Pielegniarstwo XXI wieku / Nursing in the 21st Century Feed

The impact of early mobilization through a tele-education program on health condition of mothers after caesarean section

Wed, 25 Dec 2024 00:00:00 GMT

Aim.Nurses can provide remote nursing care without the patient being physically present in a clinical setting, especially in the areas of tele-education, counselling, and telemonitoring. The goal was to create and implement the tele-education program of physical activity for mothers after a caesarean section and analyse its impact on their physical condition.Material and methods.The sample consisted of 411 participants with an average age of 31 years old. It was a quasi-experiment. To evaluate the effect of the tele-education program a self-constructed questionnaire was used. Data were processed using the Chi-square test and Cramer’s V.Results.Statistically signifi cant relationships were found between participation in the tele-education program and better physical condition of mothers after a caesarean section, specifi cally in terms of pain occurrence, wound healing, and gastrointestinal comfort.Conclusions.The fi ndings indicate the benefits of tele-education in gynaecological-obstetric nursing, suggesting that the development of telenursing is desirable and can contribute to increasing its accessibility, thereby aff ecting the quality of nursing care and satisfaction of mothers post-caesarean section.

Incorporating smart digital and humanoid technologies in older adults care enhancing employee sustainability

Wed, 25 Dec 2024 00:00:00 GMT

Aim.This article investigates the potential impact of integrating DT and robots in ICE. By reducing absenteeism, supporting new employees, and improving job satisfaction among caregivers, we aim to highlight the signifi cant benefi ts these technologies can bring to the workforce in the older adult care sector.Material and methods.An integrative literature review was conducted following PRISMA guidelines, with searches in databases like Web of Science, PubMed, and COBISS using specifi c keywords related to DT and robots in ICE. Relevant articles were selected based on inclusion and exclusion criteria.Results.The review identifi ed 48 relevant articles, with 7 meeting inclusion criteria. Findings suggest that integrating DT and robots in ICE can improve job satisfaction, support learning and skill development, and enhance organizational support for caregivers.Conclusions.Research indicates that digital technologies and robots can signifi cantly impact work ability, yet much remains to be explored. Their integration holds potential to reduce absenteeism and boost job satisfaction, but it also brings challenges such as justifying investments and addressing staff concerns. Understanding their eff ects on employee health is essential, and further research is needed on multicultural team dynamics and public health system sustainability. Studying implementation challenges, especially in developing countries, is an ongoing process that requires continued investigation.

Tools to assess the impact of oral health on quality of life in preschool children

Tue, 24 Dec 2024 00:00:00 GMT

Aim. This article aims to identify currently available instruments for assessing the impact of oral health on quality of life in preschool-aged children, to present their content and psychometric properties, and to provide the most up-to-date summary of the topic for use in practice or further research.Material and methods. he method of literature review was chosen. PubMed, EBSCOhost, CINAHL, and ProQuest databases were searched. First, original questionnaires were identified and then studies from 2018 to 2023 that presented cultural adaptation of the original instruments including their psychometric properties were retrieved.Results. Eighteen studies reporting the results of cultural adaptations of eight indigenous instruments were identified. The instruments differ in the number of questions and their content. The most preferred instrument for assessing the impact of oral health on the quality of life in preschool children is the Early Childhood Oral Health Impact Scale, which also has excellent psychometric properties.Conclusions. This article provides an up-to-date overview of the available tools for assessing the quality of life of preschool children in the context of their oral health, including content and psychometric properties, thus allowing the selection of a relevant tool for use in practice.

Late mental sequelae in post-COVID-19 individuals

Tue, 17 Dec 2024 00:00:00 GMT

Aim. The aim of the study was to investigate the long-term psychological effects in patients who had experienced COVID-19 and those who underwent quarantine. Differences in metacognitive beliefs and overall mental health were analyzed to assess their impact on the emergence of psychological distress.Material and methods. The study involved 122 participants, including post-COVID-19 patients and individuals who had been quarantined. To assess mental health, the Metacognitive Questionnaire (MCQ) and the General Health Questionnaire (GHQ-12) were used, providing data on metacognitive beliefs and overall mental health.Results. Post-COVID-19 patients more frequently reported positive beliefs about worrying (MCQ1), while quarantined individuals scored higher in cognitive self-awareness (MCQ5) and negative beliefs about lack of control over thoughts (MCQ4). Both groups exhibited similar levels of general psychological distress, suggesting that the pandemic had a widespread impact on mental health, regardless of direct contact with the disease.Conclusions. Both post-COVID-19 patients and quarantined individuals require psychological support to counteract the negative mental effects of the pandemic. Therapeutic interventions, such as cognitive-behavioral therapy and mindfulness techniques, can help manage stress and rumination.

