Stanisław Manulik - Academia.edu (original) (raw)
Papers by Stanisław Manulik
DOAJ (DOAJ: Directory of Open Access Journals), Dec 1, 2018
Conclusion Socio-demographic characteristics do not have a clear impact on patients' expectations... more Conclusion Socio-demographic characteristics do not have a clear impact on patients' expectations and perceptions of healthcare service quality and as such, should not be used in the process of quality management.
Esc Heart Failure, Sep 21, 2020
To estimate the risk of all-cause mortality and hospitalization in frail patients with chronic he... more To estimate the risk of all-cause mortality and hospitalization in frail patients with chronic heart failure (HF), a systematic search and meta-analysis was carried out to identify all prospective cohort studies conducted among adults with HF where frailty was quantified and related to the primary endpoints of all-cause mortality and/or hospitalization. Twenty-nine studies reporting the link between frailty and all-cause mortality in 18 757 patients were available for the meta-analysis, along with 11 studies, with 13 525 patients, reporting the association between frailty and hospitalization. Frailty was a predictor of all-cause mortality and hospitalization with summary hazard ratios (HRs) of 1.
Journal of Education, Health and Sport, Jul 25, 2023
Rationing of nursing care is a widespread and growing phenomenon whose causes are multifaceted an... more Rationing of nursing care is a widespread and growing phenomenon whose causes are multifaceted and whose consequences are serious. Nursing rationing is defined as withholding or failing to perform necessary nursing tasks due to insufficient time, staffing, and/or inadequate skills. Nursing rationing is also defined as omission, delay, failure to complete, which qualifies as an error of omission. Unfinished nursing care has many negative consequences for patients, nurses and organizations. The presented series of three papers aims to show many important aspects related to rationing of care. This third part of the series of rationing of nursing care phenomenon will address the important issues from the point of view of care rationing, such as nurses' job satisfaction, nursing staff life satisfaction, nursing staff burnout, and nursing staff life orientation.
Journal of Education, Health and Sport, Mar 1, 2023
The rationing of nursing care phenomenon in the light of scientific reportsdefinitions, system so... more The rationing of nursing care phenomenon in the light of scientific reportsdefinitions, system solutions, assessment methods-PART I Zjawisko racjonowania opieki pielęgniarskiej w świetle doniesień naukowych-definicje, rozwiązania systemowe, metody oceny-CZĘŚĆ I
Clinical Interventions in Aging, Jun 1, 2014
Background: Frail older people are at high risk of developing adverse outcomes, such as disabilit... more Background: Frail older people are at high risk of developing adverse outcomes, such as disability, mortality, hospitalization, and institutionalization. Previous research suggests that the Tilburg Frailty Indicator (TFI) is a valid and reliable instrument for measuring frailty. The aim of this study was to adapt and to test the reliability of the Polish version of the TFI. Method: A standard guideline was used for translation and cultural adaptation of the English version of the TFI into Polish. The study included 100 Polish patients (mean age 68.2±6.5 years), among them 42 men and 58 women. Cronbach's alpha was used for analysis of the internal consistency of the TFI. Results: The mean total TFI score was 6.7±3.1. Forty patients scored 5, which corresponded to being frail. Cronbach's alpha reliability coefficients of the instrument ranged from 0.68 to 0.72 and item-total correlation ranged from 0.12 to 0.52. Conclusion: The TFI is valid and reproducible for assessment of frailty syndrome among a Polish population. The Polish adaptation of the TFI proved a useful and fast tool for assessing frailty.
BMJ Open, 2019
Objectives To assess life satisfaction, job satisfaction, life orientation and the level of profe... more Objectives To assess life satisfaction, job satisfaction, life orientation and the level of professional burnout in a group of professionally active nurses and midwives. Design A cross-sectional study. setting This study was conducted between March and October of 2017 during specialisation training at the European Centre for Postgraduate Education in Wroclaw, Poland. Participants A group of 350 professionally active nurses (n=293) and midwives (n=57) were enrolled in the study. Outcome measures Associations between burnout and selected life-related and job-related outcomes using (1) the Satisfaction With Job Scale, (2) the Satisfaction With Life Scale (SWLS), (3) the Life Orientation Test-Revised, (4) the Maslach Burnout Inventory and the Authors' Designed Questionnaire regarding sociodemographic factors. The level of statistical significance was set at p≤0.05 (with a CI of 95%). results The vast majority of participants were those in the ages of 41-50 years old (40.57%), women (96.86%) and people with bachelor's degree (46.29%). The average overall rate for occupational burnout was 34.67 per 100 points. Assessment of occupational burnout subscale showed that the most significant factor was emotional exhaustion at 39.14 points (SD=28.15). Job satisfaction, life satisfaction and life orientation assessed with SWLS significantly affects each of the occupational burnout subscales (p<0.05). Conclusions The level of occupational burnout in nurses and midwives appeared to be low. It has been revealed that such determinants as life satisfaction, job satisfaction and life orientation do not allow for developing an occupational burnout.
