Although assessment of palliative patients' needs is a ke... more Although assessment of palliative patients' needs is a key issue in palliative care, a suitable instrument for identification of such needs is not available in Central European countries. Our objectives were to produce an adequate tool for identifying the importance and satisfaction of palliative patients' needs and to verify its psychometric properties. The patient needs assessment in palliative care (PNAP) instrument was constructed based on a literature review and qualitative research (focus groups, n = 5). The psychometric properties of the questionnaire were verified by a cross-sectional study. The convergent validity of the questionnaire was determined by confirmatory factor analysis. Furthermore, internal consistency, test-retest reliability, and construct validity were also tested. The qualitative research group comprised 30 participants (27 experts in palliative care, 1 patient, and 2 family members). Psychometric properties were evaluated in a group of 349 hospital inpatients terminally ill with chronic disease or cancer and receiving palliative care. Based on the qualitative data analysis, a questionnaire was constructed that contained 42 items grouped into 5 domains. When testing the psychometric properties of the questionnaire, a new model containing 40 items in 7 domains was produced. Cronbach's α for the entire PNAP questionnaire was 0.89 on the importance scale and 0.80 on the satisfaction scale. Test-retest reliability was higher than 0.7 for all domains in both scales. The results of tests on the psychometric properties of the PNAP questionnaire showed at least satisfactory validity and reliability, and it can be employed to assess the needs of palliative care patients in Central European countries.
Background Job satisfaction is a key factor for the successful transition of newly graduated nurs... more Background Job satisfaction is a key factor for the successful transition of newly graduated nurses (NGNs) and for retaining NGNs in their workplaces. However, there is limited evidence of the relationship between satisfaction regarding the nursing education program and NGNs’ job satisfaction in the first year after graduation. Therefore, this study aims to examine the association of the nursing education related factors and NGNs’ job satisfaction. Methods A cross-sectional study design with the utilization of data collected from the same respondents one year earlier as educational factors was applied. The data were collected from NGNs (n = 557) in 10 European countries using an electronic survey between February 2019 and September 2020, and analyzed in detail for four countries (n = 417). Job satisfaction was measured with three questions: satisfaction with current job, quality of care in the workplace, and nursing profession. Nursing education related factors were satisfaction wit...
The purpose of this study was to explore nursing students' perceptions of their final clinica... more The purpose of this study was to explore nursing students' perceptions of their final clinical learning environment and its association with their self‐assessed competence, satisfaction with nursing education, and turnover intentions at graduation in six European countries. A multi‐country comparative cross‐sectional study was conducted with nursing students (n = 1746) from the Czech Republic, Finland, Italy, Portugal, Slovakia, and Spain using the Nurse Competence Scale and the Clinical Learning Environment and Supervision scale. Nursing students' overall perceptions of their final clinical learning environment and supervision were positive in all the countries studied. The correlation between the students' perceptions of their final clinical learning environment and competence was statistically significant and positive. Satisfaction with the nursing program and clinical practicum and no consideration of career change were related to positive perceptions of the final cl...
BackgroundConsensus on evidence‐based practice (EBP) competencies and associated learning outcome... more BackgroundConsensus on evidence‐based practice (EBP) competencies and associated learning outcomes for registered nurses has not yet been achieved in the European context.AimsTo establish a set of core EBP competencies for nurses and the most important EBP learning outcomes encompassing attitudes, knowledge, and skills dimensions for implementation into nursing education in European countries.MethodsA multi‐phase modified Delphi survey was conducted: Phase 1, a literature review; Phase 2, a two‐round consensus of experts; and Phase 3, a Delphi survey. Experts from six European countries participated.ResultsIn Phase 1, 88 records were selected and 835 statements extracted, which were grouped according to the seven steps of EBP. After removing 157 duplicates, the remaining competencies (n = 678) were evaluated in Phase 2. Then, a two‐round expert consensus was reached, with 24 competencies and 120 learning outcomes identified and divided into affective, cognitive, and skills domains. ...
Abstrakt Cíl: Cílem studie bylo zjistit, jak rodinní pečovatelé pečující o blízkou osobu v České ... more Abstrakt Cíl: Cílem studie bylo zjistit, jak rodinní pečovatelé pečující o blízkou osobu v České republice hodnotí definující charakteristiky ošetřovatelské diagnózy Přetížení pečovatele. Metodika: Na klinickou validizaci ošetřovatelské diagnózy Přetížení pečovatele byl použit "Na pacienta zaměřený Fehringův model klinické diagnostické validity". Výzkum u rodinných pečovatelů probíhal v měsících srpen a září 2010 v Agentuře domácí péče Victoria na území města Šumperk. Do výzkumného souboru bylo vybráno 50 rodinných pečovatelů, kteří pečovali o své blízké v domácím prostředí déle než 2 roky. Souhlas se zařazením do výzkumu vyjádřilo 23 rodinných pečovatelů, co je 46 %. Výsledky: Rodinní příslušníci za hlavní definující charakteristiky Přetížení pečovatele označili celkem 8 charakteristik: obavy z možné institucionalizace péče příjemce; obavy, jak vyřešit péči o člena rodiny, když nebudu schopen tuto péči vykonávat; obavy o zdraví příjemce péče v budoucnosti; obavy souvisejí...
