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Aim: To investigate the knowledge, attitudes and practices regarding obstetric danger signs among pregnant women attending antenatal clinics in Jordan. Design: A descriptive cross-sectional. Methods: A convenience sample of 352 pregnant women who attended five antenatal clinics at Al-Karak Governorate in southeast Jordan was recruited. Data were collected using self-reported questionnaire and analyzed using descriptive statistics and inferential statistics. Results: The study findings revealed that (59.1%) of the participants had an inadequate knowledge of obstetric danger signs during pregnancy. In addition, the findings showed that the participants had a positive attitude towards obstetric danger signs. Furthermore, the findings showed that (45.7%) of the participants sought medical care when they experienced obstetric danger signs during pregnancy. The most significant factors affecting the level of knowledge were: age, participant’s occupation and the history of stillbirth. Conclusion: The study findings demonstrated that the participants had inadequate knowledge and positive attitudes toward obstetric danger signs during pregnancy. Effective educational programs and other awareness interventions are needed to enhance awareness of obstetric danger signs during pregnancy.

Aim: The aim of this study was to explore the implementation of appreciative management from the perspective of healthcare workers in selected Estonian healthcare organizations. Design: The study was conducted as a cross-sectional study. Methods: Data were collected from healthcare workers (n = 215) using an Appreciative Management Scale in two different sized hospitals and two healthcare centers. Data were analyzed using non-parametric tests. The study was reported according to STROBE guidelines. Results: Appreciative management was implemented very well. Of the dimensions of appreciative management, equality of employees was the best implemented and systematic management was the least well implemented. Appreciative management had a statistically significant connection with intention to change workplace and with experience of appreciation from first-line managers and upper managers. Conclusion: With the help of appreciative management, it may be possible to increase commitment to work. The appreciation offered by managers to healthcare workers seems to improve healthcare workers’ evaluation of the implementation of appreciative management. In health care, it is important to recognize appreciative management and the benefits it creates for healthcare workers’ commitment to their work and profession.

Aim: Evidence on effective communication in antenatal consultations between midwives and pregnant women is lacking. In a study, antenatal consultations implementation outcomes were evaluated. From the data, relevant aspects emerged concerning communication during consultations. This paper presents selected results and proposes a theoretical foundation for antenatal consultations. Design: A qualitative design. Methods: Semi-structured interviews were conducted with ten midwives, eight pregnant women, eight managers, and eight physicians in two hospitals. The interviews were audiotaped, transcribed, and analyzed with framework analysis using the following steps: 1) Familiarization; 2) Coding: first, inductive coding (open coding to identify new themes), followed by deductive coding (by theory-predefined codes); 3) Development and application of an analytic framework; 4) Data-charting in a matrix; and 5) Interpretation. Results: Amongst others, the following findings emerged from the data: communication about childbirth is influenced by the perceptions and conceptions of the midwife and the pregnant woman herself; pregnant women’s degree of participation in the consultation process depends to a significant extent on the attitude of the midwife. Conclusion: To assure the success of consultations, we propose a consultation model comprising the following elements: the life world of the woman and midwife, the construction of a social reality, and the mediation of mutual goals, expectations, intentions, wishes, and beliefs.

Aim: This study aimed to describe adverse events occurring during intra-hospital transportation of adult patients from the emergency room to the intensive care unit and to analyze the associated risk factors. Design: This study uses a quantitative analytical observational design. Methods: In total, 151 critically ill patients out of 159 with indicated intra-hospital transportation participated in the study. Patients were transported from the emergency room to the intensive care unit in a class A general hospital in Central Java, Indonesia. The statistical analysis included descriptions of demographic, medication, monitoring, equipment, and clinical characteristics of the cohort, and identified risk factors for adverse events during transportation by univariate and multivariate logistic regression analyses. Results: The overall incidence of adverse events was 78.8%. Risk factors were: transport team, hemodynamic monitoring, equipment preparation, and patient’s condition, and were associated with adverse events (p < 0.05). Multivariate analysis showed that equipment preparation was the factor most contributing to adverse events with Exp(B) = 22.6. Conclusion: This study showed that the incidence of adverse events during transportation of critically ill patients was high. We recommend that transports be performed by fully equipped teams of medical professionals. Monitoring of intra-hospital transportation-related events is also recommended to reduce frequency of adverse events.

