Central European Journal of Nursing and Midwifery - Latest articles
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Preceptors’ perceptions and experiences of clinical birth education: a qualitative studyOriginal articles
Gözde Gökçe İsbir, Meltem Aydın Beşen
Cent Eur J Nurs Midw 2025, 16(4):2328-2340 | DOI: 10.15452/cejnm.2025.16.0023 
Aim: This study aimed to explore preceptors’ perceptions and experiences of clinical birth education. Design: A qualitative descriptive design was employed. Methods: The study involved 22 preceptors engaged in clinical birth education. Data were collected through semi-structured interviews and analyzed using conventional content analysis. Results: Analysis revealed four overarching themes: (1) causes of fear, (2) sources of motivation, (3) deficiencies in clinical midwifery education, and (4) characteristics of high-quality education. Conclusion: Optimizing clinical learning in birth wards requires effective management of students’ emotions...
Analysis of medication administration safety in hospital settingsOriginal articles
Patrícia Bečková, Zuzana Slezáková
Cent Eur J Nurs Midw 2025, 16(4):2341-2349 | DOI: 10.15452/cejnm.2025.16.0028
Aim: The aim of this study was to assess medication administration safety from the perspective of nurses working in standard inpatient care units at a large regional teaching hospital in Slovakia. Design: A cross-sectional study. Methods: For data collection, we used the validated Patient Safety Assessment in Medication Administration (ASPAM) tool to detect risk-generating conditions for the occurrence of adverse drug events in nursing practice. The sample consisted of 211 nurses from a selected teaching hospital in the Slovak Republic. For data analysis, we used descriptive and inferential statistical methods. Results: The mean ASPAM score was 4.30...
The impact of study on the professional development of nurses through the perception of nursing studentsOriginal articles
Vedrana Iveta, Snježana Busančić, Sanja Zoranić
Cent Eur J Nurs Midw 2025, 16(4):2317-2327 | DOI: 10.15452/cejnm.2025.16.0027
Aim: The aim of the paper was to determine students’ perceptions on whether they improve their knowledge and skills through their studies, to determine their attitude towards their chosen profession, and to investigate whether they are considering leaving Croatia. Design: A descriptive cross-sectional study. Methods: The instruments used in this study were a structured questionnaire of demographic data and a questionnaire constructed for the purposes of this research. In total 106 students from two study levels participated in the study. Statistical analysis showed frequencies and percentages, the arithmetic mean, and the standard deviation....
Psychometric analysis of the Register – Connectedness Scale for Older Adults in the context of older adults in CroatiaOriginal articles
Jadranka Plužarić, Marija Barišić, Nikolina Farčić, Željko Mudri, Ivana Barać
Cent Eur J Nurs Midw 2025, 16(4):2306-2316 | DOI: 10.15452/cejnm.2025.16.0025
Aim: The aim of this study was to analyze the factor structure and psychometric properties of the Croatian version of the Register – Connectedness Scale for Older Adults (R-CSOA). Design: Cross-sectional study. Methods: The study included 698 older adults; the median age of respondents was 73 years (range 65–94). The Register – Connectedness Scale for older adults (R-CSOA) was used. Results: The results indicated satisfactory psychometric characteristics, high overall reliability of the scale (α > 0.959), and high reliability across subscales (from α = 0.885 to α = 0.935) with a clear five-factor structure. Confirmatory...
Administration of patient education in nursing: perspective of nurse administrators in FinlandOriginal articles
Elina Linnavuori, Milka Virmajoki, Heli Virtanen, Helena Leino-Kilpi
Cent Eur J Nurs Midw 2025, 16(4):2297-2305 | DOI: 10.15452/cejnm.2025.16.0024
Aim: To analyze administration of patient education in nursing from the perspective of nurse administrators to provide new information and support for evidence-based practice and development. Design: A descriptive study. Methods: Data were collected through individual semi-structured interviews. The informants were nurse administrators (n = 6) working in primary health care in two large Finnish cities. The data were analyzed using inductive qualitative content analysis. Results: Two main categories were identified: administration of patient education and areas for improvement in the administration of patient education. Each category was further divided...
