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Preferences regarding the mode of delivery in occupational groups of nurses and midwives 护士和助产士职业群体对分娩方式的偏好
Pub Date : 2019-01-01 DOI: 10.5114/ppiel.2019.92536
Paula Janczyk, Sabina Gwoździańska, Patrycja Ostrogórska, Magdalena Humaj-Grysztar, J. Nawrot, Dorota Matuszyk
Introduction: The rate of caesarean sections in Poland is constantly increasing. In Poland, the selection of the mode of delivery does not depend on the woman’s will; however, the preferences of childbearing women are shaped by their knowledge and beliefs related to the labour. The preferences of nurses and midwives may be shaped by the specificity of the work performed by them. Aim of the study: An analysis of the preferences related to the mode of delivery among occupational groups of nurses and midwives. Material and methods: The studies were carried out among 202 nurses and midwives using the diagnostic poll method and the survey questionnaire technique. Our own survey questionnaire and the Self-report Labour Anxiety Questionnaire (KLP II) were used. Results: The conducted studies demonstrated that 88.12% of midwives, compared to 75.25% nurses, prefer vaginal delivery. Midwives significantly more frequently (p = 0.005) than nurses indicated vaginal delivery as safer for the mother and for the child, and as allowing for faster recovery to normal physical fitness. For the nurses and midwives opting for the caesarean section, the most significant reasons were anxiety about perineal injuries and concern about the child’s health. The midwives, more frequently than nurses, declared the selection of non-pharmacological methods of alleviating pain. Conclusions: The practiced profession influences the decisions related to the preferred mode of delivery and to the interventions applied during labour. Labour anxiety is a feature that is more frequent among nurses.
导读:波兰的剖宫产率不断上升。在波兰,分娩方式的选择并不取决于妇女的意愿;然而,育龄妇女的偏好是由她们与劳动有关的知识和信仰塑造的。护士和助产士的偏好可能受到她们所从事工作的特殊性的影响。研究目的:分析护士和助产士职业群体对分娩方式的偏好。材料与方法:采用诊断性问卷调查法和问卷调查法,对202名护士和助产士进行调查。我们使用自己的调查问卷和自我报告劳动焦虑问卷(KLP II)。结果:88.12%的助产士选择顺产,75.25%的护士选择顺产。助产士比护士更频繁地(p = 0.005)表示阴道分娩对母亲和孩子都更安全,并且可以更快地恢复正常的身体素质。对于选择剖腹产的护士和助产士来说,最重要的原因是担心会阴受伤和担心孩子的健康。助产士比护士更频繁地宣布选择非药物方法来减轻疼痛。结论:实践的职业影响了与分娩方式和分娩过程中采取的干预措施有关的决定。分娩焦虑在护士中更为常见。
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引用次数: 1
Occurrence of patients’ aggressive behaviours towards nurses and paramedics 患者对护士和护理人员的攻击行为发生情况
Pub Date : 2019-01-01 DOI: 10.5114/ppiel.2019.92535
L. Płaszewska-Żywko, Marcelina Podstawa, H. Milan, Katarzyna Wojnar-Gruszka, Aurelia Sega
Introduction: Aggression is a complex phenomenon, which can take various forms. In recent years an intensi-fication in patients’ aggressive behaviours toward medical staff has been observed. It should be the reason for further research in this field. Aim of the study: To estimate the prevalence of patients’ aggressive behaviours towards nurses and paramedics. Material and methods: The study was conducted in two hospitals in the Małopolska region. The study group included 99 nurses working at the emergency department, surgical, internal, and orthopaedic wards and 13 paramedics from the emergency department. A diagnostic survey method was performed using a self-developed questionnaire. Statistical analysis was performed using χ 2 test and Spearman test. The significance level was p = 0.05. Results: The staff were quite often exposed to patients’ aggressive behaviours in the workplace. The various types of physical violence were often experienced by 8.0% of respondents. More than 1/4 of the group faced different forms of verbal aggression. Medical staff working at emergency department experienced verbal aggression much more frequently than the group from other wards ( p < 0.05). Although some respondents declared their participation in communication courses, no significant result of such training in decreasing exposure to patients’ aggression has been shown. Conclusions: The occurrence of patient aggression towards nurses and medical rescuers, especially on emergency departments, was quite common and usually manifested in the form of verbal aggression. Preparation for dealing with aggressive patients was insufficient in the examined group.
