(1) Background: The use of standardized tools is regarded as the basis for an evidence-based assessment. The tools enable monitoring of complex events and the effectiveness of adopted interventions. Some healthcare facilities use standardized tools such as the Morse Fall Scale, but many use non-standardized tools created based on patient needs. Our study question was, why are non-standardized tools used when standardized tools are more beneficial and can be statistically evaluated and compared to other results; (2) Methods: We used a quantitative, non-standardized questionnaire to survey 1200 nurses, which was representative sample for the entire Czech Republic. All questionnaires were assessed in two phases (a) the frequency evaluation and descriptive analysis, and (b) hypotheses testing and correlation analyses; (3) Results: We found that the Conley Scale, Barthel test, and IADL test were preferred by many nurses. Furthermore, we found that nurses using standardized assessment scales noticed risk factors significantly more frequently but regarded the increased complexity of care to be psychologically demanding. (4) Conclusions: In patients with physical disabilities, both types of tools (internal non-standardized and standardized) are used to assess the risk of falls and independence; nurses generally welcomed the increase use of standardized tools in their facilities.
Background: Geriatric syndromes represent a critical domain in the population more than 60 years old. Basic syndromes include frailty, sarcopenia, loss of body mass, and a mild cognitive disorder. These are significant problems which can affect the quality of life. In our study, the Rapid Geriatric Assessment (RGA) tool was used to assess the geriatric syndromes, and the WHOQOL-BREF was used to assess the quality of life to survey 498 respondents from a population aged 60 and older. In all the assessments, the distribution of variables was tested, a nonnormal distribution of variables was identified, and subsequently, nonparametric tests were performed to identify the differences between groups. The study showed that the domain of physical health and the psychological domain were most affected. The results have shown that individual geriatric syndromes affect certain domains of the quality of life of the population above 60 with various intensity.
Introduction: The multidisciplinary concept of physical disability (in comparison with other disabilities, such as mental or social) is considered less problematic. In nursing, we can point out many variables (incontinence, a higher risk of decubitus ulcers, spasticity, etc.) whose combination can be called physical disability. Goal: The goal of this study is to map selected evaluation and measuring tools that can be applied in the assessment of physically disabled patients' needs. Methods: This review study was carried out to map selected evaluating tools for the assessment of physically disabled patients' needs. The data were gained from academic databases of Scopus, Web of Science, Wiley Online Library, Science Direct, Ebsco and Pubmed between 2015 and 2019. After the classification by the established criteria, we identified 12 relevant sources. Results: We found 5 possibly relevant tools for the assessment of physically disabled patients' needs. The specific tools were WHODAS 2.0, MDS, MDS-BV, SDS and ICF. Conclusions: All identified tools can be used for the assessment of physically disabled patients and are suitable for implementation in clinical practice. It was necessary to carry out this study in the Czech clinical practice to learn the effectiveness, usefulness, validity, reliability, specifics and sensitivity of selected tools.
PurposeAssessment of pressure ulcers is an indicator of nursing care quality. In physically handicapped patients, the risk is elevated, due to the neuropathy and incontinence that frequently accompany paresis and paralysis. We conducted a systematic review of 4 assessment scales to assess their use and usefulness for these patients.Materials/methodsWe searched 5 databases for articles published between 2016 and 2018 that included terms related to the risk of pressure ulcers in physically handicapped patients, including the names of 4 assessment scales (Norton, Braden, Waterlow and Spinal Cord Injury Pressure Ulcer Scale). One hundred and three sources were returned, from which we selected 10. We also selected an earlier source, for a total of 11.ResultsThe Braden and Waterlow scales are popular in clinical practice. The Norton scale is used for scientific comparisons and in clinical practice only sporadically. Expert opinion suggests that acceptance of the Spinal Cord Injury Pressure Ulcer Scale could reduce the incidence of pressure ulcers in physically handicapped patients.ConclusionsIntroduction of a scale designed for handicapped patients, combined with better preventive measures, could result in the bedsore reduction of pressure ulcers. Research testing the effectiveness of the Spinal Cord Injury Pressure Ulcer Scale in the Czech population is needed to validate its use in clinical practice.
Introduction: Simulation strategy is a modern technique for teaching nursing around the world. One of its many benefits is the implementation of pre-prepared situations in a safe environment. The introduction of simulation into theoretical training is beneficial for students, lecturers, and the faculty. Goal: To investigate the effectiveness of the simulation process for teaching nursing. Methods: This paper is a literary review. It is processed using a four-step system. We used the acronym PECOT. We used online platforms for the research, such as PubMed, Web of Science, Science Direct, EBSCO, and Scopus. We visited the Academic Library of the University of South Bohemia in České Budějovice and the National Library in Prague. Results: We identified 7 studies (four experimental studies, two review studies and one quantitative-exploratory study) and included them in our study. The simulation process is considered a highly effective teaching method, which benefits the students, lecturers, and the faculty. Conclusions: The simulation process is one of the modern techniques of teaching nursing. The mentioned results indicate a high level of teaching effectiveness using this method. In all registered cases, the simulation strategy is assessed as more effective than other methods used so far, such as frontal teaching, video demonstrations, or simple demonstrations.
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