Patient Preference and Adherence, Aug 1, 2016
care institution, "Ambulatory of cosmonauts" ltd. liability company, 2 Department of nervous syst... more care institution, "Ambulatory of cosmonauts" ltd. liability company, 2 Department of nervous system Diseases, Faculty of health science,
Journal of Education, Health and Sport, Apr 24, 2023
Rationing of nursing care is a widespread and growing phenomenon whose causes are multifaceted an... more Rationing of nursing care is a widespread and growing phenomenon whose causes are multifaceted and whose consequences are serious. Nursing rationing is defined as withholding or failing to perform necessary nursing tasks due to insufficient time, staffing, and/or inadequate skills. Nursing rationing is also defined as omission, delay, failure to complete, which qualifies as an error of omission. Unfinished nursing care has many negative consequences for patients, nurses and organizations. The presented series of three papers aims to show many important aspects related to rationing of care. This second part of the series of rationing of nursing care phenomenon will address the nursing shortages and demand for nursing care, nursing staffing rates and government policy, the effects of inadequate nursing care on patients and nursing staff, and the economic and social effects of inadequate nursing care.
Polish Journal of Public Health
Introduction. Childbirth and its course have a significant impact on a woman’s mental functioning... more Introduction. Childbirth and its course have a significant impact on a woman’s mental functioning during the postpartum period and motherhood. The mother’s mental state affects not only her child’s life and health, but also the functioning of the entire family. The literature distinguishes several types of mental disorders that occur in the postpartum period, including postpartum depression. Aim. This study aims to determine the incidence of mood disorders in women up to 6 months postpartum. Material and methods. The research was carried out using a standardized questionnaire – the Edinburgh Postnatal Depression Scale (EPDS) – designed to determine the severity of mood disorders in the postpartum period in women at the University Hospital in Zielona Góra. The survey was conducted among 100 women aged from 17 to 43. Results. The results of the analysis showed that in women who noticed mood disorders during pregnancy (n=11, i.e. 11% of the total and n=10, i.e. 10% of the total), there...
International Journal of Environmental Research and Public Health, May 20, 2022
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Polish Journal of Public Health, 2020
Introduction. Due to frequent contact with sick people, the hands of healthcare professionals are... more Introduction. Due to frequent contact with sick people, the hands of healthcare professionals are the most popular way of transmitting pathogens from patient to patient and from hospital to patient. Hand hygiene is crucial when it comes to reducing HCAI (healthcare-associated infections). Aim. The aim is to analyze the professional knowledge of nurses about nosocomial infections transmitted through contact. Its main assumption is the evaluation of this knowledge in the context of preventing the spread of nosocomial infections. Material and method. A proprietary questionnaire consisting of questions was used to assess the knowledge of medical personnel. The survey contains 25 questions based on the principle of "true/false". The reliability of the scale was measured and assessed with the Cronbach's alpha test at the level of 68.4%. Results. Factors adversely affecting the general level of knowledge in the field of hand hygiene turned out to be older age (p=0.012), longer work experience (p=0.023) and the lack of higher education (p=0.048).
Polish Journal of Public Health, 2020
Introduction. Burnout syndrome among nurses is very common. It develops very dynamically, it is m... more Introduction. Burnout syndrome among nurses is very common. It develops very dynamically, it is mainly related to the reaction to long-term emotional stress, as well as to the professional work they perform. Aim. The aim of the study is to assess the degree of occupational burnout in the professional group of nurses. Material and methods. The research was conducted among 123 professionally active nurses employed in an outpatient clinic and a hospital in Wrocław. The work uses standardized research tools: Maslach Burnout Inventory (MBI) and Work Satisfaction Scale (WSS). Results. Nurses in old age, with longer work experience, are at a higher risk of burnout. Conclusion. Burnout as measured by the Maslach Burnout Inventory (MBI) and Work Satisfaction Scale (WSS) in nurses is associated with higher age and seniority. In addition, a negative correlation was noted between Maslach Burnout Inventory (MBI) and Work Satisfaction Scale (WSS).
