Uwagi na tle wyroku Wojewódzkiego Sądu Administracyjnego w Poznaniu z dnia 4 listopada 2016 r. (sygn. IV SA/Po 495/16)

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Exploring factors influencing depression among Polish nurses during the COVID-19 pandemic

ObjectivesThe COVID-19 pandemic has been recognized as an international public health emergency. The aim of our study was to identify contributors to nurses’ depression.MethodsThis survey-based study was conducted in the Pomeranian Medical University Hospital no. 1 in Szczecin and involved 207 nurses. The following standardized research instruments were applied: the World Assumptions Scale, the Athens Insomnia Scale, the Impact of Event Scale - Revised, the Patient Health Questionnaire-9, the Generalized Anxiety Disorder, the Perceived Stress Scale, and a questionnaire of our own authorship.ResultsThe study showed that 72.95% of the subjects experienced severe stress, and 40.58% suffered from insomnia. In addition, 65.7% of the respondents had anxiety symptoms of varying degrees of severity, and 62.8% had depressive symptoms of mild to severe severity. The mean score on the IES-R scale, reflecting a psychological impact of the COVID-19 pandemic, was 34.25. The COVID-19 pandemic affected the psychological health of medical staff, particularly through increased stress and anxiety symptoms. Anxiety levels and insomnia significantly affect the prevalence of depression among nurses.ConclusionThe COVID-19 pandemic has been recognized as an international public health emergency. The COVID-19 pandemic affected the psychological health of medical staff, particularly through increased stress and anxiety symptoms. It is important to conduct further research after the COVID-19 pandemic has ended

Global self-esteem and coping with stress by Polish students during the COVID-19 pandemic

ObjectivesStudents experience considerable stress and anxiety during the course of their studies, which has a significant impact on their health and hinders the learning process. There are many stressors that can intensify stress, which is why choosing the right strategies for coping with stress and self-esteem is so important.MethodsThe study was conducted on 798 students of the School of Public Health at the University of Warmia and Mazury in majors: nursing, midwifery, emergency medicine and dietetics (subgroup 1; n = 428; 53.77%) and at the Faculty of Veterinary Medicine, major: veterinary medicine (subgroup 2; n = 368; 46.23%). The study employed the diagnostic survey method using a questionnaire technique including Rosenberg’s Self-Esteem Scale, MINI-COPE, PSS-10, and a self-questionnaire.ResultsThe scores obtained by over half of the students were indicative of low global self-esteem, whereas over 80% of the students felt stress at a high intensity. Moreover, it was shown that the veterinary medicine students demonstrated a higher intensity of coping strategies, i.e., active coping (p < 0.04) and planning (p < 0.02), than medicine students.ConclusionThe study revealed that students, irrespective of the major, experienced high levels of stress. Self-esteem had a significant impact on the stress level and methods of coping with difficult situations in students of medicine. A majority of the students applied positive styles of coping with stress

Personality traits and risk of eating disorders among Polish women: the moderating role of self-esteem

ObjectivesPersonality traits should be taken into account when diagnosing individuals with disordered eating behaviors in the hope of better understanding their etiology and symptom progression and when planning treatment. The objective of this study was to attempt to determine the moderating role of self-esteem in the relationships between personality traits included in the Big Five model among Polish women and estimated risk of eating disorders.MethodsThe study was conducted among 556 Polish women from Zachodniopomorskie Voivodeship. The average age of the women under study was 34 years. A diagnostic survey was used as the research method, and the empirical data were collected using the following research tools: The NEO Five-Factor Inventory (NEO-FFI), Rosenberg Self-Esteem Scale (SES), ORTO – 15 Questionnaire, The Three-Factor Eating Questionnaire (TFEQ-13), and the authors’ original questionnaire. A multivariate linear regression analysis was conducted to examine the influence of selected independent variables. The assumptions for the linear regression model were satisfied, as indicated by the Ramsey Regression Equation Specification Error Test, White’s test, and the Jarque-Bera test.ResultsOnly the personality trait of neuroticism exhibits a statistically significant effect on the “Cognitive Restraint of Eating,” “Uncontrolled Eating,” and “Emotional Eating” scores (p < 0.001). The moderation effect was demonstrated between self-esteem and the personality trait of conscientiousness on the “Cognitive Restraint of Eating” scale score. There is a moderation effect between self-esteem and the personality trait of extraversion on the “Uncontrolled Eating” subscale score. There is a moderation effect between self-esteem and the personality trait of conscientiousness on the “Uncontrolled Eating” scale score.ConclusionSelf-esteem was not a predictor of the occurrence of risk of eating disorders while playing a moderating role in the relationship between certain personality traits and estimated risk of eating disorders. A higher level of neuroticism was identified as an important predictor of higher results for orthorexia, Cognitive Restraint of Eating, Uncontrolled Eating, and Emotional Eating. It was also demonstrated that the orthorexia risk index decreased with increased extraversion and openness to experience. The results of this study suggest that eating behaviors and psychological factors should be included in psychological interventions in the treatment of eating disorders. The clinical goal can be considered to be an improvement in non-normative eating behaviors, such as a reduction in overeating episodes or eating less frequently in the absence of a hunger feeling. In order to assist these individuals in their attempts to achieve healthy behaviors, variables related to mental functioning can be then identified as important goals to support individuals in their efforts to change health behaviors by achieving better mental well-being

