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Results 391 to 420 of 952:

The importance of ethical codes in nursing care

Nursing - Review article

Kristýna Toumová, Lucie Havierniková, Jana Kimmerová, Věra Hellerová, Valérie Tóthová, Ivana Chloubová

Kontakt 2021, 23(2):83-89 | DOI: 10.32725/kont.2021.021

Introduction: The ethics of the nursing profession is formulated by the International Code of Ethics for Nurses, which is valid for all nurses around the world. The importance of this code is indisputable, especially in situations that require ethical conduct. However, as the current health care system evolves, so must the content of these codes. The stimuli for these updates can be provided by the nurses in practice. Objective: The aim is to point out the importance and use of codes of ethics in contemporary nursing in various countries and the need to innovate the code of ethics in the Czech environment. Methods: A literary search for keywords according to PICO was performed using Boolean operators. Professional resources were searched in scientific electronic databases (EBSCO, PubMed, ProQuest, WOS). Results: A total of 252 sources were searched. 153 sources that met the required criteria were subsequently subjected to critical analysis. Of this number, 10 studies were used for the final analysis, which focused on the views of nurses on codes of ethics and ethical conflicts in the practice of nurses. Conclusions: The studies examined show that nurses are aware of the importance of the code of ethics. However, whilst most nurses are generally aware of the code, many do not know the exact content and how it should help them in practice. During the provision of nursing care, nurses encounter many ethical dilemmas, especially in the area of differences in some values. Some studies have found that nurses sometimes perceive that patients' rights are higher priority than their own rights. It is therefore important that codes of ethics do not forget to promote the rights of nurses themselves.

Barriers to care and missing services from the point of view of informal caregivers in the South Bohemian Region

Social Sciences in Health - Original article

Hana Hajduchová, Lenka Motlová, Marie Trešlová, Ingrid Baloun, Iva Brabcová, Jana Horová, Sylva Bártlová, Helena Záškodná

Kontakt 2021, 23(4):305-314

Introduction: Due to the need and current relevance, informal care as a part of the long-term care system as well as the issue of caregivers are included in the Czech National Strategy for the Development of Social Services between 2016 and 2025. Goal: The goal of this qualitative research was to identify selected areas that informal caregivers encounter in connection with the care of a loved one in the home environment in the South Bohemian Region. The partial goal was to find out what problems informal caregivers face in connection with the use of social or health services. Methods: We analysed 44 in-depth interviews with 45 informal caregivers. Participants were selected using the "snowball sampling" technique and selection through institutions. The interviews were processed in the ATLAS.ti programme, version 9. Results: Barriers to informal care include lack of time, the insufficient possibility of physiotherapy at home, lack of information about the possibilities of use and type of services, and entitlement to benefits. Informal caregivers lack relief services, personal assistance, activation services, leisure activities, and transport services. Conclusions: Due to the complexity of the issue, informal care must be part of a comprehensive approach to caring. We recommend strengthening the competencies of informal caregivers through comprehensive counselling and other services. Individual needs of informal caregivers in the South Bohemian Region must be considered.

Participation of interest groups in the activities of implementing the policy of active aging in the Moravian-Silesian Region

Social Sciences in Health - Original article

Pavlína Pospíšilová, Šárka Kopřivová

Kontakt 2022, 24(2):170-176 | DOI: 10.32725/kont.2022.011

Introduction: Participation is one of the principles of social policy. The participation of the elderly in civic and political life reflects democratic principles and is formed primarily within the interests of interest groups, non-political or political organizations associated with older people. Objectives: This paper focuses on analysing the method of participation of interest groups in the activities of implementing the policy of active aging in the municipalities of the Moravian-Silesian Region, and on revealing the relationships between interest groups and municipalities. Methods: The data obtained in semi-structured interviews with 32 representatives of municipalities was analysed according to grounded theory. As a partial method of analysis, the method of creating clusters was used. Results: There is an important role for interest groups associating the elderly, as well as other interest groups which are not focused on only on the elderly, in the implementation of active ageing policies. Associations are one of the main organizers of social events, educational, preventive, and sports activities aimed at the elderly. They are also an important player in the field of intergenerational cooperation. Conclusions: The implementation of the policy of active aging is an issue at all levels of social policy in the European Union. The participation of main actors in this area is important for the success of the implemented measures. Associations should be given special attention by municipalities and higher levels of government.

