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Nursing work environment and unfinished nursing care in hospital settings - a scoping review 护理工作环境和未完成护理在医院设置-范围审查
Q3 Nursing Pub Date : 2021-09-07 DOI: 10.15452/cejnm.2021.12.0015
E. Gurková, D. Bartoníčková, Zdeňka Mikšová
Aim: This scoping review aimed to summarize the evidence regarding the relationship between the nursing work environment and unfinished nursing care, and to offer a deeper insight into organizational factors of unfinished nursing care in hospital settings. A further aim of the study was to collate evidence about instruments for measurement of nurses’ perceptions of the nursing work environment. Design: A scoping review was performed. Methods: A search was conducted in eight scientific databases. The final review included 22 studies and publications ranging from 2010 to 2020. Guidelines regarding scoping review methodology developed by the Joanna Briggs Institute were followed in our study. Results: The majority of studies included representative hospital and nurse samples, and had a cross-sectional design. Evidence indicates that the nursing work environment is a significant predictor of unfinished nursing care. The more favorable the nursing work environment, as perceived by nurses, the less frequently they reported unfinished nursing care events. The domains of the Practice Environment Scale of the Nursing Work Index were found to be significant predictors of unfinished nursing care. Conclusion: Nurses working in favorable conditions reported lower prevalence of unfinished nursing care. Improvements in staffing and resource adequacy were found to be the most significant factors predicting lower rates of unfinished nursing care. Refinement of factors in the nursing work environment and staffing are interventions that can mitigate unfinished nursing care. Further research should focus on the relationship between different dimensions of the nursing work environment and unfinished nursing care in hospital settings.
目的:本综述旨在总结护理工作环境与未完成护理之间关系的证据,并对医院环境中未完成护理的组织因素提供更深入的了解。本研究的另一个目的是整理有关测量护士对护理工作环境的看法的工具的证据。设计:执行范围审查。方法:对8个科学数据库进行检索。最终审查包括2010年至2020年期间的22项研究和出版物。我们的研究遵循了乔安娜布里格斯研究所制定的关于范围审查方法的指导方针。结果:大多数研究包括具有代表性的医院和护士样本,并采用横断面设计。有证据表明,护理工作环境是护理未完成的重要预测因子。护士认为护理工作环境越有利,他们报告未完成护理事件的频率越低。护理工作指数的实践环境量表的领域被发现是未完成护理的显著预测因子。结论:在良好的工作条件下工作的护士未完成护理的发生率较低。人员配备和资源充足性的改善被发现是预测未完成护理率较低的最重要因素。优化护理工作环境和人员配置的因素是可以减轻未完成护理的干预措施。医院护理工作环境的不同维度与未完成护理之间的关系有待进一步研究。
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引用次数: 3
The Florence Network promotes intercultural cooperation in the education of nurses and midwifes 佛罗伦萨网络促进护士和助产士教育方面的跨文化合作
Q3 Nursing Pub Date : 2021-09-07 DOI: 10.15452/cejnm.2021.12.0026
J. Nemcová
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引用次数: 0
Performing an oral glucose tolerance test during pregnancy 在怀孕期间进行口服葡萄糖耐量试验
Q3 Nursing Pub Date : 2021-09-07 DOI: 10.15452/cejnm.2021.12.0014
P. Kudlová, I. Kočvarová, V. Vránová, M. Kudela
Aim: The goal of this study was to establish the level of awareness amongst pregnant women in terms of preparation for an oral glucose tolerance test (oGTT), compare the results of two waves of data collection, and identify the most frequent preanalytical mistakes made in connection to the oGTT. Design: Comparison of 2 cross-sectional studies. Methods: From 2013–2017 two independent questionnaire studies were performed on a total of 477 pregnant women in the Olomouc and Zlín regions. A total of 225 respondents took part in Study 1 (2013–2014), and a total of 252 in Study 2 (2016–2017). Acquired data was analysed using descriptive statistics focused on the substantive significance of the results, as well as inference statistics. Results: Based on the sum index, the overall level of awareness had increased slightly amongst the women in Study 2 (by 0.41 points out of 5), Cohen’s d = 0.3 suggests the effect was only mediocre. Fifteen erroneous processes were found. However, these had a decreasing trend once the guidelines had been unified. Conclusion: A more reliable performance of the oGTT in certified laboratories was declared by the respondents in Study 2. The level of awareness, and checking on their adherence to the regime before and during the course of measuring the oGTT in pregnant women was still inadequate. It is necessary to improve pregnant women’s awareness of how to perform the oGTT correctly to ensure the least possible distortion of the results.