ICNP® reference terminology for selected diagnoses and interventions in midwifery care on the example of a postpartum woman after hemorrhage with impending preeclampsia

Tue, 17 Dec 2024 00:00:00 GMT

Aim. The aim is to indicate the validity of implementing the ICNP® terminology in obstetric care on the example of a patient after postpartum hemorrhage with suspected preeclampsia. Based on the catalog of concepts, the entity’s problems and the midwife’s interventions were identified in the proposed individualized care plan.Material and methods. The research method in this work is an individual case study. The basis for the presented care plan was the use of techniques: interview, observation, analysis of medical documentation and measurements relevant for therapeutic purposes. This manuscript was developed based on the CARE protocol for case reports.Results. The presented care model allowed for the implementation of individualized interventions, resulting in the improved quality of life and a better prognosis in the subject’s recovery process. The role of a midwife in the care of a patient with the previously mentioned diseases indicates the indispensable affiliation to an interdisciplinary team, at the same time establishing an independent and autonomous profession.Conclusions. The use of the ICNP® classification promotes the development of nursing as a field of science. The indicated method allows for accurate interpretation of problems in the obstetric care, thus unifying the communication system based on databases and currently functioning catalogs of concepts.

What makes labor difficult? Predictors and features of difficult labor in women’s and midwives’ perspective

Fri, 06 Dec 2024 00:00:00 GMT

Aim. The aim of this study was to identify what are the features of ‘difficult labor’ in the perspective of women giving birth and midwives providing care.Material and methods. Cross-section, preliminary study based on the analysis of the labor observation form and level of labor difficulty assessment form designed for the purpose of this study and fi lled in by the midwives participating in the study. The participants were 31 midwives working on the labor unit in one of the hospitals in Warsaw, Poland and 152 women who gave birth.Results. Women who had epidural, larger babies and a negative attitude towards birth and a prolonged fi rst stage of labor, were more likely to assess their labor as difficult. Among midwives labors with a longer second stage, abnormal uterine contraction patterns, and prolonged latent phase and fi rst stage of labor were assessed as more difficult.Conclusions. Some labors, despite being classified as physiological, require more effort on the part of both the midwife and woman giving birth and end with a higher level of fatigue for both. Predictors of difficult labor should be used by healthcare personnel as a guidance to help identify women at risk of negative labor experiences.

Recruitment of Ukrainian refugee-background nurses. Challenges for recruitment agencies during the refugee crisis in Poland – a qualitative descriptive study

Fri, 06 Dec 2024 00:00:00 GMT

Aim. The present paper aims to explore the challenges faced by employment agencies when recruiting Ukrainian refugee-background nurses (UKR-N) during the Ukrainian war refugee crisis in Poland, after the outbreak of war in February 2022.Material and methods. Data were collected through semi-structured, in-depth interviews conducted in Poland with two representatives of one recruitment agency between May and July 2023. There were two female participants, one of Polish origin and one of Ukrainian origin. The data were analyzed using inductive thematic analysis. The ATLAS.ti 8 software was used for data management.Results. Two themes were identifi ed: 1. Business-as-usual factors determining the eff ectiveness of international nurse recruitment and 2. Issues specifi c to the recruitment of Ukrainian refugee nurses. These two themes were further subdivided into six subthemes.Conclusions. Recruitment agencies have an obligation to adopt a comprehensive approach to the recruitment of this group of applicants. In addition, the inappropriate recruitment of refugee-background nurses by recruitment agencies (RAs), which may lead to abuse and exploitation, violates fundamental human rights, and should be universally condemned and strongly discouraged.

