Factors Influencing the Involvement of Nurses in Preventive Care and Health Literacy in the Czech Republic
Published Online: Oct 14, 2023
Page range: 33 - 50
Received: Jul 17, 2023
Accepted: Sep 18, 2023
DOI: https://doi.org/10.2478/cejpp-2023-0012
Keywords
© 2023 Zuzana Kotherová et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Chart 1:
j.cejpp-2023-0012.tab.006
| Factor weight (highest weight is 5) | 0 | 1 | 2 | 3 | 4 | 5 |
|---|---|---|---|---|---|---|
| Obesity | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] |
| Smoking | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] |
| Alcohol | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] |
| Diabetes mellitus | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] |
| Changes in blood pressure | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] |
| Stress | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] |
| Genetic factors | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] |
j.cejpp-2023-0012.tab.005
| Personal interview with patients | Information leaflets | Information posted in the waiting room | Other method |
|---|---|---|---|
| [ ] | [ ] | [ ] | [ ] |
Expert characteristics
| 1 | Dana Jurásková | Ex-minister of health |
| 2 | Martina Šochmanová | President of Czech Nurses Association |
| 3 | Bohumil Seifert | Academic expert; Scientific Secretary, Society of General Practice of Czech Medical Association |
| 4 | Alice Strnadová | Chief Nurse of the Czech Republic, Ministry of Health |
| 5 | Anonymous | Academic expert |
Demographic and descriptive data
| Study population | 204 | |
| Age | ||
| 20–35 | 12 | 5.90% |
| 36–50 | 95 | 46.60% |
| 51–65 | 88 | 43.10% |
| 66 and more | 9 | 4.40% |
| Length of experience in healthcare | 204 | |
| 1–20 years | 52 | 25.50% |
| 21–30 years | 58 | 28.40% |
| 31–40 years | 67 | 32.80% |
| 41 and more | 27 | 13.20% |
| Length of experience as a nurse with a GP | 204 | |
| less than 5 years | 66 | 32.40% |
| 5–15 years | 62 | 30.40% |
| 15–30 years | 64 | 31.40% |
| more than 30 years | 12 | 5.90% |
| How many inhabitants does the municipality in which your practice operates have? | 204 | |
| up to 1,000 inhabitants | 2 | 1.0% |
| 1,001–5,000 | 41 | 20.1% |
| 5,001–30,000 | 58 | 28.4% |
| 30,001–100,000 | 29 | 14.2% |
| more than 100,000 | 74 | 36.3% |
| Region | 204 | |
| Prague | 60 | 29.4% |
| Bohemia except Prague | 97 | 47.5% |
| Moravia | 47 | 23.0% |
| What is the model of your practice? | 204 | |
| Solo practice (1 doctor, 1 nurse) | 166 | 81.4% |
| Solo practice + administrative assistant | 1 | 0.5% |
| Group practice (multiple doctors, 1 nurse, administrative worker) | 8 | 3.9% |
| Group practice (multiple doctors, multiple nurses, administrative staff) | 20 | 9.8% |
| Solo practice (1 doctor, 2 nurses) | 6 | 2.9% |
| Another model | 3 | 1.5% |
Differences in nurses’ competences compared to the CZ (MoH, 2021)
| Slovakia |
inserts duodenal probes performs continuous abdominal dialysis performs functional diagnostics |
| Austria |
performs arterial blood sampling performs dialysis solution exchange during peritoneal dialysis measures residual urine using non-invasive methods performs measurement of residual urine volume using non-invasive methods, including a decision on the need for a single catheterisation performs exchange of suprapubic catheters and percutaneous gastric exchange systems |
| Poland |
Master degree educated nurses can prescribe selected medications and therapeutic agents Master degree educated nurses can indicate selected examinations |
| Germany |
lower degree of autonomy of nurses, they perform professional procedures based on a doctor's indication only |
| UK |
prescribes medicinal products prescribes other medical devices performs and interprets the results of selected examinations |
Objectives of policy initiatives in the field of PC, Prevention and Role of Nurses (Authors, based on MoH 2021, 2023)
| Strengthening the GPs and nurses’ competences | Increasing HL | Strengthening the nurses’ competences | |
| Increasing the number of periodic preventive check-ups | Intensify nurses’ education system in HL and health promotion | Increasing the attractiveness and prestige of the nurse's work | |
| Establishing group practices | Increasing the nurses’ well-being | ||