bluuebunny/crossref_metadata_2025_split huggingface dataset:
Psychiatric nurses’ experiences of patient aggression
Authors: Kołodziej Kinga , Lickiewicz Jakub , Jelonek Ewa , Mlocek Magdalena , Murzyn Małgorzata , Dudek Małgorzata 
Published: November 2023

Abstract

Introduction. Employees of psychiatric hospitals, especially the closed wards, experience aggression almost every day. Aggression in psychiatry is a particularly complex problem and is the subject of numerous studies. In this field of medicine, aggressive behavior of hospitalized patients is treated by the staff as an understandable, but undesirable component of work. The personnel’s confrontation with the above phenomenon is treated as a part of professional duties determined by the place of their performance.

Aim. The aim of the study was to determine the frequency of aggressive behaviors in patients and to assess their impact on nursing staff employed in psychiatric departments.

Material and methods. The study was conducted in 2017 in a group of nursing staff employed at the Clinical Hospital Dr Joseph Babinski in Cracow. The number of 196 nurses participated in the study. It was a cross-sectional study and consisted of one stage – the completion of the research tool by participants.

Results. The results showed that 94.39% of the respondents were a victim of aggressive behavior on the part of patients. The most common verbal aggression experienced by the respondents were: verbal taunts, the use of vulgar words by the hospitalized, using offensive nicknames and shouting at the staff, while physical were: destroying hospital property, attempting to hit, throwing objects and destroying own belongings.

Conclusions. The scale of the phenomenon of experiencing aggression on the part of patients in the group of nurses working in psychiatric departments indicates the need to conduct research into this subject and also to conduct staff training taking into account coping with aggressive behavior of patients.
Objective structured clinical examination in fundamentals of nursing and obstetric care as method of verification and assessing the degree of achievement of learning outcomes
Authors: Sochocka Lucyna , Niechwiadowicz-Czapka Teresa , Wojtal Mariola , Przestrzelska Monika , Kiersnowska Iwona , Szwamel Katarzyna 
Published: November 2023

Abstract

Aim. The aim of the study was (1) to assess the degree of preparedness of nursing and midwifery students for OSCE-type examinations (Objective Structured Clinical Examination), (2) to learn the opinions of students regarding examination in the form of the OSCE and (3) to learn about the emotions which accompany the examination.

Material and methods. The number of 160 (53.33%) nursing students and 140 (46.67%) midwifery students from 5 medical universities were studied. The diagnostic survey method and survey techniques were applied. An own questionnaire was used.

Results. Students were the best prepared to perform hygienic and nursing procedures (M=4.22, SD=0.85) and the least prepared to perform gastrointestinal procedures (M=3.03, SD=1.24). The majority (237/79%) claimed that the OSCE examiners should be lecturers from their home university. High marks were given to the quantity and quality of equipment prepared for the examination (232/77.34%) and knowledge of the rules and procedure of conducting the examination (226/75.33%). The OSCE examination was accompanied by high levels of stress (M=4.64, SD=0.78) and fear of making a mistake (M=4.54, SD=0.75). One of the lowest rated aspects of the OSCE exam by students was the time allocated to completing tasks (M=2.96, SD=1.21).

Conclusions. Because students rated low the time allocated to the tasks, the lecturers organizing the examination in the future should pay more attention to this aspect. From the very first semester, it is worth considering the introduction of classes in nursing and midwifery aimed at teaching effective ways of coping with stress.
Subjective assessment of the impact of COVID-19 on life aspects of healthcare workers in the emergency internal medicine clinic – case study
Authors: Kranjčević-Ščurić Mihaela , Ščurić Ivica , Filej Bojana 
Published: November 2023

Abstract

Aim. An aim was to study the impacts of COVID-19 on the lives of healthcare workers involved in treatment, care and diagnosis of positive patients.

Material and methods. The research was based on a qualitative research approach – a case study. Semi-structured interviews were performed with three healthcare workers from the emergency internal medicine clinic.

Results. The data obtained from the research can be summarized in 3 categories: the impact of COVID-19 on professional and private life and the impact of COVID-19 on personality and internal changes. Within the categories, another 14 subcategories were structured. The COVID-19 pandemic negatively affects all aspects of the lives of healthcare workers and generates negative emotions. The most commonly expressed emotion is fear; where fear for others, for existence and the future prevails. The epidemic also reflected on the inability to meet the basic human needs of the respondents.

Conclusions. To reduce the negative impact of pandemic on work, additional research is needed to assess its influence on employees. The research suggests the inclusion of psychological support as well as more extensive education for employees to reduce the possibility of burnout in the workplace, anxiety, depression and worries about existence.
Implementation of telenursing in the Slovak Republic
Authors: Kristová Jarmila , Bachratá Zuzana , Slezáková Zuzana , Miklovičová Emília 
Published: November 2023

Abstract

Aim. The aim of this study was to show on the example of good practice the possibilities of implementing telenursing in the nursing fields of neonatology and pediatrics. The new nursing approach was implemented by creating a website www.telesestra.sk. Such online counseling, consultancy and education, which was focused on the care for newborns and infants, were provided for six months.

