Regular physical activity and exercise are beneficial for both physical and mental health. However, in the elderly, the level of physical activity they partake in is consistently inadequate. ...Recognizing the need to enhance the participation of the elderly in organized physical exercise and understanding the factors which influence their decision-making becomes pivotal. The purpose of this study was to develop a measurement instrument, specifically a scale, to identify these factors and evaluate its psychometric properties. First, the statements were formulated, which was followed by content assessment by a panel of experts. In the process of scale validation, its internal consistency, stability, correlations between the variables, and factor structure were also evaluated. The scale was tested on a sample of 1777 participants engaged in guided physical exercise at the School of Health Association (društvo Šola zdravja), all aged 60 years or more. The exploratory factor analysis yielded a four-factor model with 27 statements which explained 42.9% of variability. The results indicated weak, but statistically significant correlations between the factors and an acceptable level of internal consistency and stability of the entire scale. This scale, developed to establish the factors that influence the decision-making of the elderly to take part in organized physical exercise, represents a valid and reliable measurement instrument, which can be beneficial in the planning and promotion of organized physical exercise programs for the elderly.
Uvod: Zaradi hitrega razvoja znanosti in hitro spreminjajočega se okolja je izobraževanje in učenje v vseh obdobjih človekovega življenja nujno. Z raziskavo smo želeli ugotoviti, kako študenti ...magistrskega študija vzgoje in menedžmenta v zdravstvu dojemajo svoje novopridobljeno znanje. Metode: Raziskava je temeljila na kvantitativni metodi raziskovanja. Podatke smo zbrali s pomočjo spletnega anketnega vprašalnika. V raziskavo smo vključili tri generacije študentov, vpisanih na magistrski študijski program vzgoje in menedžmenta v zdravstvu (n = 61). Vrnjenih je bilo 39 (63,9 %) anketnih vprašalnikov. Za analizo zanesljivosti anketnega vprašalnika smo uporabili Cronbachov koeficient alfa, ki je znašal 0,86. Statistična značilnost je bila preverjena na ravni 5% tveganja (p = 0,05). Za testiranje domnev o razliki aritmetičnih sredin smo uporabili enofaktorsko analizo variance in za ugotavljanje jakosti korelacij med spremenljivkami Pearsonov korelacijski koeficient (r). Rezultati: Anketirani se ne glede na mesto zaposlitve (bolnišnica, zdravstveni dom, socialnovarstveni zavod, zasebnik, izven zdravstva, brez zaposlitve) najbolj strinjajo s trditvama, da jim znanje daje strokovno moč (x = 4,7) in da se z znanjem krepi profesija zdravstvene nege (x = 4,7). Najmanj se strinjajo s trditvijo, da bodo po zaključku študija prerazporejeni na drugo delovno mesto (x = 2,1). Statistično pomembna razlika se nanaša na trditev, da jih bodo člani zdravstvenega tima bolj spoštovali, ker bodo imeli višji naziv (F* = 5,059, p = 0,012). Diskusija in zaključek: Zaradi krizne situacije zavodi novopridobljenega znanja svojih zaposlenih ne bodo mogli izkoristiti v celoti; magistrski študenti pa ga bodo po dokončanju študija lahko koristno uporabili pri obravnavi pacientov, s čimer bodo prispevali k razvoju in profesionalizaciji stroke zdravstvene nege.
Aims and objectives
To examine registered nurses' self‐evaluation of their competence in mentoring nursing students in clinical practice.
Background
Clinical mentors have significant roles and ...responsibility for nursing students' clinical learning. Moreover, the mentors' role is becoming increasingly important internationally, as the role of nurse teachers in mentoring students in clinical practice has declined. However, in most EU countries there are no specific educational requirements for clinical mentors, although they need targeted education to increase their competence in mentoring nursing students.
Design
The systematic review of quantitative studies was designed according to guidelines of the Centre for Reviews and Dissemination and PRISMA protocol.
Methods
Studies published during 2000–2019 that met inclusion criteria formulated in PiCOS format were systematically reviewed by three independent reviewers. CINAHL (Ebsco), PubMed (MEDLINE), Scopus, ERIC and Medic databases were used to retrieve the studies. Three independent reviewers conducted the systematic review process. The studies were tabulated, thematically compared and narratively reported.
