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EN
Introduction: Transformational leadership is based on the trust and respect that employees feel about their leader and therefore are motivated to do much more than is expected from them. Transformational Leaders have a vision for the future, seek change and are challenged from their followers. Purpose: The exploration of the implementation of transformational leadership in nursing. Results: Since the early 1990s, transformational leadership started to be supported by nursing scholars. The first article advocating transformational leadership as a choice strategy for nursing, published in 1988. Later, it was stressed that modern health care requires new visions and enhanced models of nursing practice and the catalyst for that is transformative leadership and gradually, it was argued that successful leaders are the transformational leaders. In the 21th century it was obvious that transformational leadership was important for nursing from the growing number of published articles on the topic. Transformational leadership is affecting positively the nurses’ job satisfaction and contributes on reducing exhaustion, anxiety of nurses. Conclusions: The positive impact of transformational leaders on work performance and nurses satisfaction is evident, nevertheless much more effort has to be paid by nursing managers for increasing its use in the nursing departments of the hospitals.
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Purpose: To examine the impacts of burnout that has in health-related quality of life (QOL) in nursing staff in Greece. The association of social support with burnout and QOL is also investigated. Materials and methods: Individuals working in Mental and General Hospitals in the broader area of Athens participated in this study (N.139). The measurement tools include a) the Maslach Burnout Inventory (MBI), b) the SF-36 Health Survey and c. the Multidimensional Scale of Perceived Social Support. Burnout and QOL are expected to be related to the evaluation of social environment. Results: The results indicated the impacts that burnout has on quality of life and the positive effect of social support for nursing professionals in the levels of burnout. Conclusions: There is an association between burnout, quality of life and social support. Social support and socio-demographic factors appear to affect the levels of burnout to Psychiatric and General Hospital.
EN
BackgroundInfluenza vaccinations are recommended for medical staff as an effective and safe form of preventing influenza and its complications. The aim of the study was to assess the impact of selected educational and information interventions on the influenza vaccination coverage (IVC) in nursing personnel and their attitude towards this procedure.Material and MethodsThe study participants (N = 320) were randomly divided into 4 groups. Group 1 participated in stationary training, whereas group 2 participated in distance learning. Additionally, 2 subgroups were established in each of the groups above: 1 subgroup received a reminder about the vaccination in the form of a short text message, and the other group did not receive any such reminder. The IVC rate in each group was determined; the attitude towards influenza vaccination was measured using the health belief model.ResultsThe highest IVC was obtained after stationary training followed by a reminder in the form of a short test message (36%). The reminder significantly affected IVC in the group attending stationary training (p < 0.05, OR = 2.5, 95% CI: 1.16–5.58); however, it had no impact on the IVC in the group participating in distance learning (p > 0.05, OR = 1.2, 95% CI: 0.51–2.83). Both stationary training and distance learning positively influenced the attitude towards influenza vaccinations. A major change in attitudes towards influenza vaccinations was observed only in the case of stationary training followed by a reminder in the form of a short text message (positive changes in perceived susceptibility and severity took place, perceived vaccination benefits increased, and perceived barriers were reduced).ConclusionsStationary training followed by a reminder in the form of a short text message is more effective in increasing the IVC rate compared to distance learning. It also promotes positive changes in attitudes to this prophylactic procedure, which is why it should be recommended for wider implementation.
