4th International Conference Quality and Its Perspectives, with the subtitle: Assisting Professions through Time (April 19, 2017)
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Konferenční objekt Otevřený přístup peer-reviewedpostprint 4th International Conference Quality and Its Perspectives, with the subtitle: Assisting Professions through Time (April 19, 2017)(University of Pardubice, 2017-12) Mandysová, PetraKonferenční objekt Otevřený přístup peer-reviewedpostprint Factors influencing satisfaction of non-medical healthcare personnel(University of Pardubice, 2017-12) Špačková, Iva; Holá, JanaIntroduction: At present, monitoring of employee satisfaction is one of the standards of quality management in accredited hospitals. Assessment of satisfaction and finding incentives for greater engagement of employees should be a standard tool of personnel management. In healthcare organizations it is necessary to monitor employee satisfaction not only to ensure greater engagement, but also to prevent burnout syndrome, which also strongly affects the quality of provided health care. Aim: The aim of this paper is to present part of the results of a satisfaction survey, focusing on the significance of factors influencing satisfaction of non-medical healthcare personnel in an acute care hospital. Method: The data were collected in a satisfaction survey in an acute care hospital. The survey used anonymous online questionnaires, which were constructed on the basis of standardized questionnaires of the Gallup agency, surveys implemented in the project TNS AISA (Engagement of employees in the Czech Republic) and specific requirements of the hospital quality manager. Results: 1 178 non-medical healthcare employees included in the research sample mention as the most important factors influencing their perception of the social climate the following: good cooperation in the department, friendly interpersonal relationships and good relations with the immediate supervisor. Conclusion: The survey results lead to recommendations aimed particularly at improvement of internal communication and personnel management, which contribute to the creation of the desired social climate and organization culture. To stabilize the employees and improve their relationship with the organization it is necessary to build greater confidence in the top-level management through more transparent communication, focusing on the common goals and vision of the organization.Konferenční objekt Otevřený přístup peer-reviewedpostprint The Czech Version of the Purnell’s Model for Cultural Competence(University of Pardubice, 2017-12) Škorničková, Zuzana; Nováková, DitaIntroduction: The motive of this work was to create standardized Czech version of the Purnell Model for Cultural Competence which could help non-medical healthcare personnel in providing care to clients from different cultural backgrounds. Objective: The aim was to create a standardized Czech version of the Purnell Model for Cultural Competence and to provide a description of the back translation methodology. Method: After obtaining consent from the author of the Model for Cultural Competence, Larry Purnell, a translation to the Czech language from the original version in English was carried out by experts from the fields of nursing and midwifery, healthcare English and by linguist. Back translation was carried out by a native speaker from the United States who has lived in the Czech Republic for fifteen years. The native speaker did not know the original version. Subsequently, his version was compared with the original version. Significantly different terms were discussed and subsequently incorporated into the final Czech version. Results: Altogether, 89 terms were translated. Absolute agreement occurred in 37 (41.6%) cases. In eight cases (9%), the translated terms were significantly different, but agreeing on the resulting expression was seamless. In three cases (3.37%), the different Czech variants also differed significantly and the translation did not correspond to the context. Using the Czech and English interpreting vocabulary linguists, the resulting expressions were reworked. There were synonyms in 38 (42.7%) expressions, singular and plural differences in three translated terms (3.4%). All the differences that appeared in translations were probably due to the different active vocabulary of the individual translators, and in such cases the linguist was chosen as the variant that most corresponds to the original meaning and which is most acceptable for the stylistic and meaningful aspects of the Czech language. Conclusion: The Model for Cultural Competence is a tool for collecting data from the members of varying cultures from all regions of the world and is widely used by healthcare providers as well as for instance by teachers, research workers and sociologists. The Model for Cultural Competence has been translated into Czech language and brought closer to the wider professional public. It will be subject to further verification under a more extensive study.Konferenční objekt Otevřený přístup peer-reviewedpostprint Suffering Related to Care(University of Pardubice, 2017-12) Rusová Jitka, /; Hlaváčková, EvaIntroduction: The meaning and objective of caring is to alleviate suffering. In spite of this fact patients sometimes perceive the provided care as a source of suffering. Care that causes suffering has many forms, ranging from all forms of omission or neglecting the patient and ending with (ab)using the caretaker’s power, ultimately resulting in threatening patient’s life and health and violation of his/her human dignity. Objective: The aim of this study is to outline the concept of suffering related to nursing care. Method: A bibliographic survey focused on the phenomenon of suffering related to care. Results: Suffering related to care (uncaring) arises due to healthcare actions that neglect the holistic and patient-centred approach to care. Inspired by D. J. Riemen, S. Halldorsdottir