{"title":"Clinical and laboratory characteristics of patients with paediatric inflammatory multisystem syndrome temporally associated with COVID-19 (PIMS-TS)","authors":"A. Kowalska, M. Lewicka, A. Kurylak","doi":"10.2478/pielxxiw-2022-0027","DOIUrl":"https://doi.org/10.2478/pielxxiw-2022-0027","url":null,"abstract":"Abstract Introduction. Paediatric Inflammatory Multisystem Syndrome Temporally Associated with COVID-19 (PIMS-TS) is a rare complication of SARS-CoV-2 infection in children. There are also problems with the digestive system (vomiting, diarrhea, abdominal pain), conjunctivitis, headaches, swelling of the hands and feet, and others. Aim. The aim of the study is the clinical and laboratory evaluation of patients meeting the PIMS-TS criteria according to the RCPCH. This study aimed to determine the clinical and laboratory characteristics of patients meeting criteria for PIMS-TS. Material and methods. The study was a retrospective analysis of hospital records of 29 PIMS-TS patients of the Provincial Paediatric Hospital in Bydgoszcz hospitalised between November 2020 and August 2021. Results. Fever was found in 100% of the patients. Other symptoms re-ported were gastrointestinal problems, headache, apathy, oral inflammation, and more. Every fourth patient was diagnosed with pulmonary interstitial lesions in the form of smudgy or fine patchy thickening. Echocardiographic tests showed decreased left ventricular contractility in 10 patients. Reduced left ventricular fractional shortening below 28% was found in four patients and ejection fraction below 55% in five patients. In every second child, abdominal ultrasound imaging showed lesions such as enlarged mesenteric lymph nodes, peritoneal effusion, or enlarged liver. Changes were also confirmed by laboratory tests. Conclusions. Patients with PIMS-TS showed increased levels of inflammatory and myocardial dysfunction markers. The long-term prognosis for PIMS-TS is still uncertain. Further research and observation are needed to determine long-term complications and the actual pathomechanisms of the disease.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"108 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122603184","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":"Self-management of chronic diseases: a concept analysis","authors":"Lucija Gosak, Dominika Vrbnjak, Majda Pajnkihar","doi":"10.2478/pielxxiw-2022-0006","DOIUrl":"https://doi.org/10.2478/pielxxiw-2022-0006","url":null,"abstract":"Abstract Introduction. Due to coronavirus disease 2019, which affected the provision of nursing care to chronic patients, the self-management of patients has increased through the use of modern technology. To support the self-management of chronic patients, it is essential to analyze and clarify the concept of self-management before using it in practice. Methods. A literature search was performed in the Web of Science, PubMed, CINAHL, ScienceDirect, Sage Journals, MEDLINE, Cochrane Library databases, in addition to Google Scholar and COBISS using the keywords “concept,” “self-care,” “chronic disease,” and “nurse.” Qualitative, quantitative, and mixed methods research, books, and abstracts, related to the selected concept in English were included in the review. Studies were ranked according to the hierarchy of evidence. Concept analysis by Cutcliffe and McKenna was used. Results. Of the 2974 identified studies, 31 were included in the analysis. Seven attributes were identified: assessment of physical and emotional signs and symptoms, response to changes, consultation with the health care provider, communication, goals, attention to treatment effectiveness, and awareness of the situation. The antecedents are learning, motivation, habits, cultural and religious values, self-efficacy, literacy. The consequences concept includes improving individuals’ clinical outcomes and quality of life and reducing public health costs. Conclusions. As nursing care focuses more and more on self-management of the disease and not just on treatment, patients are increasingly using different techniques to manage their disease. By incorporating the concept of self-management of chronic disease into modern technology, we can contribute to patient care.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"74 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123710202","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":"Evaluation of stress of parents of children with disability and without disability – pilot study","authors":"P. Benešová, L. Sikorová","doi":"10.2478/pielxxiw-2022-0018","DOIUrl":"https://doi.org/10.2478/pielxxiw-2022-0018","url":null,"abstract":"Abstract Aim. The aim of the study was to determine the level of stress of parents caring for children with a disability and parents of children without a disability. Methods. Pilot study was performed in the period from October to November 2020. A total number of 40 parents of children with a disability and 40 parents of children without a disability participated in this study. Parenting Stress Index 4 Short Form in Czech version (PSI 4 SF) has been used as a research tool. Results. It has been found out that parents of children with a disability have high stress levels in comparison with the group of parents of children without a disability. The difference in the stress perception between the monitored group and the control group is statistically significant (p<0.001) in all subscales as well as in the overall evaluation. Conclusion. Caring for a child with a disability is associated with high levels of stress. Healthcare professionals should identify parental stress and offer the parents professional help in caring for their child according to their needs.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133570637","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}
Agnieszka Kalbarczyk, L. Serafin, B. Czarkowska-Pączek
