Aim. To find out the level of theoretical knowledge of nurses working in the internal medicine and surgical wards about hygienic hand disinfection and to evaluate its application during work performance.Material and methods. A questionnaire was conducted, supplemented by observations with records in the observation sheets. The group of respondents consisted of 60 nurses working in the internal medicine and surgical wards.Results. The theoretical knowledge of a selected sample of nurses reaches an average level. The observations have proved that nurses do not put emphasis on hygienic hand disinfection during everyday activities and the level of quality of hygienic hand disinfection is low.Conclusions. Hygienic hand disinfection is one of the important indicators of the quality of the health care provided. It is necessary to increase the level of the theoretical knowledge of healthcare professionals and, at the same time, to enable healthcare professionals to practise hygienic hand disinfection and to provide efficient feedback.
Introduction: Rationing of nursing care in clinical practice is related to the global shortage of nurses. Based on the assessment of nursing interventions, nurses confirmed the occurrence rate of assigned care, which is closely related to the nurses' satisfaction and turnover in clinical practice.Goal: This research aims to discover the occurrence of and reasons for rationing of nursing care in selected hospitals in the Czech Republic. Design: Cross-sectional descriptive study. Methods: The sample group included 629 nurses working in standard inpatient wards at 11 hospitals in the Czech Republic. The data was collected between June 2020 and June 2021 using the PIRNCA questionnaire. Results: The most frequently assigned interventions included: early response, emotional support, and patient education. The reasons mentioned were the patients' composition, condition, and sufficient staff. Significant differences were found among nurses according to age group (p = 0.0183) and education (p < 0.001). Only 14.47% of the interviewed nurses intended to leave their jobs. Conclusions: Czech nurses confirmed the occurrence of rationing of nursing care and the reasons that led them to it. The obtained evidence should be used as the basis for changes that positively influence the situation, as well as for the prevention of rationing of nursing care. The phenomenon should also be included in the training of future nurses. Further research and evaluation can bring valuable findings.
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