Pub Date : 2022-12-29DOI: 10.15225/pnn.2022.11.4.3
L. Grzelak, S. Grzyb, Wiktoria Fiał
Introduction. Recently, the incidence of brain glial tumours has increased significantly worldwide. Gliomas are among the most malignant types of tumours of the central nervous system. Patients diagnosed with glial tumours have a very unfavourable prognosis leading to death, and the course of the disease itself has a negative impact on their physical, mental and social condition. Aim. The aim of this study was to determine the effect of the results of histological and genetic tests as well as the degree of resection of primary CNS tumours on the survival of patients undergoing neurosurgery and complementary oncological treatment — pharmacology and radiotherapy. Material and Methods. The research was carried out on the basis of an analysis of medical records (2019–2021) of 63 adult patients from the Department of Neurosurgery of the Specialist Municipal Hospital of Nicolaus Copernicus in Toruń. The study group included patients who had been diagnosed with a primary brain tumour and had undergone neurosurgery and complementary oncological treatment. The analysis of medical documentation consisted in comparing the results of histopathological tests with the results of specialized molecular tests and correlating them with the survival time of patients. The statistical analysis was carried out using the Pearson correlation, statistical inference was made at the significance level of p=0.05. Results. Based on the obtained results, it was found that the presence of MGMT gene promoter methylation (r=0.30, p=0.018) and IDH mutation (r=0.38, p=0.002) correlated positively with survival. The extent of resection also had a significant impact on patient survival (r=0.55, p<0.001). Patients who underwent complete tumour resection survived an average of 19.34 months, while those who underwent biopsy survived for 7.94 months. Conclusions. The data collected during the conducted analyses may be important for the prognosis perspective and the selection of the optimal treatment strategy for both current and future patients. (JNNN 2022;11(4):162–166)
{"title":"Genetic Profile of Primary Brain Tumours and the Degree of Their Resection Versus Survival of Patients Undergoing Surgery and Complementary Oncological Treatment","authors":"L. Grzelak, S. Grzyb, Wiktoria Fiał","doi":"10.15225/pnn.2022.11.4.3","DOIUrl":"https://doi.org/10.15225/pnn.2022.11.4.3","url":null,"abstract":"Introduction. Recently, the incidence of brain glial tumours has increased significantly worldwide. Gliomas are among the most malignant types of tumours of the central nervous system. Patients diagnosed with glial tumours have a very unfavourable prognosis leading to death, and the course of the disease itself has a negative impact on their physical, mental and social condition.\u0000Aim. The aim of this study was to determine the effect of the results of histological and genetic tests as well as the degree of resection of primary CNS tumours on the survival of patients undergoing neurosurgery and complementary oncological treatment — pharmacology and radiotherapy.\u0000Material and Methods. The research was carried out on the basis of an analysis of medical records (2019–2021) of 63 adult patients from the Department of Neurosurgery of the Specialist Municipal Hospital of Nicolaus Copernicus in Toruń. The study group included patients who had been diagnosed with a primary brain tumour and had undergone neurosurgery and complementary oncological treatment. The analysis of medical documentation consisted in comparing the results of histopathological tests with the results of specialized molecular tests and correlating them with the survival time of patients. The statistical analysis was carried out using the Pearson correlation, statistical inference was made at the significance level of p=0.05.\u0000Results. Based on the obtained results, it was found that the presence of MGMT gene promoter methylation (r=0.30, p=0.018) and IDH mutation (r=0.38, p=0.002) correlated positively with survival. The extent of resection also had a significant impact on patient survival (r=0.55, p<0.001). Patients who underwent complete tumour resection survived an average of 19.34 months, while those who underwent biopsy survived for 7.94 months.\u0000Conclusions. The data collected during the conducted analyses may be important for the prognosis perspective and the selection of the optimal treatment strategy for both current and future patients. (JNNN 2022;11(4):162–166)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82434334","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}
Pub Date : 2022-12-29DOI: 10.15225/pnn.2022.11.4.5
M. Michalak, Grażyna Frysiak, Magdalena Kazimierska-Zając
Introduction. Neuroborreliosis is an insidious disease. It is often confused with other neurological diseases. Diagnosis is possible when the following are present: neurological symptoms indicative of neuroborreliosis, pleocytosis in CSF, and production of antibodies to Borrelia burgdorferi in CSF. Aim. To assess the health situation and determine the nursing needs of a patient with femoral nerve damage during neuroborreliosis. Case Report. A 31-year-old woman was admitted to the Department of Neurology as an elective patient. On the basis of the clinical picture, elevated levels of protein and lymphocytic cells in the examination of cerebrospinal fluid and the demonstrated intrathecal synthesis of antibodies against Borrelia diagnosed neuroborreliosis with damage to the left femoral nerve. Observation, interview, and analysis of medical records were used to identify nursing problems correctly. The scales used were: the NRS Rating Scale (pain intensity), Lovett Scale (muscle strength assessment), Hospital Anxiety and Depression Scale Questionnaire (a modified version of the HADS scale to assess anxiety and depression), AIS Scale (to assess insomnia), Baxter Scale (to monitor and assess the risk of complications associated with venous cannulation). Conclusions. Dorothea Orem’s nursing theory is appropriate for a patient with neuroborreliosis. The patient’s main problems are: experiencing pain, difficulty in movement, and mental deterioration. The disease and related treatment and hospitalization influence bio-psycho-social deterioration. Holistic nursing management should be adapted to the patient’s changing condition. Care includes activities aimed at nullifying the effects of the disease, providing emotional support, and education regarding proper rehabilitation management and prevention of Lyme disease. (JNNN 2022;11(4):174–179)
