INFORMATION NEEDS OF DIGESTIVE TRACT SURGERY PATIENTS BEFORE AND AFTER THE SURGERY: AN EXPLORATORY STUDY OF WESTERN LITHUANIA

The aim of this study was to describe the information needs of patients undergoing gastrointestinal surgery in Western Lithuania. Methods. This data were collected from patients of three Klaipeda city hospitals performing digestive tract surgeries in January – March 2015. The interview responses (n = 86) were analyzed inductively with thematic content analysis. Results. The interview revealed lack of information about disease, treatment and nursing care. The participants expressed fear and worries about their forthcoming surgery, anesthesia, pain, the ways of pain management, possible complications and their prevention as well as the future concerning their disease in general. Conclusions. The results show that the participants had not got enough information about treatment, nursing, anesthesia, rehabilitation, wound care or about post-surgery period. Instead they felt fear and anxiety. The participants were not included into treatment and nursing processes. According to the participants’ responses, the information needs were different before and after the surgery. Lack of information prevents patients from acting self-dependently in their care. Practice implications. Patient oriented approach to patient education and innovative ways of information delivery are needed in Lithuanian nursing care of patient’s having a gastrointestinal surgery.

COVID-19 pandemijos įtaka slaugytojų perdegimo sindromui

Burnout syndrome has been around for decades and affects many professions. Burnout is defined as the exhaustion of physical or emotional strength or motivation, usually as a result of prolonged stress or frustration. Researchers agree that burnout is a process, but divide it into several distinct stages. Burnout syndrome is not only caused by the personal characteristics of individuals working in healthcare settings, but also by a variety of environmental factors that affect each individual in one way or another. In the wake of the COVID-19 pandemic, these factors have been compounded by additional stressors, which have influenced the prevalence of burnout in nurses, and recent studies have shown an increase in the number of nurses suffering from burnout. This has made the prevention and management of burnout even more relevant in today's context. The aim of this paper is to review and present the recent literature on burnout syndrome experienced by nurses in the COVID-19 setting. Methods - Systematic search of PubMed and Google Scholar databases for articles. The results showed that the COVID-19 pandemic has a significant impact on the occurrence of burnout syndrome in nurses.Perdegimo sindromas yra žinomas jau ne vieną dešimtmetį ir paliečia daugelio profesijų atstovus. Perdegimas apibūdinamas kaip fizinių ar emocinių jėgų ar motyvacijos išsekimas, dažniausiai atsirandantis dėl ilgalaikio streso ar nusivylimo. Tyrėjai sutaria, kad perdegimo sindromas yra procesas, tačiau skirsto jį į kelis skirtingus etapus. Perdegimo sindromą lemia ne tik asmenų, dirbančių sveikatos priežiūros įstaigose, asmeninės savybės, tačiau ir įvairūs aplinkos veiksniai, vienaip ar kitaip paliečiantys kiekvieną asmenį. COVID-19 pandemijos akivaizdoje prie šių veiksnių prisidėjo papildomi stresoriai. Tai padarė įtaką slaugytojų perdegimo sindromo paplitimui. Atlikti naujausi tyrimai rodo, kad padidėjo slaugytojų, patiriančių perdegimo sindromą, skaičius. Todėl perdegimo sindromo prevencijos ir įveikimo būdai tapo dar aktualesni šių dienų kontekste. Darbo tikslas – apžvelgti ir pateikti naujausios literatūros duomenis apie slaugytojų patiriamą perdegimo sindromą COVID-19 sąlygomis. Tyrimo metodai – sisteminga straipsnių paieška PubMed ir Google Scholar duomenų bazėse. Gauti rezultatai parodė, kad COVID-19 pandemija turi didelę įtaką slaugytojų perdegimo sindromo atsiradimui

Graduating nurse students' interest in older people nursing-A cross-sectional survey in six European countries

Background: Countries vary in the number of qualified nurses employed in older adult services. Moreover, students' views of older people nursing as a career differ internationally. Studying future nurses and their career intentions for the field is warranted to meet the increased nurse workforce expectations in terms of quantity and competence.Aim: To analyse graduating nurse students' interest in older people nursing and the factors associated with it.Methods: A cross-sectional multicountry survey design was applied. Data were collected between May 2018 and March 2019 from several educational institutions in Finland, Germany, Iceland, Ireland, Lithuania and Spain. Non-probability convenience sampling was used to recruit graduating nurse students (n = 1796). The data were collected with a structured questionnaire comprising background factors and the Willingness sub-scale (six items) of the Students' Interest in Nursing Older People Scale. Data were analysed using a linear mixed model including relevant background variables.Results: Overall, students' interest in older people nursing was low (score 20.5, on a 0-100 scale). Among the studied countries, Spanish students scored the highest (38.8) and German students the lowest (3.6). Students' interest in older people nursing was associated with country (p Conclusion: In the studied sample of future nurse professionals, interest in older people nursing is low at a time when the field suffers from workforce shortage. As for quality workforce, it was promising that the students who considered working in the field also evaluated themselves as competent.Implications for practice: Multidimensional actions are required to promote interest in the field, including continued development of competence in both undergraduate education and workplaces, and investing in various career pathways to envisage potential opportunities.</p

Graduating nurse students' interest in older people nursing-A cross-sectional survey in six European countries.

