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Motivation, expectations, and needs of foster parents

Roman Pospíšil, Adéla Klementová

Kontakt 2025, 27(4):391-397 | DOI: 10.32725/kont.2025.038  

Introduction: In the Czech Republic, there is a lack of research examining the motivations and expectations of foster parents, as well as how foster care fulfils their needs. One of the main reasons why we are addressing this issue is that institutional care for children under the age of 3 was abolished at the end of 2024 and replaced by family care. Objectives: The paper aims to examine the experiences of individuals in the process of providing foster care. Methods: The research was carried out using a qualitative research strategy. The research population was foster parents from the Moravian-Silesian region. The data were collected through a semi-structured...

Child clients' perspectives on the continuity of professional care for children and adolescents with mental illness

Klaudie Němečková *, Alena Hricová

Kontakt 2025, 27(4):384-390 | DOI: 10.32725/kont.2025.044  

The study focuses on the experiences of children and adolescents with mental health problems in the context of continuity of professional care in the Czech Republic. Using a qualitative methodology, 33 in-depth interviews with young people aged 11-18 who had personal experience with various forms of psychiatric, psychological, or social intervention were analysed. The aim was to capture their perceptions of transitions between institutions, barriers in the system, and needs that were not met during care. Data analysis through reflective thematic analysis revealed six key areas influencing the experience of continuity of care: layered trauma, experience...

Czech occupational therapists' perspective on dark side occupations

Zuzana Rodová, Petra Hospodková, Kateřina Vondrová, Olga Nováková, Vladimír Rogalewicz, Yvona Angerová

Kontakt 2025, 27(4):378-383 | DOI: 10.32725/kont.2025.052  

Background: Occupational therapists (OTs) mainly focus on productive and positive occupations leading to good health. Not all activities are healthy and productive, but can provide a sense of well-being when their meaning and significance (relaxation, celebrations, entertainment) are important for the client. Dark side occupations (those socially disapproved, legally questionable, or potentially harmful to health) include e.g., drinking alcohol, smoking, using addictive substances or excessive use of social networks. Aim: To explore the use of dark side occupations in the practice of Czech occupational therapists. Methods: A web-based questionnaire...

Breaking the silence: a qualitative study on older adults' perspectives and lived experiences of elder abuse

Miroslava Tokovska, Vanessa Nolasco Ferreira, Jana Šolcová, Andrea Seberíni

Kontakt 2025, 27(4):371-377 | DOI: 10.32725/kont.2025.058  

Background: Elder abuse represents a significant social and public health challenge in Slovakia, yet little is known about older adults' experiences with this phenomenon. Objective: This qualitative study examined the perspectives and lived experiences of older adults regarding elder abuse. Methods: Asynchronous email interviews were conducted with 27 participants (15 female, 12 male) aged 65-81 years from urban and rural Slovakia. Data were collected between September-October 2023 and analyzed using systematic text condensation. Results: Three main themes emerged: (1) unfamiliarity with sources of help (85% reported lacking knowledge about available...

A comparative study of prosocial attitudes towards homelessness among secondary school students

Lenka Štefáková, Filip Gerec, Miroslav Špánik, Jaroslav Prílepok

Kontakt 2025, 27(4):364-370 | DOI: 10.32725/kont.2025.050  

Introduction: Negative stereotypes and prejudices towards people experiencing homelessness persist even in the adolescent population, which may influence their attitudes, behavior, and level of acceptance towards this marginalized group. Goal: To analyze prosocial attitudes and the level of willingness to help people without homes among students of different types of secondary schools in the Dolná Orava region, identify factors influencing their readiness to provide help, and verify differences in these attitudes by type of school, age, and gender. Methods: Quantitative research (N = 639; age 14-20 years old; 56.5 % girls) used the adapted Attitudes...