{"title":"Femoral Nerve Injury during Neuroborreliosis — Nursing Care. Case Report","authors":"M. Michalak, Grażyna Frysiak, Magdalena Kazimierska-Zając","doi":"10.15225/pnn.2022.11.4.5","DOIUrl":"https://doi.org/10.15225/pnn.2022.11.4.5","url":null,"abstract":"Introduction. Neuroborreliosis is an insidious disease. It is often confused with other neurological diseases. Diagnosis is possible when the following are present: neurological symptoms indicative of neuroborreliosis, pleocytosis in CSF, and production of antibodies to Borrelia burgdorferi in CSF. \u0000Aim. To assess the health situation and determine the nursing needs of a patient with femoral nerve damage during neuroborreliosis. \u0000Case Report. A 31-year-old woman was admitted to the Department of Neurology as an elective patient. On the basis of the clinical picture, elevated levels of protein and lymphocytic cells in the examination of cerebrospinal fluid and the demonstrated intrathecal synthesis of antibodies against Borrelia diagnosed neuroborreliosis with damage to the left femoral nerve. Observation, interview, and analysis of medical records were used to identify nursing problems correctly. The scales used were: the NRS Rating Scale (pain intensity), Lovett Scale (muscle strength assessment), Hospital Anxiety and Depression Scale Questionnaire (a modified version of the HADS scale to assess anxiety and depression), AIS Scale (to assess insomnia), Baxter Scale (to monitor and assess the risk of complications associated with venous cannulation). \u0000Conclusions. Dorothea Orem’s nursing theory is appropriate for a patient with neuroborreliosis. The patient’s main problems are: experiencing pain, difficulty in movement, and mental deterioration. The disease and related treatment and hospitalization influence bio-psycho-social deterioration. Holistic nursing management should be adapted to the patient’s changing condition. Care includes activities aimed at nullifying the effects of the disease, providing emotional support, and education regarding proper rehabilitation management and prevention of Lyme disease. (JNNN 2022;11(4):174–179)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73126401","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}
Pub Date : 2022-12-29DOI: 10.15225/pnn.2022.11.4.1
A. Królikowska, Małgorzata Słomińska, J. Furtak
Introduction. The main symptom of lumbar disc herniation is pain, which particularly hinders the functioning of the patient. Functional capacity should be understood as the ability to be independent of other people in meeting basic needs, such as: movement, nutrition, controlling the body’s physiological activities or performing hygiene activities. Aim. The aim of the study was to assess the functioning of patients after lumbar spine surgery in the early postoperative period. Material and Methods. The study included a group of 52 adult patients after lumbar spine surgery performed at the Department of Neurosurgery of the 10th Military Clinical Hospital with the Polyclinic of the SP ZOZ in Bydgoszcz. The method of diagnostic survey was used, the tools were: interview questionnaire, VAS scale, Roland-Morris Low Back Pain Questionnaire, Oswestry Questionnaire and Beck Depression Scale. Results. More than half of the examined patients after lumbar spine surgery felt the intensity of pain at the average level, very strong pain affected nearly 10% (mean 4.44; SD 2.03). According to the Roland-Morris Low Back Pain Questionnaire, nearly 60% of patients showed a moderate level of disability and 35% a high level of disability (mean 15.33; SD 3.85). According to the Oswestry Questionnaire, 53% of patients had moderate disability, 31% had severe disability (mean 54.7%, SD 11.3%). 83% of respondents did not show symptoms of depression (mean 6.98; SD 5.63). Conclusions. The functional capacity of patients after surgery of the lumbar spine turned out to be low, a large part of the respondents showed a medium and high degree of disability. The degree of disability increased with the severity of pain. (JNNN 2022;11(4):147–153)
{"title":"Functional Capacity of Patients Operated on Due to Lumbar Discopathy in the Early Postoperative Period","authors":"A. Królikowska, Małgorzata Słomińska, J. Furtak","doi":"10.15225/pnn.2022.11.4.1","DOIUrl":"https://doi.org/10.15225/pnn.2022.11.4.1","url":null,"abstract":"Introduction. The main symptom of lumbar disc herniation is pain, which particularly hinders the functioning of the patient. Functional capacity should be understood as the ability to be independent of other people in meeting basic needs, such as: movement, nutrition, controlling the body’s physiological activities or performing hygiene activities. \u0000Aim. The aim of the study was to assess the functioning of patients after lumbar spine surgery in the early postoperative period. \u0000Material and Methods. The study included a group of 52 adult patients after lumbar spine surgery performed at the Department of Neurosurgery of the 10th Military Clinical Hospital with the Polyclinic of the SP ZOZ in Bydgoszcz. The method of diagnostic survey was used, the tools were: interview questionnaire, VAS scale, Roland-Morris Low Back Pain Questionnaire, Oswestry Questionnaire and Beck Depression Scale. \u0000Results. More than half of the examined patients after lumbar spine surgery felt the intensity of pain at the average level, very strong pain affected nearly 10% (mean 4.44; SD 2.03). According to the Roland-Morris Low Back Pain Questionnaire, nearly 60% of patients showed a moderate level of disability and 35% a high level of disability (mean 15.33; SD 3.85). According to the Oswestry Questionnaire, 53% of patients had moderate disability, 31% had severe disability (mean 54.7%, SD 11.3%). 