constructed a theory of caring and uncaring encounters in nursing and health care. Conclusion: Suffering related to care exists but is not inevitable. Reflection on this phenomenon can contribute to changes in the healthcare personnel’s behaviour and attitudes.Konferenční objekt Otevřený přístup peer-reviewedpostprint Dementia as a Current Problem Due to Demographic Trends – Knowledge of Caregivers(University of Pardubice, 2017-12) Pokorná, Andrea; Dubská, SoňaIntroduction: Dementia is not a disease but a collection of symptoms resulting from damage to the brain. These symptoms can be caused by a number of conditions. It is generally assumed caregiver’s better knowledge of the symptomatology and symptoms result in a better quality of care. Objective: To assess the knowledge about the causes and symptoms of dementia in a selected sample of family members of seniors with dementia and in non-medical healthcare personnel caring for seniors with dementia at geriatric-psychiatric wards. Method: A questionnaire-based survey applied to a selected group of family members and to non-medical workers (questionnaire by the Institut Universitaire de Gériatrie in Montréal). Results: Younger age lay persons (p = 0.0012) and relatives in a straight line of the elderly showed better knowledge of dementia (p = 0.0002). The relatives’ satisfaction with care did not correlate with their knowledge of the causes and symptoms of dementia (p = 0.5899). The relatives’ gender did not show a statistically significant correlation with knowledge (p = 0.937). However, women showed better knowledge from the objective point of view. In the sample of non-medical professionals, education correlated with the level of proven knowledge of the causes and symptoms of dementia while respondents with university education demonstrated better knowledge (p = 0.0016) as well as respondents with completed specialized education on dementia (p = 0.0003). Family members of seniors with dementia did not give correct answers to questions on the pathophysiology and symptoms related to the progression of dementia. Nonmedical healthcare personnel did not have sufficient knowledge of the general aspects of dementia and some behavioural and psychological symptoms of dementia. Conclusion: The analysis of the family members’ and non-medical healthcare personnel's knowledge about dementia proved statistically significant differences. The knowledge demonstrated by the family members of patients with dementia differs depending on the age and relation to the patient. The level of knowledge demonstrated by non-medical healthcare personnel caring for patients with dementia differs by gender, their achieved level of education and specialized education.Konferenční objekt Otevřený přístup peer-reviewedpostprint Health and Social Issues Related to Confidential Births(University of Pardubice, 2017-12) Petržílková, Helena; Čermák, Zdeněk; Malinová, LenkaIntroduction: The article describes the current Czech legal regulation of the area of confidential births with respect to actions that must be taken by healthcare providers, covering all phases including adoption, foster care or institutional care of the child, with an emphasis placed on the social and legal protection of children. Furthermore, the paper describes the controversy concerning real maternal anonymity. Objective: The aim of the article is to describe the current Czech health and social legislative theory and practice in the field of confidential births and subsequent care. Method: With regards to the theoretical nature of the article, the methods of analysis and compilation of expert texts were used. Results: The current Czech legal regulation allows women to give a so-called confidential birth. Healthcare institutions have specific procedures in place, respecting the relevant legal regulations concerning the subject matter. Nevertheless, the mother continuously faces a disclosure of her identity in the course of guardianship-related proceedings regarding placing the child for adoption, into foster care or institutional care. Under the existing legal regulation, comprehensive legal approaches to confidential births and aftercare are set to protect the anonymity of the mother, but not entirely. Conclusion: The current system of law enables women to give confidential births in official healthcare facilities. However, real anonymity is not guaranteed due to the disclosure of the mother’s identity while reporting the provided health care to the health insurance company and in the course of legal guardianship proceedings concerning the child.Konferenční objekt Otevřený přístup peer-reviewedpostprint Position of Supervision in Healthcare and in Practical Training of Students of Healthcare Programs(University of Pardubice, 2017-12) Michková, AdélaIntroduction: This paper deals with the use of supervision in healthcare and in the studies and clinical placement of future healthcare professionals. Objective: To present the results of foreign studies evaluating the benefit of supervision in healthcare and to introduce supervision models used in the supervision of students' clinical placement. Method: This paper is based on bibliographic searches and the author’s personal experience. Results: Supervision in healthcare is more widely used abroad than in the Czech Republic, while its definition is very diverse. The results of foreign studies reveal the benefit of supervision consisting both in the support of the supervised staff and students and in their professional development. The paper also briefly describes three models of supervision during clinical placement. Conclusion: Supervision in healthcare has a potential that has not yet been appreciated in the Czech Republic. The article opens to a discussion the results of foreign studies and the author’s experience with supervision in the area of health and social work.Konferenční objekt Otevřený přístup peer-reviewedpostprint Influence of Drug Addiction on