Material and method. A method called content and quantitative analysis of text/document was chosen to fulfill the goal. In our case, the content and quantitative analysis was realized on the electronic document – a website, whose central part was comprised of the online counseling and professional articles with educational content primarily intended for mothers with children.

Results. The number of 2914 visitors showed interest in the website. As many as 36 questions were registered, which mainly focused on the issues with breastfeeding and care for newborns and infants.

Conclusions. Based on the example of good practice, the development of telenursing can also be supported in other fields, as well as drawing attention to education and training of nurses in the field of information and communication technologies and exchanging work experience with nurses from those countries, where telenursing is already an integral part of the health care system.
Methods for the effective symptom assessment to detect delirium by nursing staff and paramedics, regardless where health services are provided
Authors: Michalak Ksawery , Jaciubek Marzena 
Published: November 2023

Abstract

Introduction. Delirium is one of the qualitative disorders of consciousness, characterized by, inter alia, changeable course, inability to focus or disorganized thinking. It can occur among patients from various age groups. The risk factors for delirium include: age over 60 years, polypharmacy, sleep disorders, simultaneous presence of dementia, pain syndromes or dehydration. There are various types of delirium (depending on the level of activity), as well as various forms (including Delirium Tremens, Excited Delirium Syndrome).

Aim. The objective of this publication is to systematize knowledge about delirium and providing appropriate tools for assessing the occurrence of delirium in different patients, so as to simplify a quick and efficient detection of the disorder by medical personnel.

Conclusions. This publication describes tools that can be used in pre-hospital and in-hospital practice, including departments caring for critically ill patients, requiring, for example, mechanical ventilation (intensive care units, cardiac intensive care units, intensive toxicological supervision units, etc.). In addition, practical aspects have been taken into account, and solutions taken from other publications that can be implemented in daily work with the patient have been proposed – a combination of several tools for quick, easy and reliable detection of delirium in the subject.
Chronic hemodialysis patients at Fresenius Dialysis Centers from the Kuyavian-Pomeranian Voivodeship as primary health care and outpatient specialist care recipients – pilot study
Authors: Pluta Agnieszka , Stróżecki Paweł , Sulikowska Beata , Marcinkowski Wojciech 
Published: November 2023

Abstract

Introduction. Depending on the stage and progression of the disease, patients with chronic kidney disease (Przewlekła Choroba Nerek) – CKD receive care at various levels of the Polish healthcare system, including primary care (Podstawowa Opieka Zdrowotna) – PHC teams, specialist clinics (Ambulatoryjna Opieka Specjalistyczna) – AOS, hospitals, as well as dialysis and transplant centers. The study aimed at analyzing the use of PHC and AOS services by hemodialysis patients treated in Fresenius Dialysis Centers from Poland.

Material and methods. The study was based on a questionnaire survey and the Acceptance of Illness Scale questionnaire (Skala Akceptacji Choroby) – AIS. The total number of 159 patients participated in the study. The data was obtained from the Voivodeship Department of the National Health Fund on the use of PHC services in 2015, 2016 and 2017 by hemodialysis patients.

Results. The mean age of the respondents was 67.1±13.1 years. Almost all hemodialysis patients (98.7%) required additional treatment for CKD comorbidities. Over the last year before the survey, 5.7% of the respondents used PHC nursing services and no woman used PHC midwifery services. Participation in “Leki 75+” PHC program was indicated by 37.3% of those eligible. In the said period, AOS services were used by 66.7% of the respondents, including a greater percentage of urban rather than rural inhabitants (71.1% vs 58%; p<0.05).

Conclusions. Multiple morbidity and a high percentage of patients receiving AOS services in the analyzed period indicate the need to provide hemodialysis patients with coordinated care supervised by a dialysis center physician. Fulfilling PHC tasks by such physicians suggests the need to increase their numbers and to improve the financing of renal replacement therapy.
Self-management of chronic diseases: a concept analysis
Authors: Gosak Lucija , Vrbnjak Dominika , Pajnkihar Majda 
Published: November 2023

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.
Mobbing and its effects on the health of a selected sample of nurses in the Czech Republic
Authors: Václavíková Klára , Kozáková Radka 
Published: November 2023