Aim: The aim of the study was to examine the psychometric properties of the Czech version of the Surgical Fear Questionnaire. Design: A cross-sectional study design. STROBE guidelines for reporting observational studies were followed for the study. Methods: The study sample consisted of 332 adult patients from the Czech Republic. The Surgical Fear Questionnaire (SFQ) was used to measure preoperative fear. Cronbach’s alpha was calculated to test reliability. The construct validity of the SFQ was tested using exploratory factor analysis. Results: Reliability of the instrument as a whole was confirmed by the high value of the Cronbach alpha coefficient (0.813). Two factors were identified for the Czech version of the SFQ in factor analysis. Conclusion: The Czech version of the Surgical Fear Questionnaire showed good validity and reliability and can be used in research and clinical practice. Further analysis of psychometric properties is needed to confirm these results.

Aim: To explore the experience of surgical nurses with adverse events. Design: A descriptive qualitative study. Methods: Data were collected between August 2021 and February 2022 using semi-structured interviews. Participants were nurses (n = 10) working in surgical care units in a teaching hospital in the Slovak Republic. The interviews were recorded on an audio recorder and transcribed verbatim. Data were analyzed using thematic analysis. Results: Two main themes were identified: Adverse events in the surgical workplace and Preventive strategies aimed at reducing adverse events. Several subthemes specified themes and reflected the nurse’s experience with adverse events in surgical settings. Conclusion: Surgical workplaces are at risk of adverse events due to the number of surgical procedures. Given that most adverse events are preventable and systemic factors are responsible for their occurrence, we recommend implementing risk management, including active identification of patients at risk, teamwork support, management of missing resources, adjustment of the environment, and creation of a positive patient safety culture.

Aim: Covid-19 vaccine hesitancy can be an obstacle to the global effort to control the current pandemic. The study aimed to test the validity and reliability of the Turkish version of the Oxford Covid-19 Vaccine Hesitancy Scale. Design: A methodological and descriptive study. Methods: The research was conducted as a methodological and descriptive study. The sample size consisted of 476 academics who voluntarily agreed to participate in the research and completed the online questionnaire between February and March 2021. Results: As a result of the confirmatory factor analysis (CFA), the fit index values obtained by making two modifications of the one-dimensional Oxford Covid-19 Vaccine Hesitancy Scale were found to be χ²/df = 1.86; AGFI = 0.96; RMSEA = 0.04; GFI = 0.98; CFI = 0.99 and IFI = 0.99. The Cronbachʼs alpha internal consistency coefficient of the scale was calculated as 0.95. Test-retest reliability coefficient of the scale was r = 0.93 (p < 0.001). Conclusion: It can be concluded that the Oxford Covid-19 Vaccine Hesitancy Scale, adapted to Turkish, is a valid and reliable measurement tool for determining hesitancy of Turkish society towards covid-19 vaccines.

Aim: The study aimed to evaluate the association between quality of life and wound severity in patients with recurrent diabetic foot ulcers (DFUs). Design: A cross-sectional study. Methods: The total sample comprised 86 DFU patients. The Diabetic Foot Ulcer Scale – Short Form scale was used to collect quality of life data, and Wagner grading was used to assess wound severity. Statistical analyses were conducted using the Mann-Whitney U-test and Kruskal-Wallis test. Results: The results showed that quality of life (QOL) in all domains was low. There were no significant differences between demographic and wound characteristics and QOL of patients. Significant differences were found between diabetes mellitus (DM) duration and Leisure / enjoying life (p = 0.020); Trigger and Worried about ulcers (p = 0.002); Trigger and Dependence / daily life (p = 0.006); Trigger and Negative emotions (p = 0.006); and Trigger and Bothered by ulcer care (p = 0.000). However, there were no significant differences between demographic and wound characteristics and physical health. Conclusion: The study showed that QOL of patients with recurrent diabetic ulcers was low. There was no correlation between quality of life or wound severity and recurrent DFUs. However, there was a correlation between DM duration and Leisure / enjoying life; Trigger and Worried about the ulcer; Trigger and Dependency / daily life; Trigger and Negative emotions; and Trigger and Bothered by ulcer care.

