Missed nursing care measured by MISSCARE Survey – the first pilot study in the Czech Republic and Slovakia

Aim: The aims of the pilot study were a) to compare the amount, type, and reasons for missed nursing care in the Czech Republic and Slovakia; and b) to investigate the psychometric properties of the Slovak and Czech versions of the MISSCARE Survey. Design: Cross-sectional study. Methods: For measurement of missed nursing care The Missed Nursing Care (MISSCARE) Survey was used. The sample consisted of 226 hospital nurses in the Czech Republic and Slovakia. Results: The internal consistency of Part A measured by Cronbach alpha was 0.939 for the Czech version and 0.945 for the Slovak version of the MISSCARE Survey. The average score for missed nursing care was 1.64 ± 0.51 for the Czech Republic, and 1.99 ± 0.83 for Slovakia. Shortfalls in labor resources were cited as the chief reason for missed nursing care in the countries surveyed. Conclusion: Psychometric testing showed that the Czech and Slovak versions of the MISSCARE Survey are reliable and valid tools, and can be used for measuring missed nursing care

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

Adaptation and psychometric analysis of the Czech version of the Nurse Competence Scale

Aim: The aim of the study was a transcultural adaptation, linguistic validation, and testing of psychometric properties of the Czech version of the Nurse Competence Scale (CZNCS).Methods: Designed as a cross-sectional observational study. The sample comprised 274 students from third-year bachelor's nursing study programmes at Czech universities. To collect the data, a Czech version of the Nurse Competence Scale was used, containing 73 items grouped into seven subscales. The data was collected between 2018 and 2021. The internal consistency of the scale was assessed using Cronbach's alpha. Content validity was assessed using the Content validity index, while construct validity was tested using Principal Component Analysis. Differences in the assessment of competence were tested using the Mann-Whitney test and Pearson's chi-squared test.Results: The content validity index average for the Czech version of NCS was 0.95, while the content validity index-universal agreement was 0.75. Cronbach's alpha of the Nurse Competence Scale was 0.981. Factor analysis showed a six-factor solution.Conclusions: The Czech version of the Nurse Competence Scale showed good levels of content validity and reliability. The Czech version of the NCS may serve as a useful tool for self-assessment of students' competence in the final years of nursing programs.</p

Nursing students’ self-directed learning abilities and related factors at graduation: A multi-country cross-sectional study

AimTo describe nursing students’ level of self-directed learning abilities and identify possible factors related to it at graduation in six European countries.DesignA cross-sectional comparative design across the countries.MethodsThe study was conducted from February 2018 to September 2019. Nursing students (N = 4,135) from the Czech Republic, Finland, Italy, Portugal, Slovakia and Spain were invited to respond to the research instruments (the Self-Rating Scale of Self-Directed Learning and the Nurse Competence Scale) at graduation. The data were analysed using the chi-square test, Pearson correlation coefficient and the linear model.ResultsThe nursing students’ (N = 1,746) overall self-directed learning abilities were at high level in all countries. Statistically significant differences occurred between countries. Spanish nursing students reported the highest level of self-directed learning abilities while students from the Czech Republic reported the lowest. Higher level of self-directed learning abilities was related to several factors, particularly with the self-assessed level of competence and country.</p

Clinical Learning Environment And Graduating Nursing Students’ Competence: A Multi‐Country Cross‐Sectional Study

The purpose of this study was to explore nursing students’ perceptions of their final clinical learning environment and its association with their self‐assessed competence, satisfaction with nursing education and turnover intentions at graduation in six European countries. A multi‐country comparative cross‐sectional study was conducted with nursing students (n = 1,746) from the Czech Republic, Finland, Italy, Portugal, Slovakia and Spain using the Nurse Competence Scale and the Clinical Learning Environment and Supervision scale. Nursing students’ overall perceptions of their final clinical learning environment and supervision were positive in all the countries studied. The correlation between the students’ perceptions of their final clinical learning environment and competence was statistically significant and positive. Satisfaction with the nursing programme and clinical practicum and no consideration of career change were related to positive perceptions of the final clinical learning environment. Highlighting the importance of the supervisory relationship and pedagogical atmosphere, nursing students’ positive perceptions of the final clinical learning environment and supervision contribute to a better level of self‐assessed competence and satisfaction with the nursing programme and clinical practicum, leading to lower turnover intentions.</p