Enhancing mental health in primary school children: a review of social emotional learning interventions with acceptance and commitment therapy components

Sheri Kingsdorf, Karel Pančocha*, Kateryna Ivanova

Kontakt 2025, 27(4):354-363 | DOI: 10.32725/kont.2025.054  

Background: A robust social-emotional learning (SEL) repertoire in children has the potential to reduce mental health-related challenges impacting conduct problems, emotional distress, and academic achievement. However, achieving consensus around the key components of SEL-based interventions in primary schools remains challenging. Methods: This scoping review aimed to investigate the applications and efficacy of evidence-based SEL practice, specifically acceptance and commitment therapy (ACT) interventions, in primary school settings. A comprehensive literature search identified six studies that incorporated ACT-based interventions within primary school...

Effect of multisensory interventions on relieving procedural pain in newborns during neonatal screening

Kateřina Greplová, Bohdana Dušová, Jana Chromá, Martina Bašková

Kontakt 2025, 27(4):348-353 | DOI: 10.32725/kont.2025.060  

Introduction: Procedural pain in newborns is a serious clinical problem with potential long-term consequences. Multisensory non-pharmacological interventions are currently regarded as an effective and safe alternative to pharmacological pain relief. Objective: This study aimed to identify the most effective multisensory interventions during neonatal screening and assess the effect of selected perinatal factors on the intensity of the pain response. Methods: A prospective observational study was conducted on 76 full-term newborns. The assessment of pain was conducted using the Neonatal Infant Pain Scale (NIPS) and the Neonatal Facial Coding System (NFCS)...

Motivation, job satisfaction, performance, and commitment of surface cleaning staff in a pediatric ICU: a cross-sectional study

Viviane Perbeline Gonçalves, Alvaro Francisco Lopes de Sousa, Helder de Pádua Lima, Daniel de Macedo Rocha, Winola Dafny Douglas de Oliveira, Verusca Soares de Souza, Luan Aparecido Alexandre Elias, Aires Garcia Santos Junior

Kontakt 2025, 27(4):340-347 | DOI: 10.32725/kont.2025.051  

Background: Surface cleaning and disinfection are vital to infection control in pediatric ICUs, yet those who perform them often receive little recognition, which may undermine motivation, satisfaction, performance, and organizational commitment. Aim: To assess these constructs among nursing professionals and outsourced cleaning staff in a Brazilian PICU. Methods: Cross-sectional study with 35 workers (23 nurses/technicians, 12 outsourced cleaners). Data were collected Nov/2023-Apr/2024 using self-administered questionnaires with sociodemographics and four validated scales (Motivation at Work, Job Satisfaction, Organizational Commitment, Work Performance)....

Satisfaction and professional quality of life of midwives

Lucia Mazúchová, Zuzana Škodová, Natália Černigová, Simona Kelčíková, Nora Malinovská

Kontakt 2025, 27(4):333-339 | DOI: 10.32725/kont.2025.040  

Introduction: To retain midwives in the profession, it is necessary to address their job satisfaction and professional quality of life, which was the focus of our study. Methods: A cross-sectional study design was chosen. The research sample consisted of 156 midwives. A questionnaire was used, the first part of which included questions focused on demographic data, job satisfaction, and positive and negative factors of professional quality of life. The second part incorporated the Professional Quality of Life Scale (ProQOL), which consists of three subscales: Compassion Satisfaction, Burnout, and Secondary Traumatic Stress. Results: The lowest satisfaction...

The impact of professional identity and preparedness for hospital practice among undergraduate nursing students: a cross-sectional study

Santhi Muttipoll Dharmarajlu, Anuratha M D

Kontakt 2025, 27(4):326-332 | DOI: 10.32725/kont.2025.046  

Background: Professional identity is central to nursing preparedness, reflecting the internalization of values, norms, and roles of the profession. A strong identity fosters confidence and supports students in navigating clinical complexities. This study examines the impact of professional identity on undergraduate nursing students' preparedness for hospital practice, considering predictors such as Grade Point Average and clinical experience. Methods: A cross-sectional study was conducted among 60 undergraduate nursing students at Farasan University College. Data were collected using a structured questionnaire assessing professional identity and preparedness....

