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The impact of community-based elderly schools on quality of life and health literacy among older adults in Indonesia: a cross-sectional studySociální vědy ve zdraví - původní práce

Dwi Endah Kurniasih, Sri Mulyani, Fatwa Sari Tetra Dewi

Kontakt X:X | DOI: 10.32725/kont.2026.020  

Objectives: This study aimed to evaluate the influence of participation in a community-based elderly school program on the quality of life (QoL) of older adults. Methods: A cross-sectional analytical survey involved 303 adults aged ≥60 years from 10 sub-districts, selected through random sampling and grouped by elderly school attendance (≥4 sessions/12 months). Quality of life was assessed using the Indonesian WHOQOL-BREF (good ≥60; poor <60). Variables included education, ADL independence, and sociodemographic and health factors. Associations were analyzed using Chi-square tests and binary logistic regression. Results: Overall,...

Decision-making processes of nurses in clinical practice and their relationship with work motivation and perceived work effectivenessOšetřovatelství - původní práce

Helena Svobodová *, Sylva Bártlová

Kontakt X:X | DOI: 10.32725/kont.2026.026  

Goal: This study aims to analyse the level of nurses' involvement in decision-making processes in clinical practice, and to identify the connections between job position, decision-making opportunities, and selected work characteristics, especially work motivation, subjectively perceived work effectiveness, and attitude towards organisational change. Methods: The study employed a quantitative design and a questionnaire survey. The research instrument was a self-administered questionnaire containing 23 items focused on decision-making competencies, work motivation, and perception of the work environment. The questionnaire was distributed among non-medical...

Navigating lifelong care: experiences of mothers caring for adult offspring with autism spectrum disorderSociální vědy ve zdraví - původní práce

Miriam Slaná*, Katarína Molnárová Letovancová

Kontakt X:X | DOI: 10.32725/kont.2026.028  

Background: Autism Spectrum Disorder (ASD) is a lifelong neurodevelopmental condition that often requires intensive parental caregiving. While research has focused on children with ASD, experiences of parents caring for adult offspring remain underexplored. Aim: This study aimed to explore parents' experiences of caring for their adult child with ASD. Methods: A qualitative study was conducted with ten mothers using in-depth semi-structured interviews. Data were analyzed through reflexive thematic analysis to identify key patterns and themes in participants' experiences. Results: Five main themes emerged: Non-Transferable Caregiving, Reduction of the...

Sleep and delirium in hospitalized patients: a four-day multicenter cross-sectional study in general wardsOšetřovatelství - původní práce

Hana Locihová, Karolína Šrámková, Jana Slonková, Renáta Zoubková, Klára Maternová, Darja Jarošová

Kontakt X:X | DOI: 10.32725/kont.2026.029  

Introduction: Poor sleep quality is a risk factor for delirium in hospitalized patients. Objective: To assess the association between subjective sleep quality and delirium, and to analyze pharmacotherapy during hospitalization. Methods: A multicenter cross sectional study was conducted from June 2023 to March 2024 in seven general wards in the Czech Republic. The sample included 254 patients. Delirium was assessed daily using the Confusion Assessment Method short form. Sleep quality was evaluated on days 2 to 4 using the Richards-Campbell Sleep Questionnaire. Results: Patients with delirium had longer hospital stays (8.25 vs 7.12 days), higher alcohol...

The cornerstones of the ventilator-associated pneumonia preventive bundle in critically ill adults - a Czech national surveyOšetřovatelství - původní práce

Kateřina Rambousková, Šárka Línková, Kateřina Jiroutková, Veronika Šnorbertová (born Hložková), Veronika Dorazilová, Zuzana Klikarová, Johanka Hrdinová (born Pumprová), Barbora Havelková

Kontakt X:X | DOI: 10.32725/kont.2026.032  

Background: Ventilator-associated pneumonia (VAP) is the most common hospital-acquired infection in the intensive care unit (ICU). Given that prevention is key, efforts to develop effective measures have been encouraged. In 2004, the first "ventilator bundle" was introduced, consisting of four components. Daily oral care with chlorhexidine was added in 2010. This issue remains a subject of ongoing debate. Aim: Identify current practices regarding the VAP bundle for invasively ventilated patients in ICUs in the Czech Republic, focusing on nursing intervention bundles, VAP incidence, VAP prevention education, and oral care protocols. Results: A questionnaire...