Nursing professionalism: a key to sustainable and quality health careEditorial
Katarína Žiaková
Cent Eur J Nurs Midw 2025, 16(4):2285-2286 | DOI: 10.15452/cejnm.2025.16.0026
Empathy (non)erosion: a cross-sectional study of empathy levels and trait emotional intelligence in Slovak medical studentsOriginal articles
Miroslava Galasová, Nikola Ondrík Andreánska, Lucia Konečná
Cent Eur J Nurs Midw 2025, 16(4):2287-2296 | DOI: 10.15452/cejnm.2025.16.0020
Aim: Empathy is a vital component of medical and nursing practice. However, research on empathy erosion among healthcare students has produced mixed findings, potentially due to measurement-related limitations. This study is the first to examine empathy erosion among Slovak medical students within the framework of trait emotional intelligence (TEI). Design: Quantitative, correlational-comparative, cross-sectional study. Methods: Data were collected from 545 medical students across all six years of study (57% women; Mage = 22.3, SDage = 2.1) via an online questionnaire assessing empathy (Empathy Quotient; EQ) and trait emotional...
Nurse Navigator Program in maternity clinics as a quality component of family support servicesOriginal articles
Alexander Hochmuth, Christoph Dockweiler
Cent Eur J Nurs Midw 2025, 16(3):2271-2284 | DOI: 10.15452/cejnm.2025.16.0022
Aim: Exploration of counseling contents and the role of nurse navigators (NN) in maternity clinics to support parents (and parents-to-be). Design: A retrospective descriptive study. Methods: A content analysis along with the development of initial categories of selected characteristics was conducted based on the written documentation of NN conversations from the pilot phase, covering the period from January 2021 to December 2023 (36 months). Results: A total of n = 757 conversations with pregnant women and parents (and parents-to-be) were documented, and n = 707 were included. Consultations occurred in person (65.6%), by phone (27.4%), or both (6.9%)....
COVID-19 vaccination among nurses: the role of personal and professional beliefs according to the Health Belief ModelOriginal articles
Vasiliki Georgousopoulou, Pinelopi Vlotinou, Aspasia Serdari, Anna Tsiakiri, Dimitrios Kassimos, Ioannis Koutelekos, Maria Lavdaniti, Georgios Manomenidis
Cent Eur J Nurs Midw 2025, 16(3):2254-2263 | DOI: 10.15452/cejnm.2025.16.0018
Aim: To explore the factors influencing COVID-19 vaccination uptake among nurses in Greece using the Health Belief Model (HBM). Design: A cross-sectional study. Methods: Data were collected using a structured questionnaire assessing demographic characteristics, professional responsibilities, and the HBM dimensions. A total of 450 nurses from general hospitals, pediatric hospitals, and nursing homes were considered eligible for the study. Results: Higher educational attainment (p = 0.03), positions of responsibility (p = 0.03), and belief in vaccine effectiveness (p < 0.001) were positively associated with vaccination. Older nurses (p < 0.001)...
A comparison of digital health competence and associated factors among Czech nurses using online versus paper-based data collection methods: a cross-sectional studyOriginal articles
Petra Mandysová, Kristina Mikkonen, Marco Tomietto, Erika Jarva, Zuzana Červenková, Jaroslav Pekara, Martin Krause
Cent Eur J Nurs Midw 2025, 16(3):2238-2253 | DOI: 10.15452/cejnm.2025.16.0017
Aim: To compare digital health competence (DHC) and associated factors among Czech nurses from various healthcare settings, using online versus paper-based data collection methods. Design: A cross-sectional survey. Methods: Data were collected from October 2023 to July 2024. The survey included demographic and professional data, along with two DHC instruments: DigiHealthCom and DigiComInf, translated from English to Czech. Descriptive analysis, likelihood ratio (LR), χ² and Fisher’s exact tests, and the Mann-Whitney U test were used to analyze the data. Results: The survey was fully completed by 263 nurses. Significant differences were...