Coping strategies and adherence in people with mood disorder: a cross-sectional study

IntroductionNon-adherence to treatment recommendations is a significant problem, as it contributes to the progression of the disease and to the exacerbation of distressing symptoms. Failure to cope with the disease and elevated levels of stress, in turn, influence the choice of strategy for coping with a difficult situation, and thus adherence to recommendations.ObjectivesThe purpose of our study was to evaluate the impact of the subjects’ stress coping styles on therapeutic adherence, life satisfaction, disease acceptance and quality of life (QoL) in people with mood disorders.MethodsThis survey-based study included 102 respondents diagnosed with mood disorders, living in the West Pomeranian Voivodeship. It was performed using the sociodemographic questionnaire and standardized tools: The Coping Inventory for Stressful Situations (CISS), The Satisfaction with Life Scale (SWLS), The Short Form-36 (SF-36) Health Survey, The Adherence to Refills and Medication Scale (ARMS), and The Acceptance of Illness Scale (AIS).ResultsSome 47.06% of the respondents suffered from depressive disorders, while 34.31% had depression or mixed anxiety disorder. Patients who made greater use of an emotion-focused style were found to have significantly lower life satisfaction than other patients. Moreover, this style was related to such SF-36 domains as general health, social functioning, role emotional, vitality, and mental health, as well as to physical component summary (PCS) and mental component summary (MCS).ConclusionTreatment non-adherence is a serious challenge in the treatment of patients with mood disorders. Individuals who do not adequately follow treatment recommendations often resort to alternative activities as a mechanism for coping with difficult situations. Patients who predominantly adopt an emotion-oriented coping style tend to experience lower life satisfaction and greater difficulty accepting their condition compared to their peers. Conversely, patients who adopt a task-oriented coping style report better quality of life than those who rely on emotion-oriented coping or alternative activities

Uwagi na tle wyroku Wojewódzkiego Sądu Administracyjnego w Poznaniu z dnia 4 listopada 2016 r. (sygn. IV SA/Po 495/16)

Uwagi na tle wyroku Wojewódzkiego Sądu Administracyjnego w Poznaniu z dnia 4 listopada 2016 r. (sygn. IV SA/Po 495/16

Umiejętności interpersonalne pielęgniarek anestezjologicznych a wypalenie zawodowe

Wstęp. Specyfika pracy pielęgniarki anestezjologicznej wymaga utrzymania stałej uwagi, systematycznej obserwacji, oceny nagłych zmian w stanie zdrowia pacjenta oraz szybkiego podejmowania decyzji. W swojej pracy pielęgniarki anestezjologiczne mają wiele sytuacji stresogennych. Ważną rolę w pracy pielęgniarki odgrywają kompetencje zawodowe oraz umiejętności społeczne, które ułatwiają funkcjonowanie oraz chronią przed wypaleniem zawodowym.Cel pracy. Celem podjętych badań była analiza poziomu umiejętności interpersonalnych i ich korelacji z syndromem wypalenia zawodowego pielęgniarek anestezjologicznych, pracujących na oddziałach intensywnej opieki medycznej oraz na bloku operacyjnym.Materiał i metody. Badaniami objęto 104 pielęgniarki anestezjologiczne pracujące na oddziałach intensywnej terapii oraz na blokach operacyjnych czterech szpitali województwa zachodniopomorskiego, o średniej wieku 48,79 roku (SD =9,48). Badania przeprowadzono metodą sondażu diagnostycznego za pomocą kwestionariusza ankiety własnego autorstwa, Kwestionariusza Wypalenia Zawodowego oraz Kwestionariusza Kompetencji Społecznych.Wyniki. Badane pielęgniarki anestezjologiczne mają przeciętne umiejętności społeczne. Większość badanych (66,3%) miała poczucie zadowolenia z celów osiągniętych w swojej pracy. W badaniach wykazano, że im badane osoby posiadały wyższy poziom kompetencji społecznych, tym był mniejszy poziom wyczerpania emocjonalnego (r = –0,235). Ponadto im badane osoby posiadały wyższy poziom kompetencji wykorzystywanych w sytuacji ekspozycji społecznej, tym było mniejsze ryzyko występowania wyczerpania emocjonalnego związanego z pracą (p = 0,002 r = –0,300) oraz mniejsze zagrożenie wypaleniem zawodowym (p = 0,008 r = –0,260).Wnioski. Umiejętności społeczne pielęgniarek anestezjologicznych mają wpływ na występowanie zespołu wypalenia zawodowego. Pielęgniarki anestezjologiczne mające wyższe kompetencje społeczne są mniej wyczerpane emocjonalnie. Wyższy poziom kompetencji wykorzystywanych w sytuacjach ekspozycji społecznej u pielęgniarek zmniejsza ryzyko występowania wyczerpania emocjonalnego związanego z pracą oraz zagrożenie wypaleniem zawodowym

