to assess nurses' perceptions of risk factors for the development of phlebitis, with a special focus on the perception of phlebitic potentials of some infusion medications and solutions.
a ...cross-sectional questionnaire study, which included a sample of 102 nurses.
Nurses recognized some factors that may reduce the incidence of phlebitis; however, more than half of the nurses were unaware that the material and diameter of the cannula can affect the incidence rate of phlebitis. Furthermore,underlying disease and high pH of medications or solutions were identified as potential risk factors, whereas low pH and low osmolality were not. Nurses identified Vancomycin and Benzylpenicillin antibiotics with the strongest phlebitic potential. Among other medications and intravenous fluids, Aminophylline, Amiodaronehydrochloride and Potassium chloride 7.4% were identified as potentially causing phlebitis.
predisposing factors for phlebitis relating to patients and administered therapy were identified by nurses, while some cannula related risk factors, in particular its physicochemical properties and the time for cannula replacement, were not fully perceived.
Aims and objectives
To determine the incidence, severity and risk factors of peripheral intravenous cannula‐induced complications.
Background
Peripheral venous cannulation in hospitalised patients ...may cause complications such as phlebitis, infiltration, occlusion and dislodgement. A review of the literature reveals the discrepancy in their incidence and identification of a wide range of risk factors, whereas the data on the occurrence and degree of severity are insufficient.
Design
An observational prospective study.
Methods
The study observed 1,428 peripheral intravenous cannula insertion among 368 adult patients hospitalised at the tertiary healthcare clinics. The data collection and analysis included patients’ medical data and the data related to each cannula (including placement, monitoring and the reasons for removal), as well as the data on the type of administered medications and solutions. Reporting of this research adheres to the STROBE guidelines.
Results
Phlebitis ranked first among complications with occurrence of 44%, followed by infiltration of 16.3%, while the incidence of occlusion and catheter dislodgement was 7.6% and 5.6%, respectively. In assessing the occurrence of phlebitis, multivariate analysis highlighted the presence of comorbidity, current infection, catheter size, time in situ and the number of administrations of infusion solutions associated with risk, whereas 20‐gauge catheter, two or more attempts at cannulation and administration of a high‐risk solutions during the first day have been singled out with regard to infiltration. As for the severity, the most common was medium stage of phlebitis, whereas grade 2 was most commonly observed for infiltration.
Conclusion
The incidence of infiltration, occlusion and dislodgment is almost congruent with the average incidence of previous studies. However, the incidence and degree of severity associated with the occurrence of phlebitis were significantly higher.
Relevance to clinical practice
The results of the study draw attention to vulnerable groups of patients, cannula‐specific and pharmacological risk factors for the development of peripheral intravenous cannula‐induced complications.
Abstract
Aim
To identify the determinants of self‐reported health‐related quality of life in children and adolescents with type 1 diabetes mellitus during the coronavirus pandemic.
Design
A ...cross‐sectional study.
Methods
The study sample included 182 children and adolescents who had been diagnosed with type 1 diabetes mellitus at least 3 months prior. Data collection instruments included sociodemographic and glycaemic control protocol adherence questionnaires, documentation sheet for recording clinical data, and Serbian versions of the EuroQol‐5D‐Y and KidScreen27 questionnaires, which were used to assess health‐related quality of life.
Results
Glycaemic control adherence, presence of comorbidities, level of metabolic control, and type of insulin therapy were identified as key determinants of self‐reported health‐related quality of life.
Patient or Public Contribution
No patient or public contributions.
In medical vocational high schools teachers frequently use PowerPoint presentations. The study presented in this paper has sought to identify, on the one hand, the preferences of students of medical ...vocational high schools regarding PowerPoint presentations in the instruction of vocational subjects, and on the other, students' dominant learning styles, and also as to establish whether the differences in preferences were based on learning styles. In this cross-sectional study, responses from 170 students of three medical high schools were obtained using the questionnaire designed by Chan and Denner. The data were processed using the methods of descriptive and inferential statistics. The values obtained for Cronbach's alpha indicate that the questionnaire was reliable. In all three schools, PowerPoint presentations are used in the teaching of most vocational subjects. According to the findings, students prefer teaching that uses PowerPoint presentations, finding it more interesting than teaching that involves teachers writing on the board. On the other hand, students' responses indicate that PowerPoint presentations don't lead to greater classroom participation. The findings show that dominant learning styles contribute to differences in student preferences for classes in which teachers use PowerPoint presentations, but also indicate the need for further research.