Oral care in patients with airway management: a prospective interventional study

Simona Saibertová*, Nikol Vlachová, Andrea Pokorná

Kontakt 2025, 27(4):318-325 | DOI: 10.32725/kont.2025.047  

Purpose: The study aims to analyse the current nursing practice of oral care in patients with invasive airway management in intensive care units (ICU). Methods: A prospective three-phase interventional study was conducted for five months (10/2024 to 01/2025) in the acute ICU of a regional hospital in the Czech Republic. The first phase was observation and evaluation of oral care quality (nine-criterion audit tool, including an 11-item knowledge questionnaire for healthcare professionals). The second phase included familiarisation with best-practice recommendations and an increase in knowledge (professional education, informational materials). The third...

Strategies to prevent or minimize missed nursing management as perceived by nurse managers: a nested, qualitative-descriptive study

Stefania Chiappinotto, Gulcan Taskiran Eskici, Francesca Miorin, Alvisa Palese

Kontakt 2025, 27(4):313-317 | DOI: 10.32725/kont.2025.048  

Introduction: The concept of Missed Nursing Management (MNM) - referring to the functions that nurse managers omit or postpone in their daily practice for various reasons - has recently emerged in the literature. However, no evidence has been published on strategies to reduce or mitigate this phenomenon. The aim of the study was to explore the strategies to avoid missed nursing management as perceived by Italian nurse managers (NMs). Methods: A nested, qualitative-descriptive study conducted in 2024 by interviewing a sample of 22 nurses. They worked as clinical nurses, nurse managers, nurse executives, nurse educators, and as members of nurse manager...

Insights into healthcare workers' views on the electronic hand hygiene monitoring system

Vanesa Chebenová, Veronika Bučková, Zuzana Škvarková, Andrea Botíková, Jaroslava Sokolová

Kontakt 2025, 27(4):309-312 | DOI: 10.32725/kont.2025.059  

Aim: This study analyzed healthcare workers' attitudes towards an electronic digital hand hygiene (HH) monitoring system before and after its implementation at Trnava University Hospital (FNTT). Methods: A comparative before-and-after study was conducted using the NosoEx® electronic HH monitoring system (GWA Hygiene GmbH) in two clinics at FNTT, Slovakia. The study periods were 24.04.2023 - 31.12.2023 and 22.04.2024 - 31.12.2024. A total of 277 healthcare workers participated in the surveys. Results: After implementation, willingness to have behaviour monitored increased significantly at the clinic without transponders from 77.4% to 97.0% (p...

The prevalence of low birth weight (LBW) in marginalised Roma populations: a quantitative analysis in three segregated settlements of Szabolcs-Szatmár-Bereg County, Hungary

Kinga Pauwlik, Gyöngyi Major, Krisztina Gebriné Éles, Anita R. Fedor

Kontakt 2025, 27(4):303-308 | DOI: 10.32725/kont.2025.057  

Objectives: This study examined the prevalence of low birth weight (LBW) among Roma women living in segregated settlements in Hungary and explored associated social and behavioural risk factors, with particular attention to health behaviours and access to antenatal care. Design and participants: A cross-sectional quantitative survey was conducted with 231 Roma women from three segregated settlements in Szabolcs-Szatmár-Bereg County. Data were collected through structured, face-to-face interviews in the participants' home environment. Methods: The questionnaire included sociodemographic, behavioural, and antenatal care variables. Data were analysed...

