Post-stroke fatigue in young adults after ischemic stroke: a scoping review

Post-stroke fatigue (PSF) could have a negative impact on the rehabilitation potential, quality of life, and work capacity of younger ischemic stroke patients. The available quantitative and qualitative research on the prevalence, predictors, and interventions associated with PSF have not explicitly focused on young adults. This scoping review aimed to summarise the available evidence on PSF in young adults after ischemic stroke (prevalence, predictors, and consequences, assessment tools, as well as interventions to reduce fatigue in young stroke survivors). The following methodological procedures were used for this scoping review: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and the Joanna Briggs Institute updated methodological guidance. A total of 3483 studies were identified through a bibliographic search in the Ovid MEDLINE, PubMed, Scopus, ProQuest Central, APA PsycINFO, SocINDEX, and CINAHL Plus databases. Ten studies that met the inclusion criteria were included in the scoping review. Only four studies explicitly addressed PSF in young adults after ischemic stroke. The prevalence of fatigue among young adults who had suffered an ischemic stroke ranged from 41.0% to 57.8%. Seven studies found a significant association between PSF, depression, and anxiety. Fatigue in young stroke survivors significantly affects their return to work and it is an independent predictor of poor quality of life. The number of research studies on fatigue in young adults after ischemic stroke is small and they mainly focus on fatigue as a predictor of quality of life after stroke. There is a need for further studies that address the phenomenon of fatigue after ischemic stroke and validate the effectiveness of interventions to reduce fatigue in young stroke survivors

The perfect nurse by the eyes of pediatric patiens and his parents

Bakalářská práce "Ideální sestra očima dětských pacientů a jejich rodičů" se zabývá hodnocením profese sestry z pohledu jak nejmenších pacientů, školáků a adolescentů, tak jejich rodičů. Práce je rozdělena na dvě části - teoretickou a empirickou. Teoretická část popisuje význam slova ideál, umožňuje retrospektivní pohled do minulosti, popisuje současnost pediatrické péče. Dále se zabývá vzděláváním a kompetencemi dětské sestry. Značný význam je přiložen hodnocení ideální image dětské sestry, zvláště jejím znalostem, dovednostem při práci, charakterovým vlastnostem, vzhledu a schopnosti komunikace, edukace dětí a jejich rodičům. V empirické části jsou stanoveny cíle a pracovní hypotézy pro průzkumné šetření. Jejím účelem je pomocí dotazníků získat reálná data, u kterých je následně provedena primární analýza. Zjištěné výsledky napomáhají nalézt ideální obraz sestry a dle vlastností sester pracujících na pediatrických odděleních odhalit, zda a do jaké míry dětské sestry tento ideál naplňují.Bachelor paper "The perfect nurse in the eyes of pediatric patients and their parents" deals with the evaluation of professional nurses from the perspective of how the youngest of patients, school children and adolescents and their parents perceive them. The paper is divided into two sections - theoretical and empirical. The theoretical section describes the meaning of the word ideal, enables a retrospective view of the past, and describes the present state of pediatric care. It also deals with the education and the competencies of nurses. A considerable emphasis is given to the evaluation of an ideal image of nurses, particularly their knowledge, their skills, their character, their communication skills, the education given to children and the parents of the children. In the empirical section objectives are set and a working hypothesis is proposed for the survey. The purpose of the empirical section is to obtain real data, through the use of questionnaires, for which then a primary analysis is conducted. The obtained results are used to help to find the ideal image of nurses and the ideal characteristics for nurses working on pediatric wards to reveal to what extent nurses fulfill this ideal.Department of NursingÚstav ošetřovatelstvíSecond Faculty of Medicine2. lékařská fakult

The perfect nurse by the eyes of pediatric patiens and his parents

Bachelor paper "The perfect nurse in the eyes of pediatric patients and their parents" deals with the evaluation of professional nurses from the perspective of how the youngest of patients, school children and adolescents and their parents perceive them. The paper is divided into two sections - theoretical and empirical. The theoretical section describes the meaning of the word ideal, enables a retrospective view of the past, and describes the present state of pediatric care. It also deals with the education and the competencies of nurses. A considerable emphasis is given to the evaluation of an ideal image of nurses, particularly their knowledge, their skills, their character, their communication skills, the education given to children and the parents of the children. In the empirical section objectives are set and a working hypothesis is proposed for the survey. The purpose of the empirical section is to obtain real data, through the use of questionnaires, for which then a primary analysis is conducted. The obtained results are used to help to find the ideal image of nurses and the ideal characteristics for nurses working on pediatric wards to reveal to what extent nurses fulfill this ideal

INVESTIGATING THE PREVALENCE, PATTERNS AND PREDICTORS OF RATIONED NURSING CARE AT INTENSIVE CARE UNITS

Background: Rationed nursing care is a significant and widespread problem jeopardizing patient safety and quality of nursing care, mainly in an outpatient setting.  Objective: To explore the prevalence, patterns and predictors of rationed nursing care among nurses working in intensive care units in Slovakia. Method: The study has adopted a cross-sectional design. Data were collected using the Perceived Implicit Rationing of Nursing Care instrument (PIRNCA). The respondents were intensive care nurses (N=279) from seven hospitals in Slovakia.  Results: The mean level of rationed nursing care was 1.68 (SD = 0.91). The prevalence of rationed nursing care was significantly predicted by nurse education, specialization training, overtime hours, intention to leave the profession, perceived staff adequacy. Quality of patient care and job satisfaction were the most significant predictors of rationed nursing care (p ≤ .05). Conclusions: Hospital management should immediately address the predictors of rationed nursing care in intensive care units to increase quality and safe care, thus improving patient outcomes. Further examination of the quality of patient care and job satisfaction of nurses and their associations with rationed nursing care is needed in intensive care units

