Iwona Malinowska-Lipień - Academia.edu (original) (raw)
Papers by Iwona Malinowska-Lipień
International Journal of Environmental Research and Public Health
The COVID-19 pandemic caused by the SARS-CoV-2 virus has significantly influenced the functioning... more The COVID-19 pandemic caused by the SARS-CoV-2 virus has significantly influenced the functioning of Polish hospitals, and thus, the working conditions of nurses. Research on the presence of specific negative emotions in nurses may help identify deficits in the future, as well as directing preventive actions. The present research was performed among nurses (n = 158) working in Polish healthcare facilities during the third wave of the COVID-19 pandemic caused by the SARS-CoV-2 virus, where Group A (n = 79) consisted of nurses diagnosed with COVID-19, and Group B (n = 79) nurses who have never been infected with COVID-19. To perform the research, the Courtauld Emotional Control Scale (CECS), Trait Anxiety Scale (Polish: SL-C) and the authors’ survey questionnaire were used. A positive test result was generally determined more often among nurses who indicated a noninfectious ward as their main workplace, compared to nurses employed in infectious wards (64.55% positive vs 33.45% negativ...
Wstęp. Hemofilia, to wrodzona osoczowa sprzężona z płcią skaza krwotoczna, której przyczyną jest ... more Wstęp. Hemofilia, to wrodzona osoczowa sprzężona z płcią skaza krwotoczna, której przyczyną jest niedobór lub zaburzenie funkcji pojedynczego czynnika krzepnięcia krwi. Wyróżnia się dwa typy hemofilii: A (niedobór cz. VIII) i B (niedobór cz. IX). Poczucie koherencji jest przekonaniem, że zdarzenia i procesy doświadczane przez człowieka przebiegają zgodnie z jego oczekiwaniami, a świat ma charakter uporządkowany i przewidywalny. Poczucie koherencji składa się z trzech elementów: 1/poczucia zrozumiałości; 2/poczucia zaradności; 3/poczucia sensowności. Silniejsze poczucie koherencji sprawia, że człowiek organizuje adekwatne dla danej sytuacji zasoby i potrafi je w pełni lepiej wykorzystać. Cel pracy. Celem pracy jest ocena poczucia koherencji u chorych na hemofilię. Materiał i metody. Badania zostały przeprowadzone w styczniu 2010 roku w grupie 35 mężczyzn chorych na hemofilię. W badaniu zastosowano Kwestionariusz Orientacji Życiowej (SOC-29) oraz kwestionariusz ankiety własnej konstrukcji. Wyniki. U dwudziestu dziewięciu ankietowanych (82,8%) poziom czynnika krzepnięcia krwi wynosił ≤1%, u czterech badanych (11,4%) wahał się między 1,1 a 3%. Pozostałe dwie osoby (tj. 5,7%) posiadały poziom czynnika krzepnięcia >3%. U 11 chorych częstotliwość krwawień przekraczała pięć wylewów w miesiącu. Średnia wartość poczucia koherencji w badanej grupie chorych na hemofilię wynosiła 139,22 pkt, najwyższy ogólny wynik uzyskało 5 chorych będących w przedziale wiekowym od 18 do 25 roku życia (=145,80 pkt). Spośród trzech składowych poczucia koherencji u wszystkich badanych najwyższa wartość dotyczyła poczucia zaradności (=49,94), mężczyźni w wieku 18-25 lat uzyskali największą liczbę punktów w tej kategorii (=54,6). Najniższe średnie wartości ogólnego poczucia koherencji oraz w dwóch z trzech jego składowych (zaradności i sensowności) uzyskali chorzy w wieku 26-35 lat. Wnioski. Ogólne poczucie koherencji badanych chorych mieściło się w zakresie średnich wartości normatywnych uzyskiwanych przez Antonovsky' ego. Najwyższą liczbę punktów uzyskali najmłodsi chorzy w przedziale wieku: 18-25 lat. Słowa kluczowe: hemofilia, czynnik krzepnięcia, poczucie koherencji ABSTRACT SENSE OF COHERENCE AMONG PATIENTS WITH HEMOPHILIA. PRELIMINARY STUDIES Introduction. Hemophilia is an inherited plasma coupled with gender bleeding disorder the cause of which is deficiency or dysfunction of blood coagulation single factor. There are two types of hemophilia: A (lack of factor VIII) and B (deficiency of factor IX). The sense of coherence (SOC) is the belief that events and processes experienced by humans occur in accordance to their expectations, and the world is orderly and predictable. The sense of coherence consists of three components: 1/ the sense of comprehensibility, 2/ the sense of resourcefulness, 3/ the sense of purpose. A stronger sense of coherence makes man arrange adequate resources for a given situation and is able to fully make use of them. Aim. The aim of the work is to assess the sense of coherence among patients with hemophilia. Material and methods: The research was conducted in January 2010 in the group of 35 males with hemophilia. The study used the Life Orientation Questionnaire (SOC-29) and the questionnaire constructed for the purpose of this survey. The results. In twenty-nine respondents (82.8%) blood coagulation factor level was ≤ 1%, in 4 respondents (11.4%) it ranged between 1.1 and 3%. The other two patients (i.e. 5.7%) had coagulation factor levels >3%. Among 11 patients the frequency of bleeding exceeded five strokes in a month. The average value of SOC in the studied group of patients with hemophilia was 139.22 points, the highest overall score was received by 5 patients being between the ages of 18 to 25 years of age (= 145.80 points). From brought to you by CORE View metadata, citation and similar papers at core.ac.uk