Assessment of the quality of care perceived by patients in clinical learning environments: a field trial

Alessandro Delli Poggi, Giulia Pintus, Emanuele Brai, Carlos Saus Ortega, Paolo Ferrara, Federico Ruta, Alice Mannocci

Kontakt 2025, 27(4):297-302 | DOI: 10.32725/kont.2025.055  

Background: Patients' perception of quality of care is a central concept in the health context, reflecting the degree of satisfaction and confidence that users have with the services they receive. It is a subjective dimension, influenced by the patient's perception of various factors, including communication, humanistic care, comfort, and accessibility of services. Understanding this perception is crucial to improving the quality of care and ensuring a positive experience for users. The most important aspects include communication, humanisation of care, comfort and safety, accessibility, and continuity of care. Assessing the perceived quality of nursing...

Are we in a global mental health crisis?

Katarína Molnárová Letovancová *, Miriam Slaná

Kontakt 2025, 27(4):295-296 | DOI: 10.32725/kont.2025.049  

Differences in the subjective quality of life among individuals with physical disabilities based on sports activity - in the Slovak context

Lucia Tóthová *, Kristína Kudláčová

Kontakt 2025, 27(3):288-294 | DOI: 10.32725/kont.2025.036  

Background: Individuals with physical disabilities face numerous limitations in daily life. Physical activity offers proven benefits. In this context, the text focuses on the role of sports in enhancing the quality of life for individuals with physical disabilities, while also linking these areas to social work. It draws upon the ideas of Jane Addams and Samuel Barnett, who viewed sports as a tool for addressing social issues. Aim: The study aims to assess differences in quality of life between individuals with physical disabilities who engage in adapted sports and those who do not. Methods: The WHOQOL-BREF questionnaire was used to measure quality...

The role of education in supporting the well-being of gender-diverse individuals

Karel Pavlica, Kristina Kalitová, Kath Khangpiboon

Kontakt 2025, 27(3):282-287 | DOI: 10.32725/kont.2025.031  

Introduction: Gender-diverse individuals are under severe social stress, which has a significant negative impact on their well-being. By identifying key areas for improvement, this paper aims to contribute to a more informed and inclusive society where gender-diverse individuals can live with dignity, respect, and equal opportunities. Objectives: This paper focuses on identifying factors that influence the well-being of gender-diverse individuals. Methods: For data analysis, we used qualitative thematic analysis. The data were collected through semi-structured interviews conducted online. A total of six expert interviews were conducted. Results: The...

The relationship between illness acceptance, psychological well-being, and anxiety in individuals with chronic diseases: a cross-sectional study

Hamza Siğirci, Şerife Güzel

Kontakt 2025, 27(3):274-281 | DOI: 10.32725/kont.2025.034  

The study aims to examine the relationship between illness acceptance, psychological well-being, and anxiety in individuals with chronic diseases. Data were collected from 510 participants through face-to-face surveys. The data collection instruments included a personal information form, the Illness Acceptance Scale, the Anxiety Scale, and the Psychological Well-Being Scale. Analyses were conducted using SPSS 26 software. Since the data showed a normal distribution, parametric tests were employed. The majority of participants were female, under 45 years of age, had completed primary education, and were married. Circulatory system diseases were the...

Vulvovaginal health - preferred practices in women's intimate hygiene

Simona Kelčíková, Ema Fabianová, Nika Štekláčová, Nora Malinovská, Lucia Mazúchová

Kontakt 2025, 27(3):266-273 | DOI: 10.32725/kont.2025.037  

Background: Intimate hygiene (IH) plays a significant role in women's quality of life. The aim of the study was to investigate women's preferred daily care practices in relation to vaginal discomfort (VD) and vulvovaginal health. Methods: A cross-sectional descriptive study was conducted on a sample of 201 women with a mean age of 25.85 years (± 6.25). A self-constructed questionnaire with pilot testing was used for data collection. The data were analysed using descriptive and inductive statistics. Results: The majority of women preferred using cleansing products (61%) or washing with water (47%) for IH. As many as 80% of respondents had experienced...

