Pielegniarstwo XXI wieku / Nursing in the 21st Century最新文献_第2页

Top management education needs – A case study of public health system in Slovenia 高层管理教育需求--斯洛文尼亚公共卫生系统案例研究

Pielegniarstwo XXI wieku / Nursing in the 21st Century Pub Date : 2024-02-23 DOI: 10.2478/pielxxiw-2024-0002

Gorazd Laznik

{"title":"Top management education needs – A case study of public health system in Slovenia","authors":"Gorazd Laznik","doi":"10.2478/pielxxiw-2024-0002","DOIUrl":"https://doi.org/10.2478/pielxxiw-2024-0002","url":null,"abstract":"\u0000 \u0000 Aim. The purpose of the research was to identify the gap in the existing educational content in Slovenia, which employees in the top management of public health institutions acquired during their education, and to propose a new educational program based on the analysis of the results.\u0000 \u0000 Material and methods. Quantitative research method and descriptive work method were used. The survey was completed by directors, expert directors and assistant directors for health care in public health institutions in Slovenia. The survey was sent to all employees in the top management of public health institutions in Slovenia (N = 216). For statistic analysis we use chi-square test and Kullback’s 2Î test.\u0000 \u0000 Results. A total number of 146 (67.6%) fully completed questionnaires were analyzed. After reviewing the educational programs and the needs for additional education expressed by the respondents, we noted that there is no program in Slovenia that covers all the necessary content for quality work in top management. We can add that employees in the top management of public health institutions should be required to receive special education.\u0000 \u0000 Conclusions. Based on the opinions expressed by the respondents, we propose the introduction of a one-year educational program that would include topics from economics, legislation, management, medicine and nursing.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"26 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139957334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nursing care of a patient after a craniofacial area microsurgical transplant in a teenage boy 十几岁男孩接受颅面部显微外科移植手术后的护理工作

Pielegniarstwo XXI wieku / Nursing in the 21st Century Pub Date : 2024-02-03 DOI: 10.2478/pielxxiw-2024-0001

Zuzanna Roman, Małgorzata Barbara Roman, Malwina Pułym-Ejsmont

{"title":"Nursing care of a patient after a craniofacial area microsurgical transplant in a teenage boy","authors":"Zuzanna Roman, Małgorzata Barbara Roman, Malwina Pułym-Ejsmont","doi":"10.2478/pielxxiw-2024-0001","DOIUrl":"https://doi.org/10.2478/pielxxiw-2024-0001","url":null,"abstract":"\u0000 \u0000 Aim. The aim of the study was to make selected nursing diagnoses for a patient after a microsurgical transplant in the facial area, with the aim of providing the patient with comprehensive care in the perioperative period.\u0000 \u0000 Material and methods. The study describes the case of a child after microsurgical transplantation of a flap taken from the left iliac plate to the right submandibular region. The individual case method was used. Clinical interview, observation, measurement and medical documentation data were analyzed.\u0000 \u0000 Results. Four selected nursing diagnoses were presented along with planned interventions: risk of complications at the site of microsurgical flap transplantation, risk of donor site infection, discomfort caused by intense oozing of secretions from the postoperative wound in the oral cavity and the boy’s depressed mood caused by low self-esteem resulting from the changed postoperative facial appearance and the failure of the first surgical procedure.\u0000 \u0000 Conclusions. Nursing interventions should be adapted to the patient’s dynamically changing recovery process. They should be based on systematic inspection of the recipient and donor sites for the occurrence of complications. Education of the patient and the caregiver is an important element of the therapeutic process. It was not possible to significantly improve the child’s mood.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"1 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139683228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Influence of Sociodemographic, Organizational, and Social Factors on the Engagement of Long-Term Care Employees 社会人口、组织和社会因素对长期护理员工参与度的影响

Pielegniarstwo XXI wieku / Nursing in the 21st Century Pub Date : 2023-12-26 DOI: 10.2478/pielxxiw-2023-0040

