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Działalność szpitalnych komisji etycznych – informacje udostępniane na stronach internetowych podmiotów leczniczych

100%

Zurzycka P. , Czyżowicz K. , Puto G. , Repka I.

Sztuka Leczenia

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2021

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tom 36

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nr 1

23-33

EN

Hospital ethics committees (HECs) have functioned in healthcare systems for many years. Their main task is to help patients and their relatives as well as medical staff in solving ethical problems that arise in connection with the implementation of medical care. The aim of the study was to find out what information on the functioning of hospital ethics committees in Poland is made available to interested persons on hospital websites. The websites of accredited hospitals and the establishments included in the list kept by the Center of Bioethics of the Supreme Medical Chamber were analyzed. Almost half of the surveyed institutions (50,7%) do not disclose the composition of the appointed committees. Only one committee indicated that its members had education in the field of bioethics. The task of most HECs (72,5%) is to protect a patient’s rights, solve ethical problems (66,7%), andto supervise the observance of professional ethics by medical personnel (46,4%).

PL

Szpitalne komisje etyczne (SKE) funkcjonują w systemach opieki zdrowotnej od wielu lat. Ich głównym zadaniem jest pomoc zarówno pacjentom i ich bliskim, jak i personelowi medycznemu w rozwiązywaniu problemów natury etycznej pojawiających się w związku z realizowaniem opieki medycznej. Celem pracy była ocena zakresu informacji dotyczących funkcjonowania szpitalnych komisji etycznych w Polsce, udostępnianych na stronach internetowych szpitali. Analizie poddano strony internetowe szpitali akredytowanych oraz placówek ujętych w wykazie prowadzonym przez Ośrodek Bioetyki Naczelnej Izby Lekarskiej. W wyniku przeprowadzonej analizy stwierdzono, że niemal połowa badanych placówek (50,7%) nie przedstawia składu osobowego powołanych komisji. Tylko w przypadku jednej komisji wskazano, że jej członkowie mają wykształcenie w zakresie bioetyki. Zadaniem większości SKE (72,5%) jest ochrona praw pacjenta, rozwiązywanie problemów natury etycznej (66,7%), nadzór nad przestrzeganiem przez personel medyczny zasad etyki zawodowej (46,4%).

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QUALITY OF LIFE AND NUTRITIONAL STATUS AMONG 65-YEAR-OLD OR OLDER PATIENTS WITH HEART FAILURE AND/OR CHRONIC OBSTRUCTIVE PULMONARY DISEASE

88%

Kawalec-Kajstura E. , Szlońska M. , Sułkowska J. , Puto G. , Kuźmicz I.

Long-Term Care Nursing

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2020

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tom 4

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nr 3

5-14

EN

Introduction The occurrence of chronic diseases, like heart failure (HF) or chronic obstructive pulmonary disease (COPD),significantly influences both seniors’ nutritional status and the quality of their life. Aim of the study Determination of the relationship between a nutritional status and a life quality among patients with HF and/or patients with COPD aged over 65. Material and methods The study group consisted of 120 hospitalized people aged over 65, suffering from NS and/or COPD. Tools used in the study: own construction questionnaire, MNA scale and SF-36v2®Health Survey. Results 55.8% of patients were in danger of malnutrition, 10.0% were undernourished. An average value of the quality of life index was62.54±13.15pt, physical dimension – 72±13.67 pt and mental – 44.58±18.87 pt. Quality of life index and its physical and mental dimensions dependedon nutritional status assessed by MNA scale (p<0.001). Conclusions 1) The nutritional status of the majority of respondents was unsatisfactory. 2) The quality of life in the study group was not high. 3) The general level of lifequality, as well as its physical and mental dimensions, were significantly different depending on the nutritional status of the subjects.

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Selected aspects of the knowledge and practice concerning hand hygiene guidelines in the context of infection control structures in hospitals and long-term care facilities – findings of a questionnaire survey

88%

Puto G. , Wójkowska-Mach J. , Wałszek M. , Repka I. , Różańska A.

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tom 71

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nr 5

531-537

EN

BackgroundHand hygiene (HH) is the simplest and the most fundamental means of hospital-acquired infection (HAI) prevention in both hospitals and long-term care facilities (LTCFs) which differ as to their structure, organization and epidemiology. The objective of this study was to evaluate the knowledge of, and attitudes towards, compliance with the HH guidelines by medical staff of LTCFs and hospitals, in the context of infection control organization.Material and MethodsThe study was carried out among medical staff of LTCFs and hospitals using an anonymous questionnaire designed by the authors. The questionnaire was composed of 22 questions.ResultsAmong 237 healthcare workers from LTCFs and hospitals (51.5% vs. 48.5%), the vast majority were women (97.5% vs. 94.8%), who were nurses (86.9% vs. 91.3%) with 21–30 years of experience (28.5% vs. 44.3%). The respondents, both working in hospitals and in LTCFs, declared that there was some surveillance of HAIs in their workplace – 78.8% vs. 87.8%, respectively, p = 0.082. However, the respondents from LTCFs significantly more often than those working in hospitals declared the lack of HAI registration (12.3% vs. 0.9%, p = 0.002), as well as the lack of surveillance of multidrug-resistant microorganisms (16.4% vs. 4.3%, p = 0.010). Although the knowledge of WHO HH guidelines was declared by over 90% of the respondents, only about 70% of them (with no significant difference between both types of facilities) properly indicated the 5 moments of HH.ConclusionsThe results of the study indicate that the organizational conditions and practice of HH in LTCFs and hospitals present some differences. Therefore, there is a need for observational studies concerning HH in the context of the structure and organization of infection control, as they are necessary for the development and implementation of effective programs to improve the situation in this field.

4

Professional challenges of nurses working during the SARS-CoV-2 virus pandemic

75%

Puto G. , Serafin L. , Musiał Z. , Zurzycka P. , Kamińska A. , Gniadek A.

International Journal of Occupational Medicine and Environmental Health

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2022

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tom 36

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nr 1

112-124

EN

Objectives The diverse list of tasks and needs related to the SARS-CoV-2 pandemic may lead to different professional experiences in nurses working with patients infected with and not infected with SARS-CoV-2. The aim of the study was to measure the professional challenges of nurses working during the SARS-CoV-2 pandemic in Poland. Material and Methods The study was conducted in 2021 in a group of 151 nurses. The following scales were used: the Perceived Stress Scale (PSS-10), the General Self-Efficacy Scale (GSES), the Impact of Event Scale – Revised (IES-R), the Minnesota Satisfaction Questionnaire (MSQ-SF), the Areas of Worklife Survey (AWS) and the Maslach Burnout Inventory – Human Services Survey (MBIHSS). Results Nurses working with patients infected with SARS-CoV-2 showed a positive correlation between workload and emotional exhaustion (ρ = 0.26, p = 0.02), as well as positive correlations among control, community and depersonalization (ρ = 0.25, p = 0.02; ρ = 0.23, p = 0.04). Among nurses working with uninfected patients, positive correlations were found among control, community, fairness and emotional exhaustion (ρ = 0.40, p = 0.000; ρ = 0.41, p = 0.000; ρ = 0.25, p = 0.03), as well as correlations between control and depersonalization (ρ = 0.33, p = 0.01), and among control, community and personal accomplishment (ρ = 0.23, p = 0.05; ρ = 0.27, p = 0.02). Conclusions Nurses working during the SARS-CoV-2 pandemic with infected and uninfected patients both experienced a variety of psychosocial challenges in coping with the demands of their work, social relationships and personal life. Int J Occup Med Environ Health. 2023;36(1):112–24