The impact of vision loss on quality of life, anxiety, and loneliness in older adults

Radka Kozáková *, Radka Horáková, Radka Bužgová

Kontakt 2025, 27(3):259-265 | DOI: 10.32725/kont.2025.026  

Objectives: The aim of our research was to determine the impact of vision loss on quality of life, anxiety, and loneliness in older adults. Methods: Empirical data was gathered through a series of questionnaires and a personal data form. The assessment tools included the UCLA Loneliness Scale, the State-Trait Anxiety Inventory-Y, and the World Health Organization Quality of Life - BREF questionnaire. The study involved a total of 149 older adults. Results: Our research findings confirm that seniors with visual impairment experience a reduced quality of life across all studied areas compared to the general population. Women with visual impairment only...

Postgraduate nursing students' reflection on safe clinical practice: a descriptive qualitative study

Dominika Kohanová, Veronika Šulajová, Dana Zrubcová, Ľuboslava Pavelová, Andrea Sollárová

Kontakt 2025, 27(3):252-258 | DOI: 10.32725/kont.2025.041  

Introduction: Patient safety is a critical component of nursing practice, yet the integration of safety competencies into postgraduate nursing education remains inconsistent. As future nurse leaders, postgraduate students must be equipped not only with clinical skills but also with the ability to identify, reflect on, and address safety risks in complex care environments. Objective: To explore how postgraduate nursing students perceive, experience, and interpret the provision of safe nursing care during clinical placements. Methods: A descriptive qualitative design was carried out between June 2024 and August 2024. Semi-structured interviews were conducted...

Exploring the impact of health belief model-based nutrition education on promoting preventive nutritional behaviors in women with polycystic ovary syndrome in Jordan: a randomized controlled trial

Mohammed O. Ibrahim

Kontakt 2025, 27(3):245-251 | DOI: 10.32725/kont.2025.039  

Background: Endocrinologists consider polycystic ovary syndrome (PCOS) the most complex disorder among women of reproductive age. Objective: The purpose of the study was to explore the effect of a nutrition education intervention based on the Health Belief Model (HBM) in promoting preventive nutritional behaviors among women with PCOS. Methods: A randomized controlled trial was conducted between February 2024 and August 2024. Participants were recruited from eight obstetrics and gynecology private clinics in Amman, Jordan. Participants were randomized into two groups: an intervention group (n = 58) and control group (n = 58). In addition...

Enhancing sleep quality in hospitalized children and adolescents

Špela Čuš, Barbara Kegl, Petra Klanjšek

Kontakt 2025, 27(3):239-244 | DOI: 10.32725/kont.2025.043  

Background: Sleep is vital for maintaining a child's well-being, health, and brain development. During hospitalization, it is disrupted by external and internal factors. The purpose of this review article is to investigate possible ways and interventions to improve sleep quality in hospitalized children and adolescents. Methods: We conducted a literature review, using databases such as PubMed, CINAHL, Cochrane Library, and ScienceDirect, following PRISMA guidelines. We used the descriptive method. Data synthesis involved content analysis. Results: Of the 279 identified studies, 12 were included in the final analysis. The identified subcategories for...

Application of ICF grading nursing management in functional exercise and rehabilitation of patients with spinal cord injury

Shi Xiaohui, Peng Ruqi, Chen Yueying *

Kontakt 2025, 27(3):232-238 | DOI: 10.32725/kont.2025.032  

Purpose: Develop an International Classification of Functioning, Disability and Health (ICF)-based tiered nursing protocol for spinal cord injury (SCI) rehabilitation and evaluate its clinical impact. Methods: In a randomized trial, 122 SCI patients were divided into control (standard care) vs observation groups. The observation group received ICF rehabilitation set (ICF-RS) assessments and tiered nursing interventions. Outcomes (therapeutic efficacy, pain progression, quality of life) were longitudinally evaluated at postoperative intervals for comparative effectiveness analysis. Results: The observation group showed significantly higher rates of...