Mental health of internal migrants

Social Sciences in Health - Review article

Erika Melonashi

Kontakt 2023, 25(2):153-161 | DOI: 10.32725/kont.2023.016

Human beings are increasingly becoming an urban species, mainly due to internal migration processes. The internal migrant status exposes the individual to a complex interplay between risk and protective factors, producing differential mental health outcomes. This review aims to provide an understanding of individual and environmental variables which might act as risk or protective factors to internal migrants' mental health. The search process was conducted from October 2022 to December 2022 across two databases: JSTOR and Google Scholar. The study followed PRISMA guidelines for systematic reviews. 32 studies met the inclusion criteria and were subsequently considered for the review. Individual level variables influencing mental health included gender, age, education, socio-economic status, personality traits and physical health. Environmental variables included urbanicity/neighbourhood characteristics, discrimination, social support, and specific socio-cultural variables. Both groups of variables interplay in complex ways, either in the roles of risk or protective factors resulting in differential mental health outcomes for individuals. Limitations included the geographical distribution of studies, the broad definition of mental health, and the great variation in socio-cultural contexts. The findings of the review suggest a need for future research on internal migration and mental health, particularly in countries where this phenomenon is most prominent.

The COVID-19 pandemic from the viewpoint of nursing students

Nursing - Original article

Veronika Živná, Dana Dolanová, Petra Búřilová, Andrea Pokorná

Kontakt 2023, 25(3):173-178 | DOI: 10.32725/kont.2023.030

Aim: To assess nursing students' experiences during the COVID-19 pandemic and their perspectives on state-mandated work. Methods: Cross-sectional study, original online survey. Statistical analysis was performed at the significance level of 0.05 (Pearson chi-square test, Kruskal-Wallis test, test of ordinal independence, and Spearman correlation). Results: 390 nursing students participated in the survey. Students from the Secondary School of Nursing worked under supervision more often than students from Colleges and University (p = 0.000). Declared emotional stability and subjective feelings of resilience to stress increased with the increasing age of respondents (p = 0.000). The frequency of negative emotion declaration differed between genders. The frequency of the stated negative emotions, "fear" (p = 0.049), "concern for one's health" (p = 0.010), and "tiredness and exhaustion" (p = 0.004), was more often declared by women. Conclusion: Respondents declared that the state-mandated work obligation had a significant impact on their studies. Despite the results, students reported that they are satisfied with the work and would like to continue in the future (61.28%). The greatest benefit for nursing students was acquiring new knowledge and practical skills in patient care (80.51%). Students declared that it was beneficial to enhance their critical thinking skills (88.72%), gain independence in making clinical decisions (87.18%), and experience in performing professional activities (81.20%).

Health as a value in the context of smoking and alcohol consumption among university students

Social Sciences in Health - Original article

Katalin Julianna Dinnyés, Henriette Pusztafalvi

Kontakt 2025, 27(1/2025):42-46 | DOI: 10.32725/kont.2024.059

Participant analysis of the need for prenatal attachment education packages

Social Sciences in Health - Original article

Yuni Purwati, Noor Pramono, Mohammad Hakimi, Agus Suwandono, Tri Nur Kristina, Anggorowati