Sabina Krsnik, A. Ramovš, Ajda Cvelbar, K. Erjavec

{"title":"Influence of Sociodemographic, Organizational, and Social Factors on the Engagement of Long-Term Care Employees","authors":"Sabina Krsnik, A. Ramovš, Ajda Cvelbar, K. Erjavec","doi":"10.2478/pielxxiw-2023-0040","DOIUrl":"https://doi.org/10.2478/pielxxiw-2023-0040","url":null,"abstract":"Abstract Aim. The aim of the study was to identify the most important macro-, meso-, and micro-level factors influencing work engagement and motivation for employment in long-term care (LTC) in Slovenia. Material and methods. A correlational cross-sectional survey design with a self-reported standardized online questionnaire was used among Slovenian workers (N = 452LTC). Results. The results show that LTC workers generally enjoy going to work (68%), feel enthusiasm for their work (61%), and take great pride in their work (90%). Enjoyment increases with age, and is correlated with education and position. Joy is the lowest among those working in nursing homes. However, nursing and care teams show the greatest enthusiasm for and pride in the work done. Those who believe that their work is valued by society and their family enjoy going to work more. Although income is the most important factor in leaving the LTC sector, there are no differences in work engagement regarding the level of monthly income. Over 58% of the variance in work engagement was explained by the influence of sociodemographic characteristics, social recognition, and work environment.. Conclusions. To promote employee engagement, LTC leaders should provide a better work environment and social recognition.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"25 54","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139156135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An assessment of the quality of life in chronic heart failure patients 慢性心力衰竭患者的生活质量评估

Pielegniarstwo XXI wieku / Nursing in the 21st Century Pub Date : 2023-12-22 DOI: 10.2478/pielxxiw-2023-0039

Katka Bobčíková, R. Bužgová

{"title":"An assessment of the quality of life in chronic heart failure patients","authors":"Katka Bobčíková, R. Bužgová","doi":"10.2478/pielxxiw-2023-0039","DOIUrl":"https://doi.org/10.2478/pielxxiw-2023-0039","url":null,"abstract":"Abstract Aim. The aim of this cross-sectional study was to evaluate quality of life (QoL) and selected aspects of patients with chronic heart failure. Material and methods. The Minnesota Living with Heart Failure Questionnaire was used for an assessment of QoL. Data were obtained on depression, illness perception, social support, self-sufficiency, and severity of heart failure according to NYHA classifi cation. Data were analysed using descriptive statistics, the Kruskal–Wallis and Mann-Whitney test, and the Spearman correlation coefficient. Linear regression analysis was also performed. Results. Correlation analysis (p < 0.05) indicated that patients with reduced self-suffi ciency (r = -0.3529) and patients with more severe heart failure (r = 0.2642) reported a poorer QoL. Worse the illness perception (r = 0.4113), more frequent depression (r = 0.5470) and a worse subjective assessment of the state of health (r = 0.4394) indicated a worse QoL. The predictors of the total QoL score were depression (p = 0.000), illness perception (p = 0.001), self-sufficiency (p = 0.008), and subjective assessment of the state of health (p = 0.005). Conclusions. A comprehensive approach with an emphasis on improving QoL is necessary in the care of patients with chronic heart failure.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"80 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139164099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Newborn screening program and advanced therapies as a chance for the youngest patients – based on spinal muscular atrophy (SMA) 以脊髓性肌萎缩症（SMA）为基础，为最年轻的患者提供新生儿筛查计划和先进疗法的机会

Pielegniarstwo XXI wieku / Nursing in the 21st Century Pub Date : 2023-12-15 DOI: 10.2478/pielxxiw-2023-0037

M. Śliwińska, Anna Rakuś-Kwiatosz

{"title":"Newborn screening program and advanced therapies as a chance for the youngest patients – based on spinal muscular atrophy (SMA)","authors":"M. Śliwińska, Anna Rakuś-Kwiatosz","doi":"10.2478/pielxxiw-2023-0037","DOIUrl":"https://doi.org/10.2478/pielxxiw-2023-0037","url":null,"abstract":"Abstract Introduction. Newborn screening programs, commonly conducted, are prophylactic procedures with the aim to detect serious, often lethal diseases in their presymptomatic stage. It should be emphasized that the costs of the program are lower than medical care and treatment costs for sick citizens without diagnosis of these disorders. Every step, starting from receiving the parental consent, taking a dried blood spot sample by the nurses and finally testing was fully prepared and is under the supervision of the Institute of Mother and Child in Warsaw. In March 2022 screening for spinal muscular atrophy (SMA) among all newborns was introduced. This disorder leads to progressive deterioration of motor skills and sometimes even to death. The breakthrough of the SMA therapy was Zolgensma, called the most expensive drug in the world. Currently, this treatment is fully funded for some patients under the national drug program. Aim. The aim is to present issues related to the newborn screening program and advanced SMA therapies. Material and methods. Analysis of scientific studies in the PubMed database and national newborn screening programs. Conclusions. Early implementation of the appropriate treatment gives the chance to improve the quality of life, especially if the earliest detection is provided by newborn screening program.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"58 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138999111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reporting the adverse events and healthcare-associated infections in relation to the work environment 报告与工作环境有关的不良事件和医源性感染