Locus of health control and observed prophylactic behaviors in secondary school students Initial ... more Locus of health control and observed prophylactic behaviors in secondary school students Initial study Introduction. Personal health locus control is related to health behavior presented by adult people. Persons with the internal health locus control, take greater responsibility for maintaining and improving their own health in comparison with people with the external health locus control pattern. It is anticipated that the internal health locus control might influence older adolescents to perform pro-health behaviors as well. Goal. To verify if there is a correlation between the health locus control and selected preventive behavior patterns presented by high school students. Materials and methods. The study was conducted in a group of 1036 students (688 girls and 348 boys) aged 16-19 years. The Multidimensional Health Locus Control Scale (MHLC) and the Health Behavior Inventory (Preventive Behaviors) were used. Results. In the study group, the mean value of the internal health locus control (24.51 points) was higher than two others: 18.18 points for the influence of other people and 17.94 points for the impact of the event. The influence of other people was stronger among 16 year olds (18.61 points) than in older student groups. In the group of 17-year-old students the importance of internal control (26.69 points) was the strongest. Concerning presented preventive behavior patterns the studied group of adolescents received an average score of 18.36 points; the value for women (18.62 points) was statistically higher than for men (17.85 points), p = 0.023. The linear regression analysis proved a significant correlation between student preventive behaviors and the internal health locus control (p = 0.0000, r 2 = 0.20), as well as with the influence of other people (p = 0.0000; r 2 = 0.26). Conclusions. (1) In high school students the internal health locus control and the influence of others (especially among 16-year-olds) are correlated with health behaviors presented by young people. (2) These results indicate a need for targeted interventions aiming to increase the internal health locus control in assuming the increasing responsibility of high school students for their own health behavior.
Family support and the level of emotional control in teenagers. Initial study Introduction. Famil... more Family support and the level of emotional control in teenagers. Initial study Introduction. Family functioning has an influence on teenagers' attitudes and emotions. Suppressing emotions usually leads to their intensification or may contribute to persistent emotional distress, which may underlie addiction, disturbed behaviour, neurotic or psychosomatic disorders. Objective. To assess the relationship between the perceived family support and the level of emotional control in the group of teenage respondents. Material and methods. The cross-sectional study was carried out in a group of 1,036 students of secondary schools (688 girls and 348 boys) aged 16-19. The study was conducted by means of a diagnostic survey with the use of an anonymous questionnaire in an electronic form. In the study the Family APGAR scale and the Emotional Control Scale (CECS) were used. Results. Occurrence of a serious dysfunction in family relationships consisting in failure to receive support was observed in 13.42% (n = 139) of the respondents, and in abnormalities in the level of the perceived support in 27.7% (n = 287) of the respondents. According to the Family APGAR scores, a lower level of the perceived family support was revealed in girls as compared to boys (χ 2 = 9.32; p = 0.009). The rate of suppressing emotions was higher in boys than in girls (p = 0.0017). The differences were particularly distinct in areas of expressing fear and anger. A higher level of suppressing negative emotions was observed in the students who revealed a serious dysfunction in family relationships (low level of the perceived support) in comparison to those in whom this type of dysfunction in family relationships (p = 0.00000) was not observed. Conclusions. (1) A dysfunction in family functioning consisting in lack of support perceived by the youth is associated with suppressing negative emotions. (2) Girls indicate lack of support in the family more often. (3) Boys suppress fear and anger to a greater extent than girls, whereas girls are more likely to suppress depression.
Introduction. Family functioning has an influence on teenagers' attitudes and emotions. Suppr... more Introduction. Family functioning has an influence on teenagers' attitudes and emotions. Suppressing emotions usually leads to their intensification or may contribute to persistent emotional distress, which may underlie addiction,disturbed behaviour, neurotic or psychosomatic disorders. Objective.To assess the relationship between the perceived family support and the level of emotional control in the group of teenage respondents. Material and methods.The cross-sectional study was carried out in a group of 1,036 students of secondary schools (688 girls and 348 boys) aged 16-19. The study was conducted by means of a diagnostic survey with the use of an anonymous questionnaire in an electronic form. In the study the Family APGAR scale and the Emotional Control Scale (CECS) were used. Results.Occurrence of a serious dysfunction in family relationships consisting in failure to receive support was observed in 13.42% (n=139) of the respondents, and in abnormalities in the level of the p...
Introduction.Health-relatedbehavioursare one of the crucial factors in maintaining health. They p... more Introduction.Health-relatedbehavioursare one of the crucial factors in maintaining health. They play a significant role in healthcare and quality of life. Considering a change in health-related habits, individuals may take up actions aimed at achieving the optimal standard of life. All factors that are considered to be determinants of health have indirect or direct influence on health-related behaviours and lifestyle. Factors that influence the development of health-related behaviours are predisposing factors (e.g. knowledge, beliefs), enabling factors (skills important for health) and reinforcing factors (social norms). Early conscious implementation of prophylactic actions may contribute to improvement in health quality and a decrease in the level of morbidity in population. Objective. To assess therelationship between the level of knowledge and health-related behaviours in secondary school students. Material and methods.The study was carried out in a group of 1,036 students (688 ...