Kontakt 2024, 26(3):309-316 | DOI: 10.32725/kont.2024.034

Validity and reliability of the Turkish version of the Visual Analog Sleep Scale

Nursing - Original article

Funda Çetinkaya, Nezihe Karabulut

Kontakt 2016, 18(2):e84-e89 | DOI: 10.1016/j.kontakt.2016.05.003

Objectives: The aim of this study was to adapt the English version of the Visual Analog Sleep Scale (VAS Scale) to Turkish, and to assess the validity and reliability of this Turkish version.
Material and methods: The study design was both descriptive and methodological. The study group was comprised of 75 patients, who agreed to participate in the study. Each had received total hip replacement surgery in an orthopedic clinical hospital. Data was collected using a Turkish translation of the VAS Scale. Psychometric testing of the adapted instrument was carried out to establish internal consistency, interim correlation, and construct validity. The Kaiser-Meyer-Olkin and Barlett's tests were applied to determine the sampling adequacy and suitability to the factor analysis.
Results: The Kaiser-Meyer-Olkin value was found to be 0.89, and this value indicates suitability for principal component analysis. Similarly, Barlett's test results (X2 = 608.74, p = 0.000) also indicate the interrelationships of the data and suitability for the factor analysis. The eigenvalue of the VAS Scale reduced to 10 items was found to be 6.65 and the variance was 66.52. The VAS Scale Cronbach's alpha was 0.82 for the test items. The test-retest stability coefficient (validity of the scale) was 0.92. Alpha coefficient was found to be 0.94 for internal consistency.
Conclusion: The original VAS Scale consisted of three sub-scales and 15 items, whereas the Turkish version has one dimension and 10 items. The Turkish version of the VAS Scale adapted to the orthopedics clinic can be used as a one-factor tool.

Does attachment to parents and peers influence health literacy among adolescents in Malaysia?

Social Sciences in Health - Original article

Siti Raba'ah Hamzah, Maimunah Ismail, Zanariah Mohd Nor

Kontakt 2018, 20(4):e348-e355 | DOI: 10.1016/j.kontakt.2018.10.006

Despite extensive research on the impact of social factors on the health literacy of adolescents, few studies have investigated how attachment to parents and peers influences adolescents' level of health literacy. Adolescence is generally viewed as the period of life before adulthood, and during this phase, young persons are dependent on the support of their parents and peers. This study was conducted in response to the gap in the research regarding the influence of parental and peer attachment on the health literacy of adolescents. The participants in this study comprised a random sample of adolescents aged 15 to 17 years, who were residents of the Klang Valley, a highly urbanized region in Malaysia. The study found that the level of health literacy among these adolescents was moderate (M = 3.61, SD = 0.51 on a scale of 5). While the level of peer attachment among them was moderate (M = 3.48, SD = 0.58), the level of parental attachment was high (M = 3.73, SD = 0.83 on a scale of 5). Both parental attachment (β = 0.30, p < 0.05) and peer attachment (β = 0.37, p < 0.05) were shown to have significant independent effects on the level of adolescents' health literacy. Together, parental attachment and peer attachment explained 30% of the variance in health literacy among adolescents.

Incidence of ventilator-associated pneumonia at ICU - the effect of preventive measures in nursing care

Nursing - Original article

Dimitris Jatagandzidis, Markéta Kočí, Renáta Zoubková

Kontakt 2020, 22(4):222-227 | DOI: 10.32725/kont.2020.046

Introduction: Pneumonia in patients on mechanical ventilation is the most frequently observed infectious complication in intensive care patients. The primary objective of the presented work was to evaluate compliance with procedures intended for the prevention of ventilator-associated pneumonia (VAP) in clinical practice at the Intensive Care Unit, University Hospital Ostrava (ICU UHO). The secondary objectives were to evaluate the incidence of VAP and the effect of a checklist introduced for prevention of VAP. Methods: The study group consisted of a total of 525 patients hospitalized at the ICU UHO between 2016 and 2017. The research was performed with analysis of data obtained from the introduced checklist of VAP. In patients who were mechanically ventilated and not admitted to the hospital with a primary diagnosis of pneumonia or already confirmed VAP. Results: In the overall assessment, compliance with only 2 of the 4 evaluated preventive measures against the onset of VAP was recorded in 58.10%. At one of the observed ICU, the incidence of VAP decreased by more than 50% after the introduction of the checklist. The results confirmed a statistically significant difference in the relation between positioning the patient in a semirecumbent position, maintaining pressure in the obturation cuff of the endotracheal tube within the recommended range, and the need to reintubate and the incidence of VAP. No statistically significant difference was observed in the relation between the performance of subglottic suctioning and the incidence of VAP. Conclusions: The results of the survey show that the implemented system of prevention and the newly elaborated checklist lead to a decreased incidence of VAP.