Pielegniarstwo XXI wieku / Nursing in the 21st Century Pub Date : 2023-12-15 DOI: 10.2478/pielxxiw-2023-0036

R. Zeleníková, Darja Jarošová, Eva Mynaříková, Ilona Plevová, Miroslava Kachlová

{"title":"Reporting the adverse events and healthcare-associated infections in relation to the work environment","authors":"R. Zeleníková, Darja Jarošová, Eva Mynaříková, Ilona Plevová, Miroslava Kachlová","doi":"10.2478/pielxxiw-2023-0036","DOIUrl":"https://doi.org/10.2478/pielxxiw-2023-0036","url":null,"abstract":"Abstract Aim. The aim of this multicenter study was to analyze the reporting of the adverse events and health care-associated infections (HAIs) in relation to work environment. Material and methods. This cross-sectional multicenter study was conducted in 14 acute care hospitals throughout the Czech Republic. A total of 105 acute care hospital wards were included in the study. The Practice Environment Scale of the Nursing Work Index was used to assess the practice environment. The questionnaire to assess the practice environment were completed by 805 nurses. The data on adverse events and HAIs were weekly reported. Results. The overall mean number of adverse events including healthcare-associated infections was 27.7 (±36.10) per 100 patients, the most frequent being pressure ulcers and falls. The most frequent healthcare-associated infections were urinary tract, gastrointestinal tract and surgical site infections. Analysis of all adverse events and HAIs failed to confirm a statistically significant relationship between the nursing practice environment and occurrence of adverse events or healthcare-associated infections. Conclusions. Adverse events and healthcare-associated infections are important indicators of quality of care in hospitalized patients. No type of the nursing practice environment aff ected the reporting of adverse events and HAIs.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"24 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139000843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Montessori activities for older adults in community nursing: comparative case study 为社区护理中的老年人开展蒙台梭利活动：比较案例研究

Pielegniarstwo XXI wieku / Nursing in the 21st Century Pub Date : 2023-12-15 DOI: 10.2478/pielxxiw-2023-0038

A. Ljubič, Dejan Hozjan, Bojana Filej, Tamara Štemberger Kolnik

引用次数: 0

Postoperative nursing process of a pregnant patient with meningioma: a case report 脑膜瘤孕妇术后护理流程：病例报告

Pielegniarstwo XXI wieku / Nursing in the 21st Century Pub Date : 2023-12-09 DOI: 10.2478/pielxxiw-2023-0035

Burcu Totur Dikmen, Nurhan Bayraktar

{"title":"Postoperative nursing process of a pregnant patient with meningioma: a case report","authors":"Burcu Totur Dikmen, Nurhan Bayraktar","doi":"10.2478/pielxxiw-2023-0035","DOIUrl":"https://doi.org/10.2478/pielxxiw-2023-0035","url":null,"abstract":"Abstract Aim. The aim of this study is to evaluate the case diagnosed with meningioma during pregnancy and to present the individualized postoperative nursing process. Material and methods. Gordon’s Functional Health Patterns Model was used to assess the case. The nursing process was established by utilizing the North American Nursing Diagnosis Association-International, Taxonomy II, nursing diagnoses. Results. In the nursing process of the case, nursing diagnoses were included in the domains of health perception/health management pattern, nutritional/metabolic pattern, elimination pattern, activity/exercise pattern, sleep/rest pattern, cognitive/perceptual pattern, self-perception/self-concept pattern, roles/relationships pattern, coping/stress tolerance pattern, sexuality/reproductive pattern and values/beliefs pattern. The nursing process was established in accordance with these diagnoses. Conclusions. Through this case report we would like to highlight relevance of using Gordon’s Functional Health Patterns Model for assessing the pregnant patient with meningioma and planning the postoperative nursing process. It is thought that the case report will be guide and support the nurses who care for pregnant patients with menegioma.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"7 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138585199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Do mobile health applications supporting self-monitoring during pregnancy strengthen the sense of security, life satisfaction, and social support among pregnant women? – comparative analysis 支持孕期自我监测的移动医疗应用程序是否能增强孕妇的安全感、生活满意度和社会支持？- 比较分析

