Teaching evidence-based practice (EBP) in nursing curricula in six European countries—A descriptive study

©2020. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ This document is the Accepted version of a Published Work that appeared in final form in Nurse Education Today. To access the final edited and published work see https://doi.org/10.1016/j.nedt.2020.104561Background: Teaching evidence-based practice (EBP) in nursing education varies among nurse educators and universities. Lack of nurses' knowledge and skills are among the barriers commonly associated with the limited use of EBP in practice. Objectives: To describe the presence, characteristics and content of courses of EBP in nursing bachelor's, master's, and PhD programs in six European countries. Design: A descriptive study design was employed. Settings: The study was implemented as part of the EBP e-Toolkit Project as a strategic partnership of six European higher education institutions from six countries in the framework of the Erasmus+ Programme. Participants: Census sampling (N = 225) was used. A total of 162 (72%) faculties responded from the following countries: Spain (79), Italy (44), the Czech Republic (15), Poland (12), Greece (7), and Slovenia (5). Methods: Three structured instruments were developed by using the consensus development panel. The research was conducted from December 2018 to March 2019. For names of subjects, a manual narrative Template Analysis was used with open descriptive coding. Results: Subjects in “EBP in Nursing or Health Care” are included in 45 (29.2%) bachelor's programs, mostly worth 180 European Credit Transfer System (ECTS) credits, 30 (28%) master's, and 6 (40%) PhD programs. In bachelor's programs, an average of 134 h are spent teaching EBP steps, followed by 127 h in master's programs and 52 h in PhD programs. EBP subjects have different focuses: clear topics in EBP, development of research knowledge, awareness of the need for evidence-based clinical work, and understanding the needs of the profession. Conclusions: Teaching EBP is not yet sufficiently integrated into nursing curricula. For more efficient integration, guidelines on the standardization of teaching approaches and content have to be developed in all three cycles of higher education. Further research is needed on the implementation of teaching at master's and PhD levels of nursing curricul

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Rationed nursing care – conclusions from focus groups

Aim. The focus groups aimed to outline the main areas of missed care and identify how the causes, effects and potential solution proposals are perceived

The level of job satisfaction and its relation to midwives' subjective quality of life

Background: According to the so called Transactional Model of Quality of Life, job satisfaction is a part of subjective well-being. The aim of this study was to explore the relationships between professional commitment, expressed as job satisfaction or dissatisfaction, consideration of leaving the profession or/and workplace, and subjective assessment of well-being among midwives working at hospitals. Materials and Methods: The study was a part of the international research project, coordinated by the University of Ostrava. The group of respondents consisted of 176 midwives working at selected hospitals in the Silesian region. The study was conducted using the method of diagnostic survey, questionnaire techniques and standardized research tools, such as McCloskey/Mueller Satisfaction Scale (MMSS), Personal Wellbeing Index-Adult (PWI-A) and Subjective Emotional Habitual Wellbeing Scale (SEHP). Results: The overall midwives' job satisfaction was found to be at a medium level. Respondents less satisfied with various aspects of work (interaction, co-workers, professional opportunities, praise/recognition, control/responsibility) and life (standard of living and achievements in life) were significantly more often considering changing their jobs. Dissatisfaction with the extrinsic rewards (salary, vacation, benefits package) had additionally influenced the frequency of considering changing the profession. The respondents were characterized by much lower sense of present and future security than that observed in Western countries, as well as by low satisfaction with standard of living and feeling part of the society. Conclusions: Job satisfaction and subjective well-being remain in strong relationship, and although it is difficult to determine the direction of these relationships, they seem to have a significant impact on each other. Med Pr 2014;65(1):99–10

Patient satisfaction with nursing care in surgical departments

Aim: The aim of the study was to assess patients' satisfaction with the nursing care provided in surgical departments, to determine relationships between demographic and clinical characteristics of patients and their satisfaction, and to compare patients' satisfaction according to the medical facilities where they were hospitalized. Methods: A descriptive correlation study. The research sample consisted of 279 patients from the surgical departments of four hospitals in Ostrava and its surroundings. Data were collected in the autumn of 2009 using the standardized instrument Patient Satisfaction Scale (PSS). Results: Patients rated the items, which are grouped into three factors: -technical/rational, - information, - interaction and support on the four-point Likert scale. In all of the hospitals, the patients were most satisfied with the technical aspects of the nursing care, but less satisfied with the information provided to them. Patients valued the professionalism of nurses the most. Only two demographic characteristics influenced patients' satisfaction: - education, and - length of hospitalization. Patients with higher professional education were more satisfied than patients with secondary education. Patients hospitalized for more than a week expressed greater satisfaction in all assessed areas of the questionnaire. There were no significant differences in the evaluation of patients' satisfaction among the hospitals. Conclusion: The results of the study did not demonstrate any statistical differences in patients' satisfaction according to hospital, nor were there demonstrated any significant effects of demographic factors on their satisfaction. The Patient Satisfaction Scale is an example of a quality instrument with proven psychometric parameters, which is suitable for measuring patient satisfaction with nursing care in the Czech environment

