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Introduction: Code of Conduct and Ethics for Nurses and Midwives is kind of a signpost for each and every member of professional association. They are so crucial, that one should not only know them but also implement in everyday situations in practice. Nowadays, in current organizational realities issues mentioned in Code on Conduct which are connected to professional relations in nursing teams in Poland become more predominant. This is why the aim of the study is the evaluation of ethical aspects in professional relations in nursing teams. Materials and method: The study was conducted using the diagnostic survey method with the use of original survey questionnaire. 115 nurses and midwives took place in the survey all of them being active staff and workers of one of the hospital of West-Pomeranian Poland. Results: A tree-step range was used to evaluate the researched issue. Obtained material showed that the professional relations in nursing teams are satisfactory. Conclusions: Research data analysis allowed to formulate a following conclusion: received satisfactory assessment in a given research group can be understood as an average level when talking about ethical aspects of professional relations in nursing teams. This can be seen as difficulties or even the lack of proper professional relations between nurses. This can influence the quality of provided services. Thus, it is important to take into consideration actions which aim at improvement such as special training in terms of psychological aspects of interpersonal relations in teams with regard to practice in particular.
EN
Introduction: Organizational culture is a social issue reflecting opinions, behavior or attitudes of members of a particular organization. It determines a sense of identity of the people employed and designates durability and functioning of the system approved in a given organization. While acknowledging that organizational culture is a factor distinguishing a particular unit, the main purpose of the study is the diagnosis of the dominant type of organizational culture in a particular residential facility functioning in the West Pomeranian region of Poland. Materials and methods: The study was conducted by the diagnostic survey method and the use of standardized OCAI tool. 122 nurses who were working in the researched facility took part in the study. Results: The results indicate that chosen nursing teams, which were employed within the facility, determine hierarchical type as the dominant one (48% of all interviewed). While at the same time indicating the clan culture as the appropriate as the future one (about 66% of all interviewed). Conclusions: Research data analysis confirms common opinions about Polish healthcare sector. According to it, facility’s functioning is based on characteristic features of hierarchical type of culture such as: high level of formality, significant endurance and the need of predictability. At the same time the results point at the changes expected by the representatives of nursing environment described in literature as the clan culture. Nonetheless, in order to make such a huge organizational change efficiently, two factors seem to be indispensable: a sufficient quantity of nursing personnel and a high level managerial skills of the nursing team’s management staff. Unfortunately, as for today, reaching the satisfactory level seems impossible in both cases.
EN
Introduction: The paper presents the possibility of assessing the quality of life (QOL) of children on dialysis. Purpose: To evaluate the QOL depending on the health status of children on dialysis, to compare the subjective assessment of the QOL and to identify some of the factors independently affecting the QOL. Materials and methods: The study has been conducted on a group of 28 children on dialysis. Research tools: Poland abbreviated version of the survey assessing the quality of life of The World Health Organization Quality of Life (WHOQOL); survey constructed on the basis of the Polish version of Kidney Disease and Quality of LifeTM Short Form (KDQOL-SFTM) Version 1.2 and a questionnaire assessing QOL of children and adolescents with end-stage renal disease on dialysis and transplantation of kidneys by Rubik, Grenda, Jakubowska - Winecka and Dabrowska. Results: There were no significant differences in QOL between children treated with peritoneal dialysis and Hemodialisis (HD). While there is a strong correlation between the severity of depressive symptoms and the treatment's duration, financial status and parents' education. Conclusions: The phenomenon of reduced QOL must be counteracted. Medical pediatric staff of dialyze centers should especially pay attention to the problem of life’s quality, due to the intensity of disease’s impact on growing organism, should actively counteract the phenomena of its decrease by continuous therapeutic education of patient and his or her family.
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