Frontiers in Public Health
Healthcare rationing has been the subject of numerous debates and concerns in the field of health... more Healthcare rationing has been the subject of numerous debates and concerns in the field of health economics in recent years. It is a concept which refers to the allocation of scarce healthcare resources and involves the use of different approaches to the delivery of health services and patient care. Regardless of the approach used, healthcare rationing fundamentally involves withholding potentially beneficial programs and/or treatments from certain people. As the demands placed on health services continue to rise and with that significant increases to the cost, healthcare rationing has become increasingly popular and is deemed necessary for the delivery of affordable, patient-care services. However, public discourse on this issue has largely been centered on ethical considerations with less focus on economic rationality. Establishing the economic rationality of healthcare rationing is essential in healthcare decision-making and consideration of its adoption by healthcare authorities...
Advances in respiratory medicine, Jun 25, 2014
A patient is not, or at least should not be, a passive subject, but the active participant of the... more A patient is not, or at least should not be, a passive subject, but the active participant of the process of asthma treatment. This naturally imposes covering patients with bronchial asthma with a holistic model of care. Assessment of health-related quality of life (HRQoL) is one component of this model. HRQoL of asthma patients can be determined with an array of generic instruments, e.g. Medical Outcomes Survey Short Form 36 (SF-36), EuroQoL questionnaire (EQ-5D) or World Health Organization Quality of Life Questionnaire (WHOQOL), as well as with the specific tools, among which Saint George's Respiratory Questionnaire (SGRO) and Asthma Quality of Life Questionnaire (AQLQ) belong to the most widely used. HRQoL is significantly associated with the degree of asthma control. However, literature data suggest that a determination of HRQoL alone, with either specific or generic instrument, can be insufficient, as the level of health-related quality of life turned out to be modulated by three groups of factors: 1) demographic characteristics of patients, 2) clinical parameters, and 3) personality traits of respondents. Due to particularly strong effect of psychological characteristics on the quality of life of patients with bronchial asthma, also the level of depressiveness should be examined along with the HRQoL determination. Furthermore, complex assessment of the quality of life and its determinants should be conducted longitudinally, either in individual patients or in epidemiological studies.
Journal of Education, Health and Sport
Rationing of nursing care is a widespread and growing phenomenon whose causes are multifaceted an... more Rationing of nursing care is a widespread and growing phenomenon whose causes are multifaceted and whose consequences are serious. Nursing rationing is defined as withholding or failing to perform necessary nursing tasks due to insufficient time, staffing, and/or inadequate skills. Nursing rationing is also defined as omission, delay, failure to complete, which qualifies as an error of omission. Unfinished nursing care has many negative consequences for patients, nurses and organizations. The presented series of three papers aims to show many important aspects related to rationing of care. This second part of the series of rationing of nursing care phenomenon will address the nursing shortages and demand for nursing care, nursing staffing rates and government policy, the effects of inadequate nursing care on patients and nursing staff, and the economic and social effects of inadequate nursing care.
Journal of Education, Health and Sport
Rationing of nursing care is a widespread and growing phenomenon whose causes are multifaceted an... more Rationing of nursing care is a widespread and growing phenomenon whose causes are multifaceted and whose consequences are serious. Nursing rationing is defined as withholding or failing to perform necessary nursing tasks due to insufficient time, staffing, and/or inadequate skills. Nursing rationing is also defined as omission, delay, or failure to complete, which qualifies as an error of omission. Unfinished nursing care has many negative consequences for patients, nurses, and organizations. The presented series of three papers aims to show many important aspects related to care rationing. This first part of the series of rationing of nursing care phenomenon will address definitions and concepts of rationing of nursing care, rationing of nursing care in the context of health care rationing, rationing of care versus omission of care or medical error, methods for assessing the rationing and the quality of nursing care, and main reasons for rationing of nursing care.