PLOS ONE, 2021
Introduction The attitudes of healthcare staff towards patients’ safety, including awareness of t... more Introduction The attitudes of healthcare staff towards patients’ safety, including awareness of the risk for adverse events, are significant elements of an organization’s safety culture. Aim of research To evaluate nurses and physicians’ attitudes towards factors influencing hospitalized patient safety. Materials and methods The research included 606 nurses and 527 physicians employed in surgical and medical wards in 21 Polish hospitals around the country. The Polish adaptation of the Safety Attitudes Questionnaire (SAQ) was used to evaluate the factors influencing attitudes towards patient safety. Results Both nurses and physicians scored highest in stress recognition (SR) (71.6 and 80.86), while they evaluated working conditions (WC) the lowest (45.82 and 52,09). Nurses achieved statistically significantly lower scores compared to physicians in every aspect of the safety attitudes evaluation (p<0.05). The staff working in surgical wards obtained higher scores within stress reco...
Wstep. Celem wspolczesnych systemow ochrony zdrowia jest zapewnienie wysokiej jakości świadczonyc... more Wstep. Celem wspolczesnych systemow ochrony zdrowia jest zapewnienie wysokiej jakości świadczonych uslug medycznych, w tym bezpieczenstwa pacjenta. Anestezjologia i intensywna terapia ze wzgledu na swoją specyfike zwiekszają ryzyko wystąpienia roznego rodzaju zagrozen, w tym zdarzen niepoządanych. Cel pracy. Analiza wystepowania zdarzen niepoządanych w praktyce zawodowej pielegniarek pracujących na oddziale anestezjologii i intensywnej terapii, poznanie ich czestości i przyczyn. Material i metody. Badania przeprowadzono wśrod 83 pielegniarek/pielegniarzy pracujących na oddzialach anestezjologii i intensywnej terapii. Wiekszośc badanych stanowily kobiety (96,4%). Średnia wieku wynosila 35,6 roku (SD = 8,2). W badaniach wykorzystano autorski kwestionariusz ankiety stworzony na podstawie analizy literatury i narzedzia badawczego: Hospital Survey on Patient Safety Culture. Wyniki i wnioski. Wystąpienie zdarzenia niepoządanego w trakcie wykonywania czynności zawodowych zadeklarowalo 32,5...
Introduction. Numerous studies have found that organizational features connected with the work en... more Introduction. Numerous studies have found that organizational features connected with the work environment of nurses have a significant influence on patients' safety. Aim of research. To capture nurses’ opinions about patients' safety and discern relationships with work environment characteristics. Material and methods. This cross-sectional study surveyed 1,825 nurses. The research used questionnaire consisting of four parts: 1/covered The Practice Environment Scale of the Nursing Work Index (PES-NWI), 2/assessed the quality of nursing care and care safety, 3/ contained information on the most recent duty served by the nurses, 4/ captured social and demographic data of participants. Results. The research identified strong association between patient safety assessment and work environment of nurses in the aspect of employment adequacy, cooperation between nurses and doctors, support for nurses from the managing staff, the possibility to participate in the management as well a...
Progress in Health Sciences, 2015
Purpose: To assess the basic motor skills and the effects of physical training improvement progra... more Purpose: To assess the basic motor skills and the effects of physical training improvement program in a group of adolescents. Material and methods: The study group comprised 133 students (92 women and 41 men) aged 17 to 19 years. First, the subjects’ motor skills were tested using the Eurofit Fitness Testing Battery. Second, the general improving program of physical training was implemented during the same school year. Third, the Eurofit test was repeated at one year after the initial one. The SPSS 15.0 software was used to analyse the data. Results: At the first measurement, only 2/133 students performed all the Eurofit tests on satisfactory (above the national sample 50%) level. In four of nine domains the results were below representative national sample. A year later, after completion of the training program, 37/133 students (27.1%) performed all Eurofit domains above the 50 th percentile (P<0.001), the improvements were registered in previously deficit Eurofit Test constitue...
Collegium Medicum UJ, studia magisterskie, kierunek pielęgniarstwo roblemy zdrowotne chorego z ni... more Collegium Medicum UJ, studia magisterskie, kierunek pielęgniarstwo roblemy zdrowotne chorego z niedokrwistością aplastyczną Health problems of a patient with aplastic anemia STRESZCZENIE Niedokrwistość aplastyczna jest stanem głębokiego upośledzenia czynności krwiotwórczej szpiku. W konsekwencji doprowadza do wystąpienia pancytopenii. Objawy kliniczne prezentowane przez chorych wynikają z rodzaju uszkodzeń szpiku, a nierzadko choroba jest rozpoznawana przypadkowo podczas badań kontrolnych. Celem pracy jest przedstawienie problemów zdrowotnych chorego z ciężką niedokrwistością aplastyczną.
International Journal of Environmental Research and Public Health, 2021
Numerous studies have found that organizational features connected with the work environment of n... more Numerous studies have found that organizational features connected with the work environment of nurses have a significant influence on patients’ safety. The aim of this research was to capture nurses’ opinions about patients’ safety and discern relationships with work environment characteristics. This cross-sectional study surveyed 1825 nurses. The research used questionnaire consisting of four parts: (1) covered The Practice Environment Scale of the Nursing Work Index (PES-NWI); (2) assessed the quality of nursing care and care safety; (3) contained information on the most recent duty served by the nurses and (4) captured social and demographic data of participants. The research identified strong association between patient safety assessment and work environment of nurses in the aspect of employment adequacy, cooperation between nurses and doctors, support for nurses from the managing staff, the possibility to participate in the management as well as professional promotion of nurse...
