bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Dedicated Education Units model in the practical education of midwifery students
Authors: Stefaniak Małgorzata , Dmoch-Gajzlerska Ewa 
Published: November 2023

Abstract

Aim. Identifying hindering and facilitating factors of introducing Dedicated Education Unit model in the process of midwifery students education at Medical University of Warsaw. Furthermore, to describe the experiences of project participants involved in the implementation and evaluation of Dedicated Education Units in Poland.

Material and methods. Six participants, who implemented the project of introducing DEU into practice classes at midwife course at Medical University of Warsaw, has taken part in qualitative descriptive research with focus groups. Four main questions have been chosen for the focus group. Data has been interpreted using thematic analysis.

Results. No obstacles preventing from implementing Dedicated Education Units model have been noticed. Among problems with implementing the following were mentioned: lack of awareness of the point of this model among midwives, time-consuming nature/overloaded mentors, lack of extra payment for being a mentor, underappreciation of a mentor in the working environment. Factors, which ease the implementation, were considered the following: cooperation, including concentration on common aims, good communication, proper organisation of the classes and creating a safe and supportive learning environment.

Conclusions. The Dedicated Education Units enables students to broaden and develop their practical skills in an exceptional way in safe and supporting educational environment. Using this model in practical education is one of the key elements in improving the quality of practical education for midwifery students.
Barriers of physical activity and consequences of inactivity in the population of nurses. A narrative review
Authors: Nerek Agnieszka , Wesołowska-Górniak Katarzyna , Czarkowska-Pączek Bożena 
Published: November 2023

Abstract

Aim. Nurses are the largest professional group among health care workers. They encounter numerous health problems resulting from the specificity of their professional activity, including musculoskeletal diseases, low quality of sleep, cardiovascular diseases or glucose intolerance, obesity and depressive symptoms. Physical exercise protects against these disorders, but the compliance with the WHO recommendations of physical activity is low among nurses. The main purpose of the review was to identify the most frequently appearing barriers to undertaking physical activity in nurses population.

Material and methods. The literature search of articles published from 1979-2020 in PubMed included the following Medical Subject Headings (MeSH): ‘Nurses’ or ‘Nursing Personnel’ or ‘Nursing Students’ or ‘Health Personnel’ or ‘Healthcare Workers’ or ‘Health Care Professionals’ or ‘Health Care Providers’; Physical Activity’ or ‘Physical Fitness’ or ‘Exercise’ or ‘Exercise Training’ or ‘Acute Exercise’ or ‘Aerobic Exercise’ or ‘Isometric Exercise’; ‘Barriers’ or ‘Benefits’.

Results. The lack of time, tiredness, family responsibilities, inconvenient facilities or schedule, but also stress, physical appearance concerns, the cost of facilities, interpersonal barriers and the lack of support are identified as barriers to exercise. Another barrier is also the lack of knowledge of the proper dose of physical activity.

Conclusions. Promoting physical activity among nurses seems to be necessary.
Mental resilience and intensification of depressive symptoms of nursing students at the Medical University of Warsaw in connection with the prevailing SARS-CoV-2 pandemic
Authors: Dudziak Agata , Piątek Tomasz 
Published: November 2023

Abstract

Aim. The aim of the study was to assess the state of mental resilience and intensification of depressive symptoms in group of students of nursing at the Medical University of Warsaw during the SARS-CoV-2 pandemic.

Material and methods. The study involved 130 students of nursing at the Medical University of Warsaw. The age of the group were for 19 to 49, the average age was 24.3 years. The validated questionnaires SPP-25 and PHQ-9 were used to assess the mental state and the level of resilience of students.

Results. 44,6% (n=58) of respondents consider that the pandemic definitely influenced the perception of oneself, and 55,7% (n=75) of students a significant decrease in motivation to act was observed. In 53,1% (n=69) of cases the pandemic had a significant impact on their relationships with other people. Almost three-quarters of respondents noted an essential impact of the pandemic on their daily life.

Conclusions. The level of resilience is negatively related to various aspects of life, the higher the level is the smaller changes were observed in various areas of life. The people who suffered from COVID-19 are characterized by higher level of depression and lower level of resilience.
Emotions at nurse`s work – non-systematic literature review
Authors: Koper Dorota , Dziedzic Beata , Kryczka Tomasz 
Published: November 2023

Abstract

Introduction. The performance of any job requires the expression of adequate emotions that are consistent with the roles assigned to a given position. This fact has led to an enormous interest in methods of expression and concealing emotions, especially in management, business, education and healthcare.

Aim. Discussion of the influence of emotional intelligence and emotional labour on the work of a nurse.

Material and methods. Literature databases were reviewed using the key words: “intelligence”, “emotional intelligence”, “emotional labour” and in combination with the word “nursing”.