目的:本研究的目的是确定孕妇对口服葡萄糖耐量测试(oGTT)准备的认识水平,比较两波数据收集的结果,并确定与oGTT相关的最常见的预分析错误。设计:2项横断面研究的比较。方法:从2013年到2017年,对奥洛穆克和兹林地区的477名孕妇进行了两项独立的问卷调查。共有225名受访者参加了研究1(2013-2014),共有252人参加了研究2(2016-2017)。使用注重结果实质意义的描述性统计数据以及推断统计数据对获得的数据进行分析。结果:根据总和指数,研究2中女性的总体意识水平略有提高(在5分中提高了0.41分),Cohen的d=0.3表明效果平平。发现了15个错误过程。然而,一旦准则统一,这些数字就有减少的趋势。结论:在研究2中,被调查者宣布oGTT在认证实验室的性能更可靠。在测量孕妇oGTT之前和期间,意识水平以及对其遵守该制度的检查仍然不足。有必要提高孕妇对如何正确进行oGTT的认识,以确保尽可能减少结果失真。
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引用次数: 0
The validation of the Czech version of the Delirium Observation Scale and the Nursing Delirium Screening Scale for delirium screening in patients with locomotive apparatus trauma 捷克版谵妄观察量表和护理谵妄筛查量表在机车设备创伤患者谵妄筛查中的验证
Q3 Nursing Pub Date : 2021-09-07 DOI: 10.15452/cejnm.2021.12.0011
Blažena Ševčíková, H. Matějovská Kubešová, Lenka Šáteková, E. Gurková
Aim: To validate the Czech version of the Delirium Observation Scale and the Nursing Delirium Screening Scale as screening instruments for detecting of delirium in a traumatology department. Design: A prospective cohort study. Methods: The study included 400 patients hospitalized in the traumatology department, University Hospital, Olomouc. The receiver operating characteristics analysis, sensitivity and specificity values and positive and negative predictive values for the screening delirium symptoms were calculated. Results: The average duration of delirium was 2.78 days. The Delirium Observation Scale (DOS) screening instrument produced the best predictive validity values (sensitivity 97.6%, specificity 96.2%), followed by the Nursing Delirium Screening Scale (Nu-DESC) (sensitivity 92.7%, specificity 96.5%). Both screening instruments have comparable psychometric properties as well as features in the area of the already mentioned feasibility. The largest differences between the psychometric features of the screening instruments were detected in the Nu-DESC instrument in the area of sensitivity. Conclusion: The benefit of the research lies in obtaining the predictive validity values for the DOS and Nu-DESC screening instruments in patients with locomotive apparatus trauma, having had surgical or conservative treatment. Our results may support a systematic and evidence-based implementation of the screening instruments for detecting of delirium in a clinical setting.