International Nursing Review, 2021
AIM To study the relationship between Polish nurses' working conditions and their attitudes t... more AIM To study the relationship between Polish nurses' working conditions and their attitudes towards patient safety during the COVID-19 pandemic. BACKGROUND Facing the COVID-19 pandemic, caused by the SARS-CoV-2 virus, healthcare worldwide has been reorganised. How these changes affected patient safety for hospitalised persons is not well understood. INTRODUCTION Difficult working conditions related to the outbreak of the COVID-19 pandemic may affect the provision of safe and effective care by healthcare staff. METHODS This observational research was performed on the group of 577 nurses working during the COVID-19 pandemic in isolation infection wards (n = 201) and non-infectious diseases wards (n = 376) in Polish hospitals. The evaluation of working conditions was performed with an author's questionnaire, while the evaluation of factors influencing attitudes towards safety of the hospitalised patients was performed using Safety Attitudes Questionnaire. The STROBE checklist was used to report this study. RESULTS The procedures developed by management in advance for COVID-19 patient treatment had a statistically significant influence on nurses' 'evaluation of teamwork climate, safety climate, job satisfaction, perception of management and work conditions'. Providing management with the ability to perform a swab polymerase chain reaction SARS-CoV-2 test for hospital staff in the workplace, and psychological support from professionals and employers were statistically significant for higher ratings of 'teamwork climate, safety climate, job satisfaction, stress recognition, perception of management and work conditions' by the Polish nurses. Hospital workload during the COVID-19 pandemic was significantly correlated with lower evaluation of work conditions. DISCUSSION Our study reinforces the existing literature on many fronts and demonstrates how even when operating under the COVID-19 pandemic conditions, some factors remain critical for fostering a culture of patient safety. Reinforcing patient safety practices is a imperative under these conditions. CONCLUSIONS AND IMPLICATIONS FOR NURSING Working conditions influence nurses' attitudes towards safety of the hospitalised patients. These are largely modifiable factors related to the workplace and include prior preparation of procedures, restrictions to extending daily work hours and psychological counselling for the staff.
PLOS ONE, 2021
Background It is essential to provide safe healthcare in complex, difficult, and quickly changing... more Background It is essential to provide safe healthcare in complex, difficult, and quickly changing conditions. The quality of healthcare services directly influences the safety of both the patients and staff. Understanding healthcare staff attitudes toward safety in the healthcare delivery context is foundational for building a culture of safety. Aim of the work To adapt, via a structured translation methodology, the Safety Attitudes Questionnaire–Short Form (SAQ-SF), which assesses how employees of the health care sector perceive the safety climate in their workplace, to the Polish context. Methods Using a content validation approach to structure the translation process, we tested and psychometrically analysed the translated SAQ-SF. The sample comprised 322 employees of a district hospital (second referral level, which ensures 24/7 emergency care services) in Poland. Results The reliability of the sub-scales of the Polish version of the SAQ-SF ranged from 0.66 to 0.95. The discrimin...
Medycyna Pracy, 2020
Wstęp: Zatrudnienie pracowników sektora opieki zdrowotnej równolegle w 2 miejscach pracy (tzw. po... more Wstęp: Zatrudnienie pracowników sektora opieki zdrowotnej równolegle w 2 miejscach pracy (tzw. podwójna praktyka) jest powszechnym zjawiskiem niemal we wszystkich krajach. W Polsce możliwość zatrudnienia w ≥2 miejscach pracy pojawiła się wraz ze zmianami polityczno-społecznymi i reformą sytemu opieki zdrowotnej. Mimo że problem ten podlega licznym badaniom, w Polsce nadal nie jest znana skala tego zjawiska, motywy i potencjalne skutki mogące mieć wpływ zarówno na pracowników, jak i na cały system opieki zdrowotnej. Materiał i metody: Badaną grupę stanowiło 1023 pielęgniarek zatrudnionych w publicznych i niepublicznych zakładach opieki zdrowotnej na terenie województwa małopolskiego. Narzędziem badawczym był autorski kwestionariusz (ankieta). W opracowaniu statystycznym wykorzystano nieparametryczny test U Manna-Whitneya oraz test niezależności χ 2. Dla wszystkich analiz przyjęto maksymalny dopuszczalny błąd I rodzaju α = 0,05, za statystycznie istotne uznano p ≤ 0,05. Wyniki: Staż pracy badanych pielęgniarek/pielęgniarzy wynosił 1-43 lat, średnio-23 lata (SD = 11,1). Osoby >40 r.ż. stanowiły 77,5% (N = 793) grupy badanej, w tym 38,2% (N = 391) było między 41 a 50 r.ż. oraz 39,3% (N = 402) to osoby >50 r.ż. Spośród badanych 44,0% (N = 450) pracowało w 2 miejscach pracy, w tym 93,5% na stanowisku pielęgniarki, realizując ponad 160 godz. w miesiącu (39%). Decydującym powodem podjęcia dodatkowego zatrudnienia (93,3% badanych) były względy materialne. Wnioski: Względy finansowe są głównym powodem, dla których prawie połowa badanych pielęgniarek podejmuje dodatkowe zatrudnienie w wymiarze dwukrotnie przekraczającym obciążenie zawodowe. Badania sugerują potrzebę weryfikacji Centralnego Rejestru Pielęgniarek i Położnych (CRPiP) w celu wskazania liczby podwójnych etatów i osób pracujących w zawodzie pielęgniarek nie tylko w południowym regionie Polski, ale i całego kraju. Wyniki obrazują potrzebę prowadzenia dalszych badań dotyczących przyczyn i konsekwencji podwójnego zatrudnienia zarówno dla pielęgniarek, jak i wpływu tego zjawiska na jakość opieki i bezpieczeństwo pacjentów.