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Polish Journal of Public Health, 2020
Introduction. Due to frequent contact with sick people, the hands of healthcare professionals are... more Introduction. Due to frequent contact with sick people, the hands of healthcare professionals are the most popular way of transmitting pathogens from patient to patient and from hospital to patient. Hand hygiene is crucial when it comes to reducing HCAI (healthcare-associated infections). Aim. The aim is to analyze the professional knowledge of nurses about nosocomial infections transmitted through contact. Its main assumption is the evaluation of this knowledge in the context of preventing the spread of nosocomial infections. Material and method. A proprietary questionnaire consisting of questions was used to assess the knowledge of medical personnel. The survey contains 25 questions based on the principle of “true/false”. The reliability of the scale was measured and assessed with the Cronbach’s alpha test at the level of 68.4%. Results. Factors adversely affecting the general level of knowledge in the field of hand hygiene turned out to be older age (p=0.012), longer work experie...
Introduction: Falls concern 1/3 of people aged >65 years and every second person aged >80, leadin... more Introduction: Falls concern 1/3 of people aged >65 years and every second person aged >80, leading to seniors' disability and dependence on other people's care. The unmodifiable causes for falls are age, sex, marital status, and place of residence. The modifiable causes include involutional changes in all body systems, multimorbidity, polypharmacy, as well as living and environmental conditions. Aim: To determine the risk factors of falls in the elderly. Material and methods: The study involved 220 hospitalized patients aged >65 years who had experienced a fall. An anonymous questionnaire was applied that referred to the medications taken, diagnosed diseases, factors predisposing to falls, and the frequency of falls. The Mini-Mental State Examination was performed to qualify the subjects, and Tinetti test to assess gait and balance. Results: In the Tinetti scale, 48.2% of the subjects were characterized by a rise in the risk of fall 5-fold higher than average; the risk increase less frequently concerned people undertaking physical activity and those who were younger (65-70 years) (P<0.05). The Tinetti test analysis revealed a statistically significant relation (P˂0.05) between brain stroke, Parkinson's disease, orthostatic hypotonia, gait disorders, and falls. The decrease in the number of falls was influenced neither by dizziness, declared by 70.4% of the patients (P=0.092), nor by the number of medications taken (P=0.072). It was influenced, however, by the usage of orthopedic equipment (P˂0.001). Conclusion: The risk of falls in the elderly rises with age. Physical activity decreases the risk; it is increased, though, by gait and balance disorders, Parkinson's disease, past brain stroke, and orthostatic hypotonia.
Introduction: Gastrointestinal cancers (GICs) are one of the main factors of morbidity and mortal... more Introduction: Gastrointestinal cancers (GICs) are one of the main factors of morbidity and mortality in the world. They affect the elderly to a large extent, as the natural ageing processes of the human body may also increase the occurrence of pathological changes, which in turn lead to disease. Cancer is now considered a chronic disease that affects the overall functioning of the patient in all areas of the patient's life. For this reason, quality of life (QOL) is more and more often taken into account in the treatment and care of the patient as an important factor influencing further prognosis. Aim: To assess the level of QOL among elderly people with diagnosed GICs. Material and methods: The study included 90 seniors aged >60 years with a diagnosed cancer located in the gastrointestinal tract. The exclusion criteria were: age ˂60, tumors in other part of the body than the gastrointestinal tract, GICs as primary tumor metastasis and dementia. Diagnostic survey method was provided and standardized scales were used to measure QOL: the 30 Items European Organization for Research of Life Questionnaire Core (EORTC QLQ-C30), the 18 Items Esophageal Cancer Module (EORTC QLQ-OES18), the 22 Items Gastric Cancer Module (EORTC QLQ-STO22), and the 29 Items Colorectal Cancer Module (EORTC QLQ-CR29). Results: The QOL of the respondents was assessed as medium (M=54.09; SD=21.91). The analyses showed that age correlates negatively with cognitive (p=0.045) and emotional functioning (p=0.002). Higher QOL was observed among men (M=52.74), economically active people (p=0.027) with a diagnosis up to 6 months (M=49.00) and without stoma was (M=53.07). Respondents define their QOL higher (M=4.00) than the survey results show (M=54.09). The study showed that the youngest seniors (M=2.24), people with liver, pancreas and gallbladder tumors (M=2.89) declared the greatest pain. Conclusions: Reduced QOL in elderly people with GIC is influenced by increased age, female sex, lack of professional activity, long time after the diagnosis of the disease and the presence of the stoma. There are discrepancies between subjective and objective evaluation of QOL, which requires extensive and insightful analysis of QOL, including its components, e.g. pain, in order to improve the seniors' QOL.