{"title":"Novice nurses’ leadership competence: a cross-sectional study","authors":"Agnieszka Kalbarczyk, L. Serafin, B. Czarkowska-Pączek","doi":"10.2478/pielxxiw-2022-0015","DOIUrl":"https://doi.org/10.2478/pielxxiw-2022-0015","url":null,"abstract":"Abstract Introduction. Effective nursing leadership is a key element of the healthcare system and is essential for proper functioning and patient safety. Aim. To explore authentic leadership competencies among novice nurses and the relationship between the competencies components and sociodemographic variables. Methods. Using a descriptive cross-sectional design, data were collected in 2019 with the Authentic Leadership Self-Assessment Questionnaire – Polish adaptation (ALSAQ-P) and metrics. The analysis was based on 133 completed questionnaires. Results. The majority of novice nurses presents the average level of authentic leadership competencies. They present the low level of competence in relational self-awareness domain. The correlation of seniority with moral processing has been revealed. Compared to women, men present significantly higher authentic leadership competence. Conclusions. Novice nurses authentic leadership competencies should begin to be developed. Actions to strengthen women’s leadership competencies are also an important aspect of nursing development.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126212743","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":"Social cohesion and an age-friendly environment determine the life satisfaction of elderly people in rural areas: an integrative review of the literature","authors":"Miha Nedeljko, B. Perović, Boris Miha Kaučič","doi":"10.2478/pielxxiw-2022-0019","DOIUrl":"https://doi.org/10.2478/pielxxiw-2022-0019","url":null,"abstract":"Abstract Introduction. As the global population is ageing and life expectancy is gradually increasing, we wanted to use a literature review to study what determines the life satisfaction of older people in rural areas. In doing so, we focused on age-friendly communities that enable older people to live as actively and independently as possible and allow quality ageing. Methods. The integrative literature review method in accordance with PRISMA guidelines was used. The selection of articles in English was made according to the following inclusion criteria: scientificity, content relevance and topicality. The literature search covered the bibliographic-catalogue databases Web of Science and PubMed, from 2010 to 2020. After selection, a qualitative content analysis was applied to the data. Results. From the initial twenty-one articles, we gained an insight into the life satisfaction of the elderly in rural areas through a substantive analysis of nine scientific articles. Two content categories were identified: social cohesion of the elderly and age-friendly environment. Discussion and conclusion. Social cohesion and an age-friendly environment are important for ensuring the life satisfaction of elderly people in rural areas. Based on a review of the literature, we found out that literature focusing on ageing in urban areas predominates. In the future, it will be necessary to study the factors that affect the life satisfaction in geographical locations that are similar in size and cultural and social characteristics.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129357426","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":"Medical simulation as an educational tool in the opinion of nursing students","authors":"K. Tomaszewska, Bożena Majchrowicz","doi":"10.2478/pielxxiw-2022-0016","DOIUrl":"https://doi.org/10.2478/pielxxiw-2022-0016","url":null,"abstract":"Abstract Introduction. Nursing education combined with medical simulation is currently a modern method of education, which, especially in the era of the SARS-COV-2 pandemic, is an essential form of preparing the student for professional tasks. Aim. The aim of the study was to find out the opinions of nursing students about the classes conducted in the Medical Simulation Center. Material and methods. A total of 186 undergraduate nursing students participated in the survey. It was conducted via the Internet. We used the method of diagnostic survey; surveying technique and the tool was the original questionnaire. The study was anonymous and voluntary and was conducted from February to May 2021. It is assumed that any relationship is statistically significant when p≤0.05. Results and conclusions. According to the respondents, medical simulation prepares to acquire practical skills, also consolidates theoretical knowledge, prepares to broaden social competence. For nursing students, its disadvantage is the lack of contact with the patient. Education realized with the use of medical simulation is an effective method of learning. Nursing students prefer to take classes in high fidelity rooms and with standardized patients because they are most similar to real life conditions.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127693488","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 the knowledge of female students of the Medical University of Warsaw regarding the prevention of HPV infections","authors":"K. Kalita-Kurzyńska, Aneta Duda-Zalewska","doi":"10.2478/pielxxiw-2022-0017","DOIUrl":"https://doi.org/10.2478/pielxxiw-2022-0017","url":null,"abstract":"Abstract Introduction. According to the WHO, the health consequences of HPV infections constitute a serious public health problem. In order to avoid HPV infections, the primary prevention, mainly vaccination, plays a crucial role. Aim. The aim of the study is an assessment of the knowledge about HPV infection prevention of female students from diff erent degree courses at the Medical University of Warsaw. Material and methods. The study was conducted among 181 female students who studied one of three degree courses: nursing, midwifery and public health, using a diagnostic survey. The tool of the study was the author’s questionnaire. The independence test χ² was used for statistical analysis. The statistical significance was assumed to be: p <0.05. The calculations were performed in Microsoft Excel and SPSS. Results. All the female students correctly explained the abbreviation “HPV”. The midwifery students answered more often than other students that the HPV oncogenic types, which cause cervical cancer, are type 16 and type 18. The nursing students, more often than the midwifery and public health students, knew that barrier contraception reduces the chance of infection, but does not completely eliminate it. The knowledge about HPV vaccine prophylaxis did not depend on the degree course. Conclusions. The surveyed students have sufficient knowledge on the prevention of HPV infections, and also use reliable sources of information. The knowledge acquired by the respondents is based on current scientific reports and therefore they are prepared to undertake educational activities.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115988960","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}
