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Aim: This paper aims to analyse perioperative nurses’ views of teamwork through team membership, team functionality, team cohesion, and team members’ professionalism. Design: A descriptive, cross-sectional study. Methods: A questionnaire was sent to perioperative nurses working in one hospital district in Finland (n = 96). Data was collected by the Teamwork Scale and statistically analysed. Results: Perioperative nurses experienced teamwork positively. Team membership was associated with primary operating room (OR) role, engagement in the workplace, and perceived work empowerment. Team functionality was associated with combined OR role, working experience in healthcare, working experience as a perioperative nurse, and working shift. Team cohesion was associated with working shift and engagement in the workplace. Team members’ professionalism was associated with engagement in the workplace, employment, and perceived work empowerment. Conclusion: Perioperative nurses’ primary OR role and working shift had several connections to teamwork. This should be taken into careful consideration by OR managers in their daily work.

Aim: This study was carried out with the aim of evaluating the attitudes of nurses to workplace incivility. Design: A cross-sectional study. Methods: This study was implemented with the participation of 195 nurses working in a hospital in southeastern Turkey. The Nurse Information Form and Nursing Incivility Scale were used as data collection tools. Results: When the total scores for the scale were compared in terms of the working hours of the participants, it was found that those working only night shifts had higher scores than those working only during daytime hours (p = 0.036). A total of 43.6% of the participants thought that their colleagues’ attitudes towards them were uncivil. When this situation was evaluated in terms of total scale scores, it was found that participants who felt that they were being treated uncivilly had higher scores (p = 0.030). Conclusion: Nurses were exposed to incivility in the work environment due to stressors such as insufficient number of nurses on wards and the pattern of shifts. Nurses who felt they were being treated uncivilly had higher incivility scale scores.

Aim: The aim of the current study was to determine the effectiveness of discharge training on self-efficacy and post-discharge problems after cardiac surgery. Design: A randomized controlled trial. Methods: Patients undergoing cardiac surgery (n = 66) were randomly assigned to either control or discharge training groups. Patients received training from the first day they were hospitalized until the day they were discharged. The self-efficacy scores and post-discharge problems were assessed prior to the surgery, at 10 days and 30 days post-discharge. Results: Concerning self-efficacy scores, no statistically significant difference was noted between the two groups (group: F = 1.856; p = 0.178). A statistically significant difference was found between the two groups in terms of kinetophobia, fatigue, and edema in the legs at 10 days and 30 days of post-discharge (p < 0.05). Conclusion: These study findings have shown that both groups experience at least one post-discharge problem and these problems gradually decrease at 4 weeks of post-discharge. It is recommended to set up units in hospitals that can systematically give discharge training and home care services to patients and their families.

Aim: To evaluate the associations between nurse burnout, the hospital patient safety climate, the patient safety grade, and adverse events. Design: Cross-sectional. Methods: 117 nurses completed the Copenhagen Burnout Inventory and the Hospital Survey on patient safety culture. Pearson correlation and linear regression analysis was conducted to assess associations between variables. Results: Higher level of burnout significantly met with lower grade of patient safety, overall perception of patient safety, higher frequency of adverse events recorded, and medication errors. The overall perception of safety was positively related to teamwork within hospital units and non-punitive responses to error. The frequency of recorded events was significantly negatively associated with hospital management support and supervisors’ activities, and positively with feedback. Medication errors correlated positively with organizational learning and continuous safety improvement and negatively with staffing. Significant relationships have been identified between management support, non-punitive responses to error, teamwork within hospital units, and selected adverse events. Conclusion: Enhancement of the patient safety climate and nurses’ mental health are important patient safety improvements in healthcare organisations.