DOAJ (DOAJ: Directory of Open Access Journals), Dec 1, 2018
Conclusion Socio-demographic characteristics do not have a clear impact on patients' expectations... more Conclusion Socio-demographic characteristics do not have a clear impact on patients' expectations and perceptions of healthcare service quality and as such, should not be used in the process of quality management.
Esc Heart Failure, Sep 21, 2020
To estimate the risk of all-cause mortality and hospitalization in frail patients with chronic he... more To estimate the risk of all-cause mortality and hospitalization in frail patients with chronic heart failure (HF), a systematic search and meta-analysis was carried out to identify all prospective cohort studies conducted among adults with HF where frailty was quantified and related to the primary endpoints of all-cause mortality and/or hospitalization. Twenty-nine studies reporting the link between frailty and all-cause mortality in 18 757 patients were available for the meta-analysis, along with 11 studies, with 13 525 patients, reporting the association between frailty and hospitalization. Frailty was a predictor of all-cause mortality and hospitalization with summary hazard ratios (HRs) of 1.
Journal of Education, Health and Sport, Jul 25, 2023
Rationing of nursing care is a widespread and growing phenomenon whose causes are multifaceted an... more Rationing of nursing care is a widespread and growing phenomenon whose causes are multifaceted and whose consequences are serious. Nursing rationing is defined as withholding or failing to perform necessary nursing tasks due to insufficient time, staffing, and/or inadequate skills. Nursing rationing is also defined as omission, delay, failure to complete, which qualifies as an error of omission. Unfinished nursing care has many negative consequences for patients, nurses and organizations. The presented series of three papers aims to show many important aspects related to rationing of care. This third part of the series of rationing of nursing care phenomenon will address the important issues from the point of view of care rationing, such as nurses' job satisfaction, nursing staff life satisfaction, nursing staff burnout, and nursing staff life orientation.
Journal of Education, Health and Sport, Mar 1, 2023
The rationing of nursing care phenomenon in the light of scientific reportsdefinitions, system so... more The rationing of nursing care phenomenon in the light of scientific reportsdefinitions, system solutions, assessment methods-PART I Zjawisko racjonowania opieki pielęgniarskiej w świetle doniesień naukowych-definicje, rozwiązania systemowe, metody oceny-CZĘŚĆ I
Clinical Interventions in Aging, Jun 1, 2014
Background: Frail older people are at high risk of developing adverse outcomes, such as disabilit... more Background: Frail older people are at high risk of developing adverse outcomes, such as disability, mortality, hospitalization, and institutionalization. Previous research suggests that the Tilburg Frailty Indicator (TFI) is a valid and reliable instrument for measuring frailty. The aim of this study was to adapt and to test the reliability of the Polish version of the TFI. Method: A standard guideline was used for translation and cultural adaptation of the English version of the TFI into Polish. The study included 100 Polish patients (mean age 68.2±6.5 years), among them 42 men and 58 women. Cronbach's alpha was used for analysis of the internal consistency of the TFI. Results: The mean total TFI score was 6.7±3.1. Forty patients scored 5, which corresponded to being frail. Cronbach's alpha reliability coefficients of the instrument ranged from 0.68 to 0.72 and item-total correlation ranged from 0.12 to 0.52. Conclusion: The TFI is valid and reproducible for assessment of frailty syndrome among a Polish population. The Polish adaptation of the TFI proved a useful and fast tool for assessing frailty.
BMJ Open, 2019
Objectives To assess life satisfaction, job satisfaction, life orientation and the level of profe... more Objectives To assess life satisfaction, job satisfaction, life orientation and the level of professional burnout in a group of professionally active nurses and midwives. Design A cross-sectional study. setting This study was conducted between March and October of 2017 during specialisation training at the European Centre for Postgraduate Education in Wroclaw, Poland. Participants A group of 350 professionally active nurses (n=293) and midwives (n=57) were enrolled in the study. Outcome measures Associations between burnout and selected life-related and job-related outcomes using (1) the Satisfaction With Job Scale, (2) the Satisfaction With Life Scale (SWLS), (3) the Life Orientation Test-Revised, (4) the Maslach Burnout Inventory and the Authors' Designed Questionnaire regarding sociodemographic factors. The level of statistical significance was set at p≤0.05 (with a CI of 95%). results The vast majority of participants were those in the ages of 41-50 years old (40.57%), women (96.86%) and people with bachelor's degree (46.29%). The average overall rate for occupational burnout was 34.67 per 100 points. Assessment of occupational burnout subscale showed that the most significant factor was emotional exhaustion at 39.14 points (SD=28.15). Job satisfaction, life satisfaction and life orientation assessed with SWLS significantly affects each of the occupational burnout subscales (p<0.05). Conclusions The level of occupational burnout in nurses and midwives appeared to be low. It has been revealed that such determinants as life satisfaction, job satisfaction and life orientation do not allow for developing an occupational burnout.
