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Field survey of the health status of residents in excluded localities in the Moravian-Silesian Region

Markéta Svobodníková, Klára Jarešová, Nikol Gottfriedová, Petra Macounová, Iveta Bryjová, Hana Tomášková, Ivan Tomášek

Kontakt 2026, 28(2):230-238 | DOI: 10.32725/kont.2026.023  

Introduction: Individuals living in socially excluded localities (SEL) generally have worse health compared to the control group. This is caused by a combination of various risk factors. Goal: The aim of this study was to compare specific health parameters collected during field research focused on a population facing social exclusion. Methods: The group of 937 individuals consisted of 67% (n = 630) from SEL and 33% (n = 307) from a control area in the Moravian-Silesian Region. During the field work, volunteers filled out a questionnaire and had their blood pressure, body measurements, and total cholesterol levels checked. The data were...

Possibilities for using the DOORS tool in social work in the Czech Republic: Inspiration from Australia and Sweden

Petra Vašinová, Adéla Mojžíšová

Kontakt 2026, 28(2):222-229 | DOI: 10.32725/kont.2026.011  

The aim of this scoping review is to map the use of the FL-DOORS (Family Law Detection of Overall Risk Screen) screening tool in the context of family law disputes in Australia and Sweden, and to assess its applicability in Czech social and legal child protection. The FL-DOORS tool was developed in Australia as a three-level system for the early detection of risk factors in families, with an emphasis on child safety, the occurrence of domestic violence, and the mental health of parents. In Sweden, this tool was piloted in interdisciplinary projects that highlighted its potential and limitations, particularly in the expert interview phase. The overview...

Nutrition and social determinants of healthy ageing in the Czech Republic: a narrative review

Romana Klášterecká, Petra Pičmanová, Miroslav Kopecký, Zuzana Svobodová, Tereza Schovánková

Kontakt 2026, 28(2):213-221 | DOI: 10.32725/kont.2026.021  

Aim: To synthesise empirical evidence on the relationship between nutrition and social determinants of health among older adults in the Czech Republic and to outline implications for practice and research. Methods: A narrative review focusing on community-dwelling adults aged 65 years and older was conducted. A structured literature search (2014-2024) was performed in national and international databases using predefined inclusion criteria, double screening, and thematic analysis. Nineteen Czech studies of various designs were included. Results: The evidence indicates a coexistence of overweight or obesity and the risk of undernutrition, together with...

Mental health stigma across healthcare levels: a mixed methods case study

Vesna Zupančič, Karmen Erjavec

Kontakt 2026, 28(2):207-212 | DOI: 10.32725/kont.2026.014  

Introduction: Stigma among healthcare professionals remains a major barrier to accessible, high-quality mental health care. This study explores attitudes of Slovenian healthcare workers across different care levels toward people with mental disorders. Methods: Using a mixed methods design, the study combines a survey of 223 professionals, the Opinion of Mental Illness Scale, and qualitative data from three focus groups and 20 interviews. Results: Primary and tertiary care workers report fewer social restrictions and greater openness to integration than those in secondary care. Primary care workers showed the strongest willingness to include individuals...

Disability in the context of prehabilitation in oncogynecological patients: a pilot study

Petra Sládková, Marie Tichá, Kateřina Kotrbová, Michaela Švábenická, Darina Ševčíková, Michal Zikán, Markéta Polková, Martin Zubek, Markéta Janatová, Tomáš Brtnický

Kontakt 2026, 28(2):200-206 | DOI: 10.32725/kont.2026.022  

Introduction: Surgical interventions for malignant oncogynecological diseases represent a significant disruption to patients' functional status and commonly result in disability. Prehabilitation serves as a preparatory process enhancing patients' resilience prior to major surgery. Goal: To compare disability-related changes before and after a three-week intensive multimodal prehabilitation, assessed through selected functional evaluation tools. Methods: This prospective pilot study was conducted over 15 months and involved patients diagnosed with malignant oncogynecological disease. Participants underwent intensive multimodal prehabilitation, aimed...

Striving for autonomy: the transition of persons with disabilities from family to independent life

Martina Hrozenská, Nina Rakovická

Kontakt 2026, 28(2):193-199 | DOI: 10.32725/kont.2026.017  

Aim: Identify the most problematic situations that people with disabilities have had to deal with in becoming independent, and highlight the structural challenges and barriers they encounter in the process of becoming independent from their original family. Theoretical base: The philosophy of independent living for people with disabilities means equal opportunities. Physical disability or any health disability should not be an obstacle to living life according to one's own wishes. Methods: The problematic situations that people with disabilities had to deal with were identified based on an analysis of interviews with five deliberately selected participations...