Exploring the perception of nursing students facing burnout in clinical settings during COVID pandemic

Wed, 04 Dec 2024 00:00:00 GMT

Aim. The purpose of this study was to learn about the experience of the group of students who are at high risk for experiencing burnout and nursing shortage. This study seeks to reveal students’ perception of nursing burnout and nursing shortage observed during a clinical course.Material and methods. This study was conducted with a qualitative method using conventional content analysis approach. Data were collected by conducting in-depth semi-structured interviews.Results. Thematic analysis of the interview transcripts identified four core themes, with corresponding sub-themes: Sources of burnout, Uncertainty, Coping Strategies, Varying faculty support during clinical rotation. This study proves that nursing students experienced similar feelings of burnout and emotional strain during their clinical rotation during COVID. Evidence highlights the impact of psychological stress on nursing students in pandemic circumstances and additionally the stress of completing all required competencies to complete their degree.Conclusions. The findings of this study include sources of burnout such as working conditions, workload, dealing with suffering, death, and dying, and uncertainty in the present and future such as the evolving and changing understanding of COVID. Coping mechanisms involve staying positive and talking to family and friends. Finally, the varied opinions of the students regarding emotions and feelings of support from faculty.

Nurses’ opinions on midline catheters: a single-centre study of subjective experiences and training needs

Wed, 04 Dec 2024 00:00:00 GMT

Aim. The aim of this study is to assess nurses’ opinions on the usability, effectiveness, and benefits of midline catheters (MC) in nursing practice. Additionally, the study identifies nurses’ subjective knowledge levels and training needs related to these catheters.Material and methods. A cross-sectional correlational study was conducted from 15th October to 15th November 2023, involving 127 nurses from various departments. Data were collected through an anonymous survey with 13 questions about opinions on MC, subjective knowledge, and sociodemographic metrics. Statistical analysis was performed using IBM SPSS Statistics.Results. Most nurses had experience with patients using midline catheters, and the average rating of opinions on MC was 4.44 on a Likert scale (1-5). The average subjective knowledge about MC was 4.26. A total of 88% of respondents desired future training on MC, and 72% wanted to learn how to insert these catheters. Nurses who attended training rated their preparedness to handle MCs higher.Conclusions. Midline catheters are well-regarded by nurses and integral to their practice. Regular training and support are essential for effectively implementing new medical technologies. Investing in medical staff education is crucial for improving healthcare quality and patient safety.

Multi-generational challenges and mental health of LGBTQ+ older adults in Slovenia

Wed, 27 Nov 2024 00:00:00 GMT

Aim. The purpose of the study was to determine whether diff erences in mental health exist among younger and older generations of LGBTQ+ older adults.Material and methods. A quantitative approach was taken. The questionnaire was completed by 318 LGBTQ+ older adults (50+) from Slovenia who met the inclusion criteria and were selected using a non-random purposive sample. For statistical analysis, we used exploratory factor analysis (EFA) and the Mann-Whitney U test to compare the two independent groups.Results. We received 318 fully completed questionnaires in the survey. EFA extracted one factor. The results demonstrate statistically signifi cant diff erences in mental health between younger and older generations of LGBTQ+ older adults for two items: I often experience stress and I have become more resilient due to facing many inequalities in society. The younger generation of LGBTQ+ older adults is more likely to report experiencing stress, but at the same time expresses a sense of resilience.Conclusions. Despite the stress, LGBTQ+ older adults – especially the younger generation – have developed resilience to overcome challenges and improve mental health. Addressing the specifi c needs of LGBTQ+ older adults and improving their mental health requires elimination of prejudice and discrimination, and taking into account the complexity of their identities and experiences.

Characteristics of adverse events recorded in various hospital wards: a case study of a level II referral specialist hospital

Sat, 09 Nov 2024 00:00:00 GMT

Aim. The aim of the study was to assess the incidence of selected adverse events and their characteristics in hospital wards with varying specialties at a Level II referral hospital in Kraków.Material and methods. The research was conducted at the Józef Dietl Specialist Hospital in Kraków on a group of 1272 patients who experienced an adverse event between 2013 and 2020. In order to answer the research questions, a retrospective analysis of the available medical records was performed in 2022 and statistical analyses were performed using the IBM SPSS Statistics package version 29.Results. The most frequent adverse events included falls, pressure sores and patient absconding. There were no statistically signifi cant diff erences in the age of patients experiencing adverse events. Women were more likely to experience falls without injury and the formation of pressure sores, while men were more likely to abscond from hospital. Higher BMI was observed in patients experiencing falls without injury.Conclusions. The risk of falls, both with and without injury, is a serious problem in hospitals. Although less common than falls, pressure sores are associated with longer hospitalisation and more frequently affect women. Seasonality and time of the day affect the type and frequency of adverse events. Differences between wards may indicate specific challenges related to the nature of patients.