VZDELÁVACIE RÁMCE A OBLASTI KOMPETENCIÍ ŠTUDENTOV OŠETROVATEĽSTVA SÚVISIACE S BEZPEČNOSŤOU PACIENTOV: INTEGRATÍVNY PREHĽAD

Východiská: Téma bezpečnosti pacientov nie je v mnohých krajinách v rámci pregraduálneho vzdelávania sestier explicitne špecifikovaná. Cieľ: Identifikovať vzdelávacie rámce v dostupnej relevantnej literatúre a sumarizovať vzdelávacie oblasti týkajúce sa bezpečnosti pacientov u študentov ošetrovateľstva. Metódy: Integratívny prehľad literatúry. Vyhľadávanie bolo realizované v troch vedeckých databázach a to PubMed, Scopus a ProQuest v novembri 2022. Celkovo bolo vyhľadaných 410 záznamov. Proces triedenia bol reflektovaný prostredníctvom PRISMA diagramu. Výsledkom vyhľadávania bolo šesť odborných článkov, z ktorých boli extrahované vzdelávacie oblasti a následne bola realizovaná tematická sumarizácia. Výsledky: Identifikované vzdelávacie rámce pre ošetrovateľstvo boli rozdelené na všeobecné a špecifické. Spoločným znakom všetkých rámcov sú vzdelávacie oblasti súvisiace s poskytovaním bezpečnej starostlivosti. Na základe ich integrácie do kurikúl by sa študenti ošetrovateľstva mali vzdelávať v týchto oblastiach: bezpečnosť; kultúra bezpečnosti pacienta; tímová práca; komunikácia; prax založená na dôkazoch; starostlivosť zameraná na pacienta; nežiaduce udalosti; ľudské a  systémové faktory; informovanosť; kvalita starostlivosti; špecifické problémy a iné. Záver: Realizovaný integratívny prehľad môže byť užitočný pre začlenenie identifikovaných vzdelávacích oblastí do pregraduálneho štúdia ošetrovateľstva. Prvou etapou by však mala byť dôkladná analýza učebných plánov jednotlivých študijných programov.Background: The topic of patient safety is not explicitly specified in undergraduate nursing education in many countries. Aim: To identify educational frameworks in the available relevant literature and summarise educational domains related to patient safety for nursing students. Methods: Integrative literature review. The search was conducted in three scientific databases namely PubMed, Scopus and ProQuest in November 2022. A total of 410 records were retrieved. The screening process was reflected through the PRISMA diagram. The search resulted in six studies from which the educational domains were extracted, and the thematic summarization was subsequently performed. Results: Nursing educational frameworks were divided into general and specific. The common feature of all frameworks is the educational domains related to the provision of safe care. Based on their integration into the curricula, nursing students should be educated in the following areas: safety; patient safety culture; teamwork; communication; evidence-based practice; patient-centered care; adverse events; human and system factors; awareness; quality of care; specific problems and others. Conclusion: An integrative review conducted may be useful for incorporating the identified learning domains into undergraduate nursing education. However, the first stage should be a rigorous analysis of the nursing programmes curricula.Východiská: Téma bezpečnosti pacientov nie je v mnohých krajinách v rámci pregraduálneho vzdelávania sestier explicitne špecifikovaná. Cieľ: Identifikovať vzdelávacie rámce v dostupnej relevantnej literatúre a sumarizovať vzdelávacie oblasti týkajúce sa bezpečnosti pacientov u študentov ošetrovateľstva. Metódy: Integratívny prehľad literatúry. Vyhľadávanie bolo realizované v troch vedeckých databázach a to PubMed, Scopus a ProQuest v novembri 2022. Celkovo bolo vyhľadaných 410 záznamov. Proces triedenia bol reflektovaný prostredníctvom PRISMA diagramu. Výsledkom vyhľadávania bolo šesť odborných článkov, z ktorých boli extrahované vzdelávacie oblasti a následne bola realizovaná tematická sumarizácia. Výsledky: Identifikované vzdelávacie rámce pre ošetrovateľstvo boli rozdelené na všeobecné a špecifické. Spoločným znakom všetkých rámcov sú vzdelávacie oblasti súvisiace s poskytovaním bezpečnej starostlivosti. Na základe ich integrácie do kurikúl by sa študenti ošetrovateľstva mali vzdelávať v týchto oblastiach: bezpečnosť; kultúra bezpečnosti pacienta; tímová práca; komunikácia; prax založená na dôkazoch; starostlivosť zameraná na pacienta; nežiaduce udalosti; ľudské a  systémové faktory; informovanosť; kvalita starostlivosti; špecifické problémy a iné. Záver: Realizovaný integratívny prehľad môže byť užitočný pre začlenenie identifikovaných vzdelávacích oblastí do pregraduálneho štúdia ošetrovateľstva. Prvou etapou by však mala byť dôkladná analýza učebných plánov jednotlivých študijných programov