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Volume 51 (2017)
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Community Nurse Volume 8 (1961)
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Volume 1, Issue 2 Pages 37-84 Volume 1, Issue 1 Pages 1-36
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:: Volume 50, Issue 3, Pages 176-250
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Abstract is not available! |
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KEY WORDS: elderly; housing; physical activity
ABSTRACT
Introduction: Research on self-esteem and quality of life has been so far predominantly focused on younger age groups. The aim of this cross-sectional study was to examine the differences regarding self-esteem and quality of life between the residents of old people's home and the elders living at home.
Methods: A questionnaire used in the survey inquired about socio-demographic data and the respondents' activities. It included the respondents' self-esteem assessment, based on the Rosenberg Self-esteem Scale (RSES), the assessment of quality of life, based on the Satisfaction With Life Scale (SWLS) and the assessment of their functional abilities. The purposive sample included 204 respondents. The research was conducted from November 2012 to March 2013.
Results: The respondents in both groups expressed equal satisfaction with life (p = 0.846). The respondents who live in their own home demonstrate higher self-esteem than those who live in old people's home (difference in mean scores of the RSES was 3.4; 95 % CI for the difference from 1.0 to 5.8; t-test for independent samples, p = 0.005). Results of the study suggest that the respondents with higher self-esteem are more satisfied with their life (p = 0.537, p < 0.001).
Discussion and conclusion: Self-esteem has to be recognised as a factor associated with the quality of life and should therefore be included in the care of the elderly. Timely and adequate interventions may prevent the decline in quality of life, which requires adequate training of health personnel and family members, and the public awareness. |
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KEY WORDS: lifestyle; working hours; free time; nursing care
ABSTRACT
Introduction: Physical activity enables nurses to better control their mental and physical strain at work, which is important for ensuring quality patient treatment. The aim of the research was to study differences in graduate nurses' physical activity in terms of their working hours, motives and obstacles to regular, free-time physical exercising.
Methods: A quantitative survey with two-stage random sampling included 349 graduate nurses employed in the secondary or tertiary levels of healthcare institutions in Slovenia who work one shift (41 %) or multiple shifts (59 %). The data were collected with a questionnaire in 2012 and analysed with a chi-square test, a t-test for independent samples and discriminant analysis.
Results: Graduate nurses with one shift perform physical activity more often (p < 0.001) and are more involved in organised physical exercise (p < 0.001) than those who work multiple shifts. The motives for oneshift graduate nurses to engage in physical activity are to control stress, a better mood, along with the desire for exercising, moving and relaxation, whereas nurses who work several shifts encounter obstacles due to not exercising regularly, such as work absences, the fact the effects of exercising are not immediately seen, and the lack of free time (p = 0.025).
Discussion and conclusion: The research showed that graduate nurses are not sufficiently physically active. Especially those who work multiple shifts are in danger due to the less organised and lower frequency of activities. It is important to promote health in the workplace in various forms, such as active breaks during work hours and sports games for employees and their families. |
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KEY WORDS: evaluation; nursing; problems; students
ABSTRACT
Introduction: With problem-based learning the context of learning has changed. The use of problem-based learning promotes critical thinking, group interaction, and the use of theory in practice. The purpose of the research was to determine the nursing students' assessment regarding the quality of problems used in the context of problem-based learning.
Methods: The study employed methods of quantitative non-experimental research and a survey data collection. A total of 169 nursing students participated in the study. The data were processed by descriptive statistics, t-test and correlation analysis. The statistical significance was tested at a 5% risk level.
Results: The average of all items which were related to the assessment of the quality of problems in the context of the problem-based learning was high ( > 4 out of 5). Depending on the mode of study (t = -1.333, p = 0.558) and gender (t = 0.236, p = 0.354), there is no difference in the quality of self-assessment of problems within the problem-based learning. The findings of the study show that there is a statistically significant difference in self-assessment of the quality of problems in the context of the problem-based learning with regard to the employment in nursing (t = 2.109, p = 0.04) and that there is a weak positive correlation (r = 0.190, p = 0.002) between the age and the self-assessment of the quality of problems in the present problem-based learning.