Interventions to address the needs and requirements of families after intrauterine or perinatal child loss - a scoping review

Lydia Bauernfeind, Yvonne Spyra, Fritz Sterr, Julian Siepmann, Karsten Gensheimer, Christian Rester

Kontakt 2026, 28(2):185-192 | DOI: 10.32725/kont.2026.024  

Aim: To provide an overview of existing research on interventions addressing the needs and requirements of families after intrauterine or perinatal loss of a child. Design: A scoping review Methods: We conducted a systematic literature search in Medline, Cochrane, and CINAHL without restrictions on the publication period. We only included original empirical studies that investigated interventions for families following intrauterine or perinatal child loss. After the title, abstract, and full-text screening, data was extracted and synthesized using an inductive approach. Results: Of the 3,502 studies obtained, a total of 25 were included in the scoping...

Diabetes management in patients in primary care

Gal Fanedl, Barbara Kegl

Kontakt 2026, 28(2):179-184 | DOI: 10.32725/kont.2026.015  

Introduction: Diabetes is a chronic disease that demands continuous management and poses a major public health challenge. Its rising prevalence and treatment costs highlight the need for holistic, non-pharmacological approaches. Registered nurses play a key role in diabetes care, particularly through patient education. This article analyses nursing interventions in diabetes management and evaluates their effects on clinical outcomes and patient satisfaction. Methods: A systematic review of the scientific literature was conducted using PubMed, Cochrane Library, and ScienceDirect. Source selection was guided by a PRISMA diagram, after which we conducted...

Risk factors associated with fear of childbirth among pregnant women

Stela Šegľová, Zuzana Škodová, Martina Bašková

Kontakt 2026, 28(2):171-178 | DOI: 10.32725/kont.2026.031  

Aim: The aim of the study was to analyse the associations between selected risk factors and the level of fear of childbirth among pregnant women. Methods: The research sample consisted of 251 pregnant women, most commonly aged 25-30 years, in all stages of pregnancy. The level of fear was measured using the standardized Tokophobia Severity Scale (TSS) questionnaire, supplemented with demographic data and obstetric history information. Data were processed as a combined research design and analyzed using the Mann-Whitney U test and the Kruskal-Wallis test. Results: Statistically significant associations were found between the level of fear of...

Population patterns of temporal orientation in older adults: a cross-national analysis of SHARE Wave 9 in Central Europe

Hedvig Kiss, Péter Takács, Orsolya Nyilas, Zoltán Balogh

Kontakt 2026, 28(2):163-170 | DOI: 10.32725/kont.2026.030  

Background: Temporal orientation is a brief cognitive indicator widely used in clinical and population-based assessments. Impaired temporal orientation has been associated with functional decline and increased care needs, yet population-level evidence from Central Europe remains limited. Objectives: This study examined patterns of temporal orientation among adults aged 50 years and older in the Visegrád Four countries. Methods: Cross-sectional data from SHARE Wave 9 were analysed. Temporal orientation was assessed using four standard items and summarised as a total score and a binary indicator (perfect vs. non-perfect orientation). Ordinal and binary...

Exploring the experiences and perceptions of male Saudi nurses working in hospital clinical settings

Lemon Albores Bacalso, Lovely Simon, Johanna Jacobs, Fawaz Hakami, Adel Kariri

Kontakt 2026, 28(2):156-162 | DOI: 10.32725/kont.2026.027  

Background: Nursing in Saudi Arabia has traditionally been a female-dominated profession, resulting in social stigma for Saudi male nurses. However, recent health system reforms have led to an increase in the number of male Saudi nurses, reflecting changing societal perceptions. Aim: To explore the experiences and perceptions of male Saudi nurses working in clinical hospital settings, focusing on the challenges and contributions they face in their roles. Methods: A qualitative design was used, involving semi-structured focus group discussions (FGDs) with seventeen Saudi male nurses from a tertiary hospital in Riyadh. Data collected between May and...

Perceptions of nurses' behaviour from the perspective of oncology patients and their families

Jana Boroňová, Alena Dziacka, Diana Budzáková

Kontakt 2026, 28(2):151-155 | DOI: 10.32725/kont.2026.025  

Introduction: Nurses' moral behaviour, expressions of compassion, and support of hope represent important aspects of nursing care for oncology patients and may influence both patients' experience of their illness and the experiences of their family members. Aim: The aim of this study was to examine perceptions of nurses' moral and immoral behaviour, compassion, and support of hope from the perspective of oncology patients and their family members, and to analyse the relationship between these perceptions and respondents' age and the duration of treatment. Methods: A quantitative exploratory study was conducted from July 2024 to January 2025. The research...

