community-dwelling elderly, screening, depression, anxiety

Aim: The aim of the study was to assess the depression and anxiety in community-dwelling older adults in the Czech Republic during COVID-19 pandemic. Methods: This cross-sectional study was conducted from May 2021 till January 2022. The sample consisted of 954 Czech elderly living in community. The Geriatric Depression Scale: Short Form and Geriatric Anxiety Inventory were used to measure depression and anxiety. In addition, self-rated health status, perception of the impact of COVID-19 restrictions on physical health and perception of the impact of COVID-19 restrictions on mental health were assessed using single-item scales. Results: Participants’ average scores on the self-reported measures of anxiety was 4.57 (SD ± 5.31). According Geriatric Depression Scale: Short Form, moderate depression has been found in 106 elderly (11.1 %) and severe depression in 34 elderly (3.6 %). Statistically significant correlations have been found between depression score and perception of impact of COVID-19 restrictions on mental health (0.365) and between depression score and perception of impact of COVID-19 restrictions on physical health (0.313). Self-rated health status significantly negatively correlated with depression (-0.359) and anxiety (-0.242). Conclusions: Early identification of mental health problems is key to limiting their negative impacts. Our results may help to target interventions to help reduce the effects of social isolation related to the pandemic, on the mental health of community-dwelling elderly.

Aim: The main aim of this multicenter cross-sectional study was to assess unfinished-missed nursing care reported by Czech nurses. Methods: The sample included 8209 nurses working in medical and surgical units in fourteen acute care Czech hospitals. Data were collected from September 2019 to October 2020 using Czech version of the Perceived Implicit Rationing of Nursing Care (PIRNCA) instrument. Nurses were asked to indicate how often during the last seven shifts they were unable to complete each of 31 nursing activities due to a lack of resources (personnel or time). Results: The most frequently unfinished nursing care activity was Timely response to patient or family request/need, followed by Emotional or psychological support and Adequate supervision of delegated tasks. More unfinished nursing care was reported in medical units. Statistical differences were found in rating 25 items and the PIRNCA total score. Nurses from middle-sized hospitals reported unfinished care more frequently than those from large hospitals. Conclusion: More unfinished care was reported by nurses from medical units and nurses from middle-sized hospitals. Organizational variables influence the unfinished-missed nursing care.