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1

Umiejętności interpersonalne menedżerów a zadowolenie i rozwój zawodowy personelu pielęgniarskiego w zamkniętej placówce służby zdrowia

Ziółkowska B., Szmit D.

Zeszyty Naukowe. Organizacja i Zarządzanie / Politechnika Śląska

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2018

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z. 128

545--554

PL

Zasoby ludzkie w każdej organizacji stanowią fundament jej istnienia. Szczególnie w działalności usługowej, w której dochodzi do bezpośredniej styczności pomiędzy wykonawcą i odbiorcą w procesie świadczenia usługi, w obszarze działalności tak wrażliwej jaką realizują zamknięte placówki publicznej służby zdrowia. Poza lekarzami niezwykle ważne w procesie leczenia są czynności personelu pielęgniarskiego, który odpowiednio zmotywowany i zaangażowany, w sposób istotny wpływa na samopoczucie i proces zdrowienia pacjenta. W artykule zaakcentowano rolę personelu pielęgniarskiego, który podobnie jak personel lekarski, stanowi trzon zakładów opieki zdrowotnej. Bez dobrego kontaktu i porozumienia z tą grupą zawodową trudno będzie zbudować odpowiedni wizerunek i osiągnąć oczekiwaną skuteczność publicznego podmiotu leczniczego.

EN

Human resources in every organization are the foundation of its existence. Particularly in service activities in which there is direct contact between the contractor and the recipient in the service provision process, in the area of activities as sensitive as those implemented by closed public health care institutions. In addition to physicians, nursing staff are very important in the treatment process, which, when properly motivated and involved, significantly affects the patient's well-being and healing process. The article emphasizes the role of nursing staff, which, like medical staff, is the core of healthcare institutions. Without good contact and agreement with this professional group, it will be difficult to build the right image and achieve the expected effectiveness of the public health care provider.

2

The role of burnout syndrome as a mediator for the effect of psychosocial risk factors on the intensity of musculoskeletal disorders: a structural equation modeling approach

Gholami T., Pahlavian A. H., Akbarzadeh M., Motamedzade M., Moghaddam R. H.

International Journal of Occupational Safety and Ergonomics

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2016

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Vol. 22, No. 2

283--290

EN

This study examined the hypothesis that burnout syndrome mediates effects of psychosocial risk factors and intensity of musculoskeletal disorders (MSDs) among hospital nurses. The sample was composed of 415 nurses from various wards across five hospitals of Iran's Hamedan University of Medical Sciences. Data were collected through three questionnaires: job content questionnaire, Maslach burnout inventory and visual analogue scale. Results of structural equation modeling with a mediating effect showed that psychosocial risk factors were significantly related to changes in burnout, which in turn affects intensity of MSDs.

3

Effect of occupational health nursing practice on musculoskeletal pains among hospital nursing staff in South Korea

Kim Y. H., Jung M.- H.

International Journal of Occupational Safety and Ergonomics

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2016

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Vol. 22, No. 2

199--206

EN

Objective. The purpose of this study was to identify whether occupational health nursing variables serve as the contributing factors to musculoskeletal pains (MSP). Methods. A self-administered questionnaire composed of demographic characteristics, the practice of occupational health nursing and information regarding MSP was designed based on in-depth interviews with eight nurses. This study included 226 hospital nursing staff who worked at three university hospitals located in Seoul, South Korea. Statistical analysis was performed by using SPSS and AMOS 19.0. Results. Shoulder and neck pains occurred when subjects worked more than 46 h/week. Subjects who performed ‘work-time adjustment’ had lesser chance of having shoulder, leg/foot and wrist/finger pains. Overtime work hours showed an indirect effect on multiple sites of MSP by mediator variable, which was ‘work-time adjustment’. Organized night duty days eventually decreased multiple sites of MSP. Conclusion. Administration strategies for nurses to adjust work-time within 46 h/week should be considered.

4

Relationship between circadian rhythm amplitude and stability with sleep quality and sleepiness among shift nurses and health care workers

Roodbandi A. J., Choobineh A., Daneshvar S.