Pregnancy(University of Pardubice, 2017-12) Lamková, Ivana; Madarová, KamilaIntroduction: The present work deals with the problem area of drug addiction and its impact on pregnancy and the course of childbirth. Objective: To describe the sociodemographic data of female drug addicts; to assess their impact on the provision of prenatal care and to compare this data with available foreign studies. Method: A retrospective analytical study was conducted; the obtained data were encrypted and anonymized. Selection criteria: woman used drugs either before or during pregnancy; woman delivered in a healthcare facility in the Ústí nad Labem Region. Results: The sociodemographic situation of female drug users has a significant impact on pregnancy and the form of delivery. Important factors for the development of drug addiction appear to be women’s unemployment, lower education and socioeconomic instability. Addiction to habit-forming substances is directly related to cigarette smoking. The consequence of these factors is insufficient care in pregnancy due to a lack of interest by the pregnant drug-addicted woman. Conclusion: Given the current development of our society, we must assume that the number of drug-addicted pregnant women will continue to increase in regions with higher unemployment, causing a lower socioeconomic status of the population. Addicted pregnant women in vulnerable communities should be detected and both existing and potential risks that such women are exposed to need to be addressed in the nursing care.Konferenční objekt Otevřený přístup peer-reviewedpostprint Importance of Oral and Dental Health in the Elderly(University of Pardubice, 2017-12) Chrudimská, Lucie; Koutná, KateřinaIntroduction: Oral health has a significant impact on the overall health condition. Both the lay public and experts often underestimate this problem area. Apart from the health of the oral cavity itself and overall health, care for one’s oral health improves overall quality of life. The condition of oral health in the elderly population is not at the desired level. To a great extent, oral health can be influenced by correct care. More attention should be paid to educating the population and the subjective area of self-care should not be underestimated. Objective: The objective of the study was to point out the importance of oral health in the context of overall health and to present the condition of seniors’ oral health as well as their interest in care for the oral cavity (including dentures). Method: A research probe was used, with a combination of quantitative and qualitative techniques in the process of data collection and analysis. We used our own questionnaire and semi-structured interviewing. The total number of respondents was 36 in the quantitative part and 7 in the qualitative part. Respondents in both parts of the study were elderly persons – members of a selected senior club older than 65 years. Respondents’ cognitive status was determined by means of the clock drawing test. The questionnaire data were processed using statistical software STATISTICA©. Results: The oral health condition in the selected sample of seniors is lower than desirable. Seniors in the research sample have no complex knowledge in the area of dental and oral care although they are interested in it. They are not aware of the impact of oral health on the overall health condition. Conclusion: The research probe implies that public awareness of this subject matter should be continuously and systematically increased. Multidisciplinary importance of oral health must be emphasized. An educational lesson was provided in the senior club and educational posters and leaflets were created in reaction to the results of the research probe.Konferenční objekt Otevřený přístup peer-reviewedpostprint Validity and Reliability of Nursing Intervention Breastfeeding Assistance 1054(University of Pardubice, 2017-12) Chrásková, Jana; Boledovičová, Mária; Hrach, KarelIntroduction: Nursing Interventions Classification (NIC) has the potential to become an indicator of the efficiency and quality of nursing care. In order to achieve computerization of nursing data and their use in the real nursing practice, it is necessary to determine the validity and reliability of the individual components. Objective: The objective of this study was to evaluate the degree of Interventions Content Validity (ICV) and the reliability for nursing intervention Breastfeeding Assistance 1054 implemented in mothers and newborns during lactation on a postpartum ward. Method: For data collection, a measuring instrument consisting of 32 nursing intervention items, listed in the Nursing Interventions Classification system. A modified Fehring’s Diagnostic Content Validity Model – in the context of validating nursing interventions usually referred to as Fehring Interventions Content Validation (ICV) – was utilized as the validation instrument. The sample consisted of experts nurses (n = 122) that gained 4 points by the modified Fehring criteria. Internal consistency of the instrument was verified by Cronbach's alpha coefficient. The measure of dependence among the defining nursing activities was tested using Spearman’s correlation analysis. Cluster analysis was used for identifying statistical correlations in a group of expert nurses with respect to the length of practice and education. Results: The ICV score value of nursing interventions Breastfeeding Assistance 1054 as a whole was 0.83. A total of 22 activities achieved a weighted average of > 0.80 and 10 activities were within the range from 0.79 to 0.50. No activity achieved a weighted average of <0.50. No correlation between the selection of activities, experts’ education and length of practice was confirmed (p > 0.05). Conclusion: The ICV model was used for presenting a group of valid nursing activities for the performance of NIC intervention Breastfeeding Assistance 1054 in mothers and newborns during lactation at a postpartum ward.