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

Figures & Tables

Factor weight (highest weight is 5)	0	1	2	3	4	5
Obesity	[ ]	[ ]	[ ]	[ ]	[ ]	[ ]
Smoking	[ ]	[ ]	[ ]	[ ]	[ ]	[ ]
Alcohol	[ ]	[ ]	[ ]	[ ]	[ ]	[ ]
Diabetes mellitus	[ ]	[ ]	[ ]	[ ]	[ ]	[ ]
Changes in blood pressure	[ ]	[ ]	[ ]	[ ]	[ ]	[ ]
Stress	[ ]	[ ]	[ ]	[ ]	[ ]	[ ]
Genetic factors	[ ]	[ ]	[ ]	[ ]	[ ]	[ ]

Personal interview with patients	Information leaflets	Information posted in the waiting room	Other method
[ ]	[ ]	[ ]	[ ]

Expert	Expert name	Expert position
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

Variable	N	%
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%

Country	Differences in nurses’ competences compared to the Czech Republic
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

Aims of Policy initiative	Policy initiative
	‘Health 2030’		‘Nursing conception’
	Reform of PC	‘Health promotion and literacy initiative’	‘Nursing conception’
	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