International Journal of Occupational Safety and Ergonomics

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2015

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Vol. 21, No. 3

312--317

EN

Introduction: Sleep is affected by the circadian cycle and its features. Amplitude and stability of circadian rhythm are important parameters of the circadian cycle. This study aims to examine the relationship between amplitude and stability of circadian rhythm with sleep quality and sleepiness. Method: In this cross-sectional research, 315 shift nurses and health care workers from educational hospitals of Kerman University of Medical Sciences (KUMS), Iran, were selected using a random sampling method. The Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS) and Circadian Type Inventory (CTI) were used to collect the required data. Results: In this study, 83.2% suffered from poor sleep and one-half had moderate and excessive sleepiness. The results showed that flexibility in circadian rhythm stability, job stress and sleepiness are among the factors affecting quality sleep in shift workers. Discussion: Those whose circadian rhythm amplitude was languid suffered more from sleepiness and those whose circadian stability was flexible had a better sleep. Variables including circadian rhythm stability (flexible/rigid) and amplitude (languid/vigorous) can act as predictive indices in order to employ people in a shift work system so that sleepiness and a drop in quality of sleep are prevented.

5

Logistyka zarządzania funkcją terapeutyczną w pracy pielęgniarek wybranych szpitali

Nalepa D., Czekirda M., Mianowana W.

Logistyka

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2014

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nr 6

14479--14487, CD 6

PL

Cel pracy. Prezentacja rozwiązań logistycznych personelu pielęgniarskiego w realizacji funkcji terapeutycznej wybranych szpitali. Badania zostały przeprowadzone w 2013 roku, w dwóch Oddziałach Neurologicznych lubelskich szpitali. Badaniem objęto 66 pielęgniarek. Kwestionariusz ankiety skierowany był do pielęgniarek (pielęgniarzy) pracujących w tychże oddziałach w celu zbadania różnic i podobieństw rozwiązań logistycznych w wybranych placówkach. Wyniki prezentują podobne, jak i różne aspekty pracy pielęgniarek. Różnice w pełnieniu funkcji terapeutycznej w obu placówkach podyktowane są głównie różnymi rozwiązaniami logistycznymi tych zakładów opieki zdrowotnej. System zarządzania, ilość zatrudnionego personelu, wiek i wykształcenie, ilość i zagospodarowanie łóżek w oddziałach, są to cechy różniące obydwa oddziały. Najistotniejszy wydaje się fakt, iż jakość usług pielęgniarskich wydaje się być coraz wyższa.

EN

Purpose of study. Presentation of logistics solutions nursing staff in the implementation of the therapeutic function in selected hospitals. The study was conducted in 2013 year, the two Departments of Neurological Hospitals in Lublin. The study included 66 nurses. The questionnaire was addressed to nurses and male nurses working in these wards in order to examine the similarities and differences between logistics solutions in selected outlets. Presented similar results, as well as various aspects of nurses work. The differences in the functions of both therapeutic facilities are mainly dictated by the various logistics solutions these healthcare facilities. Management system, the number of staff employed, age, education, number of beds and development departments, are the features of the two different wards. The most important is the fact that the quality of nursing services seems to be getting higher.

6

Logistyka i zarządzanie personelem pielęgniarskim w realizowaniu funkcji zawodowych lubelskich szpitali

Nalepa D., Czekirda M., Mianowana W., Zadorożny A.

Logistyka

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2014

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nr 6

14488--14496, CD 6

PL

Cel pracy. Prezentacja rozwiązań logistycznych personelu pielęgniarskiego w realizacji funkcji zawodowych. Badania zostały przeprowadzone w 2013 roku, w dwóch Oddziałach Neurologicznych lubelskich szpitali. Badaniem objęto 66 pielęgniarek, 40 pracujących w PSK-4 i 26 pracujących w Wojewódzkim Szpitalu Specjalistycznym w Lublinie. Kwestionariusz ankiety skierowany był do pielęgniarek (pielęgniarzy) pracujących w tychże oddziałach w celu zbadania różnic i podobieństw rozwiązań logistycznych w wybranych placówkach. . Badania własne wykazały, że pielęgniarki z obydwu badanych ośrodków mają podobną, z małymi różnicami, strategię wypełniania funkcji opiekuńczej i profilaktycznej w pielęgnowaniu chorych. Efektywność kierowania zespołem pielęgniarskim jest ważnym aspektem logistyki i zarządzania w zakładach opieki zdrowotnej w Polsce. Dlatego też zakłady te powinny być zainteresowane odpowiednią logistyczną strategią mającą istotny wpływ na mechanizm kierowania zespołami pracowniczymi, ponieważ w gospodarce rynkowej jest to taki sam podmiot gospodarczy, jak każdy inny.

EN

Aim. Showing the logistics solutions of nursing staff in the implementation professional functions. Studies have been done in 2013 year, the two Wards of Neurological of Lublin Hospitals. The study included 66 nurses, 40 employed in PSK-4 and 26 employees in the Provincial Specialist Hospital in Lublin. The questionnaire was addressed to nurses and male nurses employed in these departments in order to explore the differences and similarities logistics solutions in selected institutions.