Cil: Hlavnim cilem výzkumneho setřeni bylo zjistit, ktere faktory ovlivňuji použivani osetřovatel... more Cil: Hlavnim cilem výzkumneho setřeni bylo zjistit, ktere faktory ovlivňuji použivani osetřovatelských diagnoz v klinicke praxi. Dalsim cilem bylo zjistit rozdily v hodnoceni faktorů ovlivňujicich použivani osetřovatelských diagnoz v praxi podle věku, vzdělani a typu pracovistě. Metodika: Pro ziskani dat byl sestaven nestandardizovaný dotaznik zaměřený na zjistěni faktorů ovlivňujicich použivani osetřovatelských diagnoz. Výzkumný soubor tvořilo 253 registrovaných vseobecných sester z 9 zdravotnických zařizeni v Ceske republice. Sestry hodnotili na Likertově skale od 1 do 5, jak jednotlive faktory ovlivňuji použivani osetřovatelske diagnostiky v praxi. Výzkumne setřeni probihalo od cervna 2011 do listopadu 2011. Výsledky: Podle naseho výzkumneho souboru nejvice ovlivňuji použivani osetřovatelských diagnoz v praxi nasledujici faktory: pocet pacientů na 1 sestru, administrativni zatěž, syndrom vyhořeni, nedostatek casu, rozdily v teorii a praxi a nedostatek personalu. Statisticky význa...
Central European Journal of Nursing and Midwifery, 2019
Aim: The purpose of this study was to assess the incidence of environmental safety hazards in the... more Aim: The purpose of this study was to assess the incidence of environmental safety hazards in the homes of people aged 65 years and above, and to evaluate the effect of an educational intervention by nurses on the incidence of home environmental risk factors for falls, and on the perception of the safety of the home environment. Design: The study was a non-randomized single-arm pre-post intervention study. Methods: The sample consisted of 106 elderly patients living in their homes in the Czech Republic. The intervention involved individual education about home hazards, including the provision of a free educational leaflet and emergency call sticker, and advice regarding home environment modification and safety devices. Results: A statistically significant difference was found in the number of risk factors before and after the intervention (p < 0.001). After the intervention the elderly subjects perceived their home environment as being less safe than they had before. Conclusion: ...
International Journal of Environmental Research and Public Health
Background: Adverse events are indicators of patient safety and quality of care. Adverse events c... more Background: Adverse events are indicators of patient safety and quality of care. Adverse events clearly have negative impacts on healthcare system costs. Organizational and unit characteristics are not very often studied in relation to adverse events. The aim of the study was to find the differences in the incidence of adverse events and healthcare-associated infections in hospitalized patients in Czech acute care hospitals according to type of hospital and type of unit. Methods: This cross-sectional multicentre study was conducted in 105 acute care medical and surgical units located in 14 acute care hospitals throughout the Czech Republic. The data on adverse events and healthcare-associated infections were reported monthly by nurse researchers. The data were collected from June 2020 to October 2020. Results: The incidence of healthcare-associated infections, pressure ulcers, and medication errors was significantly lower in large hospitals. Statistically significant differences hav...
New nurses are needed in healthcare. To meet the role expectations of a registered nurse, nursing... more New nurses are needed in healthcare. To meet the role expectations of a registered nurse, nursing students must feel empowered at graduation. However, there are only a few studies focusing on nursing students’ empowerment. This study aims to describe and analyze graduating nursing students’ level of empowerment in six European countries and potential related factors. A comparative and cross-sectional study was performed in the Czech Republic, Finland, Italy, Portugal, Slovakia, and Spain with graduating nursing students (n = 1746) using the Essential Elements of Nurse Empowerment scale. Potentially related factors included age, gender, a previous degree in health care, work experience in health care, graduation to first-choice profession, intention to leave the nursing profession, level of study achievements, satisfaction with the current nursing programme, clinical practicums, theoretical education, and generic competence measured with the Nurse Competence Scale. The data were anal...