攻击性是一种复杂的现象,可以表现为多种形式。近年来,观察到患者对医务人员的攻击行为有所加剧。这应该成为该领域进一步研究的理由。研究目的:了解病人对护士和护理人员的攻击行为的普遍程度。材料和方法:本研究在Małopolska地区的两家医院进行。研究小组包括在急诊科、外科、内科和骨科病房工作的99名护士和急诊科的13名护理人员。采用自行编制的调查问卷进行诊断性调查。采用χ 2检验和Spearman检验进行统计学分析。显著性水平为p = 0.05。结果:工作人员经常接触到患者在工作场所的攻击行为。8.0%的受访者经常遭受各种类型的身体暴力。超过四分之一的人面临不同形式的言语攻击。急诊科医务人员言语攻击发生率明显高于其他科室医务人员(p < 0.05)。虽然一些受访者声称他们参加了沟通课程,但这种培训在减少患者攻击暴露方面没有显着结果。结论:患者对护士和医护人员的攻击行为,尤其是在急诊科较为常见,多表现为言语攻击。实验组对侵略性患者的处理准备不足。
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引用次数: 1
Professional exposure of medical staff working in one of the hospitals of the Malopolska region between 2013 and 2016 2013年至2016年期间在马洛波尔斯卡地区一家医院工作的医务人员的职业暴露
Pub Date : 2019-01-01 DOI: 10.5114/ppiel.2019.92538
Monika Walawska, A. Gniadek, Zuzanna Radosz
Introduction: Professional exposure of medical staff is an adverse event that might accompany the procedure of providing medical care. Aim of the study: The objective of the study was the assessment of the incidence of professional exposure of medical staff providing medical care in one of the hospitals of the Malopolska region between 2013 and 2016. Material and methods: In order to assess the exposure of medical staff an analysis of medical records from the period of 2013-2016 was carried out in the 5 th Military Clinical Hospital and Polyclinic in Krakow. The source of information was an Individual Card of Professional Exposure including the results of blood tests or tests for other potentially infectious fomites. The study included all reported cases of professional exposure that appeared during the examined period in the examined 400-bed hospital. Results: In the years 2013-2016 as many as 96 cases of professional exposure were observed, and they were more common in women – 70.8% and nurses – 50%. The dominating source of professional exposure was the operating theatre. The activities that potentially pose the highest risk of professional exposure included patient’s treatment or surgery as well as collecting material for medical tests. An obvious exposure was observed in 72.9% of the cases, and blood was the statistically most common exposure material. Conclusions: Despite significant professional exposure to fomites, especially to blood, no hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV) infections were observed in the examined medical staff. otolaryngology, ophthalmology, traumatology, orthopaedics, anaesthesiology,
简介:医务人员的专业暴露是一种不良事件,可能伴随着提供医疗服务的过程。研究目的:本研究的目的是评估2013年至2016年期间在马洛波尔斯卡地区一家医院提供医疗服务的医务人员的专业暴露发生率。材料与方法:为评估医务人员的暴露情况,对克拉科夫第5军事临床医院和综合诊所2013-2016年的病历进行分析。信息来源是职业接触个人卡,包括血液检查结果或其他潜在传染性污染物的检查结果。这项研究包括了在被调查的400个床位的医院中,在被调查期间出现的所有报告的职业接触病例。结果:2013-2016年共观察到职业暴露96例,其中女性多见(70.8%),护士多见(50%)。职业暴露的主要来源是手术室。可能造成最高职业接触风险的活动包括病人的治疗或手术,以及为医学测试收集材料。72.9%的病例有明显暴露,其中血液是最常见的暴露材料。结论:尽管有大量的专业接触污染物,特别是血液接触,但在接受检查的医务人员中未观察到乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)或人类免疫缺陷病毒(HIV)感染。耳鼻喉科、眼科、创伤科、骨科、麻醉科、
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引用次数: 0
Assessment of medical staff’s knowledge concerning the “five moments for hand hygiene” 医务人员“手卫生五时刻”知识知晓情况评估
Pub Date : 2019-01-01 DOI: 10.5114/ppiel.2019.92537
Marta Wałaszek, M. Kołpa, A. Różańska, J. Wójkowska-Mach