7

The Relationship Between Shift Work Schedules and Spillover in a Sample of Nurses

Kunst J. R., Lrset G. K., Hosry D., Bjorvatn B., Moen B. E., Magerry N., Pallesen S.

International Journal of Occupational Safety and Ergonomics

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2014

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Vol. 20, No. 1

139--147

EN

The aim of the present study was to estimate spillover effects between the work and the family sphere in a sample of nurses (N = 2058). Hierarchical regression analyses investigated whether shift work schedules were associated with negative or positive spillover, both from family to work and vice versa, controlling for demographic factors, job demands and decision latitude. With daytime work as a reference group, all types of shift work (day and evening shift, night shift only and rotating 3 shift) were associated with higher negative work–to–family spillover.Night work was associated with significantly less negative family–to–work spillover. None of the different shift work schedules were related to any type of positive spillover. The results indicate that working outside of daytime hours is less compatible with workers’ family lives, compared to working ordinary day shifts. On the other hand, working night shifts only was associated with reduced negative family–to–work spillover.

8

Development of PAOT Tool Kit for Work Improvements in Clinical Nursing

Jung M.- H.

International Journal of Occupational Safety and Ergonomics

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2014

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Vol. 20, No. 1

149--158

EN

The aim of this study was to develop an action checklist for educational training of clinical nurses. The study used qualitative and quantitative methods. Questionnaire items were extracted through in-depth interviews and a questionnaire survey. PASW version 19 and AMOS version 19 were used for data analyses. Reliability and validity were tested with both exploratory and confirmative factor analysis. The levels of the indicators related to goodness-of-fit were acceptable. Thus, a model kit of work improvements in clinical nursing was developed. It comprises 5 domains (16 action points): health promotion (5 action points), work management (3 action points), ergonomic work methods (3 action points), managerial policies and mutual support among staff members (3 action points), and welfare in the work area (2 action points).

9

Combined Effects of Physical Demands and Shift Working on Low Back Disorders Among Nursing Personnel

Raeisi S., Namvar M., Golabadi M., Attarchi M.

International Journal of Occupational Safety and Ergonomics

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2014

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Vol. 20, No. 1

159--166

EN

The aim of this study was to investigate the synergistic effects of physical demands and shift working on low back disorders (LBDs) among nursing personnel. The study used 2 questionnaires: a self-administered questionnaire composed of parts of Nordic musculoskeletal questionnaire to assess LBDs and job content questionnaire to assess physical demands. The participants were divided into 4 groups: from group 1 (low physical demands day workers) to group 4 (high physical demands shift workers). In regression analysis, high physical demands were associated with the prevalence of LBDs independently (OR 4.4, 95% CI [2.40, 8.00] and p < .05), but there was no association between shift working and LBDs (p > .05). Odds ratio in high physical demands shift workers was 9.33 compared to the reference group (p < .001). Calculated synergistic index was 7.37. Simultaneous impacts of shift working and high physical demands may increase the prevalence of LBDs among nursing personnel.

10

Assessing the Interplay Between the Shoulders and Low Back During Manual Patient Handling Techniques in a Nursing Setting

Belbeck A., Cudlip A. C., Dickerson C. R.

International Journal of Occupational Safety and Ergonomics

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2014

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Vol. 20, No. 1

127--137

EN

The purpose of this research was to quantify shoulder demands during freestyle manual patient handling (MPH) tasks and determine whether approaches intended to prevent low back injury increased shoulder demands. Twenty females completed 5 MPH tasks found commonly in hospital settings before and after a training session using current workplace MPH guidelines. Most normalized muscle activity indices and ratings of perceived exertion decreased following training at both the low back and shoulders, but were more pronounced at the low back. There was little evidence to suggest that mechanical demands were transferred from the low back to the shoulders following the training session. The study generally supports continued use of the recommended MPH techniques, but indicates that several tasks generate high muscular demands and should be avoided if possible.

11

Electric Versus Hydraulic Hospital Beds: Differences in Use During Basic Nursing Tasks

Capodaglio E. M.

International Journal of Occupational Safety and Ergonomics

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2013

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Vol. 19, No. 4

597--606

EN

Biomechanical, postural and ergonomic aspects during real patient-assisting tasks performed by nurses using an electric versus a hydraulic hospital bed were observed. While there were no differences in the flexed postures the nurses adopted, longer performance times were recorded when electric beds were used. Subjective effort, force exertion and lumbar shear forces exceeding safety limits proved electric beds were superior. Patients’ dependency level seemed to influence the type of nurses’ intervention (duration and force actions), irrespective of the bed used. The nurses greatly appreciated the electric bed. Its use seemed to reduce the level of effort perceived during care giving and the postural load during critical subtasks. Ergonomics and organizational problems related to adopting electric beds in hospital wards should be addressed further to make their use more efficient.