International Journal of Environmental Research and Public Health
The COVID-19 pandemic caused by the SARS-CoV-2 virus has significantly influenced the functioning... more The COVID-19 pandemic caused by the SARS-CoV-2 virus has significantly influenced the functioning of Polish hospitals, and thus, the working conditions of nurses. Research on the presence of specific negative emotions in nurses may help identify deficits in the future, as well as directing preventive actions. The present research was performed among nurses (n = 158) working in Polish healthcare facilities during the third wave of the COVID-19 pandemic caused by the SARS-CoV-2 virus, where Group A (n = 79) consisted of nurses diagnosed with COVID-19, and Group B (n = 79) nurses who have never been infected with COVID-19. To perform the research, the Courtauld Emotional Control Scale (CECS), Trait Anxiety Scale (Polish: SL-C) and the authors’ survey questionnaire were used. A positive test result was generally determined more often among nurses who indicated a noninfectious ward as their main workplace, compared to nurses employed in infectious wards (64.55% positive vs 33.45% negativ...
Wstęp. Hemofilia, to wrodzona osoczowa sprzężona z płcią skaza krwotoczna, której przyczyną jest ... more Wstęp. Hemofilia, to wrodzona osoczowa sprzężona z płcią skaza krwotoczna, której przyczyną jest niedobór lub zaburzenie funkcji pojedynczego czynnika krzepnięcia krwi. Wyróżnia się dwa typy hemofilii: A (niedobór cz. VIII) i B (niedobór cz. IX). Poczucie koherencji jest przekonaniem, że zdarzenia i procesy doświadczane przez człowieka przebiegają zgodnie z jego oczekiwaniami, a świat ma charakter uporządkowany i przewidywalny. Poczucie koherencji składa się z trzech elementów: 1/poczucia zrozumiałości; 2/poczucia zaradności; 3/poczucia sensowności. Silniejsze poczucie koherencji sprawia, że człowiek organizuje adekwatne dla danej sytuacji zasoby i potrafi je w pełni lepiej wykorzystać. Cel pracy. Celem pracy jest ocena poczucia koherencji u chorych na hemofilię. Materiał i metody. Badania zostały przeprowadzone w styczniu 2010 roku w grupie 35 mężczyzn chorych na hemofilię. W badaniu zastosowano Kwestionariusz Orientacji Życiowej (SOC-29) oraz kwestionariusz ankiety własnej konstrukcji. Wyniki. U dwudziestu dziewięciu ankietowanych (82,8%) poziom czynnika krzepnięcia krwi wynosił ≤1%, u czterech badanych (11,4%) wahał się między 1,1 a 3%. Pozostałe dwie osoby (tj. 5,7%) posiadały poziom czynnika krzepnięcia >3%. U 11 chorych częstotliwość krwawień przekraczała pięć wylewów w miesiącu. Średnia wartość poczucia koherencji w badanej grupie chorych na hemofilię wynosiła 139,22 pkt, najwyższy ogólny wynik uzyskało 5 chorych będących w przedziale wiekowym od 18 do 25 roku życia (=145,80 pkt). Spośród trzech składowych poczucia koherencji u wszystkich badanych najwyższa wartość dotyczyła poczucia zaradności (=49,94), mężczyźni w wieku 18-25 lat uzyskali największą liczbę punktów w tej kategorii (=54,6). Najniższe średnie wartości ogólnego poczucia koherencji oraz w dwóch z trzech jego składowych (zaradności i sensowności) uzyskali chorzy w wieku 26-35 lat. Wnioski. Ogólne poczucie koherencji badanych chorych mieściło się w zakresie średnich wartości normatywnych uzyskiwanych przez Antonovsky' ego. Najwyższą liczbę punktów uzyskali najmłodsi chorzy w przedziale wieku: 18-25 lat. Słowa kluczowe: hemofilia, czynnik krzepnięcia, poczucie koherencji ABSTRACT SENSE OF COHERENCE AMONG PATIENTS WITH HEMOPHILIA. PRELIMINARY STUDIES Introduction. Hemophilia is an inherited plasma coupled with gender bleeding disorder the cause of which is deficiency or dysfunction of blood coagulation single factor. There are two types of hemophilia: A (lack of factor VIII) and B (deficiency of factor IX). The sense of coherence (SOC) is the belief that events and processes experienced by humans occur in accordance to their expectations, and the world is orderly and predictable. The sense of coherence consists of three components: 1/ the sense of comprehensibility, 2/ the sense of resourcefulness, 3/ the sense of purpose. A stronger sense of coherence makes man arrange adequate resources for a given situation and is able to fully make use of them. Aim. The aim of the work is to assess the sense of coherence among patients with hemophilia. Material and methods: The research was conducted in January 2010 in the group of 35 males with hemophilia. The study used the Life Orientation Questionnaire (SOC-29) and the questionnaire constructed for the purpose of this survey. The results. In twenty-nine respondents (82.8%) blood coagulation factor level was ≤ 1%, in 4 respondents (11.4%) it ranged between 1.1 and 3%. The other two patients (i.e. 5.7%) had coagulation factor levels >3%. Among 11 patients the frequency of bleeding exceeded five strokes in a month. The average value of SOC in the studied group of patients with hemophilia was 139.22 points, the highest overall score was received by 5 patients being between the ages of 18 to 25 years of age (= 145.80 points). From brought to you by CORE View metadata, citation and similar papers at core.ac.uk