EN
ObjectivesThis study aimed to explore the self-care strategies undertaken by Polish nurses, and more specifically: to assess the participants’ self-care strategies; to check self-medication patterns in the study group; and to analyze compliance with medical recommendations regarding pharmacotherapy.Material and MethodsA quantitative and cross-sectional survey was conducted to examine the phenomenon of interest. The study employed a questionnaire survey with an independently designed questionnaire as a research tool. A total of 446 registered nurses taking part in different professional training courses for nurses in January–June 2018 who agreed to participate were included in the study.ResultsThe findings of this study reveal generally poor self-care strategies and compliance with medical recommendations among Polish nurses. The most frequent health behaviors among the surveyed nurses were caring for personal hygiene and a healthy diet. About 31% of the nurses confirmed supplements use. The most common reasons for taking supplements concerned the prevention of vitamin and mineral deficiencies (77.5%), and boosting of the immune system (49.3%). The most popular supplements included packs of vitamins (57.2%), single vitamin D3 (33.3%) and magnesium (31.2%). The vast majority of participants (79.8%) took some kind of over-the-counter drugs (OTCs) in the last 6 months, most often painkillers and flu medications, relying most frequently on the information included on the drug leaflets. The analysis showed a statistically significant relationship between declared OTC use and age, marital status, years of professional experience and economic status. Overall, 26.9% of the study participants declared the use of both supplements and OTCs, while 16.4% of the participants used neither supplements nor OTCs.ConclusionsSelf-care strategies undertaken by nurses should be seen as an essential factor in their positive therapeutic relationship with patients. The ageing nursing workforce should make all of us increasingly aware that their self-care needs will increase as well.
EN
Introduction: The death of patients is a difficult and inevitable experience in the work of nursing staff. The aim of this study is to assess the stress of the nursing staff and the styles of coping with it in the event of the death of a pediatric patient. Material and methods: The study was conducted from December 2021 to April 2022 in a group of 362 nurses working in pediatric wards in Warsaw. The research method was a diagnostic survey using a questionnaire, which included standardized CISS and KOS questionnaires, supplemented with metric data. The study was conducted online. The results were compiled using the statistical program IBM SPSS Statistics 25 and Microsoft Office. The study adopted a significance level of 5%. Results: The respondents assessed the stressful situation that is the death of a pediatric patient, most often as a challenge-activity (average = 13.38, SD = 3.26), and most often they were characterized by a task-oriented style (average = 52.40, SD = 10.98). Socio-professional variables determine the assessment and ways of coping with stressful situations. Conclusions: The patient’s death is a challenge and stimulates activity. It is necessary to help in stressful situations, especially younger people and those at the beginning of their professional career.
PL
Wprowadzenie: Śmierć pacjentów jest trudnym, a zarazem nieuniknionym doświadczeniem w pracy pielęgniarek. Celem badania była ocena stresu personelu pielęgniarskiego i stylów radzenia sobie z nim w sytuacji śmierci pacjenta pediatrycznego. Materiał i metody: Badanie przeprowadzono w okresie od grudnia 2021 r. do kwietnia 2022 r. w grupie 362 pielęgniarek pracujących w oddziałach pediatrycznych w Warszawie. Metodą badawczą był sondaż diagnostyczny z wykorzystaniem kwestionariusza ankiety, który obejmował standaryzowane kwestionariusze CISS i KOS, uzupełniony o dane metryczkowe. Badanie prowadzono przez Internet. Wyniki opracowano w programie statystycznym IBM SPSS Statistics 25 oraz z użyciem pakietu Microsoft Office. W badaniu przyjęto istotność na poziomie 5%. Wyniki: Badani oceniali sytuację stresową, jaką jest śmierć pacjenta pediatrycznego, najczęściej jako wyzwanie-aktywność (średnia = 13,38, SD = 3,26) i najczęściej charakteryzowali się stylem skoncentrowanym na zadaniu (średnia = 52,40, SD = 10,98). Zmienne socjo-zawodowe determinowały ocenę i sposoby radzenia sobie w sytuacjach stresowych. Wnioski: Śmierć pacjenta stanowi wyzwanie dla personelu pielęgniarskiego i pobudza do aktywności. Konieczna jest pomoc w sytuacjach stresowych, szczególnie osobom młodszym i na początku kariery zawodowej.