Missed nursing care and related concepts: two decades of research and the road aheadEditorial
Alvisa Palese
Cent Eur J Nurs Midw 2025, 16(3):2217-2219 | DOI: 10.15452/cejnm.2025.16.0021
Outcomes of the triage process in Croatian emergency departments: a retrospective study using the Australasian Triage ScaleOriginal articles
Kata Ivanišević, Ivan Nižić
Cent Eur J Nurs Midw 2025, 16(3):2264-2270 | DOI: 10.15452/cejnm.2025.16.0019
Aim: To evaluated the effectiveness of the Australasian Triage Scale (ATS) in Croatian emergency departments by analyzing hospitalization, mortality, and discharge rates across different triage categories. Design: A retrospective cohort study. Methods: A total of 68,165 adult patients treated in the emergency department of the Clinical Hospital Center, Rijeka between January 1 and December 31, 2023. Patients were triaged into Australasian Triage Scale levels 1 to 5, and their outcomes – including hospital admissions, discharges, and mortality – were analyzed. Statistical significance was assessed using chi-square tests for categorical variables,...
Evaluation of breastfeeding self-efficacy among postnatal womenOriginal articles
Jana Valachová, Bohdana Dušová, Kateřina Greplová, Patrice Marek
Cent Eur J Nurs Midw 2025, 16(3):2220-2226 | DOI: 10.15452/cejnm.2025.16.0015
Aim: The aim of this study was to evaluate mothers’ breastfeeding self-efficacy (maternal confidence) in association with demographic and clinical characteristics. Design: An observational longitudinal study. Methods: Data were collected with the Breastfeeding Self-Efficacy Scale – Short Form (BSES-SF) questionnaire from 102 breastfeeding women three days after delivery in three hospitals, and at the third and sixth weeks at home. Results: Parity was a key finding in the overall assessment of breastfeeding self-efficacy, with multiparous women demonstrating higher breastfeeding self-efficacy than primiparous women at all three time points...
Self-reported competencies in patient safety and influencing factors: a preliminary study among healthcare studentsOriginal articles
Dominika Kohanová, Daniela Bartoníčková, Andrea Sollárová, Dana Zrubcová, Andrea Botíková
Cent Eur J Nurs Midw 2025, 16(3):2227-2237 | DOI: 10.15452/cejnm.2025.16.0016
Aim: The study aimed to evaluate the self-reported competencies of healthcare students in patient safety within academic and clinical settings and to identify factors influencing these competencies. Design: A cross-sectional study. Methods: The study was conducted between February and June 2024 among 282 healthcare students (nursing, midwifery, and paramedicine) from two faculties in the Slovak Republic. The Health Professional Education in Patient Safety Survey (H-PEPSS) was used to measure six key dimensions of patient safety competencies. Data were analyzed using descriptive and inferential statistics, with correlations explored between competencies...
Perception of the work environment of nurses working in intensive care units: a cross-sectional studyOriginal articles
Dominika Kohanová, Andrea Sollárová, Štefánia Gurová, Miloš Čakloš
Cent Eur J Nurs Midw 2025, 16(2):2176-2184 | DOI: 10.15452/cejnm.2025.16.0013
Aim: This study aimed to evaluate the perception of the work environment among intensive care unit (ICU) nurses in Slovakia and identify factors that influence their evaluation. Design: A cross-sectional descriptive study. Methods: The study was conducted between July and October 2023 using the Practice Environment Scale-Nursing Work Index (PES-NWI). Data were collected from 153 ICU nurses across four hospitals. Descriptive statistics, correlation analysis, and nonparametric tests were used for data analysis. Results: The work environment received a generally positive evaluation, with collegial nurse-physician relations receiving the highest ratings,...
