Pielegniarstwo i Zdrowie Publiczne最新文献

{"title":"Socioprofessional characteristics of the oncology nurses in Lower Silesia","authors":"Elżbieta Garwacka-Czachor","doi":"10.17219/PZP/94886","DOIUrl":"https://doi.org/10.17219/PZP/94886","url":null,"abstract":"Background. During 2016 there were 32 oncological care providers in Lower Silesia that reported 898 nurses and midwives in order to execute contracts with Lower Silesian Branch of the National Health Fund. Hired nurses provide nursing care of various kind and scope, within specialized treatment, such as oncological surgery (including gynecology), chemotherapy and radiotherapy. That requires specialized knowledge and skills, often essential for performing particular services. Objectives. Aim of this study is an assessment of the demographic and socioprofessional situation of the nurses providing health services in the field of oncology in Lower Silesia. Material and methods. Research was performed in the 2nd half of 2015 and the 1st half of 2016 using diagnostic survey questionnaire. The study included 147 nurses and midwives. An analysis of statistical significance between quality variables and racy variables was conducted. Independence of answers was verified using Pearson’s χ2 test, with α = 0,05 (p ≤ 0,05). Calculations were performed using STATISTICA v. 13.3 and Microsoft Excel 2003. Results. Nurses over 45 years of age constituted the majority of the group studied; 47,6% of the surveyed nurses had secondary education and 74,8% had at least one type of postgraduate education. The vast majority had permanent employment contract and 86,4% of them declared full or partial professional satisfaction in their current workplace. Most nurses (66,0%) are dissatisfied with their wages. Data analysis indicated many significant relations. Conclusions. Most oncology nurses are over 45 years of age; persons entering the profession constitute a negligible minority. It raises concerns as Lower Silesian population health needs may not be satisfied in the future. Variables differentiating the answers on motivation behind choosing the workplace were: age, job seniority, education, and region of Lower Silesia in which the workplace is located. Nurses with job seniority longer than over 25 years substantially more often were fully or partially satisfied and never or rarely thought about job change. Age, job seniority, education level, and region of Lower Silesia affected most variables.","PeriodicalId":52931,"journal":{"name":"Pielegniarstwo i Zdrowie Publiczne","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47338241","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":"Validation of the research tool and measurement of pediatric patient safety in a hospital using the BePoZa questionnaire","authors":"R. Szpakowski, A. Fronczak, Patrycja Zając, Grażyna Dykowska","doi":"10.17219/PZP/92355","DOIUrl":"https://doi.org/10.17219/PZP/92355","url":null,"abstract":"Background. Patient safety can be assessed using a diagnostic survey. It is analyzed in the context of safety culture and safety climate. ‘Safety climate‘ is a term narrower than ‘safety culture‘. The safety climate is a component of a broader conceptual construct – safety culture. The safety climate is, in essence, the attitude of the medical staff to the patient safety at their workplace. Objectives. Psychometric evaluation of the BePoZa tool and pediatric patient safety measurement. Material and methods. The study was conducted in a multisite children’s hospital in Warsaw. The hospital has a total capacity of 500 beds. Paper version of BePoZa survey was personally distributed among the nursing/midwifery staff between March 2017 and August 2017. The BePoZa questionnaire is the Polish version of the English-language Safety Attitudes Questionnaire (SAQ) developed at The University of Texas Health Science Center at Houston (UTHealth), USA. Results. The Cronbach's α coefficient is 0.87 for the overall questionnaire (0.87) and for the respective dimensions: 0.83 (Teamwork Climate) and 0.77 (Safety Climate). The overall result of the BePoZa questionnaire in the examined hospital is: Me = 101; M = 100 (max. 135). Conclusions. In conclusion, the assessed tool is characterized by a high degree of reliability and there is no need to modify it. The safety of the pediatric patient in the hospital was highly evaluated by the nursing staff. However, the quality of interpersonal relations with the doctors needs to be improved and the number of nursing staff should be increased.","PeriodicalId":52931,"journal":{"name":"Pielegniarstwo i Zdrowie Publiczne","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46475357","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":"The attitude of Gdańsk middle school students to the problem of smoking and use of tobacco products","authors":"M. Gallas, Małgorzata Przybysz","doi":"10.17219/PZP/94583","DOIUrl":"https://doi.org/10.17219/PZP/94583","url":null,"abstract":"Background. Cigarette smoking among young people is a serious problem. Many young people reach for tobacco products and although there are teenagers they do not have problems with purchasing them. Objectives. To test Gdańsk secondary school students’ knowledge about the dangers of smoking and tobacco use. Material and methods. The study used a method of diagnostic survey. Data was collected using a survey developed by the WHO – Global Youth Tobacco GTSS Survey – Core Questionnaire with Optional Questions, to which the respondents gave answers themselves. The study involved 117 adolescents aged 14–17 years. Results. Fifty-seven percent of respondents tried to smoke cigarettes and other tobacco products and had no problem with their purchase. Fifty-eight percent of respondents were exposed to passive smoking within the last week. Twenty-five percent of students agree with the statement that they might get to like smoking. Almost 82% are aware of the fact that giving up smoking