Although assessment of palliative patients&amp;amp;amp;amp;amp;amp;amp;amp;#39; needs is a ke... more Although assessment of palliative patients&amp;amp;amp;amp;amp;amp;amp;amp;#39; needs is a key issue in palliative care, a suitable instrument for identification of such needs is not available in Central European countries. Our objectives were to produce an adequate tool for identifying the importance and satisfaction of palliative patients&amp;amp;amp;amp;amp;amp;amp;amp;#39; needs and to verify its psychometric properties. The patient needs assessment in palliative care (PNAP) instrument was constructed based on a literature review and qualitative research (focus groups, n = 5). The psychometric properties of the questionnaire were verified by a cross-sectional study. The convergent validity of the questionnaire was determined by confirmatory factor analysis. Furthermore, internal consistency, test-retest reliability, and construct validity were also tested. The qualitative research group comprised 30 participants (27 experts in palliative care, 1 patient, and 2 family members). Psychometric properties were evaluated in a group of 349 hospital inpatients terminally ill with chronic disease or cancer and receiving palliative care. Based on the qualitative data analysis, a questionnaire was constructed that contained 42 items grouped into 5 domains. When testing the psychometric properties of the questionnaire, a new model containing 40 items in 7 domains was produced. Cronbach&amp;amp;amp;amp;amp;amp;amp;amp;#39;s α for the entire PNAP questionnaire was 0.89 on the importance scale and 0.80 on the satisfaction scale. Test-retest reliability was higher than 0.7 for all domains in both scales. The results of tests on the psychometric properties of the PNAP questionnaire showed at least satisfactory validity and reliability, and it can be employed to assess the needs of palliative care patients in Central European countries.
Background Job satisfaction is a key factor for the successful transition of newly graduated nurs... more Background Job satisfaction is a key factor for the successful transition of newly graduated nurses (NGNs) and for retaining NGNs in their workplaces. However, there is limited evidence of the relationship between satisfaction regarding the nursing education program and NGNs’ job satisfaction in the first year after graduation. Therefore, this study aims to examine the association of the nursing education related factors and NGNs’ job satisfaction. Methods A cross-sectional study design with the utilization of data collected from the same respondents one year earlier as educational factors was applied. The data were collected from NGNs (n = 557) in 10 European countries using an electronic survey between February 2019 and September 2020, and analyzed in detail for four countries (n = 417). Job satisfaction was measured with three questions: satisfaction with current job, quality of care in the workplace, and nursing profession. Nursing education related factors were satisfaction wit...
The purpose of this study was to explore nursing students' perceptions of their final clinica... more The purpose of this study was to explore nursing students' perceptions of their final clinical learning environment and its association with their self‐assessed competence, satisfaction with nursing education, and turnover intentions at graduation in six European countries. A multi‐country comparative cross‐sectional study was conducted with nursing students (n = 1746) from the Czech Republic, Finland, Italy, Portugal, Slovakia, and Spain using the Nurse Competence Scale and the Clinical Learning Environment and Supervision scale. Nursing students' overall perceptions of their final clinical learning environment and supervision were positive in all the countries studied. The correlation between the students' perceptions of their final clinical learning environment and competence was statistically significant and positive. Satisfaction with the nursing program and clinical practicum and no consideration of career change were related to positive perceptions of the final cl...
BackgroundConsensus on evidence‐based practice (EBP) competencies and associated learning outcome... more BackgroundConsensus on evidence‐based practice (EBP) competencies and associated learning outcomes for registered nurses has not yet been achieved in the European context.AimsTo establish a set of core EBP competencies for nurses and the most important EBP learning outcomes encompassing attitudes, knowledge, and skills dimensions for implementation into nursing education in European countries.MethodsA multi‐phase modified Delphi survey was conducted: Phase 1, a literature review; Phase 2, a two‐round consensus of experts; and Phase 3, a Delphi survey. Experts from six European countries participated.ResultsIn Phase 1, 88 records were selected and 835 statements extracted, which were grouped according to the seven steps of EBP. After removing 157 duplicates, the remaining competencies (n = 678) were evaluated in Phase 2. Then, a two‐round expert consensus was reached, with 24 competencies and 120 learning outcomes identified and divided into affective, cognitive, and skills domains. ...