Resilience in older adults: the role of gender and social support in the transition to long-term careSociální vědy ve zdraví - původní práce

Freya Anastasia Molnar, Danijela Lahe, Suzana Košir*

Kontakt X:X | DOI: 10.32725/kont.2026.033  

The transition of older adults to long-term care facilities presents significant psychosocial challenges. This study examines gender-specific resilience mechanisms that influence transitions, focusing on social support, family cohesion, spirituality, and coping strategies. The study aims to understand how these factors contribute to resilience in institutional settings, emphasising gender differences. A mixed-methods approach integrated quantitative data from the Brief Resilience Scale (BRS) and qualitative insights from interviews with ten residents from two long-term care facilities in Slovenia. Quantitative analysis of ten participants (five men...

Early maternal-infant bonding and its related factorsSociální vědy ve zdraví - původní práce

Lucia Mazúchová, Réka Popovcová, Zuzana Škodová, Lucia Mužilová, Barbora Ďuríčeková

Kontakt X:X | DOI: 10.32725/kont.2026.034  

Introduction: Early maternal-infant bonding and maternal breastfeeding self-efficacy are key factors influencing maternal and neonatal health outcomes. The aim of this study was to assess the level of early bonding among mothers in the postpartum period and to examine its associated factors. Methods: A cross-sectional quantitative study was conducted. The sample consisted of 303 women (age: 32.9 ± 5.10) at 3-4 days postpartum. Data were collected using a questionnaire that included the Mother-to-Infant Bonding Scale (MIBS) (Cronbach's alpha = 0.805) and the Breastfeeding Self-Efficacy Scale - Short Form (BSES-SF) (Cronbach's alpha = 0.946). Descriptive...

Quality of work life as a conditional mediator between organizational factors and job performance in a decentralized health systemSociální vědy ve zdraví - původní práce

Muchti Yuda Pratama, Ida Yustina, Nurmaini Nurmaini, Zulkarnain Zulkarnain

Kontakt X:X | DOI: 10.32725/kont.2026.036  

Introduction: Quality of Work Life (QWL) is frequently conceptualized as a mediating mechanism linking organizational factors to employee job performance. However, empirical findings across health systems, particularly in decentralized settings, remain inconsistent. Objectives: This study investigates whether QWL mediates the relationships between organizational commitment, healthy work environment, motivational climate, career development, and job performance among health workers in decentralized primary health care systems. Methods: Data were collected from 320 health workers working in local government primary health care facilities in Aceh, Indonesia....

Motivation of blood donors in the context of social competencesSociální vědy ve zdraví - původní práce

Roman Pospíšil, Pavlína Rabasová, Karel Pavlica, Hana Konečná, Zuzana Čermáková

Kontakt X:X | DOI: 10.32725/kont.2026.037  

Introduction: The study explores social competences as an important component of blood donor motivation, understood as socially competent, goal-directed behaviour in specific situations. Aim: To analyse donor motivation in relation to social competences and selected sociodemographic factors. Methods: The sample comprised 517 donors from the Blood Centre of the University Hospital in Ostrava. Data were collected using a self-designed questionnaire and the Social Competence Inventory (ISK-K). Internal consistency was assessed using Cronbach's alpha, and correlation and comparative analyses were conducted. Results: Acceptable reliability was confirmed...