Aim: To validate the Czech version of the Delirium Observation Scale and the Nursing Delirium Screening Scale as screening instruments for detecting of delirium in a traumatology department. Design: A prospective cohort study. Methods: The study included 400 patients hospitalized in the traumatology department, University Hospital, Olomouc. The receiver operating characteristics analysis, sensitivity and specificity values and positive and negative predictive values for the screening delirium symptoms were calculated. Results: The average duration of delirium was 2.78 days. The Delirium Observation Scale (DOS) screening instrument produced the best predictive validity values (sensitivity 97.6%, specificity 96.2%), followed by the Nursing Delirium Screening Scale (Nu-DESC) (sensitivity 92.7%, specificity 96.5%). Both screening instruments have comparable psychometric properties as well as features in the area of the already mentioned feasibility. The largest differences between the psychometric features of the screening instruments were detected in the Nu-DESC instrument in the area of sensitivity. Conclusion: The benefit of the research lies in obtaining the predictive validity values for the DOS and Nu-DESC screening instruments in patients with locomotive apparatus trauma, having had surgical or conservative treatment. Our results may support a systematic and evidence-based implementation of the screening instruments for detecting of delirium in a clinical setting.

Aim: To explore the impact of mastectomy on the body image of women with breast cancer. Design: A qualitative study with a phenomenological approach. Methods: Thirty women (n = 30) with post-mastectomy breast cancer were obtained through a purposive sampling technique. Data were collected using in-depth and semi-structured individual interviews to explore the experiences of the participants and the meanings they attribute to them. The data was analysed using the Van Manen method and with the help of NVivo 12 software. Results: Three main themes were identified in this study: “breast meaning”, “self-concept”, and coping strategies for women after mastectomy. Breasts are interpreted as a symbol of female status that reflects femininity and attractiveness. Mastectomy can cause changes in appearance, which can affect women’s body image, self-concept, and social interaction. Emotional intensive coping and problem-solving intensive coping are coping strategies used by women after mastectomy. Conclusion: Breasts are synonymous with femininity, beauty, and attractiveness. Therefore, many women feel that they have lost their femininity and self-confidence after losing their breasts due to mastectomy.

Aim: The study aimed to determine how Czech nurses perceive individual aspects of their work environment, and examined the differences in perceptions of their work environment related to type of hospital, hospital departments, and individual demographic characteristics. The study included analysis of the relationships between nurses’ work environment and: intention to leave, satisfaction with current work position, the role of nurse, and work intensity. Design: A cross-sectional descriptive study. Methods: The sample involved 371 nurses working in the internal medicine and surgical departments of four hospitals in the Olomouc region. The Czech version of the Practice Environment Scale of the Nursing Work Index (PES-NWI) was used to collect data. Data were analyzed using exploratory and confirmatory factor analysis, the Pearson chi-squared test, the Mann-Whitney test, and Spearman’s correlations. Results: Nurses from university hospitals evaluated their work environment significantly more highly than nurses in regional non-university hospitals. No significant difference between internal medicine and surgical hospital wards was confirmed. Weak to moderate positive correlations were revealed between nurses’ work environment and: satisfaction with the role of nurse, satisfaction with current work position, and satisfaction with team collaboration. Nurses who considered leaving their current job or work position evaluated their work environment significantly more negatively than nurses who did not intend to leave their job. Conclusion: The attributes of nurses’ work environment are related to nurses’ satisfaction at work and their intention of staying in their workplace. Variables of hospitals greatly improved overall assessment of the work environment.

Aim: One of the psychological interventions that help patients effectively deal with the problems and challenges of daily life is life skills training. So determining the effect of life skills training on the coping of people with multiple sclerosis (MS) was the aim of this study. Design: A quasi-experimental study. Methods: The research was conducted with a sample of 80 people with MS attending the Tehran MS Association in 2017. The intervention group received four one-hour life skills training sessions and the control group received only routine care. To contrast the results between the two groups and the findings before and after the intervention, the independent t-test and paired t-test, respectively, were used. Results: Most of the respondents in both the intervention and control groups (55.0% and 57.5%, respectively) were males. There was no significant disparity in terms of coping with MS between the two groups before the intervention (p < 0.05) but a significant disparity after the training (p < 0.01). Conclusion: Applying life skills as effective and useful training was the achievement of this study. Therefore, application of the life skills training program is recommended for MS patients.