Aim: The aim of the study was to evaluate nursesʼ knowledge of protective precautions and their experiences of various factors during the Covid-19 pandemic. Design: A descriptive cross-sectional study. Methods: In this descriptive cross-sectional study, the snowball method was selected for sampling to access nurses (n = 392) serving in the fight against the Covid-19 infection nationwide. The online data collection form had two parts: a sociodemographic form and a second part including 25 items on institutional protective measures, personal protective measures, and nursing care. Results: Most of the nurses caring for patients with Covid-19 were well-informed about institutional, personal, and patient protective precautions. The scores of female nurses, married nurses and those with children were higher. Multiple regression analysis revealed that in-service training, working in a clinic, and having colleagues diagnosed with Covid-19 positively affected knowledge, while having 0–5 years of professional experience negatively affected knowledge. Conclusion: This study may enlighten medical authorities and policymakers in their efforts to promote the quality of care delivered to patients with Covid-19 and the quality of working conditions of healthcare providers.

Aim: The aim of the research was to ascertain the feelings of frontline nurses during the Covid-19 pandemic. Design: Qualitative research using a phenomenological approach. Methods: Qualitative research using a phenomenological approach was carried out with eight nurses working with Covid-19 patients in a hospital and in a seniors home in Kladno, in the Central Bohemia region of the Czech Republic. Two diagrams, which show ties between identified categories, were generated based on results. Results: External stresses during the first wave were: lack of information, lack of protective equipment, different attitudes towards the pandemic management. During the third wave, they were: lack of nurses and other medical personnel, overwhelming of the healthcare system, too much administrative work, and long working hours spent in protective gear. The stress-reducing factors revealed after the first wave were: solidarity and gratitude expressed by society. During the third wave, nurses noted greater self-confidence and pride, better interpersonal relationships. Conclusion: The effective management of stressors in the pandemic period can contribute to better healthcare. Therefore, we should pay more attention to describe of them in future.

Aim: To identify attitudes and barriers to evidence-based practice from the perspective of Portuguese nurses specialized in medical-surgical nursing. Design: Descriptive cross-sectional study. Methods: Data collection in 2022, via a digital form comprising a questionnaire on socio-professional characterization and the Portuguese version of the “Barriers to Evidence-Based Practice in Primary Care”. Non-probability convenience sampling. Data analysis performed using the Statistical Package for the Social Sciences, version 24. The checklist used was “Strengthening the Reporting of Observational Studies in Epidemiology”. Results: The final sample consisted of 218 specialist medical-surgical nurses working in clinical practice settings in Portugal, who showed a generally positive attitude towards evidence-based practice. The barriers to evidence-based practice highlighted were lack of incentives, support from expert colleagues, training, financing, and time. Conclusion: Specialist medical-surgical nurses value evidence-based practice and recognized its benefits, but also identified barriers that make its practical implementation a challenge. The identification of the attitudes and barriers allows for the identification of shortcomings and the making of tailored training plans, thereby increasing the integration of evidence into the practice of these renowned professionals.