Health literacy and modifiable risk factors of a stroke

Nursing - Original article

Lenka Šedová, Sylva Bártlová, Andrea Hudáčková, Lucie Havierniková, František Dolák, Svatopluk Ostrý

Kontakt 2021, 23(3):149-156 | DOI: 10.32725/kont.2021.024

Introduction: Stroke is one of the leading causes of death and disability in European countries. Prevention and the associated health literacy are among the effective tools for reducing the incidence of this disease and serve to reduce its consequences. Goal: To examine the relationship between socioeconomic factors of health literacy and modifiable risk factors in connection with ischemic stroke. Methods: A quantitative survey strategy. The research was conducted using the technique of a standardized controlled interview between the interviewer and the respondent. The research group included 1,004 citizens. A combination of a standardized overall health literacy questionnaire (HLSQ-16) and a non-standardized stroke prevention questionnaire was used to collect data. Results: Most citizens of the Czech Republic (58.5%) have sufficient health literacy. Problematic health literacy is reported by 29.2% of respondents. The remaining 13.3% of respondents have inadequate health literacy. Nevertheless, the results show that a large part of the population has problematic health literacy in areas such as good lifestyle, smoking, alcohol consumption and, last but not least, physical activity. Conclusions: Recognition of these factors can then be suitable for preventive measures. Effective interventions focused directly on risk factors will enable a change in the thinking and attitudes of risky groups of the population.

Impact of mindfulness and coping strategies on the well-being of hospice workers in Slovakia during the Covid-19 pandemic

Social Sciences in Health - Original article

Katarína Kohútová *, Lenka Štefáková, Filip Gerec

Kontakt 2022, 24(4/2022):331-338

Background: Working in hospice facilities is very difficult both physically and mentally. Workers are often confronted with difficult and borderline living situations, and the burden of the Covid-19 pandemic has now been added to the equation. It is essential to look for factors that increase the resilience of these workers and support their well-being. Purpose: The aim of this paper is to create a model of impact of mindfulness and coping strategies on the well-being of hospice workers in Slovakia. Results: Mindfulness correlated with negative coping strategies. The multiple regression model indicated that the combined effect of mindfulness, negative coping strategies, and positive control strategies explain the 39% variance in well-being. The negative coping strategies and control strategies mediated the relationship between mindfulness and well-being. Conclusions: Mindfulness contributes to the well-being of hospice staff both directly and indirectly through negative coping strategies and positive strategies (control). Mindful individuals are less inclined to use negative strategies and, on the contrary, they are more prone to use positive coping strategies (particularly the control strategies). Implications for hospice providers are discussed.

Transmission of alcohol abuse behavior from parents to their children in the Czech population

Social Sciences in Health - Original article

Ivana Olecká *, Jiří Pospíšil, Ludmila Trochtová

Kontakt 2023, 25(2):138-146 | DOI: 10.32725/kont.2023.020

Background: From the point of view of social learning and the socio-environmental perspective, alcohol abuse in parents appears to be an essential risk factor for later drinking problems in children. Such behavior is directly related to the initiation and continuation of substance abuse through genetic influences and passing on the patterns of behavior. The frequency of alcohol consumption depends on the behavior patterns, while the variables of the child's age and gender also play their role. In particular, early initiation into drinking is considered riskier. Aim: To analyze the connection between the frequency and amount of alcohol consumption by children and the patterns of alcohol consumption among persons who are responsible for their upbringing. Research sample: In terms of age and sex, a representative child population (n = 2948); males (1492; 50.61%) and females (1456; 49.39%) aged 6-17 years. Methods: An online research tool developed within the Social Survey Project platform. The statistical significance was tested using the χ2 statistic for two-dimensional (C×R) contingency tables. Results: Alcohol consumption in the presence of children is related to the amount of alcohol consumed. Children of abstainers, who do not drink in front of their children, or who consume alcohol to a limited extent, are more likely to not consume alcohol at all. Large quantities of alcohol are consumed by children whose parents often drink in their presence. For children aged 15-17, alcohol consumption is not related to its availability at home if they consume it in small quantities. Conclusion: The prevention of negative social phenomena starts in the family, long before the child reaches the age when he or she begins to be threatened by these phenomena. As a non-specific prevention, we can, in particular, perceive the method of upbringing in the family, where mutual trust and safety are developed, and the child has a solid background and develops appropriate patterns of behavior.

Are we in a global mental health crisis?

