Pielegniarstwo XXI wieku / Nursing in the 21st Century最新文献

{"title":"Quality of health care and interdisciplinary collaboration from the perspective of employees and patients","authors":"M. Šimec, Sabina Krsnik, K. Erjavec","doi":"10.2478/pielxxiw-2023-0032","DOIUrl":"https://doi.org/10.2478/pielxxiw-2023-0032","url":null,"abstract":"Abstract Introduction. Cooperation in an interdisciplinary team is an important aspect of ensuring the quality and safety of patient care, although the interaction of individuals from different disciplines in the clinical environment can also be hampered by inadequate communication. Aim. This study attempts to fill the research gap and identify professionals’ perceptions of interdisciplinary collaboration and quality measures, the impact of interdisciplinary collaboration on the quality of care in a general hospital and clarify the perspective of patients and healthcare professionals. Material and methods. The case study was conducted using a survey of healthcare professionals (N = 150) and a qualitative approach by interviewing healthcare professionals (N = 47) and patients (N = 20). Results and conclusions. The results of the survey show that the nurses rated all the criteria of interdisciplinary cooperation and individual quality criteria the highest, and the quality of care in general the worst, as they were not satisfied with the implementation due to the lack of staff. The exchange of information did not affect the quality of care because organizational and national authorities did not sufficiently consider the views of staff. In in-depth interviews, patients rate teamwork as poor because they do not get enough explanation and do not feel treated as equal members of the medical team. In in-depth interviews, patients and healthcare professionals are aware of the lack of teamwork among themselves, as well as of the quality of care due to staff shortages in general and especially during the pandemic.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139247474","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}

{"title":"Access to information on the requirements to work as a nurse in Poland, provided to Ukrainian refugee background nurses by nursing self-government institutions. Word Wide Web Content Analysis","authors":"I. Cieślak, M. Panczyk, M. Jaworski, Dimitrios Theofanidis, J. Gotlib","doi":"10.2478/pielxxiw-2023-0023","DOIUrl":"https://doi.org/10.2478/pielxxiw-2023-0023","url":null,"abstract":"Abstract Aim. The aim of the study was to determine whether the National Chamber of Nurses and Midwives (NIPiP), as well as the District Chambers of Nurses and Midwives (OIPiP), undertake activities to inform Ukrainian war refugees - nurses (UKR-Ns) about the simplified work permit procedure. Material and methods. We analysed work permit related information for UKR-Ns available on the NIPIP and OIPIP websites. The research was conducted in two stages: 1) content analysis of information for UKR-Ns posted on the official NIPiP website 2) quantitative and qualitative analysis of information for UKR-Ns on official OIPIP websites. Results. The analysis of information on work permits demonstrated that its content and the way in which this information was communicated varied greatly over time. Seven OIPIs did not publish any information on the procedure of obtaining work permits by UKR-Ns and for three OIPIPs, access to information was modified and/or removed from the website at the time of the observation undertaken. The vast majority of OIPIPs provided information that could only be considered as partly relevant. Conclusions. The information for UKR-Ns, regarding the process of obtaining work permits, published by the NIPiP and OIPiPs on their official websites requires modification, both in terms of content and form.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"160 1","pages":"132 - 138"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344094","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}

{"title":"Nursing documentation of newborns with birth weight under 1500g in an Italian Neonatal Intensive Care Unit: a cross-mapping study to develop an ICNp® subset","authors":"Valentina Tommasi, Barbara Bassola, Chiara Merlo, Paola Coscia, Marco Alessandrini, Giuseppe Miraglia, Samuele Sessa, Silvia Cilluffo, Maura Lusignani","doi":"10.2478/pielxxiw-2023-0029","DOIUrl":"https://doi.org/10.2478/pielxxiw-2023-0029","url":null,"abstract":"Abstract Aim. This study aims to verify the possibility of developing an International Classification for Nursing Practice (ICNP) Subset for preterm newborns hospitalized in Neonatal Intensive Care Unit (NICU). Material and methods. This retrospective descriptive study is a lexical cross-mapping from nurses’ notes to the ICNP. The study analyzes a convenience sample of 115 newborns’ nursing notes of a NICU. The sample included preterm newborns with birth weight under 1500g hospitalized for at least three days. The frequency distribution, and the percentage frequency distribution of ICNP terms, together with ICNP terms for each need of the Italian nursing conceptual model were calculated. Results. As many as 99.8% of nursing phenomena in nurses’ notes found correspondence with ICNP terms. A total number of 203 ICNP terms described nursing phenomena, of which 161 belonged to pre-coordinated axes. Frequency of ICNP terms was categorized according to an Italian nursing conceptual model. Need of Nutrition and Hydration, need of Breathing and need of Urinary and Bowel Elimination were the patients’ needs with the highest number of ICNP terms. Conclusions. Results of the study suggest the possibility of developing an ICNP Subset for the NICU. Further studies are needed to validate a Subset and new ICNP terms.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"20 1","pages":"161 - 169"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344035","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}

