Pub Date : 2019-01-01DOI: 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.
{"title":"Preferences regarding the mode of delivery in occupational groups of nurses and midwives","authors":"Paula Janczyk, Sabina Gwoździańska, Patrycja Ostrogórska, Magdalena Humaj-Grysztar, J. Nawrot, Dorota Matuszyk","doi":"10.5114/ppiel.2019.92536","DOIUrl":"https://doi.org/10.5114/ppiel.2019.92536","url":null,"abstract":"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.","PeriodicalId":34285,"journal":{"name":"Problemy Pielegniarstwa","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5114/ppiel.2019.92536","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70502291","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 : 2019-01-01DOI: 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.
{"title":"Occurrence of patients’ aggressive behaviours towards nurses and paramedics","authors":"L. Płaszewska-Żywko, Marcelina Podstawa, H. Milan, Katarzyna Wojnar-Gruszka, Aurelia Sega","doi":"10.5114/ppiel.2019.92535","DOIUrl":"https://doi.org/10.5114/ppiel.2019.92535","url":null,"abstract":"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.","PeriodicalId":34285,"journal":{"name":"Problemy Pielegniarstwa","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5114/ppiel.2019.92535","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70502283","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 : 2019-01-01DOI: 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,
{"title":"Professional exposure of medical staff working in one of the hospitals of the Malopolska region between 2013 and 2016","authors":"Monika Walawska, A. Gniadek, Zuzanna Radosz","doi":"10.5114/ppiel.2019.92538","DOIUrl":"https://doi.org/10.5114/ppiel.2019.92538","url":null,"abstract":"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,","PeriodicalId":34285,"journal":{"name":"Problemy Pielegniarstwa","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5114/ppiel.2019.92538","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70502355","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 : 2019-01-01DOI: 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
{"title":"Assessment of medical staff’s knowledge concerning the “five moments for hand hygiene”","authors":"Marta Wałaszek, M. Kołpa, A. Różańska, J. Wójkowska-Mach","doi":"10.5114/ppiel.2019.92537","DOIUrl":"https://doi.org/10.5114/ppiel.2019.92537","url":null,"abstract":"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","PeriodicalId":34285,"journal":{"name":"Problemy Pielegniarstwa","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5114/ppiel.2019.92537","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70502347","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}