: 10.15452/cejnm.2021.12.0030
Necibe Dağcan, Sümeyye Arslan
Aim: The aim of this study was to determine the relationship between nurses’ sleep quality and body mass index. Design: This is a cross-sectional study. Methods: This study was conducted with 583 nurses working in a single hospital. It was conducted between July 2018 and June 2019. Results: Among the nurses participating in the study, 69.1% of nurses were found to have poor sleep quality. Body mass index was within normal range in 55.4% of nurses. Nurses working in intensive care unit / operation room / emergency units, nurses working for less than 10 years, nurses working on nights shifts have more normal body weights. There were statistically significant differences between body mass index ratios and sleep quality scores. Conclusion: Sleep quality was found to be negatively affected as working hours increased. In addition, a positive correlation was observed between sleep quality and BMI. Sleep quality increased as BMI increased.
目的:探讨护士睡眠质量与体重指数的关系。设计:这是一项横断面研究。方法:对某医院583名护士进行问卷调查。它在2018年7月至2019年6月期间进行。结果:在参与研究的护士中,69.1%的护士睡眠质量较差。55.4%的护士体重指数在正常范围内。在重症监护室/手术室/急诊室工作的护士、工作时间不到10年的护士、夜班护士的体重更正常。身体质量指数比率和睡眠质量分数之间存在统计学上的显著差异。结论:随着工作时间的增加,睡眠质量受到负面影响。此外,观察到睡眠质量与BMI呈正相关。睡眠质量随着BMI的增加而增加。
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引用次数: 1
Satisfaction of women with childbirth 妇女对分娩的满意度
Q3 Nursing Pub Date : 2021-12-07 DOI: 10.15452/cejnm.2021.12.0031
Erika Maskálová, L. Mazúchová, Simona Kelcikova, Júlia Samselyová, Lucia Kukučiarová
Aim: The study aimed to determine childbirth experience and the overall satisfaction of women with childbirth and its related socio-demographic and obstetric factors. Design: A cross-sectional study. Methods: We used the Childbirth Experience Questionnaire (CEQ) on a sample of 161 primiparous women. Results: Total mean CEQ score was 49.78 (SD = 6.02). The best-rated domain was the Perceived safety domain at 2.66 (± 1.90). The worst-rated domain was the Professional support domain at 1.66 (± 1.30). Regarding childbirth satisfaction, the mode of delivery proved to be a related factor, with the highest level of childbirth satisfaction in women after surgical delivery. Conclusion: Providing quality care and creating a positive experience that can contribute to overall birth satisfaction should be a common target of healthcare professionals in caring for parturient women. In order to create a positive childbirth experience, it is necessary to pay increased attention to the management of labor pain relief, to improving the professional support provided by midwives (i.e., through a more sensitive approach to mothers), to promoting the active participation of the mother during childbirth, and to supporting spontaneous
目的:本研究的目的是确定分娩经验和妇女对分娩的总体满意度及其相关的社会人口和产科因素。设计:横断面研究。方法:采用分娩经验问卷(CEQ)对161例初产妇进行调查。结果:CEQ总分平均为49.78分(SD = 6.02)。感知安全域评分最高,为2.66(±1.90)。评分最差的领域是专业支持领域,为1.66(±1.30)。在分娩满意度方面,分娩方式被证明是一个相关因素,手术分娩后妇女的分娩满意度最高。结论:提供高质量的护理,创造积极的体验,有助于整体分娩满意度,应该是医护人员在照顾产妇的共同目标。为了创造一个积极的分娩体验,有必要更加重视分娩镇痛的管理,提高助产士提供的专业支持(即通过对母亲更敏感的方式),促进母亲在分娩过程中的积极参与,并支持自发
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引用次数: 3
Nurses' work environment, job satisfaction, and intention to leave - a cross-sectional study in Czech hospitals 捷克医院护士工作环境、工作满意度与离职意向的横断面研究
Q3 Nursing Pub Date : 2021-12-07 DOI: 10.15452/cejnm.2021.12.0019
E. Gurková, Zdeňka Mikšová, M. Labudíková, Daniela Chocholková
Aim: The study aimed to determine how Czech nurses perceive individual aspects of their work environment, and examined the differences in perceptions of their work environment related to type of hospital, hospital departments, and individual demographic characteristics. The study included analysis of the relationships between nurses’ work environment and: intention to leave, satisfaction with current work position, the role of nurse, and work intensity. Design: A cross-sectional descriptive study. Methods: The sample involved 371 nurses working in the internal medicine and surgical departments of four hospitals in the Olomouc region. The Czech version of the Practice Environment Scale of the Nursing Work Index (PES-NWI) was used to collect data. Data were analyzed using exploratory and confirmatory factor analysis, the Pearson chi-squared test, the MannWhitney test, and Spearman’s correlations. Results: Nurses from university hospitals evaluated their work environment significantly more highly than nurses in regional non-university hospitals. No significant difference between internal medicine and surgical hospital wards was confirmed. Weak to moderate positive correlations were revealed between nurses’ work environment and: satisfaction with the role of nurse, satisfaction with current work position, and satisfaction with team collaboration. Nurses who considered leaving their current job or work position evaluated their work environment significantly more negatively than nurses who did not intend to leave their job. Conclusion: The attributes of nurses’ work environment are related to nurses’ satisfaction at work and their intention of staying in their workplace. Variables of hospitals greatly improved overall assessment of the work environment.