Hospital safety climate from nurses' perspective in four European countries

Background: Nursing shortages, the substitution of practical nurses for registered nurses, an ageingworkforce, the decreasing number of nurse graduates and the increasing migration of young nurses areimportant factors associated with the hospital safety climate in Central European countries.Aims: The aim of the study was to investigate nurses’ perceptions of the safety climate in four selectedcentral European countries (Croatia, the Czech Republic, Poland and Slovakia) and to determine therelationship between safety climate and unfinished nursing care.Methods: A cross-sectional study was used. The sample consisted of 1353 European nurses from fourcountries. Instruments used were the Hospital Survey on Patient Safety Culture and the Perceived ImplicitRationing of Nursing Care. Data were analysed using descriptive statistics and multiple regression analyses.Results: Significant differences were found between countries in all unit/hospital/outcome dimensions.‘Perceived Patient Safety’ and ‘Reporting of Incident Data’ were associated with aspects of ‘OrganizationalLearning’ and ‘Feedback and Communication about Error’. Higher prevalence of unfinished nursing care isassociated with more negative perceptions of patient safety climate.Conclusions: Cross-cultural comparisons allow us to examine differences and similarities in safetydimensions across countries. The areas with potential for initiating strategies for improvement in all fourcountries are ‘Staffing’, ‘Non-punitive Response to Error’ and ‘Teamwork across Hospital Units’.Implications for nursing and health policy: ‘Feedback and Communicating about Error’ and‘Organizational Learning - Continuous Improvement’ were the main predictors of ‘Overall Perception ofPatient Safety’ and ‘Reporting of Incident Data’. Therefore, nurse managers should focus on how to empower nurses in these areas in order to foster a no-blame culture and effective reporting. In addition, itis important for policymakers to update nursing education standards in order to address patient safety

Unfinished nursing care in four central European countries

Aim: The main aim of the research was to describe and compare unfinished nursing care in selected European countries. Background: The high prevalence of unfinished nursing care reported in recently published studies, as well as its connection to negative effects on nurse and patient outcomes, has made unfinished care an important phenomenon and a quality indicator for nursing activities. Methods: A cross-sectional descriptive study was undertaken. Unfinished nursing care was measured using the Perceived Implicit Rationing of Nursing Care questionnaire (PIRNCA). The sample included 1,353 nurses from four European countries (Croatia, the Czech Republic, Poland and Slovakia). Results: The percentage of nurses leaving one or more nursing activities unfinished ranged from 95.2% (Slovakia) to 97.8% (Czech Republic). Mean item scores on the 31 items of the PIRNCA in the total sample ranged from 1.13 to 1.92. Unfinished care was significantly associated with the type of hospital and quality of care. Conclusion: The research results confirmed the prevalence of unfinished nursing care in the countries surveyed. Implications for Nursing Management: The results are a useful tool for enabling nurse managers to look deeper into nurse staffing and other organizational issues that may influence patient safety and quality of care

Patients' decisional control over care: a cross-national comparison from both the patients' and nurses' points of view

The Ministry of Health of Cyprus (approval no: Y.Y. 5.14.02.4(2)) and the Cyprus National Bioethics Committee (approval no: EEBK/EΠ/2008/1) reviewed and approved the research protocol as Cyprus was the coordinating country for the research study.Abstract BACKGROUND: Patients' decisional control over care is the ability or power for patients to decide what their involvement will be in healthcare decisions. There is evidence of limited agreement between the perceptions of patients and the perceptions of nurses and/or caregivers with regard to the degree of patient involvement in the planning and performance of their care. AIM: To analyse and compare patients' and nurses' perceptions of patients' decisional control over their own care. METHOD: A multisite cross-sectional comparative survey design was employed. Data were collected from hospitalised surgical inpatients (n = 1315) and their caregivers (n = 960 nurses) in five European countries. The Individualised Care Scale part B was used for collecting data from both the patients and nurses. Ethical standards were followed throughout the study. RESULTS: Significant between-country differences were found between patients and nurses. In all countries, both patients and nurses regarded that decisional control over care had been actualised (ICS-B: M = 3.75-4.47 and 3.48-4.33, respectively), but there were significant differences in their perceptions regarding four of the six items of the decisional control factor of the ICS-B. CONCLUSIONS: The results show that there are disparities between patients' and nurses' perceptions of patient involvement in care, probably due to cultural issues that need further exploration. CLINICAL RELEVANCE: The disparities between patients' and nurses' perceptions on patients' decisional control over their care should be taken into consideration as a potential cause of patient dissatisfaction with nursing care.The study was funded by the Cyprus University of Technology (EX 11/2008)

Patients’ and Nurses’ Perceptions of Respect and Human Presence Through Caring Behaviours: A Comparative Study

Although respect and human presence are frequently reported in nursing literature, these are poorly defined within a nursing context. The aim of this study was to examine the differences, if any, in the perceived frequency of respect and human presence in the clinical care, between nurses and patients. A convenience sample of 1537 patients and 1148 nurses from six European countries (Cyprus, Czech Republic, Finland, Greece, Hungary and Italy) participated in this study during autumn 2009. The six-point Likert-type Caring Behaviours Inventory-24 questionnaire was used for gathering appropriate data. The findings showed statistically significant differences of nurses’ and patients’ perception of frequency on respect and human presence. These findings provide a better understanding of caring behaviours that convey respect and assurance of human presence to persons behind the patients and may contribute to close gaps in knowledge regarding patients’ expectations