12

Association Between Perceived Demands and Musculoskeletal Disorders Among Hospital Nurses of Shiraz University of Medical Sciences: A Questionnaire Survey

Choobineh A., Rajaeefard A., Neghab M.

International Journal of Occupational Safety and Ergonomics

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2006

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Vol. 12, No. 4

409--416

EN

Excessive demands on nurses may result in high rates of musculoskeletal disorders (MSDs). This study was conducted among hospital nurses of Iran’s Shiraz University of Medical Sciences (SUMS) to determine the prevalence of MSDs and to examine the relationship between perceived demands and reported MSDs. In this study, 641 randomly selected nurses from 12 SUMS hospitals participated. The Nordic musculoskeletal disorders questionnaire and Job Content Questionnaire were used as collecting data tools.The results showed that 84.4% of the participants had experienced some form of symptoms of MSDs during the past 12 months. Lower back symptoms were found to be the most prevalent problem. Perceived physical demands were significantly associated with MSDs (OR = 1.5–2.7). No association was found between perceived psychological demands and reported symptoms. It was concluded that any intervention program for preventing MSDs among SUMS hospital nurses had to focus on reducing physical demands, particularly excessive postural demands.

13

Percutaneous Exposure Incidents Among Australian Hospital Staff

Smith D. R., Leggat P. A., Takahashi K.

International Journal of Occupational Safety and Ergonomics

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2005

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Vol. 11, No. 3

323--330

EN

We investigated all reported percutaneous exposure incidents (PEI) among staff from a large Australian hospital in the 3-year period, 2001–2003. There were a total of 373 PEI, of which 38.9% were needlestick injuries, 32.7% were cutaneous exposures and 28.4% sharps-related injuries. Nurses were the most commonly affected staff members, accounting for 63.5% of the total, followed by doctors (18.8%) and other staff (17.7%). Needlestick injuries were responsible for the majority of nurses’ PEI (44.7%). Sharps injuries constituted the major category for doctors (44.3%). Most needlestick injuries (67.6%) were caused by hollow-bore needles, while the majority of cutaneous exposures involved blood or serum (55.8%). Most sharps injures were caused by unknown devices (35.9%) or suture needles (34.9%). Overall, our investigation suggests that PEI is a considerable burden for health care workers in Australia. Further research is now required to determine the relationships, if any, between workers who suffer PEI and those who do not.

14

Epidemiology of Musculoskeletal Symptoms Among Korean Hospital Nurses

Smith D. R., Choe M. A., Jeon M. Y., Chae Y. R., An G. J., Jeong J. S.

International Journal of Occupational Safety and Ergonomics

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2005

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Vol. 11, No. 4

431--440

EN

We investigated the epidemiology of musculoskeletal symptoms (MSS) among a complete cross-section of 330 nurses from a large Korean hospital, by means of a questionnaire survey (response rate: 97.9%). The prevalence of MSS at any body site was 93.6%, with symptoms most commonly reported at the shoulder (74.5%), lower back (72.4%), neck (62.7%), lower legs (52.1%) and hand/wrist (46.7%). Logistic regression indicated that nurses who undertook manual handling of patients were 7.2 times as likely to report MSS (OR 7.2, 95%CI 1.2–42.3, P = .0275), while nurses suffering from periodic depression experienced a 3.3-fold MSS risk (OR 3.3, 95%CI 1.3–8.3, P = .0104). Overall, our study suggests that Korean nurses incur a very high MSS burden when compared internationally. A greater commitment is needed to improve physical conditions, occupational tasks and psychosocial work issues among nurses in this country.

15

Manual Handling Injuries in Health Care Workers

Bewick N., Gardner D.

International Journal of Occupational Safety and Ergonomics

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2000

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Vol. 6, No. 2

209--221

EN

Nursing aides are particularly susceptible to manual handling injuries because they have the primary responsibility for heavy lifting. The aim of this study was to determine why a specific group of nursing aides have the highest manual handling injury rate in their hospital. The study investigated the adequacy of the manual handling training program, knowledge of manual handling, mechanical aid availability, and use of mechanical aids. Results indicated that the nursing aides’ manual handling knowledge was adequate but that they rarely used mechanical aids. This lack of use of aids was in part due to an over-reliance on their own strength and abilities. This may have been due to a lack of suitable mechanical aids on the wards or a lack of familiarity with the available aids. This study suggests that neither training alone nor the purchase of equipment alone is likely to resolve manual handling problems.