Personality, empathy, and students' attitudes toward wheelchair usersSociální vědy ve zdraví - původní práce

Liudmila Vilchynskaya, Andriej Szpakow, Rafał Modzelewski, Dorota Sokołowska, Ľubica Bánovčinová, Lucia Demjanovič Kendrová, Jozef Babečka, Jana Juříková, Andrea Pokorná, Yelena Loginovich, Aliaksandr Shpakau

Kontakt X:X | DOI: 10.32725/kont.2026.038  

Introduction: This study investigates the relationship between personality traits (extraversion, introversion, neuroticism), empathy levels, and attitudes toward wheelchair users among 4,474 university students from Poland, Lithuania, Belarus, Ukraine, and Slovakia. Methods: Data were collected via an anonymous online survey (2024-2025) using the Eysenck Personality Inventory (EPI) for personality, the KRE-II Scale for empathy, and the Multidimensional Attitudes Scale toward Persons with Disabilities (MAS) for social attitudes. Results: Extraversion was significantly associated with higher empathy, while neuroticism correlated with specific aspects...

Sexting, unwanted online sexual solicitation, and internet-related anxiety among Slovak youthSociální vědy ve zdraví - původní práce

Filip Gerec, Jana Vallová, Lívia Hasajová, Slávka Krásna, Lenka Štefáková

Kontakt X:X | DOI: 10.32725/kont.2026.039  

Introduction: The digital environment poses new risks to young people, including sexting, unwanted online sexual solicitation, and the psychological strain associated with online victimisation. Goal: To analyse the relationships between the frequency of sexting, the presence of strangers in online contact lists, the rate of unwanted online sexual solicitation, and anxiety while using the internet among Slovak youth. Methods: A pilot cross-sectional quantitative study was conducted on a sample of 371 respondents from the Žilina Region (Slovak Republic). Respondents were recruited through convenience sampling in a school setting....

When natural disasters occur in unexpected placesSociální vědy ve zdraví - krátké sdělení

Pamela Murray-Tuite, Mark Small, Natallia Sianko, Venera Balidemaj, Jenneil Charles, MD Bayezid Islam, Jiayun Shen

Kontakt X:X | DOI: 10.32725/kont.2026.040  

Climate change is contributing to an increase in the frequency, intensity, and geographic reach of natural disasters, exposing communities historically considered low risk to potential harm. This editorial examines how disasters occurring in unexpected locations challenge conventional preparedness assumptions and offers preliminary lessons derived from work in South Carolina after Hurricane Helene. First, effective preparedness requires stronger pre-disaster relationships between government agencies, nonprofit organizations, and vulnerable communities to facilitate rapid and trusted mobilization of resources. Second, strong place attachment influences...

Missed nursing care in Brazilian hospitalsOšetřovatelství - původní práce

Diana Albuquerque Alvim de Paula, Adrize Rutz Porto, Maria Cristina Soares Rodrigues, Paula Roberta Silva Araújo Machado, Lucas da Silva Dellalibera, Nádia Fontoura Sanhudo, Herica Silva Dutra

Kontakt X:X | DOI: 10.32725/kont.2026.041  

Introduction: Missed nursing care refers to nursing activities that are omitted or delayed; it is recognized as a global issue with potential consequences for patient safety, including an increased risk of adverse events. Universal access healthcare is predominant in the Brazilian health system. Aim: To describe missed nursing care and its reasons in Brazilian hospitals. Methods: A multicenter descriptive study was conducted in three teaching hospitals at different Brazilian regions, involving 429 nursing professionals. Data were collected using the MISSCARE-BRASIL instrument. Results: The most missed nursing care activities were ambulation (57.1%)...