Abstrakt Cíl: Cílem studie bylo zjistit, jak rodinní pečovatelé pečující o blízkou osobu v České ... more Abstrakt Cíl: Cílem studie bylo zjistit, jak rodinní pečovatelé pečující o blízkou osobu v České republice hodnotí definující charakteristiky ošetřovatelské diagnózy Přetížení pečovatele. Metodika: Na klinickou validizaci ošetřovatelské diagnózy Přetížení pečovatele byl použit "Na pacienta zaměřený Fehringův model klinické diagnostické validity". Výzkum u rodinných pečovatelů probíhal v měsících srpen a září 2010 v Agentuře domácí péče Victoria na území města Šumperk. Do výzkumného souboru bylo vybráno 50 rodinných pečovatelů, kteří pečovali o své blízké v domácím prostředí déle než 2 roky. Souhlas se zařazením do výzkumu vyjádřilo 23 rodinných pečovatelů, co je 46 %. Výsledky: Rodinní příslušníci za hlavní definující charakteristiky Přetížení pečovatele označili celkem 8 charakteristik: obavy z možné institucionalizace péče příjemce; obavy, jak vyřešit péči o člena rodiny, když nebudu schopen tuto péči vykonávat; obavy o zdraví příjemce péče v budoucnosti; obavy souvisejí...
Cil: Hlavnim cilem výzkumneho setřeni bylo zjistit, ktere faktory ovlivňuji použivani osetřovatel... more Cil: Hlavnim cilem výzkumneho setřeni bylo zjistit, ktere faktory ovlivňuji použivani osetřovatelských diagnoz v klinicke praxi. Dalsim cilem bylo zjistit rozdily v hodnoceni faktorů ovlivňujicich použivani osetřovatelských diagnoz v praxi podle věku, vzdělani a typu pracovistě. Metodika: Pro ziskani dat byl sestaven nestandardizovaný dotaznik zaměřený na zjistěni faktorů ovlivňujicich použivani osetřovatelských diagnoz. Výzkumný soubor tvořilo 253 registrovaných vseobecných sester z 9 zdravotnických zařizeni v Ceske republice. Sestry hodnotili na Likertově skale od 1 do 5, jak jednotlive faktory ovlivňuji použivani osetřovatelske diagnostiky v praxi. Výzkumne setřeni probihalo od cervna 2011 do listopadu 2011. Výsledky: Podle naseho výzkumneho souboru nejvice ovlivňuji použivani osetřovatelských diagnoz v praxi nasledujici faktory: pocet pacientů na 1 sestru, administrativni zatěž, syndrom vyhořeni, nedostatek casu, rozdily v teorii a praxi a nedostatek personalu. Statisticky význa...
Central European Journal of Nursing and Midwifery, 2019
Aim: The purpose of this study was to assess the incidence of environmental safety hazards in the... more Aim: The purpose of this study was to assess the incidence of environmental safety hazards in the homes of people aged 65 years and above, and to evaluate the effect of an educational intervention by nurses on the incidence of home environmental risk factors for falls, and on the perception of the safety of the home environment. Design: The study was a non-randomized single-arm pre-post intervention study. Methods: The sample consisted of 106 elderly patients living in their homes in the Czech Republic. The intervention involved individual education about home hazards, including the provision of a free educational leaflet and emergency call sticker, and advice regarding home environment modification and safety devices. Results: A statistically significant difference was found in the number of risk factors before and after the intervention (p < 0.001). After the intervention the elderly subjects perceived their home environment as being less safe than they had before. Conclusion: ...
International Journal of Environmental Research and Public Health
Background: Adverse events are indicators of patient safety and quality of care. Adverse events c... more Background: Adverse events are indicators of patient safety and quality of care. Adverse events clearly have negative impacts on healthcare system costs. Organizational and unit characteristics are not very often studied in relation to adverse events. The aim of the study was to find the differences in the incidence of adverse events and healthcare-associated infections in hospitalized patients in Czech acute care hospitals according to type of hospital and type of unit. Methods: This cross-sectional multicentre study was conducted in 105 acute care medical and surgical units located in 14 acute care hospitals throughout the Czech Republic. The data on adverse events and healthcare-associated infections were reported monthly by nurse researchers. The data were collected from June 2020 to October 2020. Results: The incidence of healthcare-associated infections, pressure ulcers, and medication errors was significantly lower in large hospitals. Statistically significant differences hav...
New nurses are needed in healthcare. To meet the role expectations of a registered nurse, nursing... more New nurses are needed in healthcare. To meet the role expectations of a registered nurse, nursing students must feel empowered at graduation. However, there are only a few studies focusing on nursing students’ empowerment. This study aims to describe and analyze graduating nursing students’ level of empowerment in six European countries and potential related factors. A comparative and cross-sectional study was performed in the Czech Republic, Finland, Italy, Portugal, Slovakia, and Spain with graduating nursing students (n = 1746) using the Essential Elements of Nurse Empowerment scale. Potentially related factors included age, gender, a previous degree in health care, work experience in health care, graduation to first-choice profession, intention to leave the nursing profession, level of study achievements, satisfaction with the current nursing programme, clinical practicums, theoretical education, and generic competence measured with the Nurse Competence Scale. The data were anal...
Uploads
Papers by Renáta Zeleníková