Locus of health control and observed prophylactic behaviors in secondary school students Initial ... more Locus of health control and observed prophylactic behaviors in secondary school students Initial study Introduction. Personal health locus control is related to health behavior presented by adult people. Persons with the internal health locus control, take greater responsibility for maintaining and improving their own health in comparison with people with the external health locus control pattern. It is anticipated that the internal health locus control might influence older adolescents to perform pro-health behaviors as well. Goal. To verify if there is a correlation between the health locus control and selected preventive behavior patterns presented by high school students. Materials and methods. The study was conducted in a group of 1036 students (688 girls and 348 boys) aged 16-19 years. The Multidimensional Health Locus Control Scale (MHLC) and the Health Behavior Inventory (Preventive Behaviors) were used. Results. In the study group, the mean value of the internal health locus control (24.51 points) was higher than two others: 18.18 points for the influence of other people and 17.94 points for the impact of the event. The influence of other people was stronger among 16 year olds (18.61 points) than in older student groups. In the group of 17-year-old students the importance of internal control (26.69 points) was the strongest. Concerning presented preventive behavior patterns the studied group of adolescents received an average score of 18.36 points; the value for women (18.62 points) was statistically higher than for men (17.85 points), p = 0.023. The linear regression analysis proved a significant correlation between student preventive behaviors and the internal health locus control (p = 0.0000, r 2 = 0.20), as well as with the influence of other people (p = 0.0000; r 2 = 0.26). Conclusions. (1) In high school students the internal health locus control and the influence of others (especially among 16-year-olds) are correlated with health behaviors presented by young people. (2) These results indicate a need for targeted interventions aiming to increase the internal health locus control in assuming the increasing responsibility of high school students for their own health behavior.
Family support and the level of emotional control in teenagers. Initial study Introduction. Famil... more Family support and the level of emotional control in teenagers. Initial study Introduction. Family functioning has an influence on teenagers' attitudes and emotions. Suppressing emotions usually leads to their intensification or may contribute to persistent emotional distress, which may underlie addiction, disturbed behaviour, neurotic or psychosomatic disorders. Objective. To assess the relationship between the perceived family support and the level of emotional control in the group of teenage respondents. Material and methods. The cross-sectional study was carried out in a group of 1,036 students of secondary schools (688 girls and 348 boys) aged 16-19. The study was conducted by means of a diagnostic survey with the use of an anonymous questionnaire in an electronic form. In the study the Family APGAR scale and the Emotional Control Scale (CECS) were used. Results. Occurrence of a serious dysfunction in family relationships consisting in failure to receive support was observed in 13.42% (n = 139) of the respondents, and in abnormalities in the level of the perceived support in 27.7% (n = 287) of the respondents. According to the Family APGAR scores, a lower level of the perceived family support was revealed in girls as compared to boys (χ 2 = 9.32; p = 0.009). The rate of suppressing emotions was higher in boys than in girls (p = 0.0017). The differences were particularly distinct in areas of expressing fear and anger. A higher level of suppressing negative emotions was observed in the students who revealed a serious dysfunction in family relationships (low level of the perceived support) in comparison to those in whom this type of dysfunction in family relationships (p = 0.00000) was not observed. Conclusions. (1) A dysfunction in family functioning consisting in lack of support perceived by the youth is associated with suppressing negative emotions. (2) Girls indicate lack of support in the family more often. (3) Boys suppress fear and anger to a greater extent than girls, whereas girls are more likely to suppress depression.
Introduction. Family functioning has an influence on teenagers' attitudes and emotions. Suppr... more Introduction. Family functioning has an influence on teenagers' attitudes and emotions. Suppressing emotions usually leads to their intensification or may contribute to persistent emotional distress, which may underlie addiction,disturbed behaviour, neurotic or psychosomatic disorders. Objective.To assess the relationship between the perceived family support and the level of emotional control in the group of teenage respondents. Material and methods.The cross-sectional study was carried out in a group of 1,036 students of secondary schools (688 girls and 348 boys) aged 16-19. The study was conducted by means of a diagnostic survey with the use of an anonymous questionnaire in an electronic form. In the study the Family APGAR scale and the Emotional Control Scale (CECS) were used. Results.Occurrence of a serious dysfunction in family relationships consisting in failure to receive support was observed in 13.42% (n=139) of the respondents, and in abnormalities in the level of the p...
Introduction.Health-relatedbehavioursare one of the crucial factors in maintaining health. They p... more Introduction.Health-relatedbehavioursare one of the crucial factors in maintaining health. They play a significant role in healthcare and quality of life. Considering a change in health-related habits, individuals may take up actions aimed at achieving the optimal standard of life. All factors that are considered to be determinants of health have indirect or direct influence on health-related behaviours and lifestyle. Factors that influence the development of health-related behaviours are predisposing factors (e.g. knowledge, beliefs), enabling factors (skills important for health) and reinforcing factors (social norms). Early conscious implementation of prophylactic actions may contribute to improvement in health quality and a decrease in the level of morbidity in population. Objective. To assess therelationship between the level of knowledge and health-related behaviours in secondary school students. Material and methods.The study was carried out in a group of 1,036 students (688 ...