is difficult. Twenty-four percent of respondents declared that their first contact with a cigarette was when they were less than 11 years old. For 56% of respondents obtaining cigarettes would not be a problem. Conclusions. Smoking of tobacco products is a serious problem among teenagers. They are not only exposed to its negative consequences during active smoking, but also during passive smoking. Young people experiment with the consumption of tobacco products and it is not a problem for them to acquire them. The results show that even very young people fall into addictions difficult to overcome.","PeriodicalId":52931,"journal":{"name":"Pielegniarstwo i Zdrowie Publiczne","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41806677","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":"The role of the midwife in the therapy of infertility in Poland in the opinion of patients","authors":"Marta Neneman, G. Bączek, E. Dmoch-Gajzlerska","doi":"10.17219/PZP/93531","DOIUrl":"https://doi.org/10.17219/PZP/93531","url":null,"abstract":"Background. Infertility is a disease of the reproductive system manifesting with the inability to get pregnant within a minimum of 12 months. In diagnosing infertility and the therapeutic process, pharmacotherapy, surgery and assisted reproductive technology are used. In Poland, the NaProTechnology program is also available, which is a diagnostic and therapeutic method of reproductive health disorders without utilizing assisted reproduction. The midwife can play an important role in the care of the infertile couple.","PeriodicalId":52931,"journal":{"name":"Pielegniarstwo i Zdrowie Publiczne","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43550474","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":"Carbohydrate metabolism disorders in women in procreative age","authors":"G. Iwanowicz-Palus, A. Bień, Joanna Piechowska, Agnieszka Pieczykolan","doi":"10.17219/pzp/92914","DOIUrl":"https://doi.org/10.17219/pzp/92914","url":null,"abstract":"Every year, more and more carbohydrate metabolism disorders are diagnosed in women during the procreative age. This may contribute to sexual problems or difficulties in conception. Detection of these disorders at the earliest stage facilitates the prevention of many complications caused by these dysfunctions. For this purpose, women in the procreative age should undergo periodic health examinations and, above all, have the level of glucose in fasting blood serum evaluated. In pregnant women, the blood glucose level in the mother and the fetus is comparable, and its concentration fluctuates similarly. The placenta and tissues of the unborn child are very sensitive to metabolic changes. A slight increase in the amount of glucose in the blood serum of pregnant women may affect the functioning of the placenta and contribute to the development of complications in the fetus, such as delaying its growth, and even in extreme cases lead to intrauterine death of the fetus. For a diabetological-obstetric team taking care of a pregnant woman, it is very important that women with carbohydrate metabolism disorders should be under their control even before pregnancy occurs in order to avoid possible complications that may appear in the mother and fetus.","PeriodicalId":52931,"journal":{"name":"Pielegniarstwo i Zdrowie Publiczne","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45351588","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":"Interdisciplinarity in diagnosis and therapy of children with allergic diseases of the respiratory system","authors":"A. Emeryk, R. Zubrzycka, Anna Wojnarska","doi":"10.17219/PZP/90353","DOIUrl":"https://doi.org/10.17219/PZP/90353","url":null,"abstract":"Allergic diseases of the respiratory system are the conditions most commonly diagnosed in children and adolescents. According to EACCI, about 25% of children in Europe have allergy. A disease that is the most prevalent among Polish children is allergic rhinitis. Contemporary research shows that persons in developmental age suffering from allergies are at risk of developing various disorders in psychosocial functioning (including school difficulties). The paper presents the issues of diagnosis and therapy of children with bronchial asthma and allergic rhinitis in an interdisciplinary model. On the basis of the classic theory of expanded diagnosis proposed by Ziemski, a theoretical model of medical, psychological and pedagogical practices directed at ill children was created. A set of preventive measures applicable in medical centers as well as in school and family environments has been proposed. The paper presents both the limitations in practical application of suggested theoretical solutions, and the benefits of a holistic approach towards children with allergic diseases of respiratory system in the diagnosis and therapy process.","PeriodicalId":52931,"journal":{"name":"Pielegniarstwo i Zdrowie Publiczne","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43087974","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":"The level of knowledge of primary school teachers about first aid","authors":"J. Sowizdraniuk, Magdalena Lesiewicz-Misiurna","doi":"10.17219/pzp/90354","DOIUrl":"https://doi.org/10.17219/pzp/90354","url":null,"abstract":"Background. More than 70,000 accidents involving children occur in Poland every year. Frequency of body damage caused by accidents is rising notably in early school age. Major trauma is a cause of 40% of child deaths. That statistics show us importance of teachers having knowledge about first aid. Objectives. The purpose of the study is to examine the primary school teachers, knowledge about providing first aid at school. Material and methods. The study was carried out in 5 primary schools in Wrocław in 2015. Author used own survey questionnaire as a research tool. Using questions about the course of action in certain situations, the teachers’ knowledge about rules of