Editorial

Katarína Molnárová Letovancová *, Miriam Slaná

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

The importance of studying sociology for nursing

Editorial

Sylva Bártlová*

Kontakt 2026, 28(1):1-2 | DOI: 10.32725/kont.2026.016

State of health and life of community nurses in Hungary

Nursing

Adrienn U. Siket

Kontakt 2007, 9(2):240-246 | DOI: 10.32725/kont.2007.037

Community (district) nurses play a very important role in basic health care. Their work and responsibility are not only to help the family doctors' work but also to protect and restore the good state of health of the inhabitants.
The object of the research is to survey the community nurses' state of health, circumstances of life and occupational environment, furthermore to explain their nursing, preventive and health-improving mission because in the scope of the National Public Health Programme, district nurses can also do a lot in the interest of achieving the aims and realizing the tasks.
The basic methods of the research are mail survey and comparative statistic analysis. An aimed study was made, such a qualitative inquiry which gives information about a concrete population in accordance with the aim and type of the research, utilizing the secondary information, too. On the basis of a list, the National Basic Health Care Institution (OALI) made a random sampling with 2000 nurses from the basic multitude of 5854 district nurses. In the scope of the mail survey, 2000 questionnaires were sent in the company of a request and directing letter. Altogether 768 questionnaires have come back, which is the 38 percent of the aimed sample and the 13 percent of the basic multitude. N=768.
According to the survey, district nurses mostly have secondary school or OKJ nurses (technical school) qualification, overwhelming majority of them have been working in the field of public health for at least 10 years. Most of them have written contract of employment, they work mostly in the legal status of being employed. This year, 72 percent of them have taken part in further vocational training. The characteristic features of district nurses' work are the expert storing and managing of medicines; the preventing, screening and care; controlling of registering and administration. Although district nurses perform health-caring and health-improving activity, their independence is generally restricted in this work. Last year only 48 percent of district nurses took part in such health-caring and health-improving programme. Community nurses are generally satisfied with the appreciation of their work. According to the most district nurses' opinion more money should have been given for the improving of the state of basic health care and less administration would be enough. In the majority of the cases community nurses qualify their own physical and mental state of health and their human relations as good. Community nurses relatively have a lot of kinds of illnesses and complaints; among others there are the backache that is in connection with the sitting way of life, furthermore the varicose veins of lower limbs. Seventy percent of the answerers do not smoke and the rest of the nurses smoke either only occasionally or regularly. The overwhelming majority of community nurses generally have not taken part in colon tumour or heart- and circulatory diseases screening, which is thought provoking from the point of view of the mediation of health-conscious behaviour. Every year the majority of the nurses took part in pulmonary According to the testimony of the survey, community nurses' state of being accepted and their openness to the direction to their patients are there on the parts of both health e

Humic substances in balneology. Contemporary situation and perspectives

Biomedicine - Original article

Petr Petr, Miroslav Verner, Hana Kalová, Brigita Janečková, Olga Vačkářová, Ivana Zezulková

Kontakt 2012, 14(1):94-98 | DOI: 10.32725/kont.2012.011

Humic substances (HS), products of the decomposition of organic materials in peloids, present also in extract from them, or synthetically produced, are chemically/phytochemically effective principles of a surprisingly wide scale of beneficial biological effects particularly finding their application in balneology. Peloids (a term derived from the Greek word pelos - mud) are mud-like materials employed in medicine for therapeutic purposes. They are classified depending on contents of humic substances to peats, moors, moor earths and muds. They belong to one of natural medicinal sources recognized by the state. Their highest contents (of above 50%) can be found in peats and moors, the lowest contents being present in muds. Beneficial effects of humic substances have been observed and documented in higher as well as lower organisms. These are anti-rheumatic effects, effects favourably affecting osteoarthrosis, general anti-inflammatory and immunomodulating, biostimulating effects (Jurcsik, 1994), anti-haemocoagulation and fibrinolytic effects, phytoestrogenic effects with considerable potential in dermatology and cosmetology, antiviral effects (Kloecking, Helbig, 2005), anti-cancer effects (Jurcsik, 1994) and last but not least effects on reproductive health. The authors present an outline of this knowledge and attach data on the effects of peloids on the quality of life. The principle of these effects is particularly the ability of humic substances to affect the arachidonic acid cycle. In this way, they come as effective ingredients to the point of intersection and activities of local tissue hormones and mediators, as e.g. prostaglandins and cytokines. Empirical experience acquired over years, particularly in the field of balneological interventions in rheumatology and reproductive health, are now supplemented by exact basic data resulting from experimental medicine. Managing of technology of the fine filtration, extraction and subsequent concentration of the yield of the natural medicinal source - peloids, makes possible the use of humic substances in the form of aqueous and alcoholic concentrates in the professional as well as home environment (Petr, 2004; Petr et al., 2009).