Tissue adhesives in the prevention of phlebitis and migration of PICC catheters in adults: a randomized prospective study

Iveta Constantine, Magda Michaliková, Andrea Polanská, Zuzana Figurová, Adéla Kondé

Kontakt 2025, 27(3):226-231 | DOI: 10.32725/kont.2025.030  

Aim: Tissue adhesives (TA) have been reported to improve the stability of various types of catheters. TA use for peripherally inserted central venous catheters (PICCs), however, remains largely unstudied. Here, we aimed to evaluate the effects of TA use on the development of phlebitis, bacterial colonization, and catheter migration in PICCs inserted in adult patients. Methods: This prospective randomized trial was conducted over a 43-month period from May 2021 to December 2024. Patients were divided into treatment group (PICC secured with TA) and control group (no TA). Signs of phlebitis (evaluated using CLISA scale) and catheter migration were recorded...

Behavioral perception impacts daily activities in non-hemorrhagic stroke patients: a cross-sectional study

Aisyah Lahdji, Mega Pandu Arfiyanti, Lukman Faishal Fatharani

Kontakt 2025, 27(3):221-225 | DOI: 10.32725/kont.2025.035  

Introduction: Non-hemorrhagic stroke has a high mortality rate. It is important to prevent its impact and complications. Motor and sensory disturbances are among the common effects, and can influence various aspects, such as a patient's daily physical activities and psychological state. Preventive measures play a crucial role in reducing these issues, particularly by helping patients change how they see their own behavior. Objective: This study aims to analyze behavioral factors and daily physical activities in non-hemorrhagic stroke patients. Methods: Quantitative research was conducted on 80 non-hemorrhagic stroke patients at K.R.M.T Wongsonegoro...

Czech doctors' views on the prestige and workload of nurses during the COVID-19 pandemic

Aleš Chrdle, Sylva Bártlová, Ivana Chloubová

Kontakt 2025, 27(3):214-220 | DOI: 10.32725/kont.2025.020  

Introduction: To assess the impact of the COVID-19 pandemic on nurses, we asked doctors how the pandemic affected the prestige of the nursing profession, what impact it had on nurses in their workplace, and how nurses are prepared for a possible future pandemic. Methods: A descriptive cross-sectional survey was conducted using a non-standardized questionnaire with 1,203 physicians. The sample of physicians in the Czech Republic was representative regarding gender, age, and region. Results: According to doctors, the prestige of the nursing profession increased significantly during the pandemic from 6.65 +/- 1.99 SD to 8.08 +/- 1.78 SD on a ten-point...

The role of nurses in interprofessional pharmaceutical care: a qualitative descriptive study of international expert perspectives

Marko Petrović, Mirko Prosen

Kontakt 2025, 27(3):205-213 | DOI: 10.32725/kont.2025.042  

Introduction: Pharmaceutical care has evolved from a pharmacist-led model to an interprofessional approach involving doctors, pharmacists, and nurses. Effective collaboration is key to patient safety and treatment optimisation, yet it is often hindered by hierarchical systems, unclear roles, and poor communication. A lack of formalised frameworks further limits collaboration. Aim: This study explores interprofessional collaboration in pharmaceutical care, focusing on the role of nurses, their involvement in collaborative practice, and the competencies essential for effective teamwork as identified by international experts. Methods: A qualitative study...

Risks of nurses administering medications and addictive substances

Hana Kubešová, Valérie Tóthová

Kontakt 2025, 27(3):197-204 | DOI: 10.32725/kont.2025.015  

Goal: The administration of medications, including those containing addictive substances, plays a fundamental role in healthcare. The administration of medication by nurses in hospitals is a critical yet high-risk process. This research aims to map the risks of medicine administration errors in a hospital, including medications containing addictive substances. Methods: The data were obtained using the standardized Medication Administration Error Survey (MAE) questionnaire, which was supplemented by a non-standardized section. A total of 500 questionnaires were distributed. The return rate of the questionnaires was 382 (76%). The sample consisted of...