PLOS ONE, 2021
Introduction The attitudes of healthcare staff towards patients’ safety, including awareness of t... more Introduction The attitudes of healthcare staff towards patients’ safety, including awareness of the risk for adverse events, are significant elements of an organization’s safety culture. Aim of research To evaluate nurses and physicians’ attitudes towards factors influencing hospitalized patient safety. Materials and methods The research included 606 nurses and 527 physicians employed in surgical and medical wards in 21 Polish hospitals around the country. The Polish adaptation of the Safety Attitudes Questionnaire (SAQ) was used to evaluate the factors influencing attitudes towards patient safety. Results Both nurses and physicians scored highest in stress recognition (SR) (71.6 and 80.86), while they evaluated working conditions (WC) the lowest (45.82 and 52,09). Nurses achieved statistically significantly lower scores compared to physicians in every aspect of the safety attitudes evaluation (p<0.05). The staff working in surgical wards obtained higher scores within stress reco...
Wstep. Celem wspolczesnych systemow ochrony zdrowia jest zapewnienie wysokiej jakości świadczonyc... more Wstep. Celem wspolczesnych systemow ochrony zdrowia jest zapewnienie wysokiej jakości świadczonych uslug medycznych, w tym bezpieczenstwa pacjenta. Anestezjologia i intensywna terapia ze wzgledu na swoją specyfike zwiekszają ryzyko wystąpienia roznego rodzaju zagrozen, w tym zdarzen niepoządanych. Cel pracy. Analiza wystepowania zdarzen niepoządanych w praktyce zawodowej pielegniarek pracujących na oddziale anestezjologii i intensywnej terapii, poznanie ich czestości i przyczyn. Material i metody. Badania przeprowadzono wśrod 83 pielegniarek/pielegniarzy pracujących na oddzialach anestezjologii i intensywnej terapii. Wiekszośc badanych stanowily kobiety (96,4%). Średnia wieku wynosila 35,6 roku (SD = 8,2). W badaniach wykorzystano autorski kwestionariusz ankiety stworzony na podstawie analizy literatury i narzedzia badawczego: Hospital Survey on Patient Safety Culture. Wyniki i wnioski. Wystąpienie zdarzenia niepoządanego w trakcie wykonywania czynności zawodowych zadeklarowalo 32,5...
Introduction. Numerous studies have found that organizational features connected with the work en... more Introduction. Numerous studies have found that organizational features connected with the work environment of nurses have a significant influence on patients' safety. Aim of research. To capture nurses’ opinions about patients' safety and discern relationships with work environment characteristics. Material and methods. This cross-sectional study surveyed 1,825 nurses. The research used questionnaire consisting of four parts: 1/covered The Practice Environment Scale of the Nursing Work Index (PES-NWI), 2/assessed the quality of nursing care and care safety, 3/ contained information on the most recent duty served by the nurses, 4/ captured social and demographic data of participants. Results. The research identified strong association between patient safety assessment and work environment of nurses in the aspect of employment adequacy, cooperation between nurses and doctors, support for nurses from the managing staff, the possibility to participate in the management as well a...
Progress in Health Sciences, 2015
Purpose: To assess the basic motor skills and the effects of physical training improvement progra... more Purpose: To assess the basic motor skills and the effects of physical training improvement program in a group of adolescents. Material and methods: The study group comprised 133 students (92 women and 41 men) aged 17 to 19 years. First, the subjects’ motor skills were tested using the Eurofit Fitness Testing Battery. Second, the general improving program of physical training was implemented during the same school year. Third, the Eurofit test was repeated at one year after the initial one. The SPSS 15.0 software was used to analyse the data. Results: At the first measurement, only 2/133 students performed all the Eurofit tests on satisfactory (above the national sample 50%) level. In four of nine domains the results were below representative national sample. A year later, after completion of the training program, 37/133 students (27.1%) performed all Eurofit domains above the 50 th percentile (P<0.001), the improvements were registered in previously deficit Eurofit Test constitue...
Collegium Medicum UJ, studia magisterskie, kierunek pielęgniarstwo roblemy zdrowotne chorego z ni... more Collegium Medicum UJ, studia magisterskie, kierunek pielęgniarstwo roblemy zdrowotne chorego z niedokrwistością aplastyczną Health problems of a patient with aplastic anemia STRESZCZENIE Niedokrwistość aplastyczna jest stanem głębokiego upośledzenia czynności krwiotwórczej szpiku. W konsekwencji doprowadza do wystąpienia pancytopenii. Objawy kliniczne prezentowane przez chorych wynikają z rodzaju uszkodzeń szpiku, a nierzadko choroba jest rozpoznawana przypadkowo podczas badań kontrolnych. Celem pracy jest przedstawienie problemów zdrowotnych chorego z ciężką niedokrwistością aplastyczną.
International Journal of Environmental Research and Public Health, 2021
Numerous studies have found that organizational features connected with the work environment of n... more Numerous studies have found that organizational features connected with the work environment of nurses have a significant influence on patients’ safety. The aim of this research was to capture nurses’ opinions about patients’ safety and discern relationships with work environment characteristics. This cross-sectional study surveyed 1825 nurses. The research used questionnaire consisting of four parts: (1) covered The Practice Environment Scale of the Nursing Work Index (PES-NWI); (2) assessed the quality of nursing care and care safety; (3) contained information on the most recent duty served by the nurses and (4) captured social and demographic data of participants. The research identified strong association between patient safety assessment and work environment of nurses in the aspect of employment adequacy, cooperation between nurses and doctors, support for nurses from the managing staff, the possibility to participate in the management as well as professional promotion of nurse...