Aim: This study was conducted to adapt the Spiritual Care Competence Scale (SCCS) into the Turkish language and to psychometrically test it for use with Turkish midwives. Design: A methodological study. Design: A methodological study. Methods: The study sample consisted of 250 midwives working at a state hospital in Turkey. First, the linguistic and content validity of the scale were evaluated. Next, the scale was tested in a pilot study. Finally, the construct validity and reliability of the scale were analysed. Results: In this study, the content validity ratio value of each item on the SCCS as adapted into Turkish was found to range between 0.86 and 1.00, and the content validity ratio for the total scale was calculated at 0.99. The total variance explained by the scale was 69.1%. The SCCS for Turkish midwives (SCCS-TM), which consists of 27 items and five subscales, was tested by exploratory factor analysis. In the reliability analysis of the scale, Cronbach’s alpha value was 0.92, and the subscales ranged from 0.72 to 0.93. Conclusion: The present study provides evidence of the SCCS-TM’s validity, and reliability. The scale is suitable for use with Turkish midwives.

Aim: The aim of the research was to determine the fulfilment of the standard operating procedure – “Care of patients with increased risk levelˮ incorporating the JCI AOP 1.7 standard “Patients and their loved ones are investigated and reinvestigated due to their individualized needsˮ by healthcare professionals of the selected healthcare facility. Design: A cross-sectional study. Methods: A quantitative survey was selected for data collection. The data were obtained through structured interviews with selected healthcare professionals from the designated facilities conducted by hospital management and recorded in writing in a pre-prepared record sheet. The research sample consisted of 78 respondents, of whom 36 were physicians and 42 were nurses, from 14 facilities. The research was conducted from 15. 1. – 31. 12. 2018. Results: From the interviews, we found that respondents regarded terminal patients and their loved ones holistically, but failed to record the information obtained. We also found that there was no difference in the evaluation of the patient and his / her loved ones according to the profession of the respondents, the length of their medical practice, or their workplace. In terms of the respondentsʼ workplace, there was no difference in perceptions of the quality of palliative care provided in the selected hospital. Conclusion: Respondents perceive patients holistically and they are assessed as a bio-psycho-socio-spiritual unit, and their loved ones are included in the assessment. However, the information obtained is not fully documented in written form.

Aim: The period after the First World War was very challenging for countries across the whole of Europe. The health condition and health literacy of inhabitants in the First Czechoslovak Republic were poor. Design: Historical research. Methods: Direct, indirect, and progressive methods were chosen to describe community care and public health care. Archival sources were found in selected archives in the Czech and Slovak republics. Results: It is evident that many changes related to preventing infectious and non-infectious diseases. Ethnic and socioeconomic diversity was a factor that influenced the health condition and knowledge of the population, and the success of preventive measures. Therefore, the involvement of professional and voluntary organizations, and government institutions was essential. Public health care arose from the idea that a healthy population was the basis of the newly-formed republic. Conclusion: The literature and archival sources discovered show the importance of the health condition of the population to the newly-formed Czechoslovak state. To improve the health condition of the population, interventions were realized in cooperation with various organizations. Concurrently, there was an appreciable effort to enhance the health literacy of the population.

Aim: Increased cultural diversity due to global migration and on-going associated healthcare disparities has highlighted the importance of culturally competent care. We sought to summarize existing knowledge and identify gaps in research linked to the cultural challenges encountered by nurses when caring for patients from different cultures. Design: A scoping review. Methods: Informed by PRISMA-ScR guidelines, we searched PubMed, ScienceDirect, EBSCO Host, Web of Science, and Google Scholar using relevant MeSH keywords for articles published from 2010–2020. We then used a 3-step data screening and extraction process to manage retrieved articles. Results: Initially 80 studies were identified, six of which met inclusion criteria. Thematic analysis yielded five themes: lack of cultural knowledge, language barriers, micro-racism, lack of time to attend training and provide culturally competent care, and recommendations to improve care delivery. Conclusion: Nurses should be proactive and advocate for the necessary education and training to provide culturally competent care so critical to providing high-quality healthcare. More research, interventional and effectiveness in particular, is needed to address common challenges such as micro-racism and to facilitate the World Health Organization and National Academy of Medicine recommendations directed at providing culturally appropriate care to promote health equity.