{"title":"New technologies used in the education of nurses and midwives","authors":"Marta Szara, J. Klukow","doi":"10.2478/pielxxiw-2023-0026","DOIUrl":"https://doi.org/10.2478/pielxxiw-2023-0026","url":null,"abstract":"Abstract Introduction. Nursing education has undergone an evolution – from traditional models to methods that rely on technology to acquire knowledge, moving toward student-centered learning, teaching, and assessment. Aim. The aim of this paper is to analyse the literature on the use of modern technologies in the education of nurses and midwives. Material and methods. A critical analysis of the scientifi c literature was performed. The following databases were searched: PubMed, CINAHL® Complete, Web of Science, using a combination of keywords: mobile technologies, nursing, midwife, education, clinical education, apps. Conclusions. The literature provides various examples of innovative teaching and learning models in nursing and midwifery education. These methods involve combining traditional teaching with the use of novel technologies such as simulations, e-learning sessions, virtual learning environments, and the use of social media or applications on mobile devices (smartphones, tablets, etc.). The rapid technological growth and evolving expectations of today’s students are forcing the need to off er them educational services that make a broader use of visual media, provide feedback, and provide environments that allow students develop their own ways on how to acquire knowledge and skills. Smartphone-based learning can be considered an eff ective complementary method for delivering educational materials to nursing and midwifery students to enhance their skills.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"164 1","pages":"181 - 194"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346054","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}

{"title":"Assessment of Mobility in Working Age Stroke Patients during the Covid-19 pandemic","authors":"M. Bosacka, G. Bączyk","doi":"10.2478/pielxxiw-2023-0027","DOIUrl":"https://doi.org/10.2478/pielxxiw-2023-0027","url":null,"abstract":"Abstract Aim. Early neurological rehabilitation is essential to regain functional efficiency and achieve an optimal level of independence, especially during the COVID-19 pandemic. The objective of the work was to assess the functional performance of patients of working age after hemorrhagic or ischemic brain stroke admitted to the neurological rehabilitation unit and to assess additional factors aff ecting the eff ectiveness of neurological rehabilitation. Material and methods. The study group included 89 patients admitted to the neurological rehabilitation unit. The eligibility criterion for the treatment group was the age of 25-55 years (professionally active people) and the suff ered hemorrhagic or ischemic brain stroke. The functional performance assessment was performed using the Barthel Index and the NHPT (Nine Hole Peg Test) test. Socio-demographic data were obtained from the analysis of medical records. The survey was conducted on the fi rst and last day of stay. Results. There was a signifi cant impact of age on the type of stroke, with people with an ischemic stroke being indeed statistically older than those with hemorrhagic stroke (50± 5 years), compared to those with hemorrhagic stroke (46± 8 years). It has been established that the time spent in a unit is dependent on the age of the patient, the older the patient the longer the hospitalization lasts. The tests assessing the functionality of the hands have showed statistically signifi cant improvements in the study group. It has been demonstrated that the improvement of functional performance depended on gender. People with diabetes performed statistically worse (Me=28 vs. Me=21). Conclusions. 1. Older people after stroke need more time to rehabilitate. 2. There is a need for more rehabilitation in people with diabetes. 3. Longer rehabilitation for men is advisable regardless of the type of stroke.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"114 1","pages":"147 - 155"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344822","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}