目的:这项研究旨在确定捷克护士如何看待他们工作环境的各个方面,并检验他们对工作环境的看法与医院类型、医院部门和个人人口统计特征之间的差异。本研究分析了护士的工作环境与离职意愿、对当前工作岗位的满意度、护士的角色和工作强度之间的关系。设计:横断面描述性研究。方法:样本涉及奥洛穆克地区四家医院内科和外科的371名护士。使用捷克版护理工作指数实践环境量表(PES-NWI)收集数据。使用探索性和验证性因素分析、Pearson卡方检验、Mann-Whitney检验和Spearman相关性对数据进行分析。结果:大学医院护士对工作环境的评价显著高于地区非大学医院护士。内科病房和外科病房之间没有显著差异。护士的工作环境与对护士角色的满意度、对当前工作岗位的满意度和对团队协作的满意度之间存在弱至中度正相关。与不打算离职的护士相比,考虑离职的护士对工作环境的评价要负面得多。结论:护士工作环境的属性与护士的工作满意度和留在工作场所的意愿有关。医院的变量大大改善了对工作环境的整体评估。
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引用次数: 5
Relationship between nursing students' exposure to colleague violence and stress levels in nursing education 护生同事暴力暴露与护理教育压力水平的关系
Q3 Nursing Pub Date : 2021-12-07 DOI: 10.15452/cejnm.2021.12.0025
Emel Bahadır-Yılmaz
Aim: The study aimed to investigate the relationship between nursing students’ exposure to colleague violence and stress levels in nursing education. Design: A correlational research design was chosen for the study. Methods: The study was implemented with 206 nursing students at a state university in northeast Turkey. Data were collected using the Scale of Exposure to Colleague Violence and the Nursing Education Stress Scale and analyzed using descriptive statistics and the Spearman correlation test. Results: The nursing students’ mean age was 21.59 (± 1.88) (min. = 20; max. = 40); 75.2% were female; 77.7% were from a nuclear family; and 77.2% stated that their income was equal to their expenses. The colleague violence score of the students was 63.29 (± 17.29) and the nursing education stress score was 53.67 (± 19.42). A positive and moderate relationship was found between the total colleague violence score and total nursing education stress score (p < 0.01). A positive and moderate relationship was also determined between exposure to verbal / psychological violence and nursing education stress (p < 0.01). Moreover, a positive and moderate relationship was observed between the effect of violence on physical and mental health and nursing education stress (p < 0.01). Conclusion: Results indicated that nursing students who were exposed to colleague violence during clinical practice experienced practical and academic stress. Nurses should be aware that colleague violence is an ethical problem concerning respect for human dignity.
目的:探讨护生同事暴力暴露与护理教育压力水平的关系。设计:本研究采用相关研究设计。方法:对土耳其东北部一所州立大学206名护理专业学生进行研究。使用同事暴力暴露量表和护理教育压力量表收集数据,并使用描述性统计和Spearman相关检验进行分析。结果:护生平均年龄21.59岁(±1.88)(最小值=20,最大值=40);女性占75.2%;77.7%来自核心家庭;77.2%的人表示他们的收入与支出相等。同事暴力总分为63.29分(±17.29分),护理教育压力总分为53.67分(±19.42分)。同事暴力总分与护理教育压力总得分呈正相关(p<0.01)教育压力(p<0.01)。此外,暴力对身心健康的影响与护理教育压力呈正相关(p<0.01),呈中度正相关。护士应该意识到,同事暴力是一个涉及尊重人的尊严的道德问题。
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引用次数: 1
期刊
Central European Journal of Nursing and Midwifery
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