Aim: The aim of the study was threefold: 1) to validate and analyze the psychometric properties of the Polish version of the Caring Ability Inventory (CAI-PL); 2) to analyze the impact of the motivation for choosing a career in nursing on the ability to provide care; and 3) to determine whether previous experience in providing care as part of volunteer work affected respondents’ caring ability. Design: A cross-sectional study. Methods: The study was performed in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology guidelines. Data were collected using the online form between May and July 2021. Construct validity and reliability of the instrument were tested using SPSS 25.0. Results: A satisfactory level of CAI content validity was observed; the CAI-PL was composed of 36 items and the Cronbach’s alpha coefficient for the entire scale was 0.715, confirming high internal consistency. The mean score obtained by respondents on the Caring Ability Inventory was 189.55. Conclusion: The study showed satisfactory psychometric properties of the Polish version of the Caring Ability Inventory, confirming its potential to measure nurses’ level of caring ability – both in education and research.

Aim: The study aimed to describe the various ways in which Italian midwives reconcile their profession’s philosophical views about labor with the use of epidural analgesia in clinical practice. Design: Interpretive description. Methods: A purposeful sample of 41 midwives and 12 midwifery students participated in the study. Information about their perceptions and experiences of the use of epidural analgesia and how this practice aligns with their professional values were explored through in-depth  interviews (n = 10 focus groups; n = 1 one-to-one interview). The constant comparative method was used to analyze the data. Results: With respect to aligning midwifery care with the administration of epidural analgesia, two midwifery positions were identified: the midwife that acted “in harmony” and the “disoriented midwife”, defined by three dimensions: 1) the midwife’s conception of her professional role; 2) the woman’s attitude towards labor and; 3) the midwife’s relationship and comfort with other professionals in the labor room. Conclusion: The results of this research highlight how difficult it can be for a midwife to reconcile a specific philosophical view of labor with the use of epidural analgesia. These findings can provide useful insights to help midwives in the challenging task of combining epidural analgesia with their philosophical view of labor to offer a better birth experience to women.

Aim: The study aimed to explore differences in usefulness and the ease of use of electronic health records (EHRs) as perceived by nurses and other healthcare providers (HCPs) during the 2019 coronavirus (Covid-19) pandemic in Jordan. It also aimed to investigate the association of gender, marital status, age, educational level, experience, and experience of using EHRs in predicting the technology acceptance model (TAM) of EHRs among the same selected group. Design: A comparative cross-sectional study. Methods: A convenience sample of 90 nurses and 96 HCPs completed the technology acceptance model survey. The response rate for nurses was 60%, compared to 64% for HCPs. The study was conducted from May to July 2020. Results: The study found that, generally, both nurses and other HCPs perceived high levels of usefulness and ease of use of EHRs during the Covid-19 pandemic. Other HCPs perceived higher levels of usefulness (86%) and ease of use (76.5%) of EHRs than nurses (79.5% and 73.5%, respectively) during the Covid-19 pandemic. Statistical differences were noted between both groups (p < 0.05). Marital status and experience in using EHRs were found to be associated with TAM among nurses. There were no associations of TAM among other HCPs during the Covid-19 pandemic. Conclusion: Due to the nature of nurses’ work, the implementation and acceleration of the use of EHRs during the Covid-19 pandemic could be expected to encounter certain obstacles.

Aim: To identify the validity and reliability of the Turkish version of the Pregnancy Experience Scale-Brief Version (PES-Brief). Design: A methodological study. Methods: The sample of this methodological research consisted of 201 pregnant women. Face, language, content, construct, and convergent validity analyses were used. The retest was administered to 40 randomly selected pregnant women in the sample after four weeks from the first data collection. Results: The Cronbach alpha score of PES-Brief for uplifts was 0.77 and 0.87 for the retest. The Turkish version was found to be grouped under two factors. Conclusion: Turkish translated version of PES-Brief is a valid and reliable instrument to assess pregnant women’s positive or negative perceptions. The PES-Brief may be a time-saving tool to assess negative and positive pregnancy experiences.