{"title":"Maximum safety and minimum risk: midline access gained by a nurse-led Vascular Access and Infusion Team","authors":"Maciej Latos, M. Zawadka, D. Kosson","doi":"10.2478/pielxxiw-2023-0025","DOIUrl":"https://doi.org/10.2478/pielxxiw-2023-0025","url":null,"abstract":"Abstract Aim. The aim of the study was to conduct a retrospective analysis of cannulations done under ultrasound guidance by the Vascular Access and Infusion Team using the Seldinger technique. Material and methods. This observational study was retrospective in nature. Analysis was carried out of 82 cannulation charts reporting procedures from March to August 2022 at the University Clinical Centre of the Medical University of Warsaw. Results. Midline access was gained in 86 patients with a success rate of 95.3% (n=82). Cannulation by nurses was performed in 93% (n=80) of the patients. The procedure required an average of 1.62 attempts. The most frequently cannulated veins were the basilic (72%, n=59) and brachial (14.6%, n=12) ones. MC removal in 40.2% (n=33) of the cases was due to the termination of intravenous therapy, and in 23.4% (n=19) was caused by complications related to infusion management. Conclusions. Implantation of midline catheters in patients, including those with difficult intravenous access, can be done eff ectively with a minimum number of cannulation attempts. Maintaining midline catheters for the entire duration of therapy is challenging due to potential complications and requires rigorous care during their use. A detailed analysis of possible complications distinguishing between diff erent types of complications and continuous improvement of observation protocols and appropriate management is advisable. It is also advisable to plan and conduct an observational study in the area of retrospective analysis.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"2012 1","pages":"125 - 131"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139343803","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}

{"title":"Job Satisfaction of Community Nurses During the Covid-19 Pandemic: A Qualitative Interview Study","authors":"P. Kalinowska, L. Marcinowicz, Bożena Dobrzycka, Slawomir Terlikowski","doi":"10.2478/pielxxiw-2023-0028","DOIUrl":"https://doi.org/10.2478/pielxxiw-2023-0028","url":null,"abstract":"Abstract Aim. This study aimed to investigate the job satisfaction of community nurses in the context of the Covid-19 pandemic. Material and methods. A qualitative descriptive study with thematic analysis was conducted. The study involved individual interviews conducted with 20 professionally active community nurses in Poland. The qualitative interviews were conducted via phone from November 2020 to May 2021. Results. Three primary themes were identifi ed in the study: (1) Reasons for job satisfaction; (2) Difficult situations occurring at the workplace; (3) Areas of change that could increase job satisfaction. Conclusions. Greater professional autonomy, sufficient nursing staff, and a clear division of tasks among the members of the health care team seem to be especially important for raising the level of job satisfaction of community nurses.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"35 1","pages":"156 - 160"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139343835","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}

{"title":"Experiential methods in ethical education of nursing and midwifery students","authors":"Bogumiła Kosicka, Patrycja Ozdoba, Magdalena Dziurka, Sylwia Boczkowska, M. Machul, Agnieszka Chrzan-Rodak, B. Dobrowolska","doi":"10.2478/pielxxiw-2023-0024","DOIUrl":"https://doi.org/10.2478/pielxxiw-2023-0024","url":null,"abstract":"Abstract Introduction. Nursing, midwifery ethics education has been changing over the years. The necessity to reduce the knowledge-practice gap has been highlighted, consequently, modern training methods - based on experience - have been introduced. Aim. To present the importance of empirical teaching methods in the formation of ethical competence of nursing and midwifery students and and the objectives of the project implemented under the ERASMUS + program, KA220-HED entitled “Strengthening the ethical competence of future nurses and midwives: An inter-professional action-learning project on experiential training methods (ETHCOM)”. Material and methods. A non-systematic literature review was performed using databases (PubMed, CINAHL Complete). The analysis included 38 articles published between 2010 and 2023 in Polish and English. Results. In traditional methods of ethical education, the teacher plays the main role, while in those based on experience – the student. Among the experiential methods of learning ethics by nursing and midwifery students that are eff ective in acquiring and development of ethical competence can be distinguished, e.g. learning through games, storytelling, simulation etc. The selection of an educational method in the process of training ethical competence among nursing and midwifery students is important so that future students are able to face contemporary ethical problems.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"43 1","pages":"195 - 207"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346666","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}