AbstractIntroduction.Mobbing is a systemic problem that affects all work sectors, including the healthcare sector. Healthcare professionals are a group that is exposed to a high level of stress and thus, to the risk of negative situations in the workplace. The prevalence of mobbing in nurses is high. Mobbed nurses more often suffer from stressful headaches, insomnia, anxiety and describe depressive symptoms.Aim.The aim of this study is to determine the rate of mobbing in a selected sample of nurses and to describe how nurses perceive their state of health. To determine whether there is a statistically significant connection among the incidence of mobbing, perceived state of health, age of nurses and the length of their practice.Material and methods.A descriptive, cross-sectional study was performed. The standardized tools Negative Acts Questionnaire-Revised and General Health Questionnaire-28 were used. The research group consisted of nurses working in the acute care departments of selected medical facilities.Results.A total number of 715 nurses from all the regions of the Czech Republic participated in the study. The rate of nurses’ experience with negative acts in the workplace is 79.3%. Mobbed nurses report health disorders more often, especially in the area of somatic symptoms, anxiety, and insomnia. A higher number of negative acts are reported by younger nurses with a shorter period of overall nursing practice.Conclusions.The occurrence of mobbing in the selected sample of nurses in the Czech Republic was confirmed. Mobbed nurses perceive and report deteriorating of their health condition.
Assessment of the knowledge of female students of the Medical University of Warsaw regarding the prevention of HPV infections
Authors: Kalita-Kurzyńska Kinga , Duda-Zalewska Aneta 
Published: November 2023

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.
Evaluation of stress of parents of children with disability and without disability – pilot study
Authors: Benešová Petra , Sikorová Lucie 
Published: November 2023

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.
Social cohesion and an age-friendly environment determine the life satisfaction of elderly people in rural areas: an integrative review of the literature
Authors: Nedeljko Mihael , Perović Barbara Toplak , Kaučič Boris Miha 
Published: November 2023

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.
Educational level and self-reported competence of nurses in Slovakia
Authors: Červený Martin , Bednarek Anna , Dimunová Lucia , Siaki Leilani , Nagórska Małgorzata 
Published: November 2023

Abstract

Aim. The aim of this study was to explore the relationship between self-reported competences and the educational level of nurses in Slovakia.

Materials and methods. The 73-item NCS was translated into the Slovak language according to Brislin’s translation model, then electronic version of the tool was emailed to eligible nurses in the Slovak Republic registered with the Slovak Chamber of Nurses and Midwives (SkSaPA). Data were analysed in IBM SPSS version 22 using descriptive statistics, Student t-test, Kolmogorov-Smirnov, and Mann-Whitney U test.

Results. A total of 135 nurses, who work in the Slovak healthcare system, returned the surveys. Nurses with master’s degree reported greater confidence in “ensuring quality” and higher competence on the “managing situations” subscales than nurses without a master’s degree. This study found no other significant relationships between nursing educational levels and self-reported competence.

Conclusions. Master’s level education influences nursing competence in managing clinical situations and ensuring the quality of nursing care provided in Slovakia.
Nurse’s role in pharmacological pre-exposure prophylaxis of HIV infection
Authors: Bartkowiak Grzegorz , Kryczka Tomasz 
Published: November 2023

Abstract

Introduction. Reducing the number of new HIV infections is one of the challenges of modern health care. Advances in medicine have given rise to new methods of preventing the transmission of the infection. Pharmacological pre-exposure prophylaxis (PrEP) is one of them.

Aim. The aim of this paper is to discuss the principles of PrEP and to bring the role of a nurse closer in this regard.

Method. The safety and efficacy of PrEP have been demonstrated in clinical trials. At the same time, in accordance with the postulates of the WHO to transfer competencies related to the prevention of the spread of HIV to other health care professionals, models of PrEP provision by e.g. nurses, are being discussed.

Results. Pharmacological PrEP used in vulnerable groups at risk of HIV infection may help slow down the epidemic. Nurses have almost all the knowledge and clinical competence to provide PrEP services. Expanding the competence of nurses by including HIV diagnosis, prescription of medications approved for use as PrEP, and increasing the scope of decision-making in this type of prophylaxis will contribute to its popularisation in Poland, as well as increase the prestige of the profession and the possibilities of developing of advanced nursing practice.
Inflammatory changes in the oral mucosa as a side symptom of systemic treatment
Authors: Kamińska Katarzyna , Ścirka Natalia , Kamińska Marzena 
Published: November 2023

Abstract

Introduction. Introduction OM caused by systemic treatment is a major therapeutic problem. The related complications may cause complications in the course of planned treatment, which in turn may affect the prognosis and results of oncological treatment.

Aim. The aim of the study is to present the problem experienced by oncological patients undergoing systemic treatment.The paper describes the pathogenesis of oral mucositis, the current treat-ment standards and emphasizes the role of an oncology nurse in caring for a patient with symptoms of this disease.

Method. The paper reviews selected literature on stomatitis in cancer patients. Numerous clinical trials are conducted to search for drugs that could be used in the prevention and treatment – OM.

Summary. The development of oncological therapies, including targeted treatment and immunotherapy, significantly extended the life span of patients and the time free from disease progression. Appropriate prophylaxis, patient education, systematic observation allow for early detection of the disease, which allows for quick implementation of symptomatic treatment. The basis of successful oncological therapy is close cooperation the patient with the doctor and nurse, and active and conscious participation in the entire treatment and care proces.