Pielegniarstwo XXI wieku / Nursing in the 21st Century Pub Date : 2023-12-09 DOI: 10.2478/pielxxiw-2023-0034

M. Walec, B. Ślusarska, G. Nowicki

{"title":"Do mobile health applications supporting self-monitoring during pregnancy strengthen the sense of security, life satisfaction, and social support among pregnant women? – comparative analysis","authors":"M. Walec, B. Ślusarska, G. Nowicki","doi":"10.2478/pielxxiw-2023-0034","DOIUrl":"https://doi.org/10.2478/pielxxiw-2023-0034","url":null,"abstract":"Abstract Introduction. The continuous dynamic development of medical applications creates new opportunities in perinatal care that need to be analyzed and continuously updated. Special attention should be paid to how their use affects the condition of pregnant women and their families. Aim. The aim of the study was to determine the differences in the sense of security and social support, and life satisfaction between pregnant women using and not using medical applications. Material and methods. Cross-sectional studies using the CAWI method were conducted in March 2022. The research used an original questionnaire The Satisfaction With Life Scale, The Multidimensional Scale of Perceived Social Support, and the Security Experience Questionnaire. Results. A total number of 1077 pregnant women participated in the study, 1002 of whom used and 75 did not use medical applications monitoring the course of pregnancy. Most of the surveyed women were aged 26-35, and were in their first pregnancy and in the third trimester. The most frequently cited reasons for using the application were pictures showing the fetus size and monitoring the baby condition, while the reason for not using the application was considering it a waste of time. Conclusions. Women using mobile applications were characterized by higher scores on life satisfaction, sense of security, and social support.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138585159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spirituality and family support related family self-efficacy during physical distancing of COVID-19: A cross-sectional study among family in Indonesia 精神和家庭支持与 COVID-19 物理疏远过程中的家庭自我效能相关：印度尼西亚家庭的横断面研究

Pielegniarstwo XXI wieku / Nursing in the 21st Century Pub Date : 2023-11-27 DOI: 10.2478/pielxxiw-2023-0033

Tantut Susanto, Mochamad Riko Saputra, Eka Afdi Septiyono, R. Yunanto, Fitrio Deviantony

{"title":"Spirituality and family support related family self-efficacy during physical distancing of COVID-19: A cross-sectional study among family in Indonesia","authors":"Tantut Susanto, Mochamad Riko Saputra, Eka Afdi Septiyono, R. Yunanto, Fitrio Deviantony","doi":"10.2478/pielxxiw-2023-0033","DOIUrl":"https://doi.org/10.2478/pielxxiw-2023-0033","url":null,"abstract":"Abstract Introduction. Adaptive self-efficacy develops in each family member influenced by certain factors. Improving family self-efficacy by recognizing the influence factors is health-related behavior that can build stronger families to deal with the COVID-19 pandemic. This study examined factors that influenced family self-efficacy during the new normal era of pandemic COVID-19 in the Eastern region of Java Island, Indonesia. Material and methods. A cross-sectional study was performed among 347 families. A self-administered questionnaire was used to measure sociodemographic data, the risk for COVID-19, personal risk for COVID-19, a family of APGAR, Spirituality, and self-efficacy. The logistic regression analysis determined the factors that influenced the family self-efficacy during the new normal era of pandemic COVID-19. Results. There was a significant correlation between risk for COVID-19, a personal risk factor for COVID-19, a family of APGAR, Spirituality, and family self-efficacy (p<0.05). Spirituality (OR = 1.602; 95% CI= 0.450 – 3.019) and family of APGAR (OR=2.534; 95% CI= 18.84 – 23.69) were influenced by family self-efficacy. Conclusions. Spirituality and family of APGAR are influenced by family self-efficacy during the new normal era of pandemic COVID-19. Therefore, home health care during the pandemic COVID-19 should be an intervention to support the self-efficacy of the family.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139234171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0