83% of respondents did not show symptoms of depression (mean 6.98; SD 5.63). \u0000Conclusions. The functional capacity of patients after surgery of the lumbar spine turned out to be low, a large part of the respondents showed a medium and high degree of disability. The degree of disability increased with the severity of pain. (JNNN 2022;11(4):147–153)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75296903","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}
Pub Date : 2022-12-01DOI: 10.15225/pnn.2022.11.3.4
Robert Ślusarz
Introduction. Clinimetrics is a field of medical knowledge aimed at developing and using measuring tools (scales) to assess the condition of a patient. Using clinimetric scales, a nurse, based on her/his knowledge, skills and experience, is able to determine the patient’s condition, potential health problems and establish a care plan based on a nursing diagnosis. Aim. The main aim of the research was to analyse the use of measurement tools in the practice of a neurosurgical nurse. Material and Methods. The study was conducted on a group of 93 nurses employed in 6 neurosurgical centres located in the Kuyavian-Pomeranian voivodeship. The study used the diagnostic survey method, using the survey technique. In order to obtain an answer to the main objective of the research, a questionnaire was constructed consisting of a general part (demographic data) and a detailed part (data concerning measurement tools). Results. It was found that 68 (73%) neurosurgical nurses use measuring tools (scales) to assess the condition of the patient in their professional practice. The most popular scales are: Glasgow Coma Scale — GCS (93 — 100% of responses), Barthel Index — BI (56 — 60% of responses), Kurtzke Extended Disability Status Scale (43 — 46% of responses) and Mini Mental State Examination (MMSE) (38 — 40% of responses). A statistically significant relationship was found between the use of measuring tools (scales) and education (< 0.0001) and specialization by nurses (< 0.0001). There was no dependence on age (p < 0.05) and seniority (p < 0.05) of nurses. Conclusions. More than half of the surveyed neurosurgical nurses use measuring tools (scales) in their professional practice to assess the patient’s condition. The most popular measuring tool (scale) is the Glasgow Coma Scale (GCS). A relationship was observed between education and specialization and the use of measuring tools (scales) to assess the condition of a patient in professional practice. (JNNN 2022;11(3):124–129)
{"title":"The Use of Clinimetrics in the Practice of a Neurosurgical Nurse. Preliminary Reports","authors":"Robert Ślusarz","doi":"10.15225/pnn.2022.11.3.4","DOIUrl":"https://doi.org/10.15225/pnn.2022.11.3.4","url":null,"abstract":"Introduction. Clinimetrics is a field of medical knowledge aimed at developing and using measuring tools (scales) to assess the condition of a patient. Using clinimetric scales, a nurse, based on her/his knowledge, skills and experience, is able to determine the patient’s condition, potential health problems and establish a care plan based on a nursing diagnosis. \u0000Aim. The main aim of the research was to analyse the use of measurement tools in the practice of a neurosurgical nurse. \u0000Material and Methods. The study was conducted on a group of 93 nurses employed in 6 neurosurgical centres located in the Kuyavian-Pomeranian voivodeship. The study used the diagnostic survey method, using the survey technique. In order to obtain an answer to the main objective of the research, a questionnaire was constructed consisting of a general part (demographic data) and a detailed part (data concerning measurement tools). \u0000Results. It was found that 68 (73%) neurosurgical nurses use measuring tools (scales) to assess the condition of the patient in their professional practice. The most popular scales are: Glasgow Coma Scale — GCS (93 — 100% of responses), Barthel Index — BI (56 — 60% of responses), Kurtzke Extended Disability Status Scale (43 — 46% of responses) and Mini Mental State Examination (MMSE) (38 — 40% of responses). A statistically significant relationship was found between the use of measuring tools (scales) and education (< 0.0001) and specialization by nurses (< 0.0001). There was no dependence on age (p < 0.05) and seniority (p < 0.05) of nurses. \u0000Conclusions. More than half of the surveyed neurosurgical nurses use measuring tools (scales) in their professional practice to assess the patient’s condition. The most popular measuring tool (scale) is the Glasgow Coma Scale (GCS). A relationship was observed between education and specialization and the use of measuring tools (scales) to assess the condition of a patient in professional practice. (JNNN 2022;11(3):124–129)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85819376","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}
Pub Date : 2022-12-01DOI: 10.15225/pnn.2022.11.3.2
K. Kwiecień-Jaguś, Daria Lach, R. Piotrkowska, W. Mędrzycka-Dąbrowska, Monika Kopeć