{"title":"Selected aspects of patient communication and occupational burnout among nurses working during the COVID-19 pandemic","authors":"Joanna Mazur, Alicja Kozakiewicz, Maciej Białorudzki, Zbigniew Izdebski","doi":"10.2478/pielxxiw-2023-0022","DOIUrl":"https://doi.org/10.2478/pielxxiw-2023-0022","url":null,"abstract":"Abstract Aim. The purpose of the study was to assess how perceived verbal and non-verbal communication, occupational burnout, age, having children and satisfaction with job performance interact with communication with patients among nurses during the COVID-19 pandemic. Material and methods. Total number of 1187 female nurses, who declared that they work with patients on a daily basis, were included in the analyses. The mean age of the respondents was 50.4 (SD = 10.1) years. The study used the author’s questions relating to perceived verbal and non-verbal communication, as well as the HPCSS-12 (Health Professionals Communication Scale) and BAT-12 (Burnout Assessment Tool) scales. Results. In the linear regression model perceived importance of non-verbal communication (b = 0.135; p<0.001) and emotional impairment measured by BAT-12 (b = -0.092; p = 0.003), proved to be the main predictors of the total HPCSS-12 score. Age (b = -0.085; p = 0.003), satisfaction with achievements at work (b = 0.082; p = 0.007), having children (b = 0.072; p = 0.012) and perceived importance of verbal communication (b=0,082; p=0,014) were found to be further predictors. Conclusions. It is important to implement expert training and continue educating nurses in areas related to proper communication, which will allow them to respond adequately and humanely to patients’ expectations.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"109 1","pages":"139 - 146"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346195","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}

{"title":"Risk Factors Associated with Burnout among Medical Faculty: A Systematic Review","authors":"Maryam Alvandi, Jenna Davis","doi":"10.2478/pielxxiw-2023-0030","DOIUrl":"https://doi.org/10.2478/pielxxiw-2023-0030","url":null,"abstract":"Abstract Aim. Burnout syndrome in academicians of healthcare professions adversely aff ects their well-being and performance during work, and it is considered common worldwide. The aim of this systematic review was to identify burnout factors among medical faculty. Material and methods. Electronic searches were conducted in Citations and Abstracts for Literature of Nursing and Allied Health (CINAHL) Plus with full text, MEDLINE with full text, Academic Search Complete, and PsycInfo following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. After excluding duplicates and articles, which did not meet the inclusion criteria, 17 studies were included in the fi nal analysis. The Quality Index checklist developed by Downs & Black was used to evaluate the methodological quality of the included studies. There are no randomized controlled trials in our area of interest, and non-randomized studies scored low. Results. A total of 17 studies (7,056 participants) across six countries were compatible with the inclusion criteria. Main associated factors of burnout included socio-demographic and work-related characteristics; physician factors (age, gender minority status, disability, desire to reduce the workload) and workplace culture; demographic factors, including sex, ethnicity/race, years of experience, specialty, and work-related factors; lack of institutional factors, such as mentorship, collaboration opportunities, feelings of empowerment, value, and support of well-being; poor faculty relationships and professional behaviors; perceived stressors, spousal/ partner support, self-efficacy, and depression; long working hours, interpersonal interactions among the colleagues, family and social factors, including challenges related specifically to women, feelings and emotions, and personal qualities; high workload, limited time off, nature of work (high stake job), stigma/culture around burnout, administrative burden, lack of autonomy, and frequent performance feedback; high schedule misalignment; inadequate professional fulfillment, culture of wellness, personal reliance, and efficiency of practice; lack of organizational justice and job satisfaction; and anxiety-depression levels. Conclusions. There was a considerable prevalence of burnout among medical faculty, which can be debilitating. Burnout among medical faculty remains the greatest threat to institutional growth and success.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"44 1","pages":"208 - 213"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344674","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}