Translation and preliminary exploration of the psychometric properties of the Postpartum Specific Anxiety Scale in Slovak: PSAS-SKOriginal articles
Zuzana Škodová, Beáta Granatierová
Cent Eur J Nurs Midw 2025, 16(2):2185-2195 | DOI: 10.15452/cejnm.2025.16.0014
Aim: The study aimed to investigate the level of postpartum anxiety in the research sample of women after childbirth and factors related to increased level of postpartum anxiety. The goal was also to establish the basic psychometric properties of the Postpartum Specific Anxiety Scale (PSAS-SK) in the Slovak language, and explore selected sociodemographic, perinatal, and anamnestic factors related to increased level of postpartum anxiety in a Slovak research sample. Design: Quantitative cross-sectional research study. Methods: The study involved 122 postpartum women (four-eight weeks postpartum, age 29.5; ± 4.8; 19–42). Data were collected...
Potential of clinical anthropometry in the assessment of health risks and complications of overweight and obesity in pregnant women: assessment of body composition using Matiegka equationsOriginal articles
Miroslav Kopecký, Renata Hrubá, Ľudmila Matulníková, Kateřina Janoušková, Monika Lopuszanska-Dawid
Cent Eur J Nurs Midw 2025, 16(2):2166-2175 | DOI: 10.15452/cejnm.2025.16.0012
Aim: Complications associated with obesity may negatively affect the physiological growth and development of the fetus and the health of the child. The aim of the research was to determine the effect of pregnancy and the postpartum period on the body composition of first-time pregnant women using standardized anthropometric methods with the use of the Matiegka method for fractionation of body composition. Design: A longitudinal cohort study. Methods: The study was conducted in gynecological outpatient clinics on a population of 40 nulligravidas aged 18–40 years. The women were assessed in three stages corresponding to the trimesters of pregnancy...
Empowering educational actions of nurses for patients with long-term health problems: an integrative reviewReview
Taina Heinonen, Silja-Elisa Eskolin, Helena Leino-Kilpi, Heli Virtanen
Cent Eur J Nurs Midw 2025, 16(2):2196-2216 | DOI: 10.15452/cejnm.2025.16.0010
Aim: The aim of this integrative literature review was to identify and synthetize empowering educational actions (EEA) that can be taken by nurses to support the empowerment of patients with long-term health problems. Design: An integrative literature review. Methods: The review followed methodology by Whittemore and Knafl. Four databases (PubMed, Web of Science, CINAHL, Scopus) were searched between January 2000 and October 2023 for relevant studies published in English. After complimentary manual searches, the quality of the included studies (n = 9) was assessed independently by two researchers using a tool by Hawker et al. Data were analyzed using...
Social support for cancer patients in Croatia: a cross-sectional studyOriginal articles
Vesna Jakobović, Andrea Milostić Srb, Ivona Barać, Marko Babić, Nikolina Farčić, Stana Pačarić
Cent Eur J Nurs Midw 2025, 16(2):2147-2157 | DOI: 10.15452/cejnm.2025.16.0009
Aim: To examine the level of social support of cancer patients and those undergoing surgery, and to investigate whether there are differences in social support of cancer patients according to the type of cancer. Design: A cross-sectional study. Methods: The study included 81 participants with colon, breast and lung cancer, of whom 49 (60%) were women and 32 (40%) were men, divided into three groups according to the type of cancer, one month after surgery and oncological treatment. The Multidimensional Scale of Perceived Social Support and data from medical records were used. Results: Lung cancer patients rated their health as moderate or poor, whereas...
Safety culture in Slovakian long-term care facilities: a cross-sectional studyOriginal articles
Peter Matejovie, Radka Kurucová, Martina Tomagová
Cent Eur J Nurs Midw 2025, 16(2):2158-2165 | DOI: 10.15452/cejnm.2025.16.0011
Aim: The objective of this study was to examine healthcare professionals’ perceptions of patient safety culture in long-term care facilities in Slovakia. Design: A quantitative descriptive cross-sectional study. Methods: The research sample included 161 healthcare professionals from 12 long-term care facilities in Slovakia. Empirical data were collected from December 2023 to February 2024 using the Nursing Home Survey on Patient Safety Culture (NHSPSC). Results: Respondents rated the safety culture highest in the dimensions of Feedback and Communication About Incidents (72%) and Overall Perceptions of Resident Safety (69%) according to the NHSPSC....