目的:验证捷克版谵妄观察量表和护理谵妄筛查量表作为创伤科检测谵妄的筛查工具。设计:一项前瞻性队列研究。方法:该研究包括400名在奥洛穆克大学医院创伤科住院的患者。计算受试者操作特征分析、灵敏度和特异性值以及筛查谵妄症状的阳性和阴性预测值。结果:谵妄的平均持续时间为2.78天。谵妄观察量表(DOS)筛查仪的预测有效性最好(敏感性为97.6%,特异性为96.2%),其次是护理谵妄筛查量表(Nu-DESC)(敏感性为92.7%,特异性为96.5%)。这两种筛查仪都具有可比的心理测量特性以及在上述可行性领域的特点。筛查仪器的心理测量特征之间的最大差异是在Nu DESC仪器的敏感性区域检测到的。结论:本研究的益处在于获得DOS和Nu-DESC筛查仪器在接受过手术或保守治疗的机车器械创伤患者中的预测有效性值。我们的研究结果可能支持在临床环境中系统地、循证地实施用于检测谵妄的筛查仪器。
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引用次数: 0
Validity and reliability study of the Turkish version of the Eye Care Clinical Competence Questionnaire related to eye care of intensive care patients by nurses 土耳其语版《护理临床能力问卷》与护士对重症病人的护理相关的效度和信度研究
Q3 Nursing Pub Date : 2021-09-07 DOI: 10.15452/cejnm.2021.12.0024
Bilge Bal Özkaptan, Betül Tosun, E. Dirgar, Nurten Özen
Aim: This methodological study was conducted to determine the validity and reliability of the Turkish version of the Eye Care Clinical Competence Questionnaire, which evaluates the clinical competence of nurses regarding eye care in intensive care patients. Design: A methodological study. Methods: The study included 175 nurses working in the ICUs of the hospitals where the study was conducted. Results: Following factor analysis, based on the tetrachoric correlation matrix for the information sub-dimension, eight items were excluded from the questionnaire. As a result of the confirmatory factor analysis conducted for the questionnaire, the error variance value of item 26 was removed from the questionnaire. The final questionnaire adapted for the Turkish cultural context consisted of 26 items. Cronbach’s alpha value for the attitude sub-dimension was 0.87; the Cronbach alpha value for the application sub-dimension was 0.85, and the Cronbach alpha value for the questionnaire as a whole was 0.84. Conclusion: It was found that the Turkish version of the Eye Care Clinical Competence Questionnaire was a valid and reliable measurement tool. This measurement tool can be used in studies to evaluate the clinical competence of intensive care nurses regarding eye care.
目的:本方法学研究旨在确定土耳其版眼科护理临床能力问卷的效度和信度,该问卷用于评估护士在重症监护患者的眼科护理临床能力。设计:方法学研究。方法:研究对象为参与研究的医院的175名icu护士。结果:通过因子分析,基于信息子维度的四分频相关矩阵,排除了8项问卷。通过对问卷进行验证性因子分析,将第26项的误差方差值从问卷中剔除。根据土耳其文化背景修改的最后问卷有26个项目。态度子维度的Cronbach’s alpha值为0.87;应用子维度的Cronbach alpha值为0.85,整体问卷的Cronbach alpha值为0.84。结论:土耳其语版眼保健临床能力问卷是一种有效、可靠的测量工具。该测量工具可用于研究重症监护护士在眼科护理方面的临床能力。
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引用次数: 0
A randomized controlled study on the effectiveness of discharge training in patients following cardiac surgery 心脏手术后出院训练效果的随机对照研究
Q3 Nursing Pub Date : 2021-03-05 DOI: 10.15452/CEJNM.2020.11.0037
Y. Aktaş, H. G. Ugur, O. S. Orak
Aim: The aim of the current study was to determine the effectiveness of discharge training on self-efficacy and post-discharge problems after cardiac surgery. Design: A randomized controlled trial. Methods: Patients undergoing cardiac surgery (n = 66) were randomly assigned to either control or discharge training groups. Patients received training from the first day they were hospitalized until the day they were discharged. The self-efficacy scores and post-discharge problems were assessed prior to the surgery, at 10 days and 30 days post-discharge. Results: Concerning self-efficacy scores, no statistically significant difference was noted between the two groups (group: F = 1.856; p = 0.178). A statistically significant difference was found between the two groups in terms of kinetophobia, fatigue, and edema in the legs at 10 days and 30 days of post-discharge (p < 0.05). Conclusion: These study findings have shown that both groups experience at least one post-discharge problem and these problems gradually decrease at 4 weeks of post-discharge. It is recommended to set up units in hospitals that can systematically give discharge training and home care services to patients and their families.