Assessing the quality of life of shift-working nurses based on their chronotypes

Hana Locihová, Monika Pačísková, Kateřina Greplová, Jiřina Hosáková

Kontakt 2026, 28(2):143-150 | DOI: 10.32725/kont.2026.013  

Introduction: Nurses' quality of life (QoL) may be influenced by chronotype, reflecting individual circadian preferences. Objective: To assess the agreement between subjective chronotype perception and MEQ classification, examine associations with age, gender, and shift work, validate the Czech NQOLS, and evaluate the effects of chronotype and ward type on QoL. Methods: A single-center cross-sectional study was conducted among nurses from several departments of a Czech university hospital. Chronotype was assessed using the Morningness-Eveningness Questionnaire and QoL using the NQOLS. Results: A strong association was found between subjective chronotype...

Validation of the HLS-Child-Q15 questionnaire in Czech primary school children

Sylva Bártlová, Iva Brabcová, Věra Hellerová, Milena Mágrová, Alena Machová, Olga Dvořáčková

Kontakt 2026, 28(2):135-142 | DOI: 10.32725/kont.2026.019  

Aim: To evaluate the psychometric properties of the Czech version of the HLS-Child-Q15 questionnaire among children aged 9-10 years. Design: Cross-sectional validation study. Methods: The study included 1,333 fourth-grade pupils from three regions of the Czech Republic. The translation process followed forward-backward translation procedures with expert panel review and pilot testing. Internal consistency was assessed using Cronbach's alpha and split-half reliability. Construct validity was examined using exploratory factor analysis (principal axis factoring with Promax rotation). Criterion validity was evaluated through logistic regression analyses...

Psychometric properties of the Slovak version of the MISSCARE Survey-Patient

Elena Gurková, Mária Sováriová Soósová, Katarína Žiaková

Kontakt 2026, 28(2):127-134 | DOI: 10.32725/kont.2026.018  

Background: Understanding patient-perceived missed nursing care is essential for improving patient-centred care, safety, and quality of nursing services in acute care settings. Although missed nursing care has been widely examined from nurses' perspectives, instruments capturing patients' experiences require further cultural adaptation and validation. Aim: This study aimed to adapt the Slovak version of the MISSCARE Survey-Patient and to evaluate its psychometric properties in adult medical and surgical inpatient settings. Design: A cross-sectional, correlational study. Methods: A convenience sample of 319 adult inpatients from medical and surgical...

Psychometric properties and nursing students' perceptions of patient safety using the Health Professional Education in Patient Safety Survey: a cross-sectional validation study

Daniela Bartoníčková, Lenka Mazalová, Eva Reiterová, Klára Brišová, Peta Jane Greaves, Alison Machin, Dominika Kohanová

Kontakt 2026, 28(2):118-126 | DOI: 10.32725/kont.2026.008  

Introduction: Despite increasing emphasis on patient safety in nursing education, valid culturally adapted instruments in Central Europe remain scarce. Nursing students' perceptions of safety competencies is essential for enhancing patient-centred care. Aim: The study aimed to evaluate the psychometric properties of the Czech version of the Health Professional Education in Patient Safety Survey (H-PEPSS) and to assess nursing students' self-reported competencies in patient safety. Methods: A purposive sample of 496 nursing students participated. Psychometric properties included face and content validity, confirmatory factor analysis, and internal consistency....

Elderly care in Bosnia and Herzegovina: the nexus of family and institutional care

Sanela Šadić*

Kontakt 2026, 28(2):115-117 | DOI: 10.32725/kont.2026.035  

Transforming disability assessment in Albania: progress and challenges of the biopsychosocial model

Xhulia Musta, Rudina Rama, Edita Fino

Kontakt 2026, 28(1):106-113 | DOI: 10.32725/kont.2026.006  

Introduction: Disability assessment in Albania has traditionally relied on a medical model that conceptualises disability as a personal deficit arising from individual impairment. This model has been widely criticised for its stigmatising nature, inefficiency, and limited capacity to improve quality of life for persons with disabilities (PwDs). In 2019, Albania initiated a policy shift towards the biopsychosocial model, which recognises disability as the outcome of complex interactions among biological, social, and psychological factors. Aim: This article reviews the progress of the biopsychosocial model's implementation in Albania since its inception,...