Results
In total, 16 peer‐reviewed studies met the inclusion criteria. The studies identified various dimensions of mentors´ competence and associated environmental factors. Generally, participating mentors rated competences related to the clinical environment, mentoring, supporting students' learning processes and relevant personal characteristics fairly high. They also rated organisational practices in their workplaces, resources in the clinical environment and their mentor–student and mentor–stakeholder pedagogical practices, as respectable or satisfactory.
Conclusion
The results indicate considerable scope for improving mentors' competence, particularly through enhancing organisational mentoring practices and relevant resources in clinical environments.
Relevance for clinical practice
Pedagogical practices of mentors in relations with both students and stakeholders should be enhanced to improve future nurses' learning. This systematic review addresses a gap in knowledge of mentors' self‐evaluated competence that could assist the formulation of effective educational programmes for mentors internationally and improving clinical environments.
Aims
This study aimed to explore mentoring competence in nursing student mentors during clinical practice by identifying different mentor profiles and connections between different competence areas ...among five European countries and Japan.
Methods
The study implemented a cross‐sectional design in Finland, Italy, Lithuania, Slovenia, Spain, and Japan during 2016 and 2019. In total, 6208 mentors were invited, and 1862 participated from 58 healthcare organizations. The data were collected with a survey questionnaire by including background question items with the Mentor Competence Instrument. K‐clustering and structural equation modeling were used for data analysis.
Results
Four mentor profiles, A (43%), B (30%), C (18%), and D (9%), were identified according to the seven mentoring competence areas with high statistical significance (p < 0.001). Higher mentoring competence (mean >3.50) was observed among Finnish, Lithuanian, and Slovenian mentors with university education in nursing, older ages, more work experience, and previous education in mentoring. Lower competence (mean <2.49) was observed among Japanese and Italian mentors with diplomas in nursing, younger ages, less work experience, and no previous education in mentoring.
Conclusion
Mentoring requires motivated, highly competent mentors since mentoring is a critical aspect of nursing education. Mentoring roles should be given to nurses with higher education and mentoring training. Younger, less experienced nurses without formal mentoring training may need support from senior nurses when performing mentoring roles and could also facilitate a more balanced workload between patient care and mentoring for senior nurses.
The physical factor (health literacy, health status, functional ability to perform daily basic and instrumental activities and risk factors) is linked to life satisfaction in older age. The aim of ...this study is to establish the correlation between the physical holistic factor and life satisfaction in older age.
The quantitative research method was used. In order to sample the data, the authors chose a simple random sample. The designed questionnaire was filled in by 1064 older persons aged ≥ 65 years, living in social care institutions/nursing homes for older persons or in the home environment. The number of correctly completed survey questionnaires was 656. In order to measure life satisfaction, the
was used. Within the physical factor, 4 indexes were formed. In order to be able to show the desired influences or links between the physical factor and life satisfaction, the authors used propensity score methods.
The individual indexes within the physical factor are linked to life satisfaction to a varying degree: health literacy (R
= 0.137), health status (R
= 0.047), the functional ability to perform daily basic and instrumental activities (R
= 0.015), and risk factors (R
= 0.001). The physical holistic factor is linked to life satisfaction in older age (R
= 0.05).
With this research, the authors have proven that the older persons with high levels of health literacy, a good health status without chronic diseases, who are independent in performing daily basic and instrumental activities, and do not have any risk factors present, are more satisfied with their lives. Med Pr. 2019;70(5):535-43.
Aims
To describe the mentoring competence of clinical practice nurse mentors and identify different mentor profiles.
Design
Cross‐sectional research design, secondary analysis.
Methods
An ...international, cross‐sectional study design was performed in five European countries. A total of 1 604 mentors from 33 healthcare organizations participated in the study between 2016–2019. The Mentors' Competence Instrument (MCI), which includes seven sub‐dimensions and 44 items, was used to collect data. K‐means cluster and binary regression analyses were performed to detect mentor profiles and determine how various factors affect competence, respectively.
Results
The K‐means cluster analysis identified three distinct profiles: A (n = 926); B (n = 566); and C (n = 85). The profiles showed significantly different values (p < .001) across all seven areas of mentoring competence. In comparison with the other profiles, nurses in profile A were older, had more work experience and were more probably to have completed mentoring‐specific training.
Background: Clinical mentors play an important role in the development of knowledge and the acquisition of competencies of different health professionals. The success of the entire mentoring process ...also depends on the professional and personal characteristics of the clinical mentor. The purpose of this study was to identify which professional and personal characteristics of clinical mentors are relevant to physiotherapy (PHT) and social gerontology (SG) students.