Aim: To analyse the type, location, degree, shape and size of perineal tears sustained during normal birth. Design: Cross-sectional study. Methods: The sample was composed of 100 women with perineal tears whose length and depth were measured using the tool Peri-Rule™. Bivariate and multivariate analyses were carried out using a significance level of 5% (p = 0.05). Results: Similar numbers of women sustained single or multiple tears (51% vs 49%). Perineal tears occurred more frequently in the posterior than anterior region of the perineum (80% vs 58%). In 77.5%, 20.0% and 2.5% of the women, first-, second- and third-degree tears, respectively, occurred in the posterior region of the perineum, with over half of them having straight-line tears (62.5%), approximately one third having U-shaped tears (35.0%) and a minority having star-shaped tears (2.5%). Perineal oedema during labour (OR = 5.31) remained an independent predictor of second-degree tears. Infant birth weight (RC = -1.32), perineal body length (RC = 0.41) and oxytocin use (RC = -6.44) were statistically significantly associated with the size of perineal tears sustained. Conclusion: Perineal tears following normal birth were most likely of the first degree, straight-line and occurred mainly in the posterior region of the perineum. The degree, length and depth of the tears varied according to the location.

Aim: The aim of the study was to identify the impact of multiple sclerosis (MS) on the dignity of patients. Design: A qualitative descriptive design. Methods: Semi-structured interviews with eight participants were used to collect empirical data. The mean age of participants was 50 years. On average, participants were 21.9 years after diagnosis. A thematic analysis was used to analyze the data. Results: 21 sub-themes emerged from thematic analysis, which were grouped into four interconnected themes: Identity change and coping; Quality of social interaction and relationships; Living with the symptoms of the disease; and Violation of a fully-fledged life. The results indicate that MS can undermine patients’ dignity and identity. Living with the symptoms of the disease impairs their quality of social interaction and relationships, their lives become restricted, and they must cope with a changed identity. Acceptance of the illness, a spirit of resistance to its effects, and a sense that they can still be of use help patients maintain dignity. Conclusion: Knowing and understanding the themes that patients with MS associate with dignity, can significantly help healthcare professionals to maintain and promote it in nursing care.

Aim: The aim of this study was to determine the relationship between nurses’ sleep quality and body mass index. Design: This is a cross-sectional study. Methods: This study was conducted with 583 nurses working in a single hospital. It was conducted between July 2018 and June 2019. Results: Among the nurses participating in the study, 69.1% of nurses were found to have poor sleep quality. Body mass index was within normal range in 55.4% of nurses. Nurses working in intensive care unit / operation room / emergency units, nurses working for less than 10 years, nurses working on nights shifts have more normal body weights. There were statistically significant differences between body mass index ratios and sleep quality scores. Conclusion: Sleep quality was found to be negatively affected as working hours increased. In addition, a positive correlation was observed between sleep quality and BMI. Sleep quality increased as BMI increased.

Aim: This scoping review aimed to summarize the evidence regarding the relationship between the nursing work environment and unfinished nursing care, and to offer a deeper insight into organizational factors of unfinished nursing care in hospital settings. A further aim of the study was to collate evidence about instruments for measurement of nurses’ perceptions of the nursing work environment. Design: A scoping review was performed. Methods: A search was conducted in eight scientific databases. The final review included 22 studies and publications ranging from 2010 to 2020. Guidelines regarding scoping review methodology developed by the Joanna Briggs Institute were followed in our study. Results: The majority of studies included representative hospital and nurse samples, and had a cross-sectional design. Evidence indicates that the nursing work environment is a significant predictor of unfinished nursing care. The more favorable the nursing work environment, as perceived by nurses, the less frequently they reported unfinished nursing care events. The domains of the Practice Environment Scale of the Nursing Work Index were found to be significant predictors of unfinished nursing care. Conclusion: Nurses working in favorable conditions reported lower prevalence of unfinished nursing care. Improvements in staffing and resource adequacy were found to be the most significant factors predicting lower rates of unfinished nursing care. Refinement of factors in the nursing work environment and staffing are interventions that can mitigate unfinished nursing care. Further research should focus on the relationship between different dimensions of the nursing work environment and unfinished nursing care in hospital settings.