Patient Preference and Adherence, Aug 1, 2016
care institution, "Ambulatory of cosmonauts" ltd. liability company, 2 Department of nervous syst... more care institution, "Ambulatory of cosmonauts" ltd. liability company, 2 Department of nervous system Diseases, Faculty of health science,
Journal of Education, Health and Sport, Apr 24, 2023
Rationing of nursing care is a widespread and growing phenomenon whose causes are multifaceted an... more Rationing of nursing care is a widespread and growing phenomenon whose causes are multifaceted and whose consequences are serious. Nursing rationing is defined as withholding or failing to perform necessary nursing tasks due to insufficient time, staffing, and/or inadequate skills. Nursing rationing is also defined as omission, delay, failure to complete, which qualifies as an error of omission. Unfinished nursing care has many negative consequences for patients, nurses and organizations. The presented series of three papers aims to show many important aspects related to rationing of care. This second part of the series of rationing of nursing care phenomenon will address the nursing shortages and demand for nursing care, nursing staffing rates and government policy, the effects of inadequate nursing care on patients and nursing staff, and the economic and social effects of inadequate nursing care.
Polish Journal of Public Health
Introduction. Childbirth and its course have a significant impact on a woman’s mental functioning... more Introduction. Childbirth and its course have a significant impact on a woman’s mental functioning during the postpartum period and motherhood. The mother’s mental state affects not only her child’s life and health, but also the functioning of the entire family. The literature distinguishes several types of mental disorders that occur in the postpartum period, including postpartum depression. Aim. This study aims to determine the incidence of mood disorders in women up to 6 months postpartum. Material and methods. The research was carried out using a standardized questionnaire – the Edinburgh Postnatal Depression Scale (EPDS) – designed to determine the severity of mood disorders in the postpartum period in women at the University Hospital in Zielona Góra. The survey was conducted among 100 women aged from 17 to 43. Results. The results of the analysis showed that in women who noticed mood disorders during pregnancy (n=11, i.e. 11% of the total and n=10, i.e. 10% of the total), there...
International Journal of Environmental Research and Public Health, May 20, 2022
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Polish Journal of Public Health, 2020
Introduction. Due to frequent contact with sick people, the hands of healthcare professionals are... more Introduction. Due to frequent contact with sick people, the hands of healthcare professionals are the most popular way of transmitting pathogens from patient to patient and from hospital to patient. Hand hygiene is crucial when it comes to reducing HCAI (healthcare-associated infections). Aim. The aim is to analyze the professional knowledge of nurses about nosocomial infections transmitted through contact. Its main assumption is the evaluation of this knowledge in the context of preventing the spread of nosocomial infections. Material and method. A proprietary questionnaire consisting of questions was used to assess the knowledge of medical personnel. The survey contains 25 questions based on the principle of "true/false". The reliability of the scale was measured and assessed with the Cronbach's alpha test at the level of 68.4%. Results. Factors adversely affecting the general level of knowledge in the field of hand hygiene turned out to be older age (p=0.012), longer work experience (p=0.023) and the lack of higher education (p=0.048).
Polish Journal of Public Health, 2020
Introduction. Burnout syndrome among nurses is very common. It develops very dynamically, it is m... more Introduction. Burnout syndrome among nurses is very common. It develops very dynamically, it is mainly related to the reaction to long-term emotional stress, as well as to the professional work they perform. Aim. The aim of the study is to assess the degree of occupational burnout in the professional group of nurses. Material and methods. The research was conducted among 123 professionally active nurses employed in an outpatient clinic and a hospital in Wrocław. The work uses standardized research tools: Maslach Burnout Inventory (MBI) and Work Satisfaction Scale (WSS). Results. Nurses in old age, with longer work experience, are at a higher risk of burnout. Conclusion. Burnout as measured by the Maslach Burnout Inventory (MBI) and Work Satisfaction Scale (WSS) in nurses is associated with higher age and seniority. In addition, a negative correlation was noted between Maslach Burnout Inventory (MBI) and Work Satisfaction Scale (WSS).