Introduction. Good quality of sleep and feeling well are important issues for health and employee productivity especially for people with highly demanding jobs. Nursing personnel have to confront with significant mental and physical challenges. Shift work can lead to many health problems including: anxiety, insomnia, obesity or high blood pressure. Aim. The study examined the occurrence of sleep disorders among nursing personnel employed in operating theatres and intensive therapy units. Material and Methods. The study was prospective, comparative and descriptive nature. The project was carried out between January 1th and April 31th 2019. The study covered 180 medical personnel employed in Anaesthesiology and Intensive Therapy Departments in five different hospitals. Data were collected on the basis of a standardised tool of the Athens Insomnia Scale (AIS) as well as an original interview questionnaire. Results. The study showed that 65.6% (N = 118) of respondents experienced sleeping problems, manifested by frequent awakenings at night. For more than forty-five percent (45.6%; N = 82) of nurses, the time of their sleep is not sufficient, and more than 60% (N = 109) of respondents feel sleepiness. The in-depth analyses provide a statistically significant dependence between the quality of sleep and the use of sleeping drugs (Z = –1.95; p = 0.050). Conclusions. A nursing personnel working in the intensive therapy and operating room theatre wards suffer from sleep disorders related to insomnia; the symptoms of insomnia in this professional group include awakening at night and sleepiness during the day; male nurses have a far better quality of sleep compared to females nurses. (JNNN 2022;11(3):105–113)
{"title":"Analysis of Sleep Disorder Occurrence among Anaesthesiology Nurses Employed in Operating Theatres and Intensive Therapy Wards – a Prospective, Comparative Study Design using the Athens Insomnia Scale","authors":"K. Kwiecień-Jaguś, Daria Lach, R. Piotrkowska, W. Mędrzycka-Dąbrowska, Monika Kopeć","doi":"10.15225/pnn.2022.11.3.2","DOIUrl":"https://doi.org/10.15225/pnn.2022.11.3.2","url":null,"abstract":"Introduction. Good quality of sleep and feeling well are important issues for health and employee productivity especially for people with highly demanding jobs. Nursing personnel have to confront with significant mental and physical challenges. Shift work can lead to many health problems including: anxiety, insomnia, obesity or high blood pressure. \u0000Aim. The study examined the occurrence of sleep disorders among nursing personnel employed in operating theatres and intensive therapy units. \u0000Material and Methods. The study was prospective, comparative and descriptive nature. The project was carried out between January 1th and April 31th 2019. The study covered 180 medical personnel employed in Anaesthesiology and Intensive Therapy Departments in five different hospitals. Data were collected on the basis of a standardised tool of the Athens Insomnia Scale (AIS) as well as an original interview questionnaire. \u0000Results. The study showed that 65.6% (N = 118) of respondents experienced sleeping problems, manifested by frequent awakenings at night. For more than forty-five percent (45.6%; N = 82) of nurses, the time of their sleep is not sufficient, and more than 60% (N = 109) of respondents feel sleepiness. The in-depth analyses provide a statistically significant dependence between the quality of sleep and the use of sleeping drugs (Z = –1.95; p = 0.050). \u0000Conclusions. A nursing personnel working in the intensive therapy and operating room theatre wards suffer from sleep disorders related to insomnia; the symptoms of insomnia in this professional group include awakening at night and sleepiness during the day; male nurses have a far better quality of sleep compared to females nurses. (JNNN 2022;11(3):105–113)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"110 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80618306","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}
Pub Date : 2022-12-01DOI: 10.15225/pnn.2022.11.3.5
Şengül Korkmaz Binay, Umut Devrim Binay, Ebru Yıldız Karadeniz
Introduction. Meningitis is an infectious disease that seriously affects the health of the individual, can cause mortality and can be treated with emergency intervention. Aim. The aim of this study is to evaluate the holistic and systematic nursing care process of the patient with the diagnosis of meningitis on the basis of the described case, in line with the nursing model. Case Report. This is the case study of a male patient who was treated with the diagnosis of meningitis in the infectious diseases and clinical microbiology clinic. Nursing problems were determined and a care plan was created by interviewing the patient and his physician, observing and assessment with Model of Nursing Based on Activities of Living. Results. The patient, who has fever, chills, nausea, headache, neck stiffness and left ear discharge, was admitted to the Infectious Diseases and Clinical Microbiology clinic and treated. NANDA-I (North American Nursing Diagnosis Association-International) nursing diagnoses determined specifically for the patient by using the Activities of Living Model developed by Roper, Logan and Tierney are acute pain, fever, nausea, lack of knowledge, fatigue, sleep pattern disruption and risk of falling. Conclusions. Accurate and complete data were collected using the nursing model/theory. Nursing interventions applied specifically to the patient were found to be effective. The patient’s problems were improved. Thanks to the interdisciplinary collaboration, a medical diagnosis of meningitis was made and appropriate medical treatment and nursing care was administered. The patient was discharged with recommendations for outpatient control. (JNNN 2022;11(3):130–136)