To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked DownloadBackground: Countries vary in the number of qualified nurses employed in older adult services. Moreover, students' views of older people nursing as a career differ internationally. Studying future nurses and their career intentions for the field is warranted to meet the increased nurse workforce expectations in terms of quantity and competence. Aim: To analyse graduating nurse students' interest in older people nursing and the factors associated with it. Methods: A cross-sectional multicountry survey design was applied. Data were collected between May 2018 and March 2019 from several educational institutions in Finland, Germany, Iceland, Ireland, Lithuania and Spain. Non-probability convenience sampling was used to recruit graduating nurse students (n = 1796). The data were collected with a structured questionnaire comprising background factors and the Willingness sub-scale (six items) of the Students' Interest in Nursing Older People Scale. Data were analysed using a linear mixed model including relevant background variables. Results: Overall, students' interest in older people nursing was low (score 20.5, on a 0-100 scale). Among the studied countries, Spanish students scored the highest (38.8) and German students the lowest (3.6). Students' interest in older people nursing was associated with country (p < .001), the length of work experience (p = .006), plans for further study (p = .007), competence (p < .001) and the extent that nursing is valued by society (p < .001). The students who were most interested in older people nursing had higher self-reported competence level (p < .001). Conclusion: In the studied sample of future nurse professionals, interest in older people nursing is low at a time when the field suffers from workforce shortage. As for quality workforce, it was promising that the students who considered working in the field also evaluated themselves as competent. Implications for practice: Multidimensional actions are required to promote interest in the field, including continued development of competence in both undergraduate education and workplaces, and investing in various career pathways to envisage potential opportunities. Keywords: Europe; career choice; cross-sectional studies; nursing; older people nursing; self report; students.Academy of Finlan

Nurse managers’ assessments about nursing education and work life's competence demands : A European multi-country cross-sectional survey

Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Turun Yliopistollinen Keskussairaala, and Academy of Finland (grant no. 11087, 310145). Publisher Copyright: © The Author(s) 2023.As future employers, nurse managers are in a key position to assess the correspondence between the competence of graduating nursing students and work life demands. The aim of the present study was to assess the competence of graduating nursing students from the perspective of managers, and analyze the factors linked to it. Among European managers in six countries, a cross-sectional survey design with a convenience sample was applied. Data were collected using the Nurse Competence Scale. The study was reported using the STROBE guidelines. Managers (n = 538, 65.8%) assessed the level of competence of graduating nursing students as good, but there were statistically significant differences between countries. In a multivariable analysis, managers who had a Doctoral/Master's degree and were dissatisfied with the nursing program in their country assessed the level of competence as lower. Overall, graduating nursing students seem to meet the competence demands of current work life rather well. Further research is needed to confirm the connection between the managers’ competence assessment and their individual background factors.Peer reviewe

Mental Health and Wellbeing at Schools: Health Promotion in Primary Schools with the Use of Digital Methods

Mental health disorders among primary school children remain a crucial issue. Early health promotion interventions can positively affect and prevent the onset of mental disorders. Promising digital mental health methods have been implemented for adolescents and youths with scarce evidence among younger ages. Therefore, the aim of the current systematic review was to identify health promotion interventions on mental health and wellbeing, with the use of digital methods, delivered in primary school settings. Six digital interventions have been identified, three of which were targeting teachers and the others students. Regardless of the limited number of studies, the effectiveness of the web-based interventions upon teachers' knowledge and attitudes and the positive impact on children's behavioral improvements has been documented. The lack of adequate evidence highlights the need for further research in the field. The current review provides information for professionals working in primary schools useful for the design and implementation of effective mental health and wellbeing interventions

Instruments for Patient Education: Psychometric Evaluation of the Expected Knowledge (EKhp) and the Received Knowledge of Hospital Patients (RKhp)

Purpose: In patient education, there is a need for valid and reliable instruments to assess and tailor empowering educational activities. In this study, we summarize the process of producing two parallel instruments for analyzing hospital patients' expectations (Expected Knowledge of Hospital Patients, EKhp) and received knowledge (Received Knowledge of Hospital Patients, RKhp) and evaluate the psychometrics of the instruments based on international data. In the instruments, six elements of empowering knowledge are included (bio-physiological, functional, experiential, ethical, social, and financial).Patients and methods: The original Finnish versions of EKhp and RKhp were tested for the first time in 2003, after which they have been used in several national studies. For international purposes, the instruments were first translated into English, then to languages of the seven participating European countries, using double-checking procedure in each one, and subsequently evaluated and confirmed by local researchers and language experts. International data collection was performed in 2009-2012 with a total sample of 1,595 orthopedic patients. Orthopedic patients were selected due to the increase in their numbers, and need for educational activities. Here we report the psychometrics of the instruments for potential international use and future development.Results: Content validities were confirmed by each participating country. Confirmatory factor analyses supported the original theoretical, six-dimensional structure of the instruments. For some subscales, however, there is a need for further clarification. The summative factors, based on the dimensions, have a satisfactory internal consistency. The results support the use of the instruments in patient education in orthopedic nursing, and preferably also in other fields of surgical nursing care.Conclusion: EKhp and RKhp have potential for international use in the evaluation of empowering patient education. In the future, testing of the structure is needed, and validation in other fields of clinical care besides surgical nursing is especially warranted.</p