Introduction: The guidelines issued by the WHO in 2009 on hand hygiene in healthcare have provided medical professionals with scientific evidence to justify the need to comply with hand hygiene practices when treating patients. Aim of the study: The aim was to examine the doctors’ and nurses’ knowledge of the “five moments for hand hygiene” by the WHO. Material and methods: The study was carried out using a questionnaire devised by the authors of the study; random sampling was used. The study involved 231 doctors and nurses working in a multi-profile hospital in Lesser Poland in 2017. Results: 75.9% of respondents admitted knowing the “five moments for hand hygiene”, 12.9% said they did not know them, and 10.8% abstained. Most often, respondents listed the first point (before patient contact – 81.7%), followed by, respectively: after patient contact – 79.1%; after body fluid exposure risk – 59.2%; before aseptic task – 58.1%; and after contact with patient surroundings – 51.8%. Better knowledge of the “five moments for hand hygiene” was shown by women than by men, by nurses than by doctors, and by people with seniority of less than 20 years. Employees of medical treatment wards presented more knowledge in this regard than employees of surgical departments and ICUs, while the staff of the Emergency Room had the lowest knowledge. Conclusions: Some respondents did not know the guidelines concerning the “five moments for hand hygiene” by the WHO, and the level of knowledge of those who declared good knowledge of the subject was insufficient. A. Study design/planning • B. Data collection/entry • C. Data analysis/statistics • D. Data interpretation • E. Preparation of manuscript • F. Literature analysis/search • G. Funds collection
导言:世卫组织2009年发布的卫生保健手卫生指南为医疗专业人员提供了科学证据,证明在治疗患者时需要遵守手卫生习惯。研究目的:目的是调查医生和护士对世界卫生组织“手部卫生五时刻”的了解情况。材料和方法:本研究采用由研究作者设计的问卷进行;采用随机抽样。该研究涉及2017年在小波兰一家综合性医院工作的231名医生和护士。结果:75.9%的受访者承认知道“手卫生五时刻”,12.9%的受访者表示不知道,10.8%的受访者表示不知道。最常见的是,受访者列出了第一点(在患者接触之前- 81.7%),其次分别是:在患者接触之后- 79.1%;体液暴露后风险- 59.2%;无菌任务前- 58.1%;与患者周围接触后- 51.8%。女性比男性、护士比医生以及年资不足20年的人更了解“手部卫生的五个时刻”。内科病房员工在这方面的知识水平高于外科和icu员工,而急诊室员工在这方面的知识水平最低。结论:部分被调查者不了解世界卫生组织关于“手卫生五时刻”的指导原则,且自称了解该主题的人的知识水平不足。A.研究设计/计划•B.数据收集/录入•C.数据分析/统计•D.数据解释•E.稿件准备•F.文献分析/检索•G.资金募集
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引用次数: 0
The impact of aesthetic gynaecology procedureson female patients’ sexuality 妇科美容手术对女性患者性行为的影响
Pub Date : 1900-01-01 DOI: 10.5114/ppiel.2021.113785
Angelika Iwaszko, Justyna Kamińska, A. Szablewska
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引用次数: 0
Satisfaction with nursing care for patients treated in non-invasive treatment wards 无创治疗病房患者护理满意度分析
Pub Date : 1900-01-01 DOI: 10.5114/ppiel.2019.92534
I. Malinowska-Lipień, T. Gabryś, Justyna Jasina, L. Płaszewska-Żywko