{"title":"Meningitis and Nursing Care According to the Model of Nursing Based on Activities of Living: a Case Report","authors":"Şengül Korkmaz Binay, Umut Devrim Binay, Ebru Yıldız Karadeniz","doi":"10.15225/pnn.2022.11.3.5","DOIUrl":"https://doi.org/10.15225/pnn.2022.11.3.5","url":null,"abstract":"Introduction. Meningitis is an infectious disease that seriously affects the health of the individual, can cause mortality and can be treated with emergency intervention. \u0000Aim. The aim of this study is to evaluate the holistic and systematic nursing care process of the patient with the diagnosis of meningitis on the basis of the described case, in line with the nursing model. \u0000Case Report. This is the case study of a male patient who was treated with the diagnosis of meningitis in the infectious diseases and clinical microbiology clinic. Nursing problems were determined and a care plan was created by interviewing the patient and his physician, observing and assessment with Model of Nursing Based on Activities of Living. \u0000Results. The patient, who has fever, chills, nausea, headache, neck stiffness and left ear discharge, was admitted to the Infectious Diseases and Clinical Microbiology clinic and treated. NANDA-I (North American Nursing Diagnosis Association-International) nursing diagnoses determined specifically for the patient by using the Activities of Living Model developed by Roper, Logan and Tierney are acute pain, fever, nausea, lack of knowledge, fatigue, sleep pattern disruption and risk of falling. \u0000Conclusions. Accurate and complete data were collected using the nursing model/theory. Nursing interventions applied specifically to the patient were found to be effective. The patient’s problems were improved. Thanks to the interdisciplinary collaboration, a medical diagnosis of meningitis was made and appropriate medical treatment and nursing care was administered. The patient was discharged with recommendations for outpatient control. (JNNN 2022;11(3):130–136)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81853931","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}
Pub Date : 2022-12-01DOI: 10.15225/pnn.2022.11.3.1
Aleksandra Kurta-Nowicka, K. Jaracz
Introduction. The Covid-19 pandemic was a crisis situation that strained the health system. It carried a high risk of negative consequences, but there are also chances that some positive aspects will emerge, known as the post-traumatic growth phenomenon. Aim. The main aim of the study was to document and analyse the positive work experience of nursing staff in Poland gained in the period of the Covid-19 pandemic. Material and Methods. A qualitative study was conducted using the empirical phenomenological approach. The study involved a group of 215 nurses from different regions of Poland, including 209 women and 6 men aged between 22 and 65 years. They worked in hospital wards and in primary care. The study was carried out using an online survey method with subjects allowed to add comments. The results were subjected to content analysis. Results. During the analysis of the material, 10 thematic categories emerged, i.e. remuneration, professional development, team integration, epidemiological principles, adaptation to new conditions, lack of visits, assistance, improvement of work organisation, staff shortages and telemedicine. Conclusions. Based on the results of this study, it was indicated that nurses observe some positive experiences in relation to working during the pandemic. The results of this study can provide a starting point for further analyses that may be used to organise the work of nursing staff. (JNNN 2022;11(3):99–104)
{"title":"Positive Experiences of Nurses Working During the Covid-19 Pandemic","authors":"Aleksandra Kurta-Nowicka, K. Jaracz","doi":"10.15225/pnn.2022.11.3.1","DOIUrl":"https://doi.org/10.15225/pnn.2022.11.3.1","url":null,"abstract":"Introduction. The Covid-19 pandemic was a crisis situation that strained the health system. It carried a high risk of negative consequences, but there are also chances that some positive aspects will emerge, known as the post-traumatic growth phenomenon. \u0000Aim. The main aim of the study was to document and analyse the positive work experience of nursing staff in Poland gained in the period of the Covid-19 pandemic. \u0000Material and Methods. A qualitative study was conducted using the empirical phenomenological approach. The study involved a group of 215 nurses from different regions of Poland, including 209 women and 6 men aged between 22 and 65 years. They worked in hospital wards and in primary care. The study was carried out using an online survey method with subjects allowed to add comments. The results were subjected to content analysis. \u0000Results. During the analysis of the material, 10 thematic categories emerged, i.e. remuneration, professional development, team integration, epidemiological principles, adaptation to new conditions, lack of visits, assistance, improvement of work organisation, staff shortages and telemedicine. \u0000Conclusions. Based on the results of this study, it was indicated that nurses observe some positive experiences in relation to working during the pandemic. The results of this study can provide a starting point for further analyses that may be used to organise the work of nursing staff. (JNNN 2022;11(3):99–104)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78739036","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}
Pub Date : 2022-12-01DOI: 10.15225/pnn.2022.11.3.6
M. Biercewicz
According to the WHO definition, a fall is defined as an event that causes a person to accidentally land on the ground, floor or other lower level. A fall can cause serious physical injury and may result in death. Neurological diseases, including Parkinson’s disease, stroke or dementia, due to their course, significantly increase the risk of occurrence of this dangerous event. One of the important problems to which attention should be paid in these diseases, unfortunately not very often noticed, are falls. The aim of the study is to present the problem of falls in a group of elderly people with accompanying selected neurological diseases (Parkinson’s disease, stroke, Alzheimer’s disease), as well as the possibility of their assessment and prevention based on the analysis of the available literature on the subject (literature). According to the literature on the subject, falls are a common problem in neurological diseases, in particular Parkinson’s disease, stroke and Alzheimer’s disease. The frequency of falls that patients experience within one year of the onset of the diseases is high and increases with the progression of the disease. The occurrence of falls has a negative impact on the quality of life of patients, it may be associated with institutionalization and dependence on the caregiver. Fall prevention is an important part of the life of patients with neurological diseases. Raising awareness among patients and their caregivers is essential for them to take care of their health and to consciously prevent falls. The nurse plays an important role in the prevention of falls because she prepares the patient to live with the existing problem and self-care, and provides the patient with safe conditions in the care environment. (JNNN 2022;11(3):137–141)