Perception of sleep during hospitalisation from the nurses’ and patients’ perspective: an exploratory qualitative study

Mon, 04 Nov 2024 00:00:00 GMT

Aim. To investigate how nurses and patients perceive sleep and point out the factors that negatively impact patients’ sleep during hospitalisation in selected departments in two hospitals in the Czech Republic.Material and methods. An exploratory qualitative study – thematic analysis. We obtained data from three group interviews involving 16 nurses and eight inpatients from selected departments in two hospitals. We conducted an exploratory qualitative study and thematic analysis.Results. The thematic analysis identified four main themes. Theme (1): Importance of sleep. Theme (2): Quality and organisation of nursing care. Theme (3): Experiencing intense emotions and feelings. Theme (4): Health.Conclusions. Hospitalisation often negatively affects patients’ sleep. Patients’ emotions, experiences, and the hospital environment are essential to achieve good sleep. Nurses and the entire health care system have great potential to improve hospitalisation conditions concerning sleep and the emotional mood of patients and thus indirectly influence the general health of patients and their recovery.

The influence of socioeconomic factors on the procreative plans of Poles of reproductive age

Thu, 24 Oct 2024 00:00:00 GMT

Aim. The survey was aimed at finding out the socio-economic factors determining the desire to have children and the attitude of Poles towards this topic.Material and methods. The survey, conducted in 2023, involved 735 Poles of reproductive age. The CAWI method was used to collect responses.Results. The most numerous group among the respondents were people between the ages of 18 and 25. The majority of respondents were women, people with secondary or higher education, and living in cities. A significant correlation was found between financial situation and reproductive plans. Those people who have income high enough to save money are the most likely to declare a desire to have children. The survey found a significant relationship between housing situation and desire to have children. Owning a house and being able to maintain work-life balance also influence procreation plans. Intimate relationship status had a significant impact on the desire to start a family. Respondents in informal relationships showed the highest desire to have children.Conclusions. The most important factor determining the procreation plans of Poles is a stable source of income. Social programs offered by the state are considered the least influential factor inmaking a decision to have children. Surveys conducted among groups of Poles confirm these results.

Perspectives of polish nurse managers on employment of Ukrainian war refugee nurses in polish healthcare settings: a qualitative descriptive study

Thu, 24 Oct 2024 00:00:00 GMT

Aim. The integration of Ukrainian war refugee nurses (UKR-N) into the European Union’s healthcare system presents many challenges due to the differences in the organization of the healthcare system and the system of undergraduate education of nurses. This study aims to explore the experiences of Polish nurse managers in employing UKR-N.Material and methods. In-depth interviews conducted from March 2022 to June 2023 with 9 nurse managers from healthcare institutions. Female participants (mean age: 42.2 and mean management experience: 11.2 years) were selected using a combination of convenience and snowball sampling methods. Data were collected through semi-structured interviews and analyzed using inductive thematic analysis. ATLAS.ti 8 software was employed for data management.Results. Three major themes were identified: I. Communication challenges in the workplace; II. Legal Frameworks and Employment Challenges; III. Integration into the Polish healthcare system. The three primary themes were broken down into six corresponding subthemes: 1. Language barriers and its impact on clinical practice, 2. Professional competence and safety, 3. Credential recognition and licensing process, 4. Process of adaptation to practice, 5. Navigating cross-cultural healthcare system challenges and 6. Future opportunities.Conclusions. The study provide nuanced insights into the complexities related to integrating UKR-N into the Polish healthcare system.