Frontiers in Public Health
Healthcare rationing has been the subject of numerous debates and concerns in the field of health... more Healthcare rationing has been the subject of numerous debates and concerns in the field of health economics in recent years. It is a concept which refers to the allocation of scarce healthcare resources and involves the use of different approaches to the delivery of health services and patient care. Regardless of the approach used, healthcare rationing fundamentally involves withholding potentially beneficial programs and/or treatments from certain people. As the demands placed on health services continue to rise and with that significant increases to the cost, healthcare rationing has become increasingly popular and is deemed necessary for the delivery of affordable, patient-care services. However, public discourse on this issue has largely been centered on ethical considerations with less focus on economic rationality. Establishing the economic rationality of healthcare rationing is essential in healthcare decision-making and consideration of its adoption by healthcare authorities...
Advances in respiratory medicine, Jun 25, 2014
A patient is not, or at least should not be, a passive subject, but the active participant of the... more A patient is not, or at least should not be, a passive subject, but the active participant of the process of asthma treatment. This naturally imposes covering patients with bronchial asthma with a holistic model of care. Assessment of health-related quality of life (HRQoL) is one component of this model. HRQoL of asthma patients can be determined with an array of generic instruments, e.g. Medical Outcomes Survey Short Form 36 (SF-36), EuroQoL questionnaire (EQ-5D) or World Health Organization Quality of Life Questionnaire (WHOQOL), as well as with the specific tools, among which Saint George's Respiratory Questionnaire (SGRO) and Asthma Quality of Life Questionnaire (AQLQ) belong to the most widely used. HRQoL is significantly associated with the degree of asthma control. However, literature data suggest that a determination of HRQoL alone, with either specific or generic instrument, can be insufficient, as the level of health-related quality of life turned out to be modulated by three groups of factors: 1) demographic characteristics of patients, 2) clinical parameters, and 3) personality traits of respondents. Due to particularly strong effect of psychological characteristics on the quality of life of patients with bronchial asthma, also the level of depressiveness should be examined along with the HRQoL determination. Furthermore, complex assessment of the quality of life and its determinants should be conducted longitudinally, either in individual patients or in epidemiological studies.
Journal of Education, Health and Sport
Rationing of nursing care is a widespread and growing phenomenon whose causes are multifaceted an... more Rationing of nursing care is a widespread and growing phenomenon whose causes are multifaceted and whose consequences are serious. Nursing rationing is defined as withholding or failing to perform necessary nursing tasks due to insufficient time, staffing, and/or inadequate skills. Nursing rationing is also defined as omission, delay, failure to complete, which qualifies as an error of omission. Unfinished nursing care has many negative consequences for patients, nurses and organizations. The presented series of three papers aims to show many important aspects related to rationing of care. This second part of the series of rationing of nursing care phenomenon will address the nursing shortages and demand for nursing care, nursing staffing rates and government policy, the effects of inadequate nursing care on patients and nursing staff, and the economic and social effects of inadequate nursing care.
Journal of Education, Health and Sport
Rationing of nursing care is a widespread and growing phenomenon whose causes are multifaceted an... more Rationing of nursing care is a widespread and growing phenomenon whose causes are multifaceted and whose consequences are serious. Nursing rationing is defined as withholding or failing to perform necessary nursing tasks due to insufficient time, staffing, and/or inadequate skills. Nursing rationing is also defined as omission, delay, or failure to complete, which qualifies as an error of omission. Unfinished nursing care has many negative consequences for patients, nurses, and organizations. The presented series of three papers aims to show many important aspects related to care rationing. This first part of the series of rationing of nursing care phenomenon will address definitions and concepts of rationing of nursing care, rationing of nursing care in the context of health care rationing, rationing of care versus omission of care or medical error, methods for assessing the rationing and the quality of nursing care, and main reasons for rationing of nursing care.