Association between burden and depression in caregivers of dementia patients

Aim: The pilot study aimed to determine the association between burden and depression in caregivers caring for dementia patients. Design: Quantitative research; a cross-sectional study. Methods: Data were collected using a set of standardized questionnaires. Patients’ performance in activities of daily living was assessed using the Barthel scale. The subset for caregivers included the Zarit Burden Interview, Caregiver Strain Index and Beck Depression Inventory. Results: The pilot study sample comprised 100 lay caregivers of dementia patients. More than 50% of caregivers of patients with moderate to severe dementia experienced moderate to severe burden as compared with those caring for individuals with mild or minimal depression. The median burden scores were 54 and 38 in caregivers with and without depression, respectively. There was no statistically significant difference in burden scores with respect to depression. There were positive correlations between depression measured with the Beck Depression Inventory and both Zarit Burden Interview scores (0.4898) and Caregiver Strain Index scores (0.3379). Conclusion: The pilot study results confirm that caregivers are at risk for the development of depression associated with burden of care for dementia patients. It is essential to pay attention to carers, testing them regularly to assess both caregiver burden and the development of depression. Keywords: caregiver burden, caregiver depression, dementia patien

Painful ulceration and quality of life of patients with the diabetic foot syndrome

Aim: The aim of this study was to evaluate the influence of pain on quality of life of patients with diabetic foot syndrome. Design: Cross-sectional study. Methods: Quality of life was assessed using a Czech version of the Diabetic Foot Ulcer Scale (DFS), a standardized questionnaire. The sample consisted of 247 patients with diabetic foot syndrome. The intensity of pain in diabetic ulcers was measured using a visual analogue scale (VAS) from 0 (no pain) to 10 (maximum pain). Data was collected between April 2014 and December 2014 in 18 podiatric and chronic wound outpatient clinics throughout the Czech Republic. Results: Quality of life in patients with permanent pain was lower in all domains of the DFS questionnaire in comparison with patients who reported no pain. For patients who attended chronic wound outpatient clinics quality of life was significantly lower in four domains of the DFS (Leisure, Physical health, Emotions, and Friends) than for patients who did not attend chronic pain outpatient clinics. A statistically significant moderate negative correlation was found between intensity of pain and quality of life in the following domains: Physical health (r = -0.592), Daily activities (r = -0.456), Emotions (r = -0.503), and Treatment (r = -0.434). Conclusion: Pain ulceration affects quality of life of patients with diabetic foot syndrome

ASSESSING SUBJECTIVE SLEEP QUALITY IN SENIORS

Aim: The study aimed at assessing the quality of sleep in seniors. Another objective was to determine the impact of gender, age, type of residence and taking sleeping medication on the quality of sleep. Design: A cross-sectional study. Methods: Data were collected using the standardized Pittsburgh Sleep Quality Index (PSQI) questionnaire. The sample comprised 146 seniors living in the Moravian-Silesian Region, Czech Republic. The survey was conducted from January 2014 to the end of October 2014 in a long-term chronic care department of a selected hospital, two retirement homes and among seniors living in their own homes. Results: Thirty-five (24%) seniors had their global PSQI scores of 5 (i.e. the highest score indication good sleep quality) or less. The remaining 111 (76%) participants were shown to suffer from impaired sleep quality as their global PSQI scores were 6 or higher. There were statistically significant differences in component scores between seniors with the global PSQI scores of 5 or less and those with higher scores. The best quality of sleep was observed in females, seniors in the 65–74 age category and those sharing their own homes with their spouses or partners. Conclusion: Subjective sleep quality assessment varies significantly with respect to gender, age, type of residence and use of sleeping medication. Keywords: sleep quality, PSQI, subjective assessment, senior