Discussion. Emotional intelligence is critical to the quality of patient care. Nurses make an additional psychological effort that contributes to their professionalism and effectiveness, which is referred to as “emotional labour”. Due to the way this work is performed, two its types have been distinguished: “surface acting” and “deep acting”. The effects of both types of emotional labour differ significantly in favor of deep acting.

Conclusions. The relationships between nurses’ involvement in emotional labour and the quality of nursing services were found. However, little is known about how the emotional labour affects their own health, professional career or job satisfaction. Further research should be able to provide answers to these questions.
Nursing care provided to a patient diagnosed with schizophrenia, using the International Classification for Nursing Practice (ICNP®)
Authors: Pawłowski Piotr , Markiewicz Renata , Dobrowolska Beata 
Published: November 2023

Abstract

Introduction. Schizophrenia spectrum disorders are a major challenge for modern psychiatry. Epidemiological data indicate an increasing trend in the prevalence of such disorders, as well as other disorders from the schizophrenia spectrum. In a long-term perspective, this means that highly specialised (both nursing and medical) care, broadly understood community care, and innovative rehabilitation methods able to reduce cognitive and executive deficits will be necessary.

Aim. The aim of this paper is to propose the use of the International Classification for Nursing Practice (ICNP®) in the process of diagnosing and planning care for patients with schizophrenia.

Material and method. The paper is based on the individual case study method and for the analysis of the obtained data the following research techniques were used: interview, observation, measurement, documentation analysis. The research tools: Individual Nursing Care Card, Mental Health Assessment Card, SAD PERSONS Scale for Suicide Risk Assessment, Beck Depression Inventory (BDI), Global Assessment of Functioning (GAF), Hospital Anxiety and Depression Scale (HADS), and C-HOBIC Fatigue Assessment Scale.

Results. The collected data allow the formulation of 15 diagnoses in accordance with ICNP®. For the three selected diagnoses, a nursing care plan was drawn up, which included, depending on the patient’s needs, nursing interventions.

Conclusions. ICNP® as a classification of nursing diagnoses allows the drafting of nursing diagnoses related to the mental state of the subject of care; various interventions provide a large selection of them.
Maternal quality of life in the postpartum period
Authors: Kanadys Katarzyna , Giermasińska Angelika , Pytka Monika Barbara , Pilewska-Kozak Anna B. 
Published: November 2023

Abstract

Introduction. Quality of life is a concept which can be considered from an objective and subjective perspective. The level of life quality is determined by a number of factors, both those dependent on us and those beyond our control.

Aim. Reports in the literature indicate that changes in the biological, psychological, and social spheres that occur during pregnancy and the postpartum period can affect women’s quality of life. Therefore, a study was undertaken to evaluate the relation between the quality of life of women in the postpartum period and socio-demographic variables.

Material and method. The study included 350 postpartum women. The research method was a diagnostic survey carried out with the use of the Polish version of EQ-5D-5L Health Questionnaire, which is a standardized tool, and an original questionnaire was used to collect the socio-demographic data.

Results. Postpartum women were mainly characterized by high and average levels of quality of life. Encouragingly, only one in ten postpartum women in the present study experienced a low level of quality of life. Perception of quality of life of postpartum women was differentiated by their occupational status and financial situation. Women who were studying or learning and those who declared being in a worse financial situation predominated in the group with a low quality of life. Other variables, such as age, level of education and marital status, did not affect the quality of life of postpartum women.
Analysis of the influence of intergenerational differences on cross-generational cooperation among nurses
Authors: Pawlak Natalia , Serafin Lena , Czarkowska-Pączek Bożena 
Published: November 2023

Abstract

Introduction. The professional group of nurses is characterized by generational diversity. Representatives of different age groups have similar attitudes and values shaped by the socio-cultural environment. Understanding the differences between generations and building multi-generational teams help in providing nursing services of the highest level.

Aim. The aim of the study was to analyze the influence of generational differences on intergenerational cooperation among nurses.

Material and methods. A non-systematic review and analysis of published articles both in Polish and English.

Discussion. Each generation has its own values and beliefs. Therefore, behavior and nursing practice may differ among generations. There are many challenges in multi-generational work environments, e.g. team communication, conflicts, work-life balance, and the ability to learn from colleagues with regards to everyday nursing practice and the use of technology. The main intergenerational differentiation can be seen in attitudes to work and professional development, communication, leadership and management.

Summary. Managing a team should involve identification of the employees’ strengths, while addressing their weaknesses in certain skills. The support of mentors and development opportunities are crucial aspects of work for nurses at the beginning of their career. The effectiveness of team communication can be increased by encouraging open communication with respect for members of each generation. Promoting the exchange of knowledge and work experience in daily nursing practice will help each generation achieve its full potential, which will, in turn, enable the provision of both high quality patient care and employee satisfaction.
Evidence-based nursing home care for a patient with stage IV non-small cell lung cancer with coexisting diabetes mellitus
Authors: Chmielowska Bożena , Dziubaszewska Renata , Hajdon Aleksandra , Makowicz Dawid 
Published: November 2023

Abstract

Introduction. Lung cancer is one of the most common malignant neoplasms in humans, while type 2 diabetes is a common civilization disease of the 21st century.