EN
BackgroundThe nurse, when performing emotional labor at work, tunes her own emotions to the patient’s expectations. The self-regulation strategies which are then used weaken her mental strength and contribute to various symptoms of occupational burnout syndrome (OBS). In addition, certain positive relationships have been found between selected emotional labor strategies and increased work engagement. The skills of empathizing with the patient are the nurse’s protective resource. Empathy allows to share emotions with the patient while maintaining the attitude of a neutral observer. It also helps to take actions to reduce pain and suffering, and to build a relationship of mutual trust and cooperation. The purpose of the present study, conducted in a group of surgical nurses in January‒March 2019, was to analyze a theoretical model which assumed the mediating role of emotional labor strategies in the relationship between empathy and OBS.Material and MethodsThe sample consisted of 84 surgical nurses employed at the University Hospital in Kraków. A cross-sectional design was used with the application of a questionnaire method. In the study, the Polish version of the Link Burnout Questionnaire by Jaworowska was used, together with the Empathy Quotient – short by Jankowiak-Siuda and the Deep Acting and Surface Acting Scale by Finogenow. For the statistical analysis, the IMB SPSS Statistics 24 with Hayes PROCESS version 3.4 was employed.ResultsA negative correlation between the level of empathy and the severity of OBS symptoms was confirmed in the study. The use of the surface regulation strategies of emotional labor weakened the protective effect of empathy on burnout. The use of deep action processing strategies of emotional labor supported this relationship.ConclusionsThe flexible use of emotional self-regulation strategies by the medical staff deepens their personal contact with the patient, and mediates in the level of empathy and the severity of OBS symptoms.
PL
WstępPielęgniarka, wykonując pracę emocjonalną, dostraja własne emocje do oczekiwań pacjenta. Stosowane wówczas strategie samoregulacji osłabiają jej siły psychiczne i przyczyniają się do powstawania różnych objawów zespołu wypalenia zawodowego (occupational burnout syndrome – OBS). Znane są także dodatnie związki łączące wybrane strategie pracy emocjonalnej ze wzrostem zaangażowania w wykonywaną pracę zawodową. Zasobem ochronnym są umiejętności empatyzowania z pacjentem. Empatia pozwala pielęgniarce dzielić się emocjami z pacjentem, zachowując postawę neutralnego obserwatora, sprzyja podejmowaniu działań służących redukcji bólu i cierpienia oraz pomaga budować relację obustronnego zaufania i współpracy. Celem niniejszych badań było sprawdzenie modelu teoretycznego, który zakładał mediującą rolę strategii pracy emocjonalnej w związku między empatią a OBS.Materiał i metodyPróba liczyła 84 pielęgniarki zabiegowe zatrudnione w Szpitalu Uniwersyteckim w Krakowie. Wykorzystano model badania przekrojowego z użyciem metod kwestionariuszowych. W badaniu zastosowano Kwestionariusz wypalenia zawodowego Link (Link Burnout Questionnaire) w adaptacji Jaworowskiej do pomiaru OBS, Skróconą skalę ilorazu empatii (Empathy Quotient – short) w adaptacji Jankowiak-Siudy do pomiaru empatii oraz Skalę płytkiej i głębokiej pracy emocjonalnej (Deep Acting and Surface Acting Scale) w adaptacji Finogenow do pomiaru pracy emocjonalnej. Do analizy wykorzystano oprogramowanie IBM SPSS Statistics 24 z makrem PROCESS v. 3.4 Hayesa.WynikiBadanie potwierdziło występowanie ujemnej korelacji między poziomem empatii a nasileniem objawów OBS. Stosowanie powierzchniowych strategii regulacji podczas wykonywania pracy emocjonalnej osłabiało ochronny wpływ empatii na wypalenie. Wykorzystanie strategii głębokiego przetwarzania emocji podtrzymywało wspomniany związek.Wnioski Elastyczne korzystanie z umiejętności samoregulacji emocji przez pracowników medycznych pogłębia osobowy kontakt z pacjentem oraz mediuje między poziomem empatii a nasileniem OBS.