Measuring the factors affecting health literacy in East Hungary - Health literacy in the adult population of Nyíregyháza city

Social Sciences in Health - Original article

Renáta J. Erdei, Anita Barth, Anita R. Fedor, Péter Takács

Kontakt 2018, 20(4):e375-e380 | DOI: 10.1016/j.kontakt.2018.08.007

As a critical determinant of health at a population level, knowing health literacy is essential for effective health promotion and for the positive influence on health status. However, very little research hasfocused on this topic in Hungary. We aimed to measure health literacy and find the factors affecting it among the adult population in Nyíregyháza city. The results contribute to improving health literacy, thus improving health behaviour, which is needed to develop individual and community strategies.
Our study was carried out in the framework of the "Quality of life of Nyiregyháza - Household Panel" research, by using two health literacy measurement tools, the Newest Vital Sign and the perception-based Chew screening questions. The selected respondents were required to be over 18 years of age and had to be permanent residents of the city. Interviewers questioned the selected 541 households in the months of April-May 2018.
Out of the 541 households, 391 households answered the questionnaires, which represents a 72.3% response rate. The average rate of health literacy level among the adult population in Nyíregyháza is in line with other Hungarian studies that previously measured the average rate of health literacy at population level.
The results show that the health literacy of the population of the city is most affected by their educational level. Our research reveals that the health literacy of the population is not significantly affected by their economic activity and income at local level. The need for the development of interventions within the framework of interprofessional cooperation that improve the level of health literacy, and focus on the low-educated population groups is urgent.

Depression and burnout among Hungarian health workers during the COVID-19 pandemic

Nursing - Original article

Aniko Nemeth, Katalin Papp

Kontakt 2024, 26(2):120-125 | DOI: 10.32725/kont.2024.021

Selected aspects of nursing practice related to the usage of evaluation tools for population aged over 60 years

Nursing - Original article

Jitka Doležalová *, Valérie Tóthová, Jan Neugebauer

Kontakt 2022, 24(2):131-136 | DOI: 10.32725/kont.2021.044

Introduction: The accuracy of evaluation tools is subject to several factors involving nurses. Two of these factors are the level of education and experience. These factors can significantly affect the instrument's objectivity. In terms of providing quality and specific geriatric care, having objective evaluation tools and applying the results are essential. Objective: The research aimed to determine how nurse education and experience affect the objectivity of evaluation tools. Another aim was to determine how education and experience affected the assessment of selected areas. Methods: The research was conducted using a quantitative survey involving 501 nurses from the South Bohemian Region. The data was obtained using a non-standardized questionnaire that focused explicitly on the use of evaluation tools. Results: The results show that nurses with higher levels of education have more experience in using evaluation tools and consider the tools to be useful and effective. The same was confirmed for nurses who have more nursing experience. Conclusions: Evaluation tools are an essential part of the nursing process, and an emphasis should be placed on learning how to use these tools during nurse training. In the context of geriatric nursing, nurses need special education for the various geriatric specialties. This is also true for the use of geriatric evaluations. In clinical practice, it is necessary to use evaluation tools systematically, logically, and, above all, to implement the results into care plans.

Transferring patient information using the SBAR communication tool for interpretation

Nursing - Review article

Pavlína Tůmová *, Sylva Bártlová

Kontakt 2023, 25(3):185-190

Goal: Secondary analysis of resources related to the transmission of information during the patient transfer using the SBAR communication tool. Methods: The search was carried out using the scientific databases CINAHL, MEDLINE, PubMed, EBSCO Discovery Service, Google Scholar, Science Direct and ProQuest between September 2022 and February 2023. We found 1,262 scientific articles. After evaluating the relevance of the publications, we used 17 expert publications in English. Results: We can conclude that the SBAR standardised form is an effective tool for the transfer of information when translating a patient. Patient safety and quality of care are increased provided that health professionals are adequately trained. Communication regarding the transfer of information in healthcare facilities is poor and the quality of the information transmitted requires further research and a focus on specific clinical disciplines and positions in healthcare. Conclusion: The available research shows it is impossible to generalise the use of the SBAR communication transfer tool to all clinical workplaces. An unequivocal agreement was not found, but accepting the SBAR tool is evident from the research results.