conduct in sudden lifeand health-threatening situations was assessed. Results. Most teachers have acquired knowledge and skills during occupational safety and health (OSH) training, and the last of these classes took place about 20 months ago. A majority of them declared willingness of increasing knowledge in that subject. As many as 2/3 of responders evaluated their first aid skills as moderate and a significant group among questioned teachers already had opportunity to give first aid during work. Over 90% of respondents know the correct procedure in case of suspected joint sprain, as well as in case of burns and open bone fractures, and also demonstrate knowledge of the emergency number. The greatest difficulty for respondents is the treatment of massive bleeding from forearm wounds, as well as the principles of chest compressions in case of cardiac arrest. Conclusions. Nearly half of teachers feel the desire to broaden their first aid knowledge. Teachers underestimate the level of their first aid knowledge, which may have a negative impact on rescue efforts made by them. The obtained results illustrate the necessity of taking action to improve the current level of first aid knowledge among primary school teachers.","PeriodicalId":52931,"journal":{"name":"Pielegniarstwo i Zdrowie Publiczne","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42240147","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":"Frequency of supplemental transfusion performed in full-term and prematurely born newborns in 2012–2016 based on the analysis of the hospital ward medical records","authors":"L. Sochocka, Karolina Szejna, U. Posmyk, Katarzyna Szwamel","doi":"10.17219/pzp/91609","DOIUrl":"https://doi.org/10.17219/pzp/91609","url":null,"abstract":"Background. Blood transfusion is a procedure often performed in newborns. The person making the decision on its implementation must be aware that it is a life­saving procedure with many complications arising from it. Objectives. Determination of the frequency of supplemental transfusion in newborns treated in the Department of Anaesthesiology and Intensive Therapy of Chil­ dren and Newborns in University Hospital in Opole in 2012–2016. Ascertaining whether there is a significant relationship between newborn’s age and the number of transfusions. Identification of the most common indications for transfusion. Material and methods. A retrospective analysis of medical records was carried out using modern techniques consisting of quantitative analysis of supplemental transfusions performed in newborns. The research material were data from a transfusion book and an electronic version of the disease history of neonates treated in the Department of Anaesthesiology and Intensive Therapy of Children and Newborns in whom the supplemental transfusion was performed. Results. In the years 2012–2016, supplemental transfusions were performed 581 times in neonates treated in the Department of Anaesthesiology and Intensive Therapy of Children and Newborns. The number of supplemental transfusions performed in premature infants was 416 (72%); 165 transfusions (28%) were carried out in full­term newborns in the same period. The most common indication for supplemental transfusion was anemia (314 transfusions), which accounted for 54%","PeriodicalId":52931,"journal":{"name":"Pielegniarstwo i Zdrowie Publiczne","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43806211","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":"The relationship between assessments of hospital services and the quality of hospital Internet presence","authors":"M. Grysztar, Aleksandra Pieczarka, Diana Wirchomska, M. Duplaga","doi":"10.17219/PZP/90355","DOIUrl":"https://doi.org/10.17219/PZP/90355","url":null,"abstract":"Material and methods. The analysis covered 20 websites of hospitals ranked as the top 10 and the last 10 in the “Golden Hundred” of the “Safe Hospital 2016” ranking released by the Center for Monitoring Quality Polish National Center for Quality Assessment in Healthcare (rNCQA). The quality of hospital websites was assessed in 4 domains including access, creation and transfer of knowledge, and the scope of information provided.","PeriodicalId":52931,"journal":{"name":"Pielegniarstwo i Zdrowie Publiczne","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41695912","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":"Basic anthropometric measurements and derived indicators in dietary counseling: Part two","authors":"A. Koszowska, A. Brończyk-Puzoń","doi":"10.17219/PZP/92368","DOIUrl":"https://doi.org/10.17219/PZP/92368","url":null,"abstract":"Obesity is defined as excessive accumulation of body fat. Large amounts of visceral fat in the body lead to increased risk of developing atherosclerosis, type 2 diabetes, hypertension, and ischemic heart disease. Evaluation of body fat plays a crucial role in everyday clinical practice. The article presents new anthropometric indicators: BAI (Body Adiposity Index) and VAI (Visceral Adiposity Index), and the examples of research where they were used. The studies on VAI index has so far shown that it can be useful in assessing visceral adipose dysfunction as well as cardiometabolic risk. In addition, its use may be practical and justified in young patients with endocrine diseases (for example in women with polycystic ovary syndrome) who do not yet present with symptoms metabolic syndrome. Calculation of VAI could provide much valuable information on possible visceral adipose dysfunction. The usefulness of the new BAI and VAI indicators has yet to be confirmed in scientific studies, but their calculation could enrich epidemiological studies, as well as clinical trials in patients with civilization-related and endocrine diseases.","PeriodicalId":52931,"journal":{"name":"Pielegniarstwo i Zdrowie Publiczne","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49208765","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}