Factors Influencing the Involvement of Nurses in Preventive Care and Health Literacy in the Czech Republic

Q1 Social Sciences

Central European Journal of Public Policy Pub Date : 2023-10-14 DOI:10.2478/cejpp-2023-0012

Zuzana Kotherová, Martina Caithamlová, Miroslav Nemec

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Abstract

Abstract The aims of this article were to discuss the position of Czech nurses in the country's health care system, to assess their role in the preventive care and health literacy (HL) promotion and to define main factors, which may negatively impact their involvement in preventive care. We checked by the questionnaire, what is the position of nurses working in the primary care in the Czech health system, how nurses perceive their role in the preventive care and which factors influence their involvement. The expert opinion method was used to discover main barriers limiting the role of primary care nurses in prevention and HL promotion. A total of 204 nurses participated between May and June 2022 in an online survey. The survey was completed by interviews with five experts. Our main finding is that nurses are willing to be proactive in prevention and HL; however, their autonomy and responsibilities in these areas remain rather low. The main factors influencing the involvement of nurses in preventive care are the type of practice, age of nurses, and the administrative burden. The expert interviews propose that nurses are overloaded and that, in many cases, they do not really know their responsibilities in the field of preventive care. The core policy lesson derived from our research is that appropriate definition of roles and responsibilities of nurses and their related empowerment might represent critical measures towards increasing health system resilience and sustainability.

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影响捷克共和国护士参与预防保健和健康素养的因素

摘要本文的目的是讨论捷克护士在国家卫生保健系统中的地位，评估他们在预防保健和健康素养(HL)推广中的作用，并确定可能对他们参与预防保健产生负面影响的主要因素。我们通过问卷调查，什么是护士在初级保健工作在捷克卫生系统的位置，护士如何看待他们在预防保健中的作用，哪些因素影响他们的参与。采用专家意见法发现限制初级保健护士在预防和促进HL中的作用的主要障碍。在2022年5月至6月期间，共有204名护士参加了在线调查。这项调查是通过采访五位专家完成的。我们的主要发现是护士愿意积极预防和HL;然而，他们在这些领域的自主权和责任仍然很低。影响护士参与预防保健的主要因素是执业类型、护士年龄和管理负担。专家访谈表明，护士负担过重，而且在许多情况下，她们并不真正了解自己在预防保健领域的责任。从我们的研究中得出的核心政策教训是，适当定义护士的角色和责任及其相关授权可能是提高卫生系统弹性和可持续性的关键措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Central European Journal of Public Policy Social Sciences-Law

CiteScore

1.50

自引率

0.00%

发文量

审稿时长

37 weeks

期刊介绍： The Central European Journal of Public Policy (CEJPP) is an open-access, multidisciplinary, peer-reviewed journal with primary focus upon analytical, theoretical and methodological articles in the field of public policy. The journal does not have article processing charges (APCs) nor article submission charges. The aim of the CEJPP is to provide academic scholars and professionals in different policy fields with the latest theoretical and methodological advancements in public policy supported by sound empirical research. The CEJPP addresses all topics of public policy including social services and healthcare, environmental protection, education, labour market, immigration, security, public financing and budgeting, administrative reform, performance measurements, governance and others. It attempts to find a balance between description, explanation and evaluation of public policies and encourages a wide range of social science approaches, both qualitative and quantitative. Although the journal focuses primarily upon Central Europe, relevant contributions from other geographical areas are also welcomed in order to enhance public policy research in Central Europe.