0000000000042873
AUTHOR
Piotr Gurowiec
Rationing of Nursing Care and Professional Burnout Among Nurses Working in Cardiovascular Settings
Introduction: Nursing needs close interpersonal contact with the patient and emotional involvement, therefore can contribute to professional burnout and rationing of nursing care.Aim: Assessing the relationship between the rationing of nursing care and professional burnout in nursing staff.Materials and Methods: The study included a group of 219 nurses working in cardiovascular facilities. This was a cross-sectional study designed to investigate the relationship between factors of the care rationing and professional burnout. The survey data was collected with standardised and research instruments such as the revised Basel Extent of Rationing of Nursing Care questionnaire (BERNCA-R) and the …
Airway management - a review of current methods, guidelines and equipment
Maintaining airway patency is an essential issue in many fields of medicine. The modern approach to CPR, which focuses on maintaining airway, breathing, and circulation was finally established by Peter Safar in his book ABC of Resuscitation (1950). At present, along with the development of evidence-based medicine, techniques which are proven to be clinically effective are regularly published in a convenient form – as bundles and guidelines. Regarding airway management, ERC and DAS guidelines are the most reliable and useful sources of knowledge and practical clinical advice. Among the medical staff, there is emphasis put on the mastery of AB C techniques. Airway management is the first step…
Factors Affecting Occupational Burnout Among Nurses Including Job Satisfaction, Life Satisfaction, and Life Orientation: A Cross-Sectional Study
Agnieszka Zborowska,1 Piotr Jerzy Gurowiec,2 Agnieszka Młynarska,3,4 Izabella Uchmanowicz1,5 1Department of Clinical Nursing, Wroclaw Medical University, Wroclaw, Poland; 2Institute of Health Sciences, University of Opole, Opole, Poland; 3Department of Gerontology and Geriatric Nursing, Medical University of Silesia, Katowice, Poland; 4Department of Electrocardiology, Upper Silesian Heart Centre, Katowice, Poland; 5Centre for Heart Diseases, Wroclaw Medical University, Wroclaw, PolandCorrespondence: Izabella UchmanowiczDepartment of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Bartla 5, Wroclaw, 51-618, PolandTel +48 71 784 18 05Fax +48 71 345 93 24Em…
Prevalence and predictors of secondary traumatic stress symptoms in health care professionals working with trauma victims: A cross-sectional study
Introduction Medical personnel is an occupational group that is especially prone to secondary traumatic stress. The factors conditioning its occurrence include organizational and work-related factors, as well as personal features and traits. The aim of this study was to determine Secondary Traumatic Stress (STS) indicators in a group of medical personnel, considering occupational load, job satisfaction, social support, and cognitive processing of trauma. Material and methods Results obtained from 419 medical professionals, paramedics and nurses, were analyzed. The age of study participants ranged from 19 to 65 (M = 39.60, SD = 11.03). A questionnaire developed for this research including q…
The knowledge of women with epilepsy on motherhood
Wstęp: Padaczka jest jedną z najczęstszych chorób neurologicznych. Na całym świecie cierpi na nią ok. 50 mln osób, z czego połowa to kobiety. Pomimo że ciąża w przebiegu epilepsji zaliczana jest do ciąż wysokiego ryzyka, na podstawie wielu obserwacji przyjmuje się, że szansa urodzenia zdrowego dziecka przez kobietę z padaczką wynosi ponad 90%, ale ryzyko wystąpienia wad wrodzonych jest 2–3-krotnie wyższe niż w przypadku ciąży u kobiety zdrowej. Wynika to głównie z faktu stosowania leków przeciwpadaczkowych. Materiał i metody: Badaniami objęto 139 kobiet chorych na padaczkę, w wieku od 18 do 40 lat, będących pod opieką poradni neurologicznych na terenie województwa śląskiego. Badania przepro…
Patient safety and nurse managers' competencies in decision making relating to rationing of care - the state of the art
To prevent potential health- or life-threatening events during patient care at every stage of hospitalisation, all possible causes that could lead to adverse events should be recognised by the highly qualified medical staff who are responsible for patient safety. The aim of this state-of-the-art paper is to summarise the issue of patient safety in the hospital and nurse managers’ competencies relating to rationing of care, and to discuss implementation of the evidence-based practice as the key foundation for the development and knowledge management of nursing care. Research evidence does not provide any innovative solutions to direct knowledge management in clinical settings. Therefore, we …
Optimistic thinking, satisfaction with life and job and nursing care rationing: Multicentre study in Poland
Aims: The aim was to examine whether the level of optimism and job and life satisfaction is a differentiating factor from the level of implicit rationing of nursing care in a sample of Polish registered nurses. Background: Satisfaction with life and job is reflected by greater effectiveness of nurses at work and creates a positive work environment, which in turn may modulate the level of implicit rationing of nursing care. Methods: A cross-sectional multicentre research design was adopted, employing a representative sample of 1,010 registered Polish nurses identified between the beginning of January and the end of June 2019. Four self-report scales were used in this study: Basel Extent of R…
Knowledge of neurologists and gynaecologists regarding reproductive and maternity issues in women with epilepsy
Background: Epilepsy is one of the most common neurological disorders, with more than 400,000 individuals in Poland (about 1% of the population) affected. Epilepsy complicates approximately 0.5% of pregnancies. Objective: To determine the level of knowledge that neurologists and gynaecologists have about reproductive and maternity issues for women with epilepsy. Material and methods: This study included 141 neurologists and physicians undergoing specialist training in neurology as well as 72 gynaecologists and physicians undergoing specialist training in gynaecology. A validated questionnaire was used to survey these neurologists and gynaecologists, who worked in Silesia Province. Results: …
Prevalence and determinants of secondary posttraumatic growth following trauma work among medical personnel: a cross sectional study.
ABSTRACT Background: People helping trauma victims as a part of their work may experience positive results, known as Secondary Posttraumatic Growth (SPTG). Aim: The present study aimed to determine the prevalence and determinants of SPTG among medical personnel, considering occupational load, job satisfaction, social support, and cognitive processing of trauma, understood as cognitive coping strategies. Methods: Subjects comprised 419 representatives of the medical profession, including paramedics and nurses. The age of the subjects varied from 19 to 65 (M = 39.60; SD = 11.03). Four standard measurement tools were utilized: the Secondary Posttraumatic Growth Inventory, the Job Satisfaction …
Positive and negative effects of trauma in patients after myocardial infarction : The role of type D personality
Background: Experiencing a myocardial infarction threatens the health and life of the patient; therefore, it can be perceived as a traumatic event. Indeed, myocardial infarction may result in negative consequences, including symptoms of posttraumatic stress disorder (PTSD). However, it is also possible to experience positive effects from traumatic events, which is expressed as posttraumatic growth. Personality characteristics, including type D (i.e., distressed) personality, are among several factors that have been shown determine the occurrence of negative and positive consequences after exposure to trauma. Aim of the study: The aim of the present study was to establish the role of distres…
Difficulties Perceived by ICU Nurses Providing End-of-Life Care: A Qualitative Study
Background: With advances in medicine and technology, intensive care units (ICUs) have the capacity to treat patients who would have previously not been expected to survive and would therefore not have been managed in ICUs. When an individual is not expected to survive, doctors and nurses face the modern ethical dilemma of death associated with withdrawal of life-supporting strategies. The aim of this study was to identify difficulties perceived by ICU nurses providing end-of-life care (EOLC) in Poland. Methods: The qualitative study was designed to investigate the difficulties, and the related barriers, to EOLC provided in ICUs in Poland. We conducted individual telephone interviews with I…