K. Erjavec, V. Velikonja, I. Verdenik, N. K. Velikonja
{"title":"Use of information sources in Covid-19 pandemic and its relation with knowledge and anxiety","authors":"K. Erjavec, V. Velikonja, I. Verdenik, N. K. Velikonja","doi":"10.2478/pielxxiw-2022-0013","DOIUrl":"https://doi.org/10.2478/pielxxiw-2022-0013","url":null,"abstract":"Abstract Introduction. Production of useful information during a pandemic is a key element of outbreak control strategies. Aim. As no study has yet examined what information sources were used in the COVID-19 pandemic and how the use of information sources is related to knowledge and anxiety, this research tries to fill the research gap. Material and methods. We conducted an explorative study among 7,764 Slovenian population to assess the use of information sources, knowledge, and anxiety, and determine the relationship between different information sources and knowledge and anxiety in lay public in Slovenia during the pandemic of COVID-19. Results. A combination of unregulated internet-based information sources and regulated ones were frequently used information sources. The Internet as the main source was more used by younger and more educated individuals. Traditional mass media and religious organizations were more frequently used by older participants, while friends and/or relatives and/or colleagues and natural therapist by younger participants. Results also show that greater anxiety is associated with the greater need for information. Conclusion. Informing people should not primarily be based on the traditional interpersonal communication between a doctor and patients, other face-to-face communication or the use of printed information, but rather on regulated and unregulated websites, social media, and TV.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"438 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132718653","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":"Coping with child’s disease by children and their parents (guardians) – a systematic review of the literature","authors":"Jadwiga Bąk, D. Zarzycka","doi":"10.2478/pielxxiw-2022-0011","DOIUrl":"https://doi.org/10.2478/pielxxiw-2022-0011","url":null,"abstract":"Abstract Introduction. Illness is a stressful experience for a sick child and its parents (guardians). Coping and studying specific coping behaviors of parents and children with the disease are an essential part of care. Aim. Presentation of available research results in English and/or Polish, carried out by researchers in the field of coping strategies of children and their parents (guardians) with the child’s disease. Material and methods. The systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Review and Meta Analyzes (PRISMA 2020) statement. Electronic databases searched in May 2021 included PubMed, Scopus and Web of Science. Methodological limitations demonstrated using the Critical Skills Appraisal Program (CASP) check-lists package. In total 42 articles were qualified for the analysis. Results. The analysis of the publications showed that children and their parents most often cope with the disease through social support, active coping, emotional-focused coping, referring to religion and avoidance. Conclusions. Conscious use of coping strategies may contribute to better results in the treatment undertaken and allow the child and its parents to feel in control of the stressful situation in which they find themselves. Knowing about parents’ and child’s coping strategies can be helpful in developing childcare plans.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"24 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130542016","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":"Holistic nursing care for children with Guillain-Barré syndrome: a five-year retrospective analysis in five Croatian hospitals","authors":"Renata Apatić, K. Kužnik, R. Lovrić","doi":"10.2478/pielxxiw-2022-0012","DOIUrl":"https://doi.org/10.2478/pielxxiw-2022-0012","url":null,"abstract":"Abstract Aim. The study aimed to analyze nursing diagnoses defined during the care of children with Guillain-Barré syndrome and to present the specifics of holistic pediatric care. Material and methods. A retrospective analysis of nursing documentation was conducted on 14 children with Guillain-Barré syndrome hospitalized between 2015 and 2019 in five Croatian hospitals. Results. The study included 10 (71.4%) boys and 4 (28.6%) girls (8 months – 17 years of age). The average duration of hospitalization was 12.2 days. At plateau, 5 (35.7%) children had minor changes in consciousness and 6 (42.9%) required assistance and/or some supervision in performing self-care activities. Oxygen was administered to one child, and a central venous catheter (CVC) was placed in 3 (21.4 %) children. Thirteen (92.9%) children reported pain. The risk for infection was recorded in 11 (78.6 %) children. Lumbar puncture was performed in all children, while immunotherapy was administered to 13 (92.9%) of them. The care of a CVC and breathing exercises were performed in 3 (21.4%) children. Two (14.3%) children required intensive care. Conclusions. The unpredictable development and outcome of the Guillain-Barré syndrome require complex holistic pediatric care that represents a significant professional and personal challenge for the nurses.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129638883","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}