There is an implicit expectation for medical sciences students to work together effectively as members of health-care team, and interprofessional education is therefore widely accepted. Students' ...attitudes, which are affected by various factors, have been recognized as the most important predictors of successful implementation of interprofessional education with the aim of developing collaborative practice. The Readiness for Interprofessional Learning Scale has often been used in studies to measure these perspectives.
To describe the psychometric properties of the Serbian cross-culturally adapted version of the original Readiness for Interprofessional Learning Scale, to assess the attitudes of undergraduate health science students towards interprofessional education and to evaluate whether a professional group and student characteristics have influence on attitudes towards collaborative practice and shared learning.
A descriptive/analytical and comparative cross-sectional study.
Faculty of Medicine in Serbia.
Nursing and medical students after completed first clinical rotations (n = 257).
The Readiness for Interprofessional Learning Scale for assessing attitudes among students towards interprofessional learning, Professional Identity Questionnaire for Nursing Students for assessing professional identity in nursing students, Professional Nursing Image Survey for assessing attitudes of medical students towards the nursing profession, as well as a socio-demographic questionnaire were the instruments used in this research study. The data were analysed using descriptive and inferential statistics.
Exploratory factor analysis on 19 items revealed two-factors accounting for 51.1% of the total variance with the internal reliability α = 0.90. The mean total score of the Readiness for Interprofessional Learning Scale was 73.5 (SD = 11.5) indicating that students are ready for interprofessional learning. Nursing students, female students; students in their first years of studies, and those with previously completed education in the field of health care, have been more ready for interprofessional learning and collaborative practice. In the multiple linear regression analysis, gender and assessing professional nursing skills and abilities were significant predictors of medical students' readiness for interprofessional learning, whereas professional identity was for nursing students.
The Serbian version of the Readiness for Interprofessional Learning Scale has proven to be reliable and valid for the “teamwork, collaboration and shared learning” subscale, while the “role and responsibilities” subscale showed lower stability. The results of this study revealed positive students' attitudes towards interprofessional learning, which is important for Serbia, as a candidate country for European Union membership, and thus making our educational system more inclusive for joining the European Higher Education Area.
•Serbian version of the RIPLS showed to be valid instrument with two-factor structure.•Nursing undergraduate students demonstrated greater readiness for IPECP.•Gender and the year of study are the most strongly related to the RIPLS total score.•Positive professional identity is a significant predictor of nursing students' readiness for IPECP.
Effective diabetes self-management and collaborative responsibility sharing with parents are imperative for pediatric patients with type 1 diabetes mellitus, particularly as they gradually assume ...more self-care responsibilities. The primary goal of this study was to assess differences in adherence to self-care activities regarding sociodemographics and clinical characteristics in pediatric patients with type 1 diabetes. The secondary goal of this study was to understand the level of parental involvement in diabetes management and to assess the pediatric patients' behaviors (independent or dependent on disease self-management) that relate to sociodemographic and clinical characteristics.
This was a comparative cross-sectional and correlational study. The study sample included 182 children and adolescents who had been diagnosed with type 1 diabetes at least 3 months prior. Data collection instruments included a sociodemographic and questionnaire about Adherence to self-care activities and parental involvement in diabetes self-management, as well as a documentation sheet for recording clinical data.
A majority of participants (71%) exhibited non-adherence to self-care tasks, despite 78.0% asserting their independence in diabetes self-management. Notably, insufficient parental involvement in administering insulin therapy significantly predicted severe hypoglycemic episodes.
Pediatric patients dealing with type 1 diabetes demonstrate a substantial degree of autonomy in managing their condition, paradoxically coupled with self-reported non-adherence to critical self-care responsibilities. Notably, children (aged 8-12) rely more heavily on parental support, especially concerning insulin therapy administration. The study underscores the crucial role of parental engagement in insulin therapy, as its deficiency significantly predicts the likelihood of severe hypoglycemic episodes.