Introduction: Nursing care is an important factor influencing the guarantee of quality in medical facilities. The aim of the assessment of patients’ satisfaction with care is to gather data necessary for undertaking successful actions so as to improve the service quality and create rules for healthcare policy. Aim of the study: Assessment of satisfaction with nursing care of patients treated in non-invasive treatment wards. Material and methods: The research was carried out in wards of non-invasive treatment profile. To measure the level of satisfaction with nursing care, the NSNS-PL (The Newcastle Satisfaction with Nursing Scale) was used. The research covered 101 patients aged 21-79 years. Results: Satisfaction with nursing care was evaluated in the researched group at 67.12 points on average out of a maximum of 100 available points. The average score for experience with nursing care was 70.87 points, and overall nursing care scored 81.52 points. The surveyed patients assessed their overall stay in the non-invasive treatment ward at 79.04 points on average. A statistically significant difference was shown in the assessment of experiences with nursing care, depending whether a particular nurse responsible for care in the ward was assigned ( p = 0.0392). Conclusions: The highest rated indicator of nursing care for patients treated in non-invasive treatment wards was the overall assessment of nursing care as well as overall assessment of the stay in the ward. The lowest rated was satisfaction with nursing care. Socio-demographic factors did not have any connection with the assessed aspects of care.
导读:护理是影响医疗机构质量保障的重要因素。评估患者对护理的满意度的目的是收集采取成功行动所需的数据,以提高服务质量和制定医疗保健政策规则。研究目的:评价非侵入性治疗病房患者对护理的满意度。材料与方法:本研究采用无创治疗方案。采用纽卡斯尔护理满意度量表(NSNS-PL)测量护理满意度。该研究涵盖了101名年龄在21-79岁之间的患者。结果:研究组护理满意度平均得分67.12分(满分100分)。护理经验平均得分为70.87分,整体护理得分为81.52分。受访患者在无创治疗病房的总体住院时间平均得分为79.04分。在护理经验评估中显示出统计学上显著的差异,这取决于是否指定了一名特定的护士负责病房的护理(p = 0.0392)。结论:无创治疗病房患者护理评价最高的指标为护理综合评价和住院时间综合评价。评分最低的是对护理的满意度。社会人口因素与所评估的护理方面没有任何联系。
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引用次数: 0
Difficulties faced by nursing staff when caringfor a dying patient 护理人员在照顾临终病人时所面临的困难
Pub Date : 1900-01-01 DOI: 10.5114/ppiel.2021.110449
Renata Dziubaszewska, Dawid Makowicz, Natalia Makowicz
Introduction: Nursing is a profession that is particularly exposed to contact with human death. Caring for a dying patient requires the nursing team to be in contact with his/her pain and suffering. In their work, nurses must deal with many difficulties resulting from this beautiful but at the same time demanding profession. Aim of the study: Assessment of difficulties faced by nursing staff in caring for a dying patient. Material and methods: The study was carried out using the diagnostic survey method, by means of a question-naire, which consisted of 36 single-choice and 4 multiple-choice questions. The study included a group of 581 female nurses and 13 male nurses working in hospital wards in the Subcarpatian voivodeship. The material was collected in 2018. Statistical analysis was performed using the SPSS program. Results: The largest percentage of respondents (58.4%) believed that the greatest difficulty in caring for a dying patient is the lack of time that should be devoted to the patient. Nursing staff felt fear of the death of a loved one (63.3%). Over 48% of the surveyed nurses believed that informing the patient about their imminent death should depend on the patient’s condition and external conditions at work in the ward. Conclusions: Professional nursing care for a terminally ill patient should focus primarily on pain relief and ensuring contact with his/her family.