目的:本研究的目的是确定出院训练对心脏手术后自我效能感和出院后问题的有效性。设计:随机对照试验。方法:接受心脏手术的患者(n = 66)随机分为对照组和出院训练组。患者从入院的第一天开始接受培训,直到出院。在手术前、出院后10天和30天分别评估自我效能评分和出院后问题。结果:在自我效能感评分方面,两组间差异无统计学意义(组:F = 1.856;P = 0.178)。两组患者出院后10天、30天的运动恐惧症、疲劳、腿部水肿等指标比较,差异均有统计学意义(p < 0.05)。结论:本研究结果表明,两组患者出院后至少有一个问题,出院后4周这些问题逐渐减少。建议在医院设立能够系统地为患者及其家属提供出院培训和家庭护理服务的单位。
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引用次数: 1
Editorial 社论
Q3 Nursing Pub Date : 2020-09-07 DOI: 10.15452/cejnm.2020.11.0019
Martina Šochmanová
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引用次数: 0
Nutritional status of hospitalized elderly with coronary heart disease 老年冠心病住院患者的营养状况
Q3 Nursing Pub Date : 2020-06-05 DOI: 10.15452/cejnm.2020.11.0012
Katka Bobčíková, Hana Lukšová
Aim: The quantitative study aimed to assess nutritional status of elderly patients with coronary heart disease using two standardized tools. Design: A quantitative study. Methods: Data were obtained with the Mini Nutritional Assessment (MNA) and Malnutrition Universal Screening Tool (MUST). In addition, sociodemographic data were collected and the Barthel Index of Activities of Daily Living was used to assess patients’ functional independence. The sample comprised 103 patients staying on a cardiovascular ward between April and September 2018. Results: Based on assessment with MNA and MUST, malnutrition or the risk of malnutrition was revealed in approximately 37% and 26% of participants, respectively. Comparison of the two tools revealed significant statistical asymmetry between the results (p = 0.028). Full agreement was observed in 75.7% of participants, with a kappa coefficient of 0.44; this may be interpreted as “average” statistically significant agreement (p < 0.001). The study revealed statistically significant relationships between functional independence and nutritional status assessed with both the MNA (p < 0.001) and MUST (p = 0.001). There was also a statistically significant relationship between age and nutritional status assessed with both tools (p = 0.038). Conclusion: Over a third of elderly patients diagnosed with coronary heart disease staying on a cardiovascular ward suffered from malnutrition. Therefore, more attention should be paid to nutritional status of cardiac patients.
目的:本定量研究旨在使用两种标准化工具评估老年冠心病患者的营养状况。设计:定量研究。方法:采用微量营养评估(MNA)和营养不良通用筛查工具(MUST)进行数据采集。此外,还收集了社会人口学数据,并使用Barthel日常生活活动指数来评估患者的功能独立性。样本包括2018年4月至9月期间入住心血管病房的103名患者。结果:根据MNA和MUST的评估,分别约37%和26%的参与者出现营养不良或营养不良风险。两种工具的比较显示,结果之间存在显著的统计不对称性(p=0.028)。75.7%的参与者完全一致,kappa系数为0.44;这可以被解释为“平均”统计学上显著的一致性(p<0.001)。该研究揭示了功能独立性与用MNA(p<001)和MUST(p=0.001)评估的营养状况之间的统计学上显著关系。年龄与用这两种工具评估的营养状态之间也存在统计学上显著相关性(p=0.038)。结论:在心血管病房中,超过三分之一的被诊断为冠心病的老年患者营养不良。因此,应重视心脏病患者的营养状况。
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引用次数: 2
Violence against nurses in healthcare facilities in the Czech Republic and Slovakia 在捷克共和国和斯洛伐克,针对保健设施护士的暴力行为
Q3 Nursing Pub Date : 2020-06-05 DOI: 10.15452/cejnm.2020.11.0009
Martina Tomagová, R. Zeleníková, R. Kozáková, K. Žiaková, B. Babiarczyk, A. Turbiarz
Aim: To identify the incidence of workplace violence against nurses in the Czech Republic and Slovakia, its sources, ways of dealing with violence against nurses, the intensity of nurse’s psychological problems as a result of their experience of workplace violence. Design: A cross-sectional study. Methods: Workplace Violence in the Health Sector Country Case Study – Questionnaire was used. The sample consisted of 526 nurses from selected healthcare settings in the Czech Republic and Slovakia. Data was collected from June to November 2016. Results: Verbal as well physical violence against nurses is a frequent phenomenon in nurses’ workplace in the Czech Republic and Slovakia. We identified statistically significant difference in verbal aggression from patients and higher intensity of nurse’s psychological problems as a result of patients’ aggression. In both countries, we have found an incomplete problem solution by the management of healthcare facilities. Conclusion: Verbal as well physical violence against nurses is a frequent phenomenon in the workplace of Czech and Slovak nurses. The management of healthcare facilities must establish appropriate procedures to reduce the occurrence of this phenomenon.