The online environment as a risk factor for suicidal behaviour in adolescents: challenges for social work

Soňa Šrobárová *, Marek Stachoň

Kontakt 2026, 28(1):98-105 | DOI: 10.32725/kont.2026.012  

Introduction: The study examines the relationship between the use of digital environments and suicidal vulnerability among adolescents aged 15-18, emphasizing the implications for contemporary social work practice. The research responds to the growing need for evidence-based approaches to understanding how online interactions influence youth mental health, loneliness, and help-seeking behaviour. Methods: A mixed-methods design was employed. The quantitative component consisted of an electronic questionnaire administered to secondary-school students aged 15-18 (n = 168), verified for reliability (Cronbach's α = 0.87). The qualitative component...

The position of social workers within the Slovak healthcare system in relation to overwork and coping with stressful situations

Martina Mojtová *, Elena Gažiková, Ján Gabura

Kontakt 2026, 28(1):88-97 | DOI: 10.32725/kont.2026.007  

Aim: Determine the perception of the position of social workers in Slovak healthcare in relation to overwork and coping with stressful situations. Methods: This research study has a quantitative design with the use of a self-made questionnaire. The research sample consists of 59 social workers working in various healthcare facilities in the Slovak Republic. Results: The results show that the vast majority of respondents agree with codifying the legal status for social workers in healthcare into law. The results also point to the work overload of social workers in healthcare and statistically don't significantly differ with respect to their years of...

The relationship between happiness at work and organizational commitment: a study of medical secretaries

Betul Sari, Hilal Ekim Kiratli, Halil Can Aydemir

Kontakt 2026, 28(1):79-87 | DOI: 10.32725/kont.2026.004  

Objective: This study aimed to examine the relationship between happiness at work and organizational commitment among medical secretaries and to determine the extent to which happiness at work influences organizational commitment. Methods: This cross-sectional study was conducted between January and May 2025. The research included 394 medical secretaries employed in public and private sector institutions in Mersin, Turkiye, who voluntarily agreed to participate. Data were collected using the Descriptive Information Form, the Happiness at Work Scale (HWS), and the Organizational Commitment Scale (OCS). Results: The mean HWS score of the participants...

From expertise to empathy: multi-dimensional brand perception in Czech healthcare

Zbyněk Stavař, Alena Hricová

Kontakt 2026, 28(1):73-78 | DOI: 10.32725/kont.2025.053  

Background: Brand management in healthcare is becoming increasingly important due to marketization and rising patient expectations. However, the specific nature of this sector - including ethical norms and patient vulnerability - challenges the direct application of commercial branding models. Objective: The aim of this study is to identify key factors influencing brand perception among Czech healthcare users, and to analyze the impact of sociodemographic and lifestyle variables on this perception. Methods: A quantitative survey was conducted on a representative online panel of 502 Czech adults. The structured questionnaire focused on brand awareness,...

The role of mindfulness programs in reducing student anxiety and stress

Adelina Kakija *, Denalda Bashota

Kontakt 2026, 28(1):65-72 | DOI: 10.32725/kont.2026.003  

Introduction: In recent years, mindfulness programs have gained increasing attention as effective interventions for managing anxiety and stress among students. The aim of the study is to explore the impact of mindfulness-based practices on student mental health, with a focus on reducing anxiety and stress levels in educational settings. Aim: To evaluate the effectiveness of various mindfulness interventions, including Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT), and to identify the mechanisms through which mindfulness influences mental well-being. Methods: The methodology involves a mixed-methods study,...

Factors accompanying the grieving process in the perception of widowed elderly women

Martina Černá *, Jana Gabrielová

Kontakt 2026, 28(1):60-64 | DOI: 10.32725/kont.2025.061  

Aim: The aim is to describe the factors that accompany the grieving process following the loss of a partner, from the perception of widowed elderly women. Theoretical base: Grieving is a taboo topic in the Czech environment. Grieving people are misunderstood by those around them, who often do not know how to behave towards them, what communication strategies to choose, and which aspects of everyday life are burdensome. Methods: Accompanying factors were described based on an analysis of 15 interviews with widowed elderly women whose partner died as a result of a serious illness. The grieving process in these cases differs in many aspects to that of...