Many patients require administering one or more blood components during hospitalisation in the Intensive Care Unit (ICU). Therefore, nurses' knowledge of who is responsible for immediately ...administering blood transfusions, monitoring patients, and identifying and managing transfusion reactions is crucial. This cross-sectional descriptive-analytical study aimed to assess the knowledge of ICU nurses in tertiary healthcare institutions about blood transfusion procedures. The questionnaire about the transfusion procedure was designed and reviewed by experts. The questionnaire consisted of 29 items divided into three domains. The scores on the knowledge test ranged from 10 to 27. Generally, 57.7% of nurses had moderate, 23.4% low, and 18.9% high levels of knowledge about the transfusion procedure. Most nurses answered correctly about refreezing fresh frozen plasma, verifying the transfusion product, and identifying the patient. Of the nurses, 91.0% would recognise mild allergic reactions, and 98.2% knew about the supervision of sedated patients. Nurses showed poor knowledge of the length of usage of the same transfusion system for red blood cells, labelling, and transfusion administration in febrile patients. Nurses with higher education and longer working experience had significantly better outcomes (
= 0.000) on the knowledge test. Continuous education of ICU nurses on safe transfusion usage is recommended.
Aims and objectives
To evaluate demographic and occupational factors of professional life on life satisfaction among nurses in Serbia and Poland.
Background
Compassion satisfaction and compassion ...fatigue, as aspects of a nurse's professional life, may affect their satisfaction with life in general. However, most studies on this topic have been conducted in Asian countries, and because there are differences in health care system performance across countries amid a global shortage of nurses, it is necessary to investigate professional quality of life in the European nursing context.
Methods
This multicenter, comparative, and correlational study was conducted on a sample of 669 hospital nurses in Serbia and Poland. The survey data were collected between November 2019 and February 2020 using the Demographic and Occupational Questionnaire (DOQ), Professional Quality‐of‐Life Scale (ProQOL‐5), and Satisfaction with Life Scale (SWLS). STROBE Statement guidelines for cross‐sectional studies were followed.
Results
Most nurses from both countries reported having moderate compassion satisfaction, moderate risk for compassion fatigue, and an average life satisfaction. The predictive factors of life satisfaction that most stand out include country of origin, financial situation, education, job satisfaction, and compassion fatigue.
Discussion and conclusion
Quality of professional life is significantly affected by shift duration, age, work experience, and job satisfaction. Negative aspects of professional life are significant predictors of life satisfaction.
Implications for nursing policy
The findings of this study indicate a need for implementing flexible shift patterns and enhancing interventions that will improve job satisfaction and compassion satisfaction while reducing the risk of compassion fatigue.
Nursing students' perceptions about academic dishonesty directly affects their conduct in the clinical environment. Hence, it is crucial to systematically observe this phenomenon and develop ...appropriate instruments for assessing their perception of dishonest behaviors.
To translate and cross-culturally adapt the “Nursing Student Perceptions of Dishonesty Scale” into the Croatian language and assess its validity and reliability.
The study was performed in April 2018 in one Croatian university, 733 BSc and MSc nursing students from all Croatian counties participated in the study.
Nursing experts confirmed the high degree of content validity of the instrument and suggested the exclusion of 13 items. The final version of the translated instrument, loaded on 11 instead of 9 factors, where subscale Cheating and Cutting corners loaded on two distinct factors. Results of internal consistency by subscale and overall (Cronbach α > 0.7 and test-retest reliability (p < 0.001)) indicate a high level of instrument reliability.
The translated instrument indicates a high level of reliability and validity in assessing the students' perception of academic dishonest behavior in the Croatian socio-cultural context. The identified linguistic, cultural and organizational differences provide more insight regarding understanding what this population perceives in terms of academic dishonesty.
•NSPDS measures the students' perceptions of ADH in classroom and clinical settings.•The US version of NSPD has so far been the only available version.•NSPDS was translated and cross-culturally adapted into Croatian and then validated.•The translated version with 11 items excluded, loaded on 11 instead of 9 factors.
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