Do we build effective leadership skills in the nursing profession?Editorial
Mária Sováriová Soósová
Cent Eur J Nurs Midw 2025, 16(2):2145-2146 | DOI: 10.15452/cejnm.2025.16.0004
Insights into the role of emotional intelligence in nursing leadershipReview
Rosana Svetic Cisic, Fataneh Ghadirian, Foroozan Atashzadeh-Shoorideh, Boris Miethlich, Snjezana Gacina
Cent Eur J Nurs Midw 2025, 16(1):2127-2144 | DOI: 10.15452/cejnm.2025.16.0007
Aim: Emotional intelligence (EI) is increasingly recognized as an essential competency in nursing leadership. This study explores how EI shapes the fundamental components of nursing leadership and its impact on healthcare outcomes. Design: The study is classified as qualitative research. Methods: A comprehensive literature review was performed using databases including EBSCO, Google Scholar, OVID, and Web of Science. Studies published in English between 2017 and 2022 were screened against predefined inclusion criteria. Thirty-three peer-reviewed articles were selected and subjected to contextual and thematic analysis. This qualitative approach allowed...
Factors influencing sleep disturbances in patients staying in general departmentsOriginal articles
Hana Locihová, Sabina Psennerová, Karel Axmann
Cent Eur J Nurs Midw 2025, 16(1):2119-2126 | DOI: 10.15452/cejnm.2025.16.0008
Aim: The main objective was to determine how hospitalized patients subjectively perceive sleep disturbances. The study also assessed the influence of selected factors (physiological, physical, environmental, and psychological) and clinical and demographic variables on sleep disruption. Design: A multicenter descriptive study. Methods: Conducted in seven Czech hospitals from February to May 2023, the study included 397 patients in general wards. Data were collected using a modified questionnaire on sleep disturbances, and the results were analyzed using non-parametric statistical tests. Results: The sample comprised 193 males (48.6 %) and 204 females...
Emotional competence of nursing students compared to students of non-health studies: a cross-sectional studyOriginal articles
Vesna Bušac, Nevena Šimunić, Ana Žepina Puzić
Cent Eur J Nurs Midw 2025, 16(1):2094-2102 | DOI: 10.15452/cejnm.2025.16.0002
Aim: The aim of this study was to compare the emotional competence of students in nursing and other, non-health, programs; to examine differences regarding age, gender, and work experience; and to propose reforms to the nursing education curricula concerning the topics of emotional competence, regulation, and mental health. Design: A descriptive cross-sectional study. Methods: 105 respondents participated in the study. The Emotional Skill Competencies Questionnaire – 45 (ESCQ-45) was used. Data were analyzed in the SPSS 21.0 statistical program through confirmatory factor analysis with internal consistency reliability (α = 0.865). Results:...
Examining the connection between perceived stress and post-traumatic stress in women who experienced a traumatic childbirthOriginal articles
Sónia Brandão, Rosa Silva, Wilson Abreu, Tânia Brandão, Ana Paula Prata, Olga Riklikiene, Gabija Jarasiunaite-Fedosejeva, Ernesto González Mesa, Gözde Gökçe İsbir, Figen İnci, Burcu Kömürcü-Akik, Kristiina Uriko, Tatiana Governo, Gill Thomson
Cent Eur J Nurs Midw 2025, 16(1):2085-2093 | DOI: 10.15452/cejnm.2025.16.0001
Aim: This study aimed to: (1) explore post-traumatic stress disorder symptoms in relation to sociodemographic, obstetric, and childbirth trauma factors; (2) assess the association between perceived stress levels and post-traumatic stress disorder symptoms; and (3) analyze how the duration of perceived stress affects post-traumatic stress disorder. Design: A cross-sectional study. Methods: Data were collected via an online survey, including demographic and obstetric information, traumatic childbirth events, post-traumatic stress disorder symptoms, and perceived stress levels and duration in the postpartum period. The study was conducted with 202 women...