International Nursing Review, 2021
AIM To study the relationship between Polish nurses' working conditions and their attitudes t... more AIM To study the relationship between Polish nurses' working conditions and their attitudes towards patient safety during the COVID-19 pandemic. BACKGROUND Facing the COVID-19 pandemic, caused by the SARS-CoV-2 virus, healthcare worldwide has been reorganised. How these changes affected patient safety for hospitalised persons is not well understood. INTRODUCTION Difficult working conditions related to the outbreak of the COVID-19 pandemic may affect the provision of safe and effective care by healthcare staff. METHODS This observational research was performed on the group of 577 nurses working during the COVID-19 pandemic in isolation infection wards (n = 201) and non-infectious diseases wards (n = 376) in Polish hospitals. The evaluation of working conditions was performed with an author's questionnaire, while the evaluation of factors influencing attitudes towards safety of the hospitalised patients was performed using Safety Attitudes Questionnaire. The STROBE checklist was used to report this study. RESULTS The procedures developed by management in advance for COVID-19 patient treatment had a statistically significant influence on nurses' 'evaluation of teamwork climate, safety climate, job satisfaction, perception of management and work conditions'. Providing management with the ability to perform a swab polymerase chain reaction SARS-CoV-2 test for hospital staff in the workplace, and psychological support from professionals and employers were statistically significant for higher ratings of 'teamwork climate, safety climate, job satisfaction, stress recognition, perception of management and work conditions' by the Polish nurses. Hospital workload during the COVID-19 pandemic was significantly correlated with lower evaluation of work conditions. DISCUSSION Our study reinforces the existing literature on many fronts and demonstrates how even when operating under the COVID-19 pandemic conditions, some factors remain critical for fostering a culture of patient safety. Reinforcing patient safety practices is a imperative under these conditions. CONCLUSIONS AND IMPLICATIONS FOR NURSING Working conditions influence nurses' attitudes towards safety of the hospitalised patients. These are largely modifiable factors related to the workplace and include prior preparation of procedures, restrictions to extending daily work hours and psychological counselling for the staff.
PLOS ONE, 2021
Background It is essential to provide safe healthcare in complex, difficult, and quickly changing... more Background It is essential to provide safe healthcare in complex, difficult, and quickly changing conditions. The quality of healthcare services directly influences the safety of both the patients and staff. Understanding healthcare staff attitudes toward safety in the healthcare delivery context is foundational for building a culture of safety. Aim of the work To adapt, via a structured translation methodology, the Safety Attitudes Questionnaire–Short Form (SAQ-SF), which assesses how employees of the health care sector perceive the safety climate in their workplace, to the Polish context. Methods Using a content validation approach to structure the translation process, we tested and psychometrically analysed the translated SAQ-SF. The sample comprised 322 employees of a district hospital (second referral level, which ensures 24/7 emergency care services) in Poland. Results The reliability of the sub-scales of the Polish version of the SAQ-SF ranged from 0.66 to 0.95. The discrimin...
Medycyna Pracy, 2020
Wstęp: Zatrudnienie pracowników sektora opieki zdrowotnej równolegle w 2 miejscach pracy (tzw. po... more Wstęp: Zatrudnienie pracowników sektora opieki zdrowotnej równolegle w 2 miejscach pracy (tzw. podwójna praktyka) jest powszechnym zjawiskiem niemal we wszystkich krajach. W Polsce możliwość zatrudnienia w ≥2 miejscach pracy pojawiła się wraz ze zmianami polityczno-społecznymi i reformą sytemu opieki zdrowotnej. Mimo że problem ten podlega licznym badaniom, w Polsce nadal nie jest znana skala tego zjawiska, motywy i potencjalne skutki mogące mieć wpływ zarówno na pracowników, jak i na cały system opieki zdrowotnej. Materiał i metody: Badaną grupę stanowiło 1023 pielęgniarek zatrudnionych w publicznych i niepublicznych zakładach opieki zdrowotnej na terenie województwa małopolskiego. Narzędziem badawczym był autorski kwestionariusz (ankieta). W opracowaniu statystycznym wykorzystano nieparametryczny test U Manna-Whitneya oraz test niezależności χ 2. Dla wszystkich analiz przyjęto maksymalny dopuszczalny błąd I rodzaju α = 0,05, za statystycznie istotne uznano p ≤ 0,05. Wyniki: Staż pracy badanych pielęgniarek/pielęgniarzy wynosił 1-43 lat, średnio-23 lata (SD = 11,1). Osoby >40 r.ż. stanowiły 77,5% (N = 793) grupy badanej, w tym 38,2% (N = 391) było między 41 a 50 r.ż. oraz 39,3% (N = 402) to osoby >50 r.ż. Spośród badanych 44,0% (N = 450) pracowało w 2 miejscach pracy, w tym 93,5% na stanowisku pielęgniarki, realizując ponad 160 godz. w miesiącu (39%). Decydującym powodem podjęcia dodatkowego zatrudnienia (93,3% badanych) były względy materialne. Wnioski: Względy finansowe są głównym powodem, dla których prawie połowa badanych pielęgniarek podejmuje dodatkowe zatrudnienie w wymiarze dwukrotnie przekraczającym obciążenie zawodowe. Badania sugerują potrzebę weryfikacji Centralnego Rejestru Pielęgniarek i Położnych (CRPiP) w celu wskazania liczby podwójnych etatów i osób pracujących w zawodzie pielęgniarek nie tylko w południowym regionie Polski, ale i całego kraju. Wyniki obrazują potrzebę prowadzenia dalszych badań dotyczących przyczyn i konsekwencji podwójnego zatrudnienia zarówno dla pielęgniarek, jak i wpływu tego zjawiska na jakość opieki i bezpieczeństwo pacjentów.