Substance abuse in occupational therapy: a questionnaire survey among Czech occupational therapists

Lenka Hormandlová, Petra Sládková

Kontakt 2026, 28(1):52-59 | DOI: 10.32725/kont.2026.005  

The aim of the study was to map the awareness, attitudes, and experiences of occupational therapists in the Czech Republic regarding substance abuse among clients/patients in occupational therapy. The research focused on the frequency of contact with these clients, the impact on therapy, the availability of professional education in this area, and attitudes towards prevention and interventions. Emphasis was also placed on the importance of multidisciplinary cooperation. Data were collected through an online questionnaire created by the authors, distributed among members of the Czech Association of Occupational Therapists (CAE) and disseminated through...

Sedentary behavior as a discriminator of functional disability among older adults: a cross-sectional study

Daniele Pereira de Santana, Lucas dos Santos, Italo Emmanoel Silva e Silva, Paulo Gonçalves Júnior, José Ailton Oliveira Carneiro, Thaís Alves Brito, Rafael Pereira, Marcos Henrique Fernandes, Lucimere Bohn, Jorge Mota, Raildo da Silva Coqueiro

Kontakt 2026, 28(1):44-51 | DOI: 10.32725/kont.2026.009  

Objectives: To investigate the association between sedentary behavior and functional disability in instrumental activities of daily living among older adults, and to determine the accuracy and optimal cutoff point of sedentary behavior for the discrimination of functional disability. Methods: This is a population-based, cross-sectional epidemiological survey of 318 older adults (mean age: 74.6 ± 9.7 years old) from Northeastern Brazil. Functional disability in instrumental activities of daily living was assessed using the Lawton scale (presence or absence). Sedentary behavior time was quantified using the International Physical Activity Questionnaire....

Maternal satisfaction with childbirth in selected healthcare facilities in the Moravian-Silesian Region

Kateřina Kliš, Radka Kozáková *

Kontakt 2026, 28(1):38-43 | DOI: 10.32725/kont.2026.010  

Objectives: The aim of this article was to determine the level of maternal satisfaction with childbirth in selected healthcare facilities in the Moravian-Silesian Region and to analyze the relationships between childbirth satisfaction and selected sociodemographic and psychosocial factors, including mode of delivery, participation in antenatal education, and overall life satisfaction. Methods: A cross-sectional quantitative study was conducted among 157 women in the early postpartum period. The Czech version of the Labor and Delivery Satisfaction Index (LADSI-CZ) and the Personal Wellbeing Index - Adult (PWI-CZ) were used for data collection. Descriptive...

Nursing students' beliefs and attitudes towards mental illness: stigmatization, discrimination, and professional influences

Behiye Dilmen Bayar *, İbrahim Dağ

Kontakt 2026, 28(1):31-37 | DOI: 10.32725/kont.2026.002  

Background: It is important that individuals with mental illness are not stigmatized by health professionals. Purpose: This descriptive correlational study aimed to determine the relationship between nursing students' beliefs about mental illness and their attitudes toward people with mental health problems. Methods: The study was conducted with 200 nursing students using the Descriptive Characteristics Form, Beliefs about Mental Illness Scale (BMI), and Community Attitudes Towards Mentally Ill Individuals Scale (CAMI). Data were analyzed using descriptive statistics, t-test, Anova, and pearson correlation analysis. Results: The mean BMI total...

Social and emotional determinants of death anxiety in the context of health care

Norbert Domonkos, Kornélia Helembai, István Vingender

Kontakt 2026, 28(1):24-30 | DOI: 10.32725/kont.2025.062  

Introduction: Health care professionals (HCPs) often meet terminal patients in the course of their work, which potentially poses psychological and existential challenges. The identification of individual and social factors associated with fear of death (FoD) is crucial for prevention. Objective: The objective of the study was to explore the psychological and social variables related to FoD levels among HCPs. Methods: In a quantitative, cross-sectional study, the Multidimensional Fear of Death Scale was applied (N = 500). Data were analysed with Mann-Whitney, Spearman's, and Kruskal-Wallis tests. Results: The mean FoD score was 129.76 points....

Transforming menopausal health: an experimental study on the impact of an empowerment program

S Ramyashree, Jacintha Veigas, K S Dileep, Shishir Kumar

Kontakt 2026, 28(1):16-23 | DOI: 10.32725/kont.2026.001  

The study aimed to determine how well the empowerment program works to raise the general standard of living for menopausal women. Thirty participants were used in a real experimental design that took a comprehensive approach to health outcomes. The participants were randomly assigned to a control and an intervention group, and baseline data were collected using biophysical indicators. The results showed that the intervention group's mean age was 51 years, and the majority of participants were from nuclear families. The mean post-test score for menopausal symptoms was 15.9 + 3.08, which is significantly less than the average pre-test score of 22.4 +...