The fulfilment and importance of the needs of patients with cancer and advanced chronic disease in palliative careOriginal articles
Lenka Štureková, Klára Dostálová
Cent Eur J Nurs Midw 2025, 16(1):2103-2110 | DOI: 10.15452/cejnm.2025.16.0005
Aim: The aim is to determine how fully the needs of patients with cancer and those of patients with advanced chronic disease are met in palliative care and how needs differ in importance between the two groups. Design: A cross-sectional study. Methods: The study population consisted of patients with advanced chronic disease and cancer patients admitted either to cancer wards or a hospice. The study period was from January 2023 to May 2023. A valid and reliable tool, the Patients’ Needs Assessment in Palliative Care, was used to assess the needs of patients. The total number of respondents was 126. Results: Physical needs are most important to...
Resilience, pain self-efficacy and health-related quality of life of people on hemodialysis: a cross-sectional studyOriginal articles
Michail Tsanasidis, Theodora Kafkia, Dimitrios Papoutsis, Michael Kourakos
Cent Eur J Nurs Midw 2025, 16(1):2111-2118 | DOI: 10.15452/cejnm.2025.16.0006
Aim: The study aimed to assess the connection of psychological resilience, pain self-efficacy and quality of life in people with chronic kidney disease (CKD) on hemodialysis. Design: A cross-sectional study design was chosen. Methods: Data were collected from 361 adults receiving hemodialysis in hospital and private settings in a Southern European country over six months. This was done in a semi-structured interview using the Connor-Davidson Resilience Scale (CD-RISC), the Pain Self-Efficacy Questionnaire (PSEQ), and the Kidney Disease Quality of Life (KDQOL-36) questionnaire. Results: The results indicated that the higher the resilience, the higher...
Building a sustainable future in cancer nursingEditorial
Virpi Sulosaari
Cent Eur J Nurs Midw 2025, 16(1):2082-2084 | DOI: 10.15452/cejnm.2025.16.0003
Supporting self-management in adults after stroke – synthesis of qualitative studiesReview
Romana Bečvářová, Elena Gurková
Cent Eur J Nurs Midw 2024, 15(4):2069-2081 | DOI: 10.15452/cejnm.2024.15.0026
Aim: The aim of the review was to identify, analyse and synthesise the results of qualitative studies focusing on patients’ experiences of self-management after stroke. The research question according to the Participants, Phenomenon of Interest, Context format was as follows: What are patients’ experiences of self-management after stroke? Design: A literature review aimed at synthesising the findings of qualitative studies was conducted in accordance with the Enhancing Transparency in Reporting the Synthesis of Qualitative Research statement. Methods: Qualitative studies were searched in the EBSCO, PubMed and Web of Science databases in...
Satisfaction with childbirth and level of autonomy of women during the childbirthOriginal articles
Barbora Ďuríčeková, Zuzana Škodová, Martina Bašková
Cent Eur J Nurs Midw 2024, 15(4):2060-2068 | DOI: 10.15452/cejnm.2024.15.0025
Aim: To determine the relationship between perceived satisfaction with childbirth and perceived autonomy in decision making during the childbirth process. Design: Cross-sectional study. Methods: The study took place within the international INTERSECT project. Data were collected in four hospitals in Slovakia. The research group consisted of 437 female respondents (average age 30.5 ± 4.8). Birth Satisfaction was measured by the Birth Satisfaction Scale – Revised (BSS-R). Level of autonomy in decision making during childbirth was measured by the Mothers’ Autonomy in Decision Making Scale (MADM). Results: Respondents who perceived...