Aim. The aim of the study was to present the role of a nurse in caring for a patient with advanced lung cancer and coexisting type 2 diabetes.

Material and methods. The study used the case study method and literature analysis, as well as the following research techniques: interview, observation, document analysis, measurement, physical examination. Also, 15 scales were used to assess the patient’s health.

Results. Nursing care for a patient with lung cancer and diabetes was focused mainly on preventing complications and disease progression, and was primarily focused on providing professional help, mental support, activities aimed at maintaining physical activity and independence in everyday activities, and, above all, on shaping the skills of self-control and self-care.

Conclusions. Nursing care for a patient with lung cancer and co-occurring diabetes, due to the chronic aspect of both diseases, focuses mainly on taking measures to prevent complications as well as educating and motivating pro-health behaviour.
Coping with child’s disease by children and their parents (guardians) – a systematic review of the literature
Authors: Bąk Jadwiga , Zarzycka Danuta 
Published: November 2023

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.
Holistic nursing care for children with Guillain-Barré syndrome: a five-year retrospective analysis in five Croatian hospitals
Authors: Apatić Renata , Kužnik Kristina , Lovrić Robert 
Published: November 2023

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.
Novice nurses’ leadership competence: a cross-sectional study
Authors: Kalbarczyk Agnieszka , Serafin Lena , Czarkowska-Pączek Bożena 
Published: November 2023

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.
Medical simulation as an educational tool in the opinion of nursing students
Authors: Tomaszewska Katarzyna , Majchrowicz Bożena 
Published: November 2023

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.
Health problems of the patient after oncological treatment for osteosarcoma with persistent thymus
Authors: Hajdon Aleksandra , Dziubaszewska Renata , Chmielowska Bożena , Makowicz Dawid 
Published: November 2023

Abstract

Introduction. Bone sarcomas, as rare tumour types, constitute only about 1% of malignant tumours. The treatment process is an additional burden on the human body, especially at a young age. The surgery has a long-term effect on the patient’s mobility and requires great effort and motivation to regain physical fitness. The discomfort resulting from having a persistent thymus gland makes it significantly more difficult for patients to return to their precancerous state.

Aim. The aim of this study is to diagnose the patient’s health problems resulting from the presence of persistent thymus gland and a history of oncological treatment for osteosarcoma, together with the presentation of measures to improve functioning in daily life.

Material and methods. The research method of the individual case study and the research techniques used were: interview, observation, measurement and analysis of medical records. Additionally, 9 scales were used, which allowed for a comprehensive assessment of the patient’s health status.

Results and summary. The following health problems were identified: dyspnoea, cough, muscle weakness, pain in the spine and left lower limb, dizziness and fatigue. Close cooperation of the interdisciplinary team, the patient and her relatives and a holistic approach is the key to developing an effective care plan together with tailoring such therapeutic and caring activities that increase the patient’s comfort of life.
Clinical and laboratory characteristics of patients with paediatric inflammatory multisystem syndrome temporally associated with COVID-19 (PIMS-TS)
Authors: Kowalska Aleksandra , Lewicka Marta , Kurylak Andrzej 
Published: November 2023

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.
The questionnaire for evaluating the quality of life of family members in neurology: Psychometric properties of the Czech version of the PNDQOL_FM
Authors: Bužgová Radka , Kozáková Radka 
Published: November 2023

Abstract

Aim. The aim of the research was to validate the Quality of Life Questionnaire for family members of patients with progressive neurological disease PNDQoL_FM.

Material and methods. To analyze the psychometric properties of the questionnaire, a confirmatory factor analysis (convergent validity of the questionnaire) was used, together with internal consistency of the scales (reliability), retest reliability, and correlation analysis. The research sample comprised of 157 family members of patients with PND.

Results. The psychometric properties of the PNDQoL_FM questionnaire were found satisfactory. The best concordance of a model and the data (CFI: 0.989; TLI: 0.973; RMSEA: 0.063; SRMR: 0.030; GFI: 0.977) was found for the model 2, where four domains of the functional scale were tested, i.e. activities of daily living, emotional functioning, social functioning, and spiritual area. The reliability of the individual subscales was also found satisfactory (Cronbach α: 0.735-0.923). The retest reliability was determined to be satisfactory for all domains as well (r>0.7).

Conclusions. The questionnaire PNDQoL_FM could be used for both research and clinical practice. The assessment of the quality of life of the PND patients’ family members may be a convenient indicator of the quality of provided care.