{"title":"Falls as a Common Problem in Elderly People with Neurological Diseases","authors":"M. Biercewicz","doi":"10.15225/pnn.2022.11.3.6","DOIUrl":"https://doi.org/10.15225/pnn.2022.11.3.6","url":null,"abstract":"According to the WHO definition, a fall is defined as an event that causes a person to accidentally land on the ground, floor or other lower level. A fall can cause serious physical injury and may result in death. Neurological diseases, including Parkinson’s disease, stroke or dementia, due to their course, significantly increase the risk of occurrence of this dangerous event. One of the important problems to which attention should be paid in these diseases, unfortunately not very often noticed, are falls. The aim of the study is to present the problem of falls in a group of elderly people with accompanying selected neurological diseases (Parkinson’s disease, stroke, Alzheimer’s disease), as well as the possibility of their assessment and prevention based on the analysis of the available literature on the subject (literature). According to the literature on the subject, falls are a common problem in neurological diseases, in particular Parkinson’s disease, stroke and Alzheimer’s disease. The frequency of falls that patients experience within one year of the onset of the diseases is high and increases with the progression of the disease. The occurrence of falls has a negative impact on the quality of life of patients, it may be associated with institutionalization and dependence on the caregiver. Fall prevention is an important part of the life of patients with neurological diseases. Raising awareness among patients and their caregivers is essential for them to take care of their health and to consciously prevent falls. The nurse plays an important role in the prevention of falls because she prepares the patient to live with the existing problem and self-care, and provides the patient with safe conditions in the care environment. (JNNN 2022;11(3):137–141)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91374221","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}
Pub Date : 2022-12-01DOI: 10.15225/pnn.2022.11.3.3
Anna Rymkiewicz
Introduction. Satisfaction, facing problems and motivation are currently strategic points to be analysed in terms of nurses’ work. All positive or negative perceptions and attitudes towards work translate into commitment, identity creation, turnover and also status. The fit between the individual and the organisation draws attention. Both the complementary and supplementary dimensions show to what extent the employee’s needs are met and whether the recognised values of the two groups are the same. For the employee, this translates into identification with the workplace. A high degree of fit influences the status of the workplace, the involvement of employees in the tasks at hand increasing their quality. On the other hand, the existence of mismatches generates bad interpersonal relations, inappropriate division of responsibilities, loss of trust, and leads to conflicts. Aim. Comparative analysis of changes in the context of sense of job satisfaction of nurses working in neurological and neurosurgical wards in the Silesian province over the last decade. Material and Methods. The study was conducted in 2012 and 2022 among nurses working in neurological and neurosurgical wards of the N.M.P. Regional Specialist Hospital in Częstochowa and the Prof. K. Gibiński University Medical Centre in Katowice. The study used an original questionnaire containing 61 questions on various aspects of the work performed. Results. Among the respondents, the predominant age group is over 51 years old with a master’s degree, whereas in the earlier survey it was 31–40 years old with a secondary vocational education. The survey showed that 33% more respondents felt that their job involved a lot of physical exertion. The percentage of those able to cope with complex mental tasks has decreased significantly, the percentage of nurses who are overburdened with too many tasks has increased, 75% of them notice the impact of work on family life. Professional qualifications are being improved by 40% more of those surveyed than ten years ago, but 29% are attending fewer conferences and training courses, and 24% are introducing innovations into their workplace less than in 2012. A sense of meaningfulness and usefulness of the tasks performed at work is shared by 66% of respondents, previously 91% in 2012. The impact of the ward’s equipment on the work performed is now noted by 70% more nurses, and is considered by 66% of respondents as a factor giving greater job satisfaction, a decade ago it was 86% of respondents. Nursing staffing is considered sufficient by 34% more respondents than the previous survey showed. Far fewer respondents now perceive the impact of aggressive patient behaviour on their work. The percentage of respondents noticing conflicts with doctors increased by 72%. 77% more respondents feel they are treated fairly by their superiors than a decade ago. Low social prestige of the profession is noticed by only 6% of nurses. Conclusions. Nurses do not feel satisfac