Nursing educators' concerns during the implementation of a core curriculum

Nursing - Original article

Rachel Kemelman, Daniela Cojocaru

Kontakt 2024, 26(3):238-245 | DOI: 10.32725/kont.2024.033

Risks of nurses administering medications and addictive substances

Nursing - Original article

Hana Kubešová, Valérie Tóthová

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

Czech occupational therapists' perspective on dark side occupations

Social Sciences in Health - Original article

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

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

Institutional care and quality of life of elderly people

Nursing

Ivan Farský, Katarína Žiaková, Igor Ondrejka

Kontakt 2005, 7(3-4):232-238 | DOI: 10.32725/kont.2005.046

The work is aimed at specific features of the quality of life of elderly people living in facilities of the institutional community care. The group included 60 persons (30 women, 30 men) of 74.1 ± 5.7 years of age. Of them, 30 persons lived in a boarding house and 30 persons lived in an old people house. Differences in the quality of their life, well-being, meaning of the life, type of involvement, gender, time of stay in the facility, evaluation of health condition, satisfaction with accommodation conditions and general satisfaction were determined depending on the type of care and gender. The quality of life was assessed by the PCASEE scale, the well-being by the well-being questionnaire, involvement by the involvement scale, meaning of life by the logo test, dependence by the Barthel index. The evaluation of the health, satisfaction with accommodation conditions and general satisfaction were considered based on the self-assessment scale. The clients of the old people home had a significantly lower quality of life, more bio-psycho-social problems, they evaluated their health conditions more negatively and they were less satisfied with the stay in the facility in comparison with clients of the boarding house for retired persons. The involvement in the family and household in men was larger than that in women. Thus, the method for following the quality of life can be effectively employed in practice in the identification of problems and needs of elderly people and in the indication of specific forms of the care.

Ethical reflection of problems of the home nursing care in the Slovak Republic

Nursing

Mária Nemčeková, Mária Tabaková

Kontakt 2007, 9(1):32-41 | DOI: 10.32725/kont.2007.005

The work is targeted at ethical reflection of providing the home nursing care in the Slovak Republic.
Methods: analytical and synthetic reasoning procedures and a comparative analysis of legislative documents were used in the explanation of the problem studied.
The authors critically indicate moral consequences resulting from legislative, organizational and economical conditions of providing this type of the care in the Slovak Republic. They emphasize the fact that the methodological and organizational superiority of physicians and insurance companies involves a certain discrimination of the nursing profession, nurses, patients and families, and it does not make the nurses possible to provide to the full extent the care, in which they are qualified, which is their obligation in accordance with the legislation, and which is warranted for its acceptors based on laws, regulations and charters of rights. The problems considered also include the attainability of the nursing care and possibility of a free choice of the facility, which is currently not considerably employed by the patients. A further level of the ethical consideration is associated with specific features of the home environment, which is an optimum environment for providing the care. However, the protection of the privacy can also present conditions for a more distinct isolation, vulnerability and helplessness of the care acceptor. Different conditions in certain countries are also discussed, where, within the scope of enhancing the quality, the attention is being paid not only to rights and duties of the client in agencies, but also to activities of caregivers that are prohibited in the home environment. The authors only identified the third circle of ethical problems associated with making decisions, autonomous activity and responsibility of the nurse, but without its further analysis with respect to the extent of the contribution presented

Problems of hospitalization of members of the Ukrainian minority in hospitals in the Czech Republic