Discussion and conclusion: Research results reveal high average values of the quality of problems used in the problem-based learning, which result in positive encouragement of students for self-directed learning, increased interest in a learning unit, improved motivation, better communication skills and critical thinking. Further research would be needed to explore the impact of problem-based learning on learning outcomes and the introduction of problem-based learning in all learning units of the nursing study programme. |
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KEY WORDS: clinical practice; competences; education
ABSTRACT
Introduction: Clinical practice is crucial in nursing education. It is important that graduates have gained professional competences to perform independent, humane, responsible and autonomous nursing care. The purpose of this study was to determine whether the full-time and part-time nursing students have acquired adequate competences to independently perform nursing tasks and interventions.
Methods: A descriptive observational method was employed. A semi-structured questionnaire was completed by 134 third-year nursing students. The survey was conducted between January and March 2012. The collected data were processed and analysed by descriptive and bivariate statistics (chi-square test, t-test).
Results: Statistically significant differences in self-assessment of competences among full-time and part-time students were identified in the cluster of ethical practice competences ( R =3.6, IZR =3.5, t = 2.63, p = 0.010) and legal practice ( R=3.3, IZR=3.1, t = 2.69, p = 0.008). Competences with ratings less than 80 % were identified in the competences "regularly reviews and revises the nursing care plan in collaboration with other members of the nursing team and patients" (?2 = 0.27, p = 0.654) and "delegating tasks to others according to their professional abilities, knowledge and experience" (?2 = 1.793, p = 0.181).
Discussion and conclusion: Findings of this study reveal that the students demonstrate highest level of competence in inter-professional competences of healthcare, quality improvement and continuing education. It is suggested that similar surveys are repeated among the third-year students at the end of the academic year. |
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KEY WORDS: obesity; nutrition assessment; protocol; dietitians; decision support techniques
ABSTRACT
Introduction: Obesity is associated with a number of chronic diseases. The research aimed to determine the effectiveness of nutrition assessment when using a comprehensive nutrition protocol at primary health service.
Methods: A real life situation was analysed for the positive and negative factors in the newly formed comprehensive nutritional protocol. These factors were identified by a group decision-making and a SWOT Analysis (Strengths, Weaknesses, Opportunities and Treats) and subsequently numerically evaluated with the Analytic Hierarchy Process method which included expert opinions.
Results: According to experts, the most important factors justifying the introduction of the protocol in practice are "equal treatment for all subjects" and "precisely prepared manual", followed by "individual treatment" and "health status improvements". The two most important negative factors are "dependence on other professionals" and "subjects will not be able to follow the protocol".
Discussion and conclusion: Expert opinions favour the introduction of nutrition protocol in clinical practice to ensure equal treatment of all subjects, and enhance obesity prevention with the accompanying detailed instructions. For this reason, further research should address the foundation of dietetic counselling services at the primary level of healthcare, so that physicians could refer obese people to individual nutritional therapy, which may reduce the prevalence of obesity. |
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KEY WORDS: adolescent; alcohol; adolescence
ABSTRACT
Introduction: Alcohol use during adolescence and young adulthood remains a prominent public health problem in Slovenia as well as worldwide. Early onset of drinking is a risk factor for lifetime alcohol-related problems and usually co–occurs with a range of other risky behaviours. The aim of the study was to investigate the prevalence of alcohol consumption among nursing students, which continues to be widespread among today's adolescents and college students.
Methods: The survey was conducted from January to June of 2015 among full-time nursing undergraduate students. The convenience sample consisted of 217 participants. A structured questionnaire was used as a research instrument along with the basic descriptive statistics and quantitative research method.
Results: Statistically significant gender-related differences were established (p = 0.000). The drinking data collected show that male participants are most likely to drink beer while women participants usually drink spirits or liqueurs. A statistically significant gender-related difference was identified also in the number of occasions participants got intoxicated by alcohol in the period of 30 days preceding the survey (p = 0.000).
Discussion and conclusion: According to the research findings, a good half of the respondents indulge in risky drinking, with male students prevailing. The data obtained indicate the need for an extensive research on alcohol consumption among Slovenian students. |
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