{"title":"Job Satisfaction Analysis of Nurses, who Work in Neurology and Neurosurgery Units","authors":"Anna Rymkiewicz","doi":"10.15225/pnn.2022.11.3.3","DOIUrl":"https://doi.org/10.15225/pnn.2022.11.3.3","url":null,"abstract":"Introduction. Satisfaction, facing problems and motivation are currently strategic points to be analysed in terms of nurses’ work. All positive or negative perceptions and attitudes towards work translate into commitment, identity creation, turnover and also status. The fit between the individual and the organisation draws attention. Both the complementary and supplementary dimensions show to what extent the employee’s needs are met and whether the recognised values of the two groups are the same. For the employee, this translates into identification with the workplace. A high degree of fit influences the status of the workplace, the involvement of employees in the tasks at hand increasing their quality. On the other hand, the existence of mismatches generates bad interpersonal relations, inappropriate division of responsibilities, loss of trust, and leads to conflicts. \u0000Aim. Comparative analysis of changes in the context of sense of job satisfaction of nurses working in neurological and neurosurgical wards in the Silesian province over the last decade. \u0000Material and Methods. The study was conducted in 2012 and 2022 among nurses working in neurological and neurosurgical wards of the N.M.P. Regional Specialist Hospital in Częstochowa and the Prof. K. Gibiński University Medical Centre in Katowice. The study used an original questionnaire containing 61 questions on various aspects of the work performed. \u0000Results. Among the respondents, the predominant age group is over 51 years old with a master’s degree, whereas in the earlier survey it was 31–40 years old with a secondary vocational education. The survey showed that 33% more respondents felt that their job involved a lot of physical exertion. The percentage of those able to cope with complex mental tasks has decreased significantly, the percentage of nurses who are overburdened with too many tasks has increased, 75% of them notice the impact of work on family life. Professional qualifications are being improved by 40% more of those surveyed than ten years ago, but 29% are attending fewer conferences and training courses, and 24% are introducing innovations into their workplace less than in 2012. A sense of meaningfulness and usefulness of the tasks performed at work is shared by 66% of respondents, previously 91% in 2012. The impact of the ward’s equipment on the work performed is now noted by 70% more nurses, and is considered by 66% of respondents as a factor giving greater job satisfaction, a decade ago it was 86% of respondents. Nursing staffing is considered sufficient by 34% more respondents than the previous survey showed. Far fewer respondents now perceive the impact of aggressive patient behaviour on their work. The percentage of respondents noticing conflicts with doctors increased by 72%. 77% more respondents feel they are treated fairly by their superiors than a decade ago. Low social prestige of the profession is noticed by only 6% of nurses. \u0000Conclusions. Nurses do not feel satisfac","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89558643","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}
Pub Date : 2022-06-30DOI: 10.15225/pnn.2022.11.2.4
K. Kwiecień-Jaguś, Klaudia Paluch, Anna Małecka-Dubiela, W. Mędrzycka-Dąbrowska, Monika Kopeć
Introduction. Adverse events (AE) in the process of pharmacotherapy can have direct consequences on the health and life of a patient. Factors leading to AE are categorized in human and systematic ones. Among the latter ones, the most important are significant shortages of nursing staff as well as stress, fatigue and the Occupational Burnout Syndrome. Reporting of AE is a crucial pillar of prevention of adverse events in drug administration in nursing. Aim. The aim of the study was to identify and analyse the factors leading to adverse events in the pharmocotherapy process and to present methods of prevention AE. Material and Methods. The research was lead among 100 hospital nurses from Pomeranian region. A research and research questionnaire was based on the study “Attitudes and beliefs of health services about the causes and reporting of treatment errors in the British intensive care unit”. The project was conducted between January to April 2020. Results. Detailed analysis showed that the most important factors influencing the occurrence of adverse events in the drug administration are: nurses shortage (14%), stress and burnout syndrome (11%), incorrect labelling (13%). 85% of medical personnel are convinced that it is essential to monitor the situation of adverse events in drug administration. The Kruskal–Wallis test did not confirm the existence of a relationship between the: occurrence of adverse events in the area of pharmacotherapy and age (K – W = 0; p = 1), level of education (K – W = 3.6328; p = 0.3039) and work experience of the surveyed respondents (K – W = 0.3651484; p = 0.5457). Similarly, no significant relationships were found between the occurrence of adverse events and the department profile (K – W = 0.330; p = 0.5652). Conclusions. The level of education, professional experience and age are not significantly related to making mistakes in the area of drug administration; the factors that significantly affect the occurrence of AD in the area of drug administration are: reduced nursing staff on duty, performing one’s duties under stress and time pressure, insufficient variety of labels on medicinal products; the best method of prevention in the area of drug management and administration is the presence of a reporting and monitoring system; the was the majority of nurses reported the occurrence of a drug-related adverse event to the rest of the therapeutic team. (JNNN 2022;11(2):65–73).