Aim: To present the current knowledge about possible applications, effectiveness, and other aspects of mirror therapy in adult stroke clients, with an emphasis on the performance of Activities of Daily Living (ADL), or on supporting independence and self-care, including limitations. Design: A descriptive mapping study. Methods: A systematic literature search and an interpretative content analysis (according to predetermined criteria) of 34 identified relevant studies (2000–2017) and conceptualization of findings in relation to ADL performance / limitation among adult stroke clients. Results: Mirror Therapy (MT) is a simple and undemanding approach which improves the function of extremities with respect to performance of ADL. However, due to smaller research samples, it is impossible to clearly confirm its effectiveness and extrapolate the conclusions. MT is also used to complement other therapeutic approaches, or various approaches can be combined with it (e.g., micro-sensory electrical stimulation or observation imitation). Assessment of ADL was primarily performed with the Barthel Index, Modified Barthel Index, and Functional Independence Measures, Functional Ambulation Categories, and Foot and Ankle Ability Measure tests. Conclusion: It seems desirable to apply task-oriented MT – an approach that includes functional tasks to prevent clients from becoming bored during therapy. The performance of MT tasks need not always be supervised by a physiotherapist. Good cooperation between nurses from clinical practice and physiotherapy is desirable. In order to be able to widen the conclusions and clearly confirm the effectiveness of MT in the context of ADL, other randomized controlled (pilot) studies are desirable.

Aim: To verify the psychometric properties of the Slovak version of the Hospital Survey on Patient Safety Culture instrument in the Slovak Republic. Design: A cross-sectional validation study. Methods: The study was conducted according to the STROBE checklist. Data were collected using the Hospital Survey on Patient Safety Culture (HSOPS) between December 2017 and July 2018. Registered nurses (n = 1,427) from 21 hospitals across Slovakia were included in the study. Construct validity and reliability of the instrument were tested using SPSS 25.0. Results: Results of the Principal Component Analysis did not replicate the dimensionality or the factor structure of the original U.S. version of the instrument. Resulting from the factor analysis, an eight-factor structure was indicated. We identified two new factors in the HSOPS, namely: “Perception of patient safety, staffing-adequacy and staffing-blaming” and “Management strategy / Safety planning”. Some factors of the original version were combined into one, while others were excluded. The Cronbach alpha coefficient of the instrument was 0.88, ranging from 0.42 to 0.86 for particular subscales. Conclusion: Psychometric testing of the HSOPS in the Slovak sociocultural context indicated acceptable reliability and construct validity of the tool. It is, therefore, considered promising as an instrument for measuring nurses’ perception of patient safety culture.

Aim: Research utilization is at the core of evidence-based practice. The aim of the study was to describe Slovenian nursing students’ competence in research utilization (attitudes, knowledge, and skills) on graduation, and the support they received in learning research utilization during clinical practice.
Design: A descriptive, cross-sectional study design.
Methods: The participants were graduating Slovenian bachelor-level nursing students (n = 220). Data were collected using the Competence in Research Utilization instrument, and analyzed statistically.
Results: Students’ attitudes to research utilization were positive, but their knowledge was rather limited. Skills were self-assessed as above moderate. The majority of the students had received support in learning research utilization during their most recent clinical practice period. The support received was related to students’ attitudes and skills.
Conclusion: Educational institutions should pay attention to improving nursing students’ competence in research utilization, especially regarding their knowledge. Further research is needed to explore the most effective pedagogical strategies, including clinical practice, to improve students’ competence in research utilization and to gain a better understanding of multidimensional research utilization competence assessment.

Aim: The study aimed to investigate the relationship between nursing students’ exposure to colleague violence and stress levels in nursing education. Design: A correlational research design was chosen for the study. Methods: The study was implemented with 206 nursing students at a state university in northeast Turkey. Data were collected using the Scale of Exposure to Colleague Violence and the Nursing Education Stress Scale and analyzed using descriptive statistics and the Spearman correlation test. Results: The nursing students’ mean age was 21.59 (± 1.88) (min. = 20; max. = 40); 75.2% were female; 77.7% were from a nuclear family; and 77.2% stated that their income was equal to their expenses. The colleague violence score of the students was 63.29 (± 17.29) and the nursing education stress score was 53.67 (± 19.42). A positive and moderate relationship was found between the total colleague violence score and total nursing education stress score (p < 0.01). A positive and moderate relationship was also determined between exposure to verbal / psychological violence and nursing education stress (p < 0.01). Moreover, a positive and moderate relationship was observed between the effect of violence on physical and mental health and nursing education stress (p < 0.01). Conclusion: Results indicated that nursing students who were exposed to colleague violence during clinical practice experienced practical and academic stress. Nurses should be aware that colleague violence is an ethical problem concerning respect for human dignity.