Aim: This study aims to describe rehabilitation nurses’ perspectives on the complexity of and intention to use an innovative device for post-infarction patients. Design: The research employed a qualitative method, with a video demonstration, and analysis provided by the participants. To guide the study, the Technology Acceptance Model was used in order to measure perceived usefulness and perceived ease of use. Methods: Focus Groups were used to collect nurses’ perspectives on the developed device. Recruitment followed a snowball sampling method. Eligible participants received an email with an informed consent form. Privacy and confidentiality were maintained throughout. Content analysis was performed using ATLAS.ti v7, with Bardin’s technique, i.e., an a posteriori categorical organization. Results: Three categories were identified as relevant to the study objectives: “Therapeutic adherence and motivation”; “Home and autonomy of the patient and caregiver”; and “Factors that facilitate the practice of the rehabilitation nurse”. Participants felt that the innovation and technological complexity of the device might help to increase patient motivation and adherence, which would be of great use to rehabilitation nurses, allowing better intervention development. Conclusion: Participants perceived the device as useful to practice, and beneficial to post-infarction patients. Interestingly, the complexity inherent to the device is regarded as a factor that may increase motivation and adherence.

Aim: To identify instruments measuring patient safety culture from the perspective of nursing students and to assess the content and reported psychometric properties of these instruments. Design: A narrative literature review. Methods: The search was carried out (according to institutional availability) in three scientific databases: ProQuest, PubMed, and Scopus. The search produced a total of 645 studies published up to May 2021. For data analysis, a summative content method was used. Results: We identified 12 instruments for measuring patient safety culture from the perspective of nursing students. Four instruments were designed to assess the perception of patient safety culture in the workplace, and eight instruments were designed for assessing nursing students’ competencies in patient safety culture. Conclusion: The instruments share a core set of domains. However, details on conceptualisation, and methodological rigor differed substantially. Moreover, data on psychometric properties have not been published for most instruments. The absence of well-established instruments calls for further research.

Aim: The aim of the study was to analyze healthcare workers’ perceptions of the Slovak health system. Design: We conducted a mixed-design cross-sectional study that combined qualitative and quantitative analyses. Methods: We collected 269 associations with the cue word “health system” from 91 health workers (30 medical doctors, 30 nurses, and 31 paramedics) to access social representations of the studied phenomenon. After establishing the final list of categories, we calculated frequencies and proportions, and also conducted a network analysis of associations. Results: We identified 13 main categories, of which 53.5% had a neutral emotional charge, 38% carried a negative charge, and only 4% indicated a positive charge. The most saturated category was the Meaning of work (20.8%), followed by Negative general perceptions (14.9%), which was also the most central category. The strongest point of connection between neutral and negative categories in network analysis was between Negative general perception and the Meaning of work. Conclusion: Our study revealed that negatively valenced associations about the system were numerous and dominant. Despite this fact, health workers still perceived their job to be meaningful, which is one of the possible explanations for their staying in a system perceived to be dysfunctional.

Aim: To describe graduating nursing students’ competence based on their knowledge in the nursing of a patient with acute coronary syndrome (ACS) and their self-assessed nurse competence. Design: A cross-sectional survey. Methods: The data were collected from 2018–2019 using an ACS test developed for this study and using the Nurse Competence Scale. The sample contained 47 graduating nursing students. The statistical analysis methods were used. Results: Only 48.9% (n = 23) of the students scored an accepted level of knowledge in the nursing of a patient with ACS, and a little over half (51.1%; n = 24) failed the ACS test. Graduating nursing students’ self-assessed nurse competence was at a good level (69.7; VAS 0–100). No statistically significant differences in nurse competence assessments occurred between students who passed the ACS test and those who failed it. Conclusion: While graduating nursing students have a good level of nursing competence, their knowledge in the nursing of a patient with ACS was poor. It is important to emphasize the nursing of a patient with ACS in nursing education and to pay especially close attention to interpreting the patient’s electrocardiogram findings.