介绍。药物治疗过程中的不良事件(AE)可直接影响患者的健康和生命。导致声发射的因素可分为人为因素和系统因素。在后者中，最重要的是护理人员的严重短缺以及压力，疲劳和职业倦怠综合征。AE的报告是预防护理中给药不良事件的重要支柱。的目标。本研究的目的是识别和分析导致药物治疗过程中不良事件的因素，并提出预防AE的方法。材料和方法。该研究在博美拉尼亚地区的100名医院护士中进行。一项调查和调查问卷是基于"卫生服务部门对英国重症监护病房治疗错误的原因和报告的态度和信念"的研究。该项目于2020年1月至4月进行。结果。详细分析表明，影响给药不良事件发生的最主要因素是:护士短缺(14%)、压力和倦怠综合征(11%)、标签不正确(13%)。85%的医务人员认为在给药过程中监测不良事件的情况是必要的。Kruskal-Wallis试验未证实药物治疗领域不良事件的发生与年龄之间存在关系(K - W = 0;p = 1)，教育程度(K - W = 3.6328;p = 0.3039)和工作经验(K - W = 0.3651484;p = 0.5457)。同样，不良事件的发生与科室概况之间也没有显著的关系(K - W = 0.330;p = 0.5652)。结论。学历、从业经历、年龄与药品管理失误的关系不显著;在给药领域显著影响AD发生的因素有:值班护理人员减少，在工作压力和时间压力下履行职责，药品标签品种不足;在药物管理和行政方面，最好的预防方法是建立报告和监测系统;大多数护士向治疗小组的其他成员报告了药物相关不良事件的发生。(JNNN 2022; 11(2): 65 - 73)。
{"title":"Reporting Adverse Drug Events in Drug Administration Process among Nursing Personnel","authors":"K. Kwiecień-Jaguś, Klaudia Paluch, Anna Małecka-Dubiela, W. Mędrzycka-Dąbrowska, Monika Kopeć","doi":"10.15225/pnn.2022.11.2.4","DOIUrl":"https://doi.org/10.15225/pnn.2022.11.2.4","url":null,"abstract":"Introduction. Adverse events (AE) in the process of pharmacotherapy can have direct consequences on the health and life of a patient. Factors leading to AE are categorized in human and systematic ones. Among the latter ones, the most important are significant shortages of nursing staff as well as stress, fatigue and the Occupational Burnout Syndrome. Reporting of AE is a crucial pillar of prevention of adverse events in drug administration in nursing. \u0000Aim. The aim of the study was to identify and analyse the factors leading to adverse events in the pharmocotherapy process and to present methods of prevention AE. \u0000Material and Methods. The research was lead among 100 hospital nurses from Pomeranian region. A research and research questionnaire was based on the study “Attitudes and beliefs of health services about the causes and reporting of treatment errors in the British intensive care unit”. The project was conducted between January to April 2020. \u0000Results. Detailed analysis showed that the most important factors influencing the occurrence of adverse events in the drug administration are: nurses shortage (14%), stress and burnout syndrome (11%), incorrect labelling (13%). 85% of medical personnel are convinced that it is essential to monitor the situation of adverse events in drug administration. The Kruskal–Wallis test did not confirm the existence of a relationship between the: occurrence of adverse events in the area of pharmacotherapy and age (K – W = 0; p = 1), level of education (K – W = 3.6328; p = 0.3039) and work experience of the surveyed respondents (K – W = 0.3651484; p = 0.5457). Similarly, no significant relationships were found between the occurrence of adverse events and the department profile (K – W = 0.330; p = 0.5652). \u0000Conclusions. The level of education, professional experience and age are not significantly related to making mistakes in the area of drug administration; the factors that significantly affect the occurrence of AD in the area of drug administration are: reduced nursing staff on duty, performing one’s duties under stress and time pressure, insufficient variety of labels on medicinal products; the best method of prevention in the area of drug management and administration is the presence of a reporting and monitoring system; the was the majority of nurses reported the occurrence of a drug-related adverse event to the rest of the therapeutic team. (JNNN 2022;11(2):65–73).","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80152869","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：