Aim: Anxiety is prevalent among women with Hyperemesis Gravidarum (HG), which is associated with coping strategies and bio-psychosocial risk factors. This study aims to predict socioeconomic status (SES) and obstetric factors towards anxiety and stress-coping strategy, and to explore the significant differences in levels of anxiety on each coping strategy. Design: It was a cross-sectional survey in the Malaysian context. Methods: Forty women medically diagnosed with HG were recruited and completed Generalized Anxiety Disorder-7 (GAD-7) to assess generalized anxiety disorder and coping scale inventory using the Brief COPE questionnaire. Results: The employment status of pregnant women diagnosed with HG significantly predicted their anxiety. Household income and education level predicted emotion-focused coping strategies. None of the obstetric factors predicted the coping strategy. A significant difference was found across anxiety levels in problem-focused and dysfunctional coping strategies. The post-hoc test reveals that dysfunctional coping has the highest mean score in the severe anxiety category. Conclusion: It is essential to promote awareness about effective coping strategies for pregnant women who are diagnosed with HG. Greater efforts are needed to increase the duty of care among healthcare providers to propagate holistic and resourceful coping management with the HG that could help potential patients in the future.

Aim: According to the health organization model: 1) social resources in the working group (e.g. social support) and structural resources for the execution of tasks (e.g. autonomy) are correlated with 2) healthy, active professionals experiencing high levels of psychosocial well-being through job satisfaction. This study examines to what extent social resources in the work group (supervisor and peer social support) and employees’ perception of global empowerment correlate with job satisfaction.
Design: A cross-sectional and exploratory study of a descriptive and correlational nature.
Methods: Following a quantitative methodology, a structural equation model was created, processed by Stata software. This study comprised a convenience sample of 370 Portuguese healthcare professionals working in five-star private hospitals, and aimed to examine the relationship between social support, global empowerment, and job satisfaction. Data were gathered from physically administered questionnaires.
Results: Job satisfaction was significantly predicted by social support and global empowerment (direct and indirect effects).
Conclusion: The results support the health organization model, indicating that positive outcomes, such as job satisfaction, can be predicted by perceptions of social resources (social support) and structural resources (global empowerment), but also that perceptions of global empowerment play a mediating role between perceived social support and job satisfaction.

Aim: To ascertain quality of life in patients with ulcer affected diabetic foot (UADF), and to establish whether there was a relationship between respondentsʼ gender, age, duration and type of treatment for DM, duration of treatment for and etiology of wound, intensity of pain, degree of UADF, method of off-loading pressure on the foot, and quality of life.
Design: A cross-sectional study. Methods: A cross-sectional study was conducted on 167 patients with UADF. The data were acquired using the SF-36 and Wound-QoL questionnaires. Exploratory Regression analysis was used during the study as a descriptive technique. The model was realized using the ENTER method.
Results: Of the patients who participated in this study, 68% were men and 32% women, their average age was 65 years, and the length of DM treatment was 19 years, with variations in DM treatment, UADF intensity, etiology, and size and degree of UADF, according to Wagner classification. Based on the values of beta coefficients, we can state that according to the SF-36, the main negative predictors of quality of life are: 1) DM treatment; 2) pain intensity; 3) age; 4) wound etiology; and 5) use of wheelchair. Whereas, according to the Wound-QoL, the main negative predictors of quality of life are: 1) DM treatment; 2) pain intensity; 3) size of the wound; 4) age; and 5) use of crutches.
Conclusion: Although the results of the two models are similar in certain respects, there are also differences, explained by the fact that two different conceptions of measuring quality of life, with different scoring systems, were involved. Use of the Wound-QoL questionnaire proved particularly effective.