Gaps between knowledge and practice in operating room environmental cleaning and disinfection: a cross-sectional studyOšetřovatelství - původní práce

Thiago Aristides Lima Ragazzi, Adriely de Abreu Varoto, Alvaro Francisco Lopes de Sousa, Luciane Ribeiro, Fábio da Costa Carbogim, Patrícia Guedes Garcia, Adriana Cristina de Oliveira, André Luiz Silva Alvim

Kontakt X:X | DOI: 10.32725/kont.2026.042  

Background: Environmental cleaning and disinfection in operating rooms are essential to prevent healthcare-associated infections. However, gaps between professional knowledge and actual practice may compromise patient safety. Aims: To evaluate healthcare professionals' knowledge of surface cleaning and disinfection in operating rooms and its association with process effectiveness. Methods: A cross-sectional study was conducted in two surgical centers of a university hospital in southeastern Brazil. Seventy-one professionals completed a structured questionnaire assessing knowledge. Process effectiveness was evaluated on 1,560 high-touch surfaces using...

Predictors of quality of life after peroral endoscopic myotomy treatmentOšetřovatelství - původní práce

Alena Várady, Ivana Bóriková

Kontakt X:X | DOI: 10.32725/kont.2026.043  

Introduction: Esophageal achalasia is a chronic motility disorder that impairs quality of life (QoL). The aim of this study was to evaluate changes in QoL after peroral endoscopic myotomy (POEM) and to identify selected socio-demographic and clinical predictors. Methods: A prospective observational study included 50 patients aged 19-84 years. QoL was assessed using the Patient Assessment of Upper Gastrointestinal Disorders-Quality of Life (PAGI-QOL) before and three months after POEM. Changes and predictors of improvement were analyzed using non-parametric tests and generalized linear mixed models. Results: Total QoL and all domains improved significantly....

Remembering nursing: why collective memory matters for professional identity and professional autonomyEditorial

Mirko Prosen*, Sabina Ličen

Kontakt X:X | DOI: 10.32725/kont.2026.044  

Human resource management in healthcare facilities and healthcare employees' satisfactionSociální vědy ve zdraví - původní práce

Lukáš Klarner, Petr Řehoř, Jaroslav Vrchota, Monika Maříková *, Jakub Rytíř

Kontakt X:X | DOI: 10.32725/kont.2026.045  

Background: Identifying and understanding differences in job satisfaction among healthcare employees, along with how they connect to HR practices, are crucial components of the long-term sustainability of healthcare facilities. Methods: The research data were collected in the spring of 2025 from healthcare sector employees. A total of 121 employees, across different genders, ages, and job positions, participated in the study. The research used a questionnaire survey to evaluate job satisfaction factors and HR practices. Several statistical methods were applied, including the Mann-Whitney U test, the Kruskal-Wallis test, post hoc analysis,...

Coping strategies of male informal caregiversSociální vědy ve zdraví - původní práce

Iva Tichá *, Karel Pavlica, Petra Gřesová, Eva Krausová

Kontakt X:X | DOI: 10.32725/kont.2026.046  

Introduction: The study aims to explore the specific experiences of men involved in informal care in the Czech Republic, with an emphasis on their coping mechanisms when adapting to mental, physical, and social stress. Methods: A qualitative research design was employed, utilising thematic analysis of semi-structured interviews with eight men from the Moravian-Silesian region who assume roles as primary or secondary caregivers to varying degrees of intensity. Results: The dominant coping strategy among men proved to be rationalisation and instrumentalisation of care, with caregiving redefined as a managerial and logistical task. This approach allows...

E-accessibility for Czech Sign Language users: digital determinants of healthSociální vědy ve zdraví - původní práce

Kateřina Pešková, Radka Prázdná, Olga Malinovská, Pavel Zikl

Kontakt X:X | DOI: 10.32725/kont.2026.047  

The aim of this study is to identify barriers to e-accessibility, clarify their causes, and use such analysis to propose recommendations for removing or minimizing them so that users of Czech Sign Language (CSL) can fully and effectively use information and communication technologies (ICT) in society and everyday life. The research was designed as a mixed-methods study. The quantitative part was carried out using a questionnaire survey among the users of CSL, while the qualitative part was carried out in the form of focus groups with CSL users and e-accessibility experts. The data was analyzed with an emphasis on user experience and the evaluation...