导言:护理是一种特别容易接触人类死亡的职业。照顾临终病人需要护理团队了解他/她的痛苦和痛苦。在他们的工作中,护士必须处理这个美丽但同时要求很高的职业所带来的许多困难。本研究的目的:评估护理人员在照顾临终病人时所面临的困难。材料与方法:本研究采用诊断调查法,采用问卷调查的方式进行,问卷包括36道单项选择题和4道多项选择题。该研究包括在Subcarpatian省医院病房工作的581名女护士和13名男护士。这些材料是在2018年收集的。采用SPSS软件进行统计分析。结果:58.4%的受访者认为,照顾临终病人最大的困难是没有时间花在病人身上。护理人员对亲人的死亡感到恐惧(63.3%)。超过48%的受访护士认为,告知病人即将死亡的情况应视病人的情况及病房内工作的外部情况而定。结论:临终病人的专业护理应以减轻疼痛和确保与家属的联系为重点。
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引用次数: 0
Occupational burnout and work-home interactions in hospital-employed nurses 医院护士职业倦怠与工作-家庭互动
Pub Date : 1900-01-01 DOI: 10.5114/ppiel.2020.96092
A. Nowacka, K. Kołodziej, A. Piskorz, R. Wolfshaut
Introduction: Occupational burnout mainly affects professions that involve helping others. Work-life balance may be defined as an opportunity to reach one’s aims in various spheres. Because of the character of nursing and its strong feminisation in Polish culture, nurses are expected to combine emotional commitment to their job while also fulfilling family duties. Aim of the study: The objective of the study was to analyse the relations between occupational burnout and work-home interactions in hospital-employed nurses. Material and methods: The study was conducted as a diagnostic survey in a group of 179 hospital-employed nurses. The interviewers applied a self-designed questionnaire, the Maslach Burnout Inventory, and the SWING questionnaire. Results: The average age of respondents was 35.4 (SD = 10.46) years. Bachelor’s degree was the most common education level (52.5%). Workplaces included non-invasive (44.1%) and medical treatment wards (55.9%). 22.3% of nurses declared extra employment. Average subscale values showed average emotional exhaustion (22.9), low depersonalisation (8.1), and low personal accomplishment (27.63). There was a positive correlation between emotional exhaustion ( r = 0.51, p < 0.01) and depersonalisation ( r = 0.32, p = 0.001) and a negative work-home relation. Moreover, depersonalisation had a positive ( r = 0.51, p = 0.01) and personal accomplishment had a negative ( r = –0.28, p = 0.01) influence on negative home-work relation. All burnout subscales affected work-home interactions. No significant correlation was observed between positive home-work relation and the analysed burnout dimensions. Conclusions: The examined nurses reported high emotional exhaustion, depersonalisation, and lowered personal accomplishment. These findings prove a significant correlation between work-home interaction and professional burnout.
引言:职业倦怠主要影响那些涉及帮助他人的职业。工作与生活的平衡可以定义为在各个领域实现目标的机会。由于护理的特点和波兰文化中强烈的女性化,护士被期望将情感投入到工作中,同时履行家庭责任。研究目的:本研究旨在分析医院护士职业倦怠与工作家庭互动的关系。材料与方法:本研究对179名医院护士进行诊断性调查。采访者采用自行设计的问卷、Maslach倦怠量表和SWING问卷。结果:调查对象的平均年龄为35.4岁(SD = 10.46)。学士学位是最常见的教育水平(52.5%)。工作场所包括非侵入性(44.1%)和医疗病房(55.9%)。22.3%的护士表示兼职。平均分量表值显示平均情绪耗竭(22.9)、低人格解体(8.1)和低个人成就感(27.63)。情绪耗竭(r = 0.51, p < 0.01)与人格解体(r = 0.32, p = 0.001)呈正相关,工作家庭负相关。人格解体对家庭作业负向关系的影响为正(r = 0.51, p = 0.01),个人成就感对家庭作业负向关系的影响为负(r = -0.28, p = 0.01)。所有倦怠子量表都会影响工作与家庭的互动。积极的家庭作业关系与分析的倦怠维度无显著相关。结论:受访护士情绪衰竭程度高,人格解体程度高,个人成就感低。这些发现证明了工作家庭互动与职业倦怠之间的显著相关性。
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引用次数: 2
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