Incidence and Sociodemographic Correlates of Psychological Health Problems among Residents of the West Pomeranian Voivodeship during the COVID-19 Outbreak

Background and Objectives: Psychological health problems have become an important topic of consideration for many scientists, because the epidemiology of these disorders is strongly influenced by stressful events such as the SARS-CoV-2 coronavirus pandemic. The aim of this study was to evaluate selected parameters of psychosocial functioning as well as socio-demographic correlates of depression, anxiety, sleep disorders and perceived stress among the residents of the West Pomeranian Voivodeship. Materials and Methods: An online questionnaire was completed by 323 participants, in whom the parameters of psychosocial functioning were assessed (symptoms of depression, anxiety, severity of sleep disorders and perceived stress). Results: The majority of the respondents (75.2%) scored high on the Perceived Stress Scale, and almost half of the respondents (47.1%) had sleep disorders. A total of 26% of the participants had no depressive symptoms. Age was significantly correlated with the severity of depressive symptoms and sleep disorders. There was a strong correlation between the severity of depression and anxiety (r = 0.76; p p p Conclusions: Age contributed to the severity of depressive symptoms and the occurrence of sleep disorders among the residents of the West Pomeranian Voivodeship during the SARS-CoV-2 pandemic. Some residents of the West Pomeranian Voivodeship showed moderate to severe depressive and anxiety symptoms, as well as high levels of stress and insomnia

WYPALENIE ZAWODOWE PERSONELU PIELĘGNIARSKIEGO PRACUJĄCEGO W ODDZIAŁACH INTENSYWNEJ TERAPII I BLOKU OPERACYJNYM

Wstęp. Praca pielęgniarki w oddziale anestezjologii i intensywnej terapii jest uznawana za jedną z najbardziej obciążających. Pielęgniarki wykonując swoje czynności zawodowe są w stałym kontakcie z chorym, przeżywają ich problemy co niejednokrotnie powoduje wiele niebezpieczeństw związanych z funkcjonowaniem w sferze fizycznej, psychicznej, emocjonalnej, rodzinnej i zawodowej. Konsekwencją silnego napięcia nerwowego oraz nieskutecznego radzenia sobie z przeciążeniami zawodowymi jest zespół wypalenia zawodowego. Jest on nieuchronną konsekwencją destrukcji, która zachodzi w psychice osób nadmiernie eksploatujących swoje siły w dawaniu siebie innymCel pracy. Celem podjętych badań była analiza występowania zespołu wypalenia zawodowego u pielęgniarek anestezjologicznych, pracujących w oddziałach intensywnej opieki medycznej oraz na bloku operacyjnym z uwzględnieniem zmiennych socjodemograficznych.Materiał i metody. Badaniami objęto 104 pielęgniarki anestezjologiczne pracujące w oddziałach intensywnej terapii oraz  blokach operacyjnych czterech szpitali województwa zachodniopomorskiego, o średniej wieku 48,79 lat (SD =9,48). Badania przeprowadzono metodą sondażu diagnostycznego, za pomocą: kwestionariusza ankiety własnego autorstwa oraz Kwestionariusza Wypalenia Zawodowego.Wyniki. Wypalenie zawodowe dla całej badanej grupy wg MBI osiągnęło poziom umiarkowany. Średnie wyniki uzyskano dla depersonalizacji i wyczerpania emocjonalnego. Pielęgniarki prezentowały dość wysoki poziom satysfakcji zawodowej.Wnioski: Praca w stresie sprzyja występowaniu syndromu wypalenia zawodowego. Ryzyko wypalenia zawodowego wzrasta wraz ze stażem pracy pielęgniarki.Słowa kluczowe.  pielęgniarki anestezjologiczne, wypalenie zawodowe, satysfakcja zawodow