Central European Journal of Nursing and Midwifery - Latest articles

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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...

Mapping the link between graduating nursing students’ professional competence and educational components: a scoping reviewReview

Viktorija Kielė, Sanna Koskinen, Natalja Istomina, Marija Tru¹, Helena Leino-Kilpi

Cent Eur J Nurs Midw 2024, 15(3):1197-2018 | DOI: 10.15452/cejnm.2024.15.0018  

Aim: To explore the link between nurse professional competence and various educational components within nursing education based on empirical evidence. Design: A scoping review. Methods: A comprehensive literature search was conducted from 1999 to 2024 using the Academic Search Premier, Business Source Complete, CINAHL, Education Research Complete, ERIC, and PubMed databases. Data were analysed using thematic analysis. Results: Thirty relevant studies met the inclusion criteria. The identified competencies were grouped into three main categories: management, nursing intervention, and societal and social competencies. Educational components were divided...

Patients’ perspectives on a nurse led self-management intervention after acute exacerbation of COPDOriginal articles

Loris Uehlinger, Daniela Händler-Schuster, Christine Hübsch, Christian F. Clarenbach, Gabriela Schmid-Mohler

Cent Eur J Nurs Midw 2024, 15(3):1166-1176 | DOI: 10.15452/cejnm.2024.15.0016  

Aim: Patients living with chronic obstructive pulmonary disease (COPD) are challenged with managing the medical, social, and emotional consequences of the disease. Self-management of the disease plays a major role in actively preventing a deterioration such as an acute exacerbation (AECOPD). The aim of this study was to explore patients’ perspectives on self-management, for both participants who received a complex multicomponent behavior-focused intervention (e.g., physical activity) after hospitalization (intervention group) and participants who did not (control group). Design: A qualitative descriptive study design was used. Methods: Semi-structured...

Nursing students in the stranglehold of gender roles: issues of career choice and professionalismOriginal articles

Roland Gergõ Szabó, Norbert Domonkos

Cent Eur J Nurs Midw 2024, 15(3):1148-1157 | DOI: 10.15452/cejnm.2024.15.0013  

Aim: The aim of the study was to investigate the relationship between Hungarian nursing students’ career choices and nursing professionalism in the context of sex and gender roles. Design: A cross-sectional study. Methods: The study, conducted between March 2023 and June 2023, employed a combination of a self-developed questionnaire and validated measurement instruments (Bem Sex Role Inventory 12 – BSRI-12; Nurse Professional Competence Scale – NPC Scale; 10-item Gender Role Beliefs Scale – GRBS). Statistical analysis was performed using SPSS software. The sample consisted of 252 BSc nursing students in Hungary (53 males, 199...

The Textbook: contribution to nursing knowledge and practiceEditorial

Karen Holland

Cent Eur J Nurs Midw 2024, 15(3):1145-1147 | DOI: 10.15452/cejnm.2024.15.0015  

Level of emotional intelligence in medical-surgical nursing specialist nursesOriginal articles

Susana Loureiro Teixeira, Pedro Filipe Azevedo Moutinho, Ana Catarina Pereira Pinto, Liliana Andreia Neves da Mota

Cent Eur J Nurs Midw 2024, 15(3):1158-1165 | DOI: 10.15452/cejnm.2024.15.0014  

Aim: To measure the level of emotional intelligence in medical-surgical nursing specialist nurses. Design: A quantitative descriptive cross-sectional study. Methods: Data were collected through a digital form comprising a questionnaire divided into two sections: first – sociodemographic and professional characterization; second – a Portuguese version of the Schutte Emotional Intelligence Scale. The internal consistency of the instrument, measured by Cronbach’s alpha (unidimensional), was 0.878. Data were collected between 27 January and 16 March 2023. A non-probability convenience sampling technique was used to enroll the participants....

Unfinished nursing care and its relationship to level of teamwork: the perspective of postgraduate nursing studentsOriginal articles

Dominika Kohanová, Elena Gurková

Cent Eur J Nurs Midw 2024, 15(2):1115-1125 | DOI: 10.15452/cejnm.2024.15.0010  

Aim: To investigate the reasons for unfinished nursing care (UNC), its prevalence and patterns, and to explore its relationship to level of teamwork as perceived by Slovak postgraduate nursing students. Design: A descriptive cross-sectional study. Methods: The study was conducted between November 2022 and January 2023. Data collection was carried out using a set of questionnaires that involved the Unfinished Nursing Care Survey tool to measure UNC and the Nursing Teamwork Survey (NTS) to investigate level of teamwork. The sample consisted of 159 postgraduate nursing students from five public universities in different regions of the Slovak Republic....

Autonomy in nursing: a narrative review of instruments and their measurement propertiesReview

Laura Chupáèová, Katarína ®iaková

Cent Eur J Nurs Midw 2024, 15(2):1135-1144 | DOI: 10.15452/cejnm.2024.15.0012  

Aim: Autonomy in nursing refers to nurses’ ability to make independent decisions in providing nursing care without outside influence or control. Nurse autonomy is a key part of the provision of quality and safe care. Design: A narrative literature review was used for the study, performed according to the PRISMA ScR checklist. Methods: Relevant studies obtained from four databases were included in the narrative review. The data review was performed according to the PRISMA checklist. For data extraction and synthesis, the method of summative content analysis, in accordance with COSMIN criteria, was used. Results: The search identified four relevant...

Women’s experiences of unplanned out of hospital deliveries: a narrative analysisOriginal articles

Hanna Järvenpää, Ari Haaranen, Mari Kangasniemi

Cent Eur J Nurs Midw 2024, 15(2):1126-1134 | DOI: 10.15452/cejnm.2024.15.0011  

Aim: The centralization of Finnish maternity services can mean longer journeys when women are in labor. The aim of this study was to describe women’s experiences of having an unplanned out-of-hospital delivery (OHD) and to produce a deeper understanding of how to support them when this happens. Design: Qualitative descriptive study design with narrative inquiry method. Methods: Individual interviews were carried out with 15 women who had an unplanned OHD and the data were analyzed using a narrative method. Results: Three narratives described the women’s experiences of an unplanned OHD with a common plot being their sense of control....

Stress factors experienced by nursing and midwifery studentsOriginal articles

Slávka Mrosková, Alena Schlosserová, Jana Cuperová, ¥ubomíra Tkáèová

Cent Eur J Nurs Midw 2024, 15(2):1107-1114 | DOI: 10.15452/cejnm.2024.15.0008  

Aim: Stress negatively affects studentsʼ health, self-esteem, and clinical performance. Although stress has been analyzed on a long-term basis and many clinical stressors are known, some of the factors potentially triggering stress have not been adequately studied, and the results are not consistent. Our research focused on an assessment of the stress intensity that nursing and midwifery students experience and the impact of ward type, difficulty in providing nursing care, and previous experience on perceptions of stress. Design: Cross-sectional study. Methods: The study sample (n = 258) consisted of 65.5% nursing and 34.5% midwifery students...