Central European Journal of Nursing and Midwifery - Latest articles
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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 Èervenková, 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 Ivani¹eviæ, Ivan Ni¾iæ
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 Du¹ová, Kateøina 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 Bartoníèková, 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, ©tefánia Gurová, Milo¹ Èaklo¹
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 ©kodová, 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, ¥udmila Matulníková, Kateøina Janou¹ková, 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 Jakoboviæ, Andrea Milostiæ Srb, Ivona Baraæ, Marko Babiæ, Nikolina Farèiæ, Stana Paèariæ
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 Bu¹ac, Nevena ©imuniæ, Ana ®epina Puziæ
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 ©tureková, 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 Beèváøová, 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 Ïuríèeková, Zuzana ©kodová, Martina Ba¹ková
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...
Perspectives of parents of home mechanically ventilated children on the supply of medical aidsOriginal articles
Yvonne Lehmann, Dajana Sciortiono
Cent Eur J Nurs Midw 2024, 15(4):2040-2052 | DOI: 10.15452/cejnm.2024.15.0023
Aim: The supply of medical aids and training in their use are essential for home mechanically ventilated (HMV) children and their parents. Design: A qualitative interview study was performed to gain deeper insights into parents’ views and to derive sound recommendations for designing this form of care with the most common need for multiple medical aids (devices and accessories). Methods: Twelve problem-centred interviews were conducted with parents of children receiving HMV and subjected to qualitative content analysis. Results: Parents found ventilation-specific medical devices and accessories to be generally reliable, but not always well designed...
Relationship between postnatal depression measured by the Edinburgh Postnatal Depression Scale and other factors influencing mental health of women in the prenatal and postnatal periodOriginal articles
Olga Shivairová, Romana Bele¹ová, Alena Machová, Milena Mágrová, Drahomíra Filausová
Cent Eur J Nurs Midw 2024, 15(4):2053-2059 | DOI: 10.15452/cejnm.2024.15.0024
Aim: Pre- and postnatal depressive symptoms may have a negative impact on maternal mental health and on mother-child bonding and interactions. The aim of the study was to assess the role of various factors on women’s mental health during pregnancy and to evaluate the role of selected health care strategies in preventing mental health issues before and after delivery, with an emphasis on the development of fear of childbirth and postnatal depression. Design: A quantitative study. Methods: A non-standardized 125-item questionnaire was developed with questions about pregnancy, delivery, and puerperium, including questions about mental...
Health consequences and nursing care needs of patients after ICU discharge: a retrospective observational studyOriginal articles
Mara Alexandra Alves de Sousa, Soraia Cristina de Abreu Pereira, Armando Almeida, Liliana Andreia Neves da Mota, Fernanda Maria Príncipe Bastos Ferreira
Cent Eur J Nurs Midw 2024, 15(4):2021-2029 | DOI: 10.15452/cejnm.2024.15.0020
Aim: Advances in intensive care have reduced mortality rates but increased the number of survivors who face medium to long-term physical, cognitive, and psychological deficits. Nurses play a crucial role in aiding these individuals during their health transition process. The aim of this study was to examine the health consequences and nursing care needs of patients post-ICU. Design: Retrospective observational study. Methods: Data were collected between December 2017 and October 2020 through a retrospective analysis of 215 clinical processes. Descriptive and inferential statistical analyses were performed using SPSS, version 24. Results: While physical...
Nurses’ and patients’ perspectives of missed nursing care in surgical units: a correlation cross-sectional studyOriginal articles
Elena Gurková, Júlia ©inglárová, Katarína ®iaková
Cent Eur J Nurs Midw 2024, 15(4):2030-2039 | DOI: 10.15452/cejnm.2024.15.0021
Aim: To compare nurses’ and patients’ reports of missed nursing care in surgical units. Design: A cross-sectional correlational study. Methods: The sample involved 130 nurses in surgical departments, and 112 patients assigned to nurses during various shifts were included. The Slovak version of the Missed Nursing Care Survey, the MISSCARE-Patient Survey, and the Generic Short Patient Experiences Questionnaire were used to collect data. Data were analyzed using descriptive and nonparametric inductive statistics. Results: The overall mean scores of the MISSCARE versions were low, suggesting a tendency for nurses and patients to perceive missed...
Organizational trust in team-based nursing – is it worth investing in its improvement?Editorial
Beata Babiarczyk
Cent Eur J Nurs Midw 2024, 15(4):2019-2020 | DOI: 10.15452/cejnm.2024.15.0022
Between ‘there’ and ‘here’: individual perception of diabetes mellitus among post-Soviet immigrants in GermanyOriginal articles
Sigrun Simolka, Antoinette Conca, Wilfried Schnepp
Cent Eur J Nurs Midw 2024, 15(3):1177-1186 | DOI: 10.15452/cejnm.2024.15.0019
Aim: Individual experiences shape perceptions of illness. Post-Soviet migrants have different expectations of chronic disease treatment than German patients. This study aimed to delve into perceptions of diabetes mellitus, a topic of increasing importance in global migration. Design: Qualitative, semi-structured interviews were conducted with 26 post-Soviet migrants with diabetes and three Russian-speaking diabetes counselors, mainly recruited through a snowball system. Methods: The research data were analyzed using a hermeneutic approach. The categories of the common-sense self-regulation model and developed subcategories were scrutinized by means...
Assessment of work ability with the Work Ability Index (WAI) in a nursing population: a literature reviewReview
Martina Smrekar, Boris Iliæ, Slaðana Re¾iæ, Snje¾ana Èukljek
Cent Eur J Nurs Midw 2024, 15(3):1187-1196 | DOI: 10.15452/cejnm.2024.15.0017
Aim: The present research aimed to provide a systematic analysis of the work ability (WA) of nurses assessed through the Work Ability Index (WAI) with a focus on factors influencing WA in the studied population. Design: A systematic literature review. Methods: In January 2024, a literature search was performed using Medline / PubMed and ScienceDirect databases, in order to identify studies focused on assessment of WA with the WAI among nurses. Databases were searched using ‘work ability index’ and ‘nurse’ as key terms. Articles were selected according to PRISMA guidelines. Results: Three hundred twenty-two studies were identified...