Nursing

Andrea Hudáčková, Iva Brabcová

Kontakt 2011, 13(2):138-147 | DOI: 10.32725/kont.2011.018

The article acquaints the readers with results of the grant project named "Providing effective, culturally differentiated nursing care in selected minorities in the Czech Republic (NS 9606-3)", the partial target of which also included an analysis of opinions of the Ukrainian minority concerning the quality of healthcare services provided in Czech hospitals, mapping of specific needs of Ukrainian migrants based on cultural differences and subsequent identification of obstacles encountered by healthcare professionals in providing the holistic care for these patients. The research was implemented based on a financial support from the Internal Grant Agency of the Czech Ministry of Health. The contribution is focused on problems of the hospitalization of Ukrainian minority members in Czech medical institutions. Based on the subject of the research examination, three partial targets were established. The first target was determination of the most frequent type of the health insurance in the Ukrainian minority who legally stay in the Czech Republic. The second target was mapping of experience of the Ukrainian minority with the hospitalization with a special regard to the preference of the care giver, complex nature and comprehensibility of information provided. The last target mapped opinions of migrants concerning the quality of the care. The main problems in taking the healthcare of members of the Ukrainian minority are legislative conditions of the entrance into the system of the public health insurance. If a foreigner does not have a permanent stay in the Czech Republic or occupational relationship, he/she must take a more expensive type of the commercial insurance, which makes his/her access to the healthcare difficult. As shown by the research results, some patients are only insured for acute care, which is insufficient in many cases. The extension of the duty of the commercial complex care insurance is solved by an amendment of Law No. 326/1999 Sb. on the stay of foreigners in the Czech Republic in valid wording. A further problem is the communication barrier, where due to lack of knowledge of the Czech language, the patients are not provided with complex and comprehensible information on the part of healthcare professionals. The quality of Czech medical institutions is rather positively evaluated by respondents, but is just affected by the level of quality of information and general attitude of healthcare professionals to the patient such as.

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

Nursing - Review article

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

[Ahead of Print]Kontakt X:X | DOI: 10.32725/kont.2026.024

The prevention of healthcare associated urinary tract infections from the point of view of nursing care

Nursing - Review article

Jitka Krocová, Radka Prokešová, Jana Horová

Kontakt 2019, 21(2):135-143 | DOI: 10.32725/kont.2019.008

The goal of this study was to summarize the conclusions of the studies on the efficiency of measures regarding the prevention of healthcare associated urinary tract infections (CAUTI) and to focus on the specifics of nursing care in this area. The included studies and articles were searched for in the electronic databases focused on nursing and other medical fields. The sources were in full text (Cinahl, Ebsco, NursingOvid, ProQuest STM + Hospital Colection - Medline, Science Direct) and citation texts (PubMed, Scopus). They were used for secondary searching of relevant sources. We searched for the selected studies using the following keywords: prevention, risk, infection, urinary tract, efficiency, nursing, as well as according to our criteria (full text, reviewed periodicals, English language) and the period of publishing research results in the last 7 years (2011-2018). We finally included 11 studies that fulfilled the required criteria. The studies (qualitative, observational, quasi-experimental, descriptive) mostly specify the risky areas regarding healthcare associated urinary tract infections and deal with the efficiency of implemented preventative measures which arise from the recommended preventative guidelines CAUTI. Multifactorial measures seem to be positive - education of medical workers regarding the given issue, starting protocols regarding the care of patients with a urinary catheter, standards of care and accepting relevant indications regarding the catheterization of urinary bladder.

The issue of documenting pressure ulcers: literary review

Nursing - Review article

Katarína Kačalová, Katarína Žiaková

Kontakt 2019, 21(3):254-262 | DOI: 10.32725/kont.2019.034

Objective: To find, analyze and compare clinical recommended practices, national recommendations, guidelines, nursing standards and assessment tools with a focus on documenting pressure ulcers. Methodology: The selection of relevant sources was carried out in 2018 using search services and sources in electronic databases (Medline, ProQuest, PubMed), book publications, from professional societies, and professional journals. Out of 139 sources, 38 sources were selected and processed in three phases based on the ranking and exclusion criteria. Results: By analyzing and comparing clinically recommended procedures, national recommendations, guidelines, nursing standards and assessment tools to document pressure ulcers, we have found that the most frequently reiterated requirement for pressure ulcers is: degree of pressure ulcer, its location, size, base, exudate and surroundings. The most observed items that tell us about documenting of the pressure ulcer healing process are found in the NPUAP, EPUAP, PPPIA consensus (GRADE), HSE, AAWC, and RNAO guidelines. Conclusions: Pressure ulcer documenting is a problem addressed within national and international recommendations or guidelines. Their analysis and comparison revealed several worldwide unified documentation requirements, which are essential to multidisciplinary collaboration and decision-making on further treatment.

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