Methods: The web survey was performed between January 20 and May 15, 2018, using the adapted version of the nursing clinical teacher effectiveness inventory. The final sample consisted of 100 PHT and SG students from one of the Slovenian Universities.
Results: The competencies “explains clearly” (p ˂ 0.001) and “takes responsibility of own actions” (p = 0.023) were statistically significantly more relevant to PHT students than to the SG students. The competencies “explains clearly” (p ˂ 0.001), “demonstrates clinical skill and judgment” (p = 0.033), “takes responsibility of own actions” (p = 0.023), and “is self-critical” (p = 0.023), were statistically significantly more relevant to PHT than to the SG students, while the statements “discusses current development in his/her field” (p = 0.002), “communicates expectations of students” (p = 0.029), “demonstrates empathy” (p = 0.037), “demonstrates enthusiasm” (p = 0.005), and “has a good sense of humor” (p = 0.005) were statistically significantly more relevant to SG students.
Conclusion: The contrast in responses reflects the differences in the nature of both professions: The predominantly instrumental nature of PHT and the predominantly expressive nature of SG.
Introduction: With aging, the incidence of chronic diseases among elderly increases, as about 88% of them have at least one chronic condition, with 50% having at least two. The presence of these ...diseases influences their self-image and self-esteem. This study aimed to identify the effects of chronic diseases on self-esteem and self-image in the group of elderly people.
Methods: A quantitative research design using a structured questionnaire was employed, where Rosenberg questionnaire with an adapted measurement scale was used for evaluating self-esteem, while Marsh’s adjusted Multidimensional self-concept scale was used for assessing self-image.
Results: The survey involved 51 respondents: 25.5% were male, and 74.5% were female, the average age of the respondents was 77.0 years. 60.8 % of them reported high blood pressure, 31.4% rheumatism, 25.5% osteoporosis and 23.5% diabetes. “Rheumatism” was statistically significantly associated with two elements of self-esteem: the “athletic self-esteem” and “inclusion”, whereas the claim for self-assessment “I can do things as good the majority of other people” was associated to the incidence of “diabetes”.
Conclusions: The results of our study indicate that rheumatism, as a most common chronic disease among this population, has a significant impact on some elements of self-image and self-esteem. Further research should focus on the concepts of self-esteem and self-image of this population.
Aim: In our research we wanted to propose a holistic model of palliative care from the perspective of nurses. Additionally, we compared the presence of specific aspects of palliative care ...(psychological, physical, social and spiritual) in hospitals and the community/home environment. Design: A quantitative cross-sectional study was used. Methods: The sample consisted of 127 nurses (92 hospital nurses, 35 community nurses). The proposed model was tested using a specific method of structural equation modeling (SEM) known as partial least squares (PLS). Results: Our research confirmed that physical aspects are influenced both by psychological and spiritual aspects, whereas social aspects have only an indirect influence. We detected a statistically significant difference between the hospital and the community environment regarding the impact of psychological aspects on social aspects, and of psychological aspects on physical aspects. Conclusion: Our research highlighted the professional shortcomings of the holistic approach in palliative care as it stands, especially in the community care setting, where it is necessary to ensure in-depth knowledge and skills, and practice within each holistic domain to provide quality treatment to palliative patients.
Starejšim sta pomembna občutek pripadnosti in občutek, da niso osamljeni, zato je koristno, da se udeležujejo različnih dejavnosti. Namen raziskave je bil ugotoviti, ali udeleževanje na organiziranih ...skupinskih gibalnih vadbah vpliva na socialno življenje starejših Slovencev. Uporabljen je bil kvalitativni raziskovalni pristop. Podatki so bili pridobljeni s polstrukturiranimi intervjuji na vzorcu 29 udeležencev gibalne vadbe v društvu Šola zdravja, starih 60 let ali več. Zbrani podatki so bili analizirani z metodo vsebine, s katero so bile identificirane tri osrednje teme. Rezultati raziskave so pokazali, da je za starejše medsebojno druženje pomemben razlog za vključitev in ključen za vztrajanje pri organizirani gibalni vadbi. Socialni stiki, ki jih starejši navežejo v vadbenih skupinah, prehajajo tudi v druge sfere njihovega življenja in prispevajo k povečani zaznani kakovosti življenja. Ugotovitve raziskave ponujajo strokovno podlago za načrtovanje in promocijo programov organiziranih gibalnih vadb za starejše.
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