Association of the COVID-19 pandemic on the risk of mental disorders among healthcare personel

Fri, 04 Oct 2024 00:00:00 GMT

Introduction. The SARS-CoV-2 pandemic has left a physical and psychological mark on human beingsall around the world . Regardless of age, gender or social status, the burden of the pandemic and its eff ects are felt by the entire population. Depending on the SARS-CoV-2 variant and risk factors the symptoms of SARS-CoV-2 infection can vary, both in frequency and severity. In clinical practice, the severity of the disease is determined by using a four-grade scale, to which the patient’s treatment, care and rehabilitation are individually tailored . A separate issue of the aftermath of SARS-CoV-2 is the psychological eff ects on those at risk, patients and medical personnel. The widespread of the pandemic, the imposed restrictions and the continuing scale of the disease have negatively aff ected mental health, which cannot be underestimated. An important task is to implement prevention and recovery programs to counteract the long-term eff ects of the pandemic.Aim. The aim of this study is to assess risk of depression, anxiety, stress and post-traumatic stress disorder (PTSD) symptoms among medical personnel associated with the SARS-COV-2 pandemic and pandemic threat.Material and methods. The study included 133 medical professionals. A diagnostic survey was adopted as the method for the study using a self-administered questionnaire, the Depression, Anxiety and Stress Scale (DASS-21) and the Impact of Events Scale (IES-R). The data was collected online, using the Google Form application.Results. The highest mean value in the evaluation of negative psychological states experienced while working under pandemic conditions was obtained in the stress category (M=7.8; SD±3.29), although only 8% of the respondents experienced it to a severe or extremely severe degree. When analyzing the severity of the study variables to a severe or extremely severe degree, anxiety was the most severe (15%). When it came to depression, 43% of medical professionals declared a moderate condition. 23% of respondents declared the presence of most of the symptoms characteristic of PTSD. The highest average value was obtained in the area of hyperarousal. The risk of developing symptoms of traumatic stress/posttraumatic stress disorder is not dependent on socio-demographic variables.Conclusions. Within the examined areas concerning the occurrence of depressive, anxiety and stress disorders, stress was the most severe disorder. Personnel working periodically in direct contact with a COVID-19-infected patient were at the highest risk of developing PTSD in the future.

Evidence-Based Practice (EBP) in the Professional Practice of Nurses

Fri, 04 Oct 2024 00:00:00 GMT

Aim. The purpose of this study was to analyze the application of Evidence Based Practice (EBP) in the professional practice of nurses.Material and methods. The study involved 151 active professionals in the nursing profession. The study was conducted using the diagnostic survey method, the tool was the Standardized Evidence-Based Practice Profi le Questionnaire (EBP2Q), Polish adaptation: M.Pańczyk (2017). A 5% error of inference and an associated signifi cance level of p<0.05 were assumed.Results. The lowest scores were obtained by the respondents on the subscale Frequency of use of specifi c elements of Evidence-Based Practice in daily clinical work (M=21.5 points, 47.8% of the maximum score), and on the subscale Knowledge of knowledge of research terminology (M=45.5 points, 53.5% of the maximum score). Statistically signifi cant associations were found between age, education, seniority of the subjects and the studied aspects of EBP (p<0.05).Conclusions. 1. The application of EBP in the professional practice of nurses is at a low and insufficient level. 2. Nurses present a low level of knowledge related to EBP topics. 3. Along with their younger age, higher level of education, shorter length of service of the subjects, EBP was signifi cantly more frequently used in the daily practice of the subjects.

Patient needs, functional requirements, aesthetic preferences and barriers in app-based therapy for knee osteoarthritis

Fri, 13 Sep 2024 00:00:00 GMT

Introduction. Knee osteoarthritis (KOA) is an infl ammatory condition aff ecting over 25% of adults. Web/mobile technology off ers potential benefi ts in the treatment of KOA by improving access to care and reducing costs by utilising mobile devices for medical care and patient education.Aim. The study aims to answer the question of what needs, functional requirements and aesthetic preferences patients with knee osteoarthritis have and what barriers and facilitators there are when using an app-based therapy.Material and methods. We used a qualitative research design with in-depth interviews with 20 patients.Results and conclusion. Interviewees emphasized that effective KOA management apps must address diverse patient needs, ensure accessibility, offer customizable features, provide comprehensive information and self-management tools, support pain relief, enable remote monitoring, integrate with support communities, and be cost-efficient. These apps should combine functional requirements, such as a simple user interface, integration with wearable devices, educational content, exercise guidance, pain management tools, remote consultations, community support, and feedback mechanisms, with aesthetic preferences for clear, accessible design, large fonts, high-contrast colours, suitable interactive elements, consistent layout, guiding animations, and accessibility features like text resizing, voice commands, and audio descriptions. In conclusion, this study underscores the necessity for KOA management apps to integrate diverse functional requirements and aesthetic preferences, ensuring accessibility, customization, comprehensive information, and support features to enhance usability, effectiveness, and patient satisfaction.