Polish Journal of Public Health, 2020
Introduction. Due to frequent contact with sick people, the hands of healthcare professionals are... more Introduction. Due to frequent contact with sick people, the hands of healthcare professionals are the most popular way of transmitting pathogens from patient to patient and from hospital to patient. Hand hygiene is crucial when it comes to reducing HCAI (healthcare-associated infections). Aim. The aim is to analyze the professional knowledge of nurses about nosocomial infections transmitted through contact. Its main assumption is the evaluation of this knowledge in the context of preventing the spread of nosocomial infections. Material and method. A proprietary questionnaire consisting of questions was used to assess the knowledge of medical personnel. The survey contains 25 questions based on the principle of “true/false”. The reliability of the scale was measured and assessed with the Cronbach’s alpha test at the level of 68.4%. Results. Factors adversely affecting the general level of knowledge in the field of hand hygiene turned out to be older age (p=0.012), longer work experie...
Introduction: Falls concern 1/3 of people aged >65 years and every second person aged >80, leadin... more Introduction: Falls concern 1/3 of people aged >65 years and every second person aged >80, leading to seniors' disability and dependence on other people's care. The unmodifiable causes for falls are age, sex, marital status, and place of residence. The modifiable causes include involutional changes in all body systems, multimorbidity, polypharmacy, as well as living and environmental conditions. Aim: To determine the risk factors of falls in the elderly. Material and methods: The study involved 220 hospitalized patients aged >65 years who had experienced a fall. An anonymous questionnaire was applied that referred to the medications taken, diagnosed diseases, factors predisposing to falls, and the frequency of falls. The Mini-Mental State Examination was performed to qualify the subjects, and Tinetti test to assess gait and balance. Results: In the Tinetti scale, 48.2% of the subjects were characterized by a rise in the risk of fall 5-fold higher than average; the risk increase less frequently concerned people undertaking physical activity and those who were younger (65-70 years) (P<0.05). The Tinetti test analysis revealed a statistically significant relation (P˂0.05) between brain stroke, Parkinson's disease, orthostatic hypotonia, gait disorders, and falls. The decrease in the number of falls was influenced neither by dizziness, declared by 70.4% of the patients (P=0.092), nor by the number of medications taken (P=0.072). It was influenced, however, by the usage of orthopedic equipment (P˂0.001). Conclusion: The risk of falls in the elderly rises with age. Physical activity decreases the risk; it is increased, though, by gait and balance disorders, Parkinson's disease, past brain stroke, and orthostatic hypotonia.
Introduction: Gastrointestinal cancers (GICs) are one of the main factors of morbidity and mortal... more Introduction: Gastrointestinal cancers (GICs) are one of the main factors of morbidity and mortality in the world. They affect the elderly to a large extent, as the natural ageing processes of the human body may also increase the occurrence of pathological changes, which in turn lead to disease. Cancer is now considered a chronic disease that affects the overall functioning of the patient in all areas of the patient's life. For this reason, quality of life (QOL) is more and more often taken into account in the treatment and care of the patient as an important factor influencing further prognosis. Aim: To assess the level of QOL among elderly people with diagnosed GICs. Material and methods: The study included 90 seniors aged >60 years with a diagnosed cancer located in the gastrointestinal tract. The exclusion criteria were: age ˂60, tumors in other part of the body than the gastrointestinal tract, GICs as primary tumor metastasis and dementia. Diagnostic survey method was provided and standardized scales were used to measure QOL: the 30 Items European Organization for Research of Life Questionnaire Core (EORTC QLQ-C30), the 18 Items Esophageal Cancer Module (EORTC QLQ-OES18), the 22 Items Gastric Cancer Module (EORTC QLQ-STO22), and the 29 Items Colorectal Cancer Module (EORTC QLQ-CR29). Results: The QOL of the respondents was assessed as medium (M=54.09; SD=21.91). The analyses showed that age correlates negatively with cognitive (p=0.045) and emotional functioning (p=0.002). Higher QOL was observed among men (M=52.74), economically active people (p=0.027) with a diagnosis up to 6 months (M=49.00) and without stoma was (M=53.07). Respondents define their QOL higher (M=4.00) than the survey results show (M=54.09). The study showed that the youngest seniors (M=2.24), people with liver, pancreas and gallbladder tumors (M=2.89) declared the greatest pain. Conclusions: Reduced QOL in elderly people with GIC is influenced by increased age, female sex, lack of professional activity, long time after the diagnosis of the disease and the presence of the stoma. There are discrepancies between subjective and objective evaluation of QOL, which requires extensive and insightful analysis of QOL, including its components, e.g. pain, in order to improve the seniors' QOL.