目的:了解捷克共和国和斯洛伐克针对护士的工作场所暴力的发生率,其来源,处理针对护士的暴力的方式,以及护士因经历工作场所暴力而产生的心理问题的强度。设计:横断面研究。方法:采用国家卫生部门工作场所暴力案例研究-问卷调查。样本包括来自捷克共和国和斯洛伐克选定医疗机构的526名护士。数据收集于2016年6月至11月。结果:在捷克和斯洛伐克,针对护士的言语暴力和肢体暴力是护士工作场所的常见现象。我们发现患者的言语攻击与患者的言语攻击有显著的统计学差异,并且由于患者的攻击而导致护士心理问题的强度更高。在这两个国家,我们都发现医疗设施的管理并不能完全解决问题。结论:对护士的言语暴力和肢体暴力是捷克和斯洛伐克护士工作场所的常见现象。保健设施的管理必须建立适当的程序,以减少这种现象的发生。
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引用次数: 3
Basic human needs in patients with multiple sclerosis: intimacy and sexuality 多发性硬化症患者的基本需求:亲密和性
Q3 Nursing Pub Date : 2020-06-05 DOI: 10.15452/cejnm.2020.11.0014
Dijana Tesla, Ružica Mrkonjić, Tanja Badrov
Aim: To analyse the occurrence of sexual dysfunction in patients with multiple sclerosis. Design: A quantitative cross-sectional study. Methods: The study was conducted in cooperation with the Croatian Association of Patients with Multiple Sclerosis, in the form of a questionnaire. A total of 106 patients responded: 24 (23%) male and 82 (77%) female. All subjects were in the age group 21–63 years. Data were analysed using descriptive statistics and the Mann-Whitney test, Kruskal-Wallis test, ANOVA test, and Spearman’s rank correlation coefficient. Results: Primary sexual dysfunction (lack of sexual interest and desire), Secondary sexual dysfunction (the occurrence of bladder or urinary symptoms), and Tertiary dysfunction (caused by emotional aspects of MS) were present in most patients. There were no statistically significant differences between subjects within individual categories. Conclusion: Sexual dysfunction is very common among patients suffering from multiple sclerosis, significantly impairing quality of life since sexual and intimate expression are basic human needs which persist in spite of disability or illness. However, patients are reluctant to talk about this highly sensitive issue.
目的:分析多发性硬化症患者性功能障碍的发生情况。设计:定量横断面研究。方法:该研究是与克罗地亚多发性硬化症患者协会合作进行的,采用问卷调查的形式。共有106例患者有反应:男性24例(23%),女性82例(77%)。所有受试者年龄在21-63岁之间。采用描述性统计、Mann-Whitney检验、Kruskal-Wallis检验、ANOVA检验和Spearman等级相关系数对数据进行分析。结果:大多数患者存在原发性性功能障碍(缺乏性兴趣和欲望),继发性性功能障碍(膀胱或泌尿系统症状的发生)和三级功能障碍(由MS的情绪方面引起)。在不同类别的受试者之间没有统计学上的显著差异。结论:性功能障碍在多发性硬化症患者中非常普遍,严重影响了生活质量,因为性和亲密表达是人类的基本需求,无论残疾或疾病都持续存在。然而,患者不愿意谈论这个高度敏感的问题。
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引用次数: 0
期刊
Central European Journal of Nursing and Midwifery
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