PL
Wstęp. Pacjent hospitalizowany w oddziale intensywnej terapii (OIT) wymaga ciągłej i wzmożonej opieki realizowanej przez zespół pielęgniarski. Polega ona na zapewnieniu całościowej pielęgnacji, monitorowaniu i wspomaganiu funkcji życiowych, ale także regularnej toalety drzewa oskrzelowego. Jednak nadal obserwowana jest narastająca częstość zakażeń szpitalnych u chorych leczonych w OIT. Jest ona ściśle powiązana z zastosowaniem wysokospecjalistycznych często inwazyjnych, metod, takich jak wentylacja mechaniczna. Jednym z zakażeń szpitalnych związanych z intubacją tchawicy i mechaniczną wentylacją jest odrespiratorowe zapalenie płuc (VAP).
EN
Background. The patient hospitalized in the intensive care unit (ICU) requires continuous and intensified care performed by the nursing team. It consists in providing comprehensive care, monitoring and support of vital functions, as well as a regular toilet in the bronchial tree. However, the increasing incidence of nosocomial infections in patients treated in ICUs is still observed. It is closely related to the use of highly specialized, often invasive methods, such as mechanical ventilation. One of the nosocomial infections associated with tracheal intubation and mechanical ventilation is ventilator-associated pneumonia (VAP). Objectives. The main aim of the study was to compare of the assessment of two methods of the bronchial tree toilet. The secondary aim is to improve the quality of nursing care in patients with VAP in the ICU based on the analysis of the obtained results.
EN
Introduction: Professional work can have a positive impact on a person or be a source of stress or ill health. The aim of this study is to assess the psychosocial functioning of nurses in 2020: the International Year of the Nurse and Midwife and the first year of the COVID-19 pandemic. Material and methods: The study group consisted of 120 people. The following questionnaires were used: quality of life WHOQOL – BREF, Sense of Coherence SOC-29, Perceived Stress Scale, Life Orientation Test. Results: The quality of life of the subjects was the highest in the psychological domain and the lowest in the environmental domain. 81.6% of the respondents felt medium or high stress. The respondents presented a moderate level of optimism and obtained an average of 128.66 points in the global sense of coherence. A relationship was found between the strength of the sense of coherence, optimism, quality of life and the level of stress of the respondents. Conclusions: The analyses confirmed the relationship between the strength of the sense of coherence, the level of optimism and the feeling of stress and the quality of life of the nursing staff. Developing the personal resources necessary to launch constructive coping strategies in a crisis situation, such as an epidemic, among nursing staff can contribute to the development of the ability to cope with the effects of stress and improve the quality of life.
PL
Wprowadzenie: Praca zawodowa może wywierać pozytywny wpływ na człowieka lub być źródłem stresu i złego stanu zdrowia. Celem badania była ocena funkcjonowania psychospołecznego pielęgniarek w 2020 roku: Międzynarodowym Roku Pielęgniarki i Położnej oraz pierwszym roku pandemii COVID-19. Materiał i metody: Grupę badaną stanowiło 120 osób. W pracy wykorzystano kwestionariusze: jakości życia WHOQOL – BREF i Orientacji Życiowej SOC-29, a także Skalę Odczuwanego Stresu i Test Orientacji Życiowej. Wyniki: Jakość życia badanych była najwyższa w dziedzinie psychologicznej, a najniższa w dziedzinie środowiskowej. Stres na poziomie średnim bądź wysokim odczuwało 81,6% respondentów. Badani prezentowali umiarkowany poziom optymizmu oraz uzyskali średnio 128,66 pkt w globalnym poczuciu koherencji. Stwierdzono związek pomiędzy siłą poczucia koherencji, optymizmem, jakością życia i poziomem stresu badanych. Wnioski: W badaniu potwierdzono zależność pomiędzy siłą poczucia koherencji, poziomem optymizmu a odczuwaniem stresu i jakością życia personelu pielęgniarskiego. Rozwijanie zasobów osobistych koniecznych do uruchomienia konstruktywnych strategii radzenia sobie w sytuacji kryzysowej, jaką jest epidemia, wśród personelu pielęgniarskiego może przyczynić się do rozwinięcia zdolności radzenia sobie ze skutkami stresu oraz poprawy jakości życia.
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