Job satisfaction of nurses and the determinants of organizational climate: insights from hospitals in Lubelskie Voivodeship

Wed, 07 Aug 2024 00:00:00 GMT

Aim. Evaluation of nurses’ job satisfaction and the interconnectedness of the infl uence of dimensions of organizational climate.Material and methods. The study was conducted in 2022 among 300 nurses working in fi ve hospitals in Lublin Voivodeship. Methodology focused on outcomes was employed, highlighting the signifi cance of factors related to the organizational environment in shaping “job satisfaction”. The research tool was the Organizational Climate Questionnaire by L. Rosenstiel and R. Boegel, adapted from the Polish version by K. Durniat.Results. Most respondents report a high 121 (40.3%) or relatively high 142 (47.3%) level of satisfaction with their profession. Only 37 (12.4%) nurses reported a low level. Factors contributing to decreased satisfaction included negative relationships with management, diminished importance of organizational procedures implemented by supervisors, insufficient time for direct patient care, failure to meet patient and family expectations, and inadequate compensation.Conclusions. Nurses’ job satisfaction depended on the overall organizational climate in the hospital and its components: the overall image of the organization, employees’ perceptions of their superiors’ leadership style, and various aspects of the work organization process, ways of structuring, division of tasks and the degree of control over their implementation.

Health behaviour of Polish nurses

Sat, 06 Jul 2024 00:00:00 GMT

Aim. This study aimed to determine the level of health behaviours and correlations with demographic variables of nurses and nurse practitioners.Material and methods. The research used a diagnostic survey method with a survey technique. The research tool used to collect data was a proprietary sociodemographic data questionnaire and a standardised questionnaire: Health Behaviour Inventory (HBI).Results. Assessing the study group of nurses using the Health Behaviour Inventory, a mean score of 80.44±11.96 was obtained. The area of correct eating habits (mean 3.43±0.63) was rated highest by the respondents. Assessing the respondents using the HBI by subgroups, it was found that the largest group was those with average health behaviours of 44.2% (n=542). The group with the lowest percentage was high level health behaviour 18.1% (n=222).Conclusions. Some of the factors infl uencing health behaviors are consistent with the environment and type of work, and are therefore specifi c to nursing staff . The high level of proper eating habits is also infl uenced by positive civilization changes and higher social awareness of lifestyle, which was not the subject of in-depth research in this study. The low level of health practices is related to the specifi c nature of a nurse’s work in the context of working time and work system.

An assessment of the cognitive functions of the senior citizens living in the community

Thu, 27 Jun 2024 00:00:00 GMT

Aim. The study aimed to evaluate cognitive function status in community-dwelling seniors and to establish relationships between cognitive function and selected aspects.Material and methods. The research population consisted of 330 community-dwelling respondents over the age of 60. Cognitive function was assessed using the Montreal Cognitive Test (MoCA), anxiety symptoms – using the Geriatric Anxiety Inventory (GAI), and depression symptoms – using the Geriatric Depression Scale (GDS-15). Quality of life was assessed using the Older People’s Quality of Life – Brief version (OPQOL-BRIEF).Results. The average total score in the MoCA test was 26.2 points (SD = 2.3; min. 19; max. 30), and 63.7% of respondents scored within the norm. A lower average MoCA score was recorded in those who were diagnosed with depression (p = 0.012). The same was true for those who were diagnosed with anxiety (p < 0.001). Signifi cantly worse MoCA scores were found in those who were no longer working (p = 0.027).Conclusions. Assessment of cognitive function in the elderly should not be underestimated in terms of the need for early detection of dementia. In addition to activities that may enhance cognitive function, there is a need to support activities in practice that focus on reducing the symptoms of anxiety and depression in the elderly.