Preventing inadvertent perioperative hypothermia in adults

Inadvertent perioperative hypothermia is a serious clinical problem, which could lead to the development of serious complications that prolong hospital care and increase medical costs. Anesthesia, surgery and microclimate in the operating room contributes to impaired physiological mechanisms of thermoregulation and thus the development of hypothermia in the patient. Therefore, it is essential that personnel responsible for the safety of perioperative patient had knowledge of the principles of maintaining normothermia and applied in clinical practice

Nursing problems of patients undergoing venous-venous ECMO therapy

ECMO (Extracorporeal Membrane Oxygenation) is an extracorporeal gas exchange method that, despite many, carries the risk of many complications. ECMO is a modern intensive care method which in many cases is the last resort for the patient. Care and supervision are provided by a multidisciplinary team of specialists: physicians, perfusionists, nurses. The aim of the article was to present ECMO nursing care and the principles of care and care during and after ECMO therap

Explicitation : phenomenon → concept → term from the perspective of the methodology of propositional syntax : a linguistic contribution to the dispute over translation universals

Celem artykułu jest wykazanie, iż warto dokonać komparatystycznej inwentaryzacji zapleczy pojęciowoterminologicznych przekładoznawstwa i lingwistycznych badań nad tekstem. Punktem wyjścia takiej operacji winno być dążenie do konfrontacji stosowanych metajęzyków w ramach dyskursów naukowych obu obszarów badawczych pod kątem identyfikacji wspólnych kategorii pojęciowych i eliminacji sprzecznych z kluczowym w analizie tekstu założeniem oddzielania płaszczyzny formy od płaszczyzny treści założeń metodologicznych. Pozwoliłoby to na wypracowanie wartości dodanej w postaci wspólnej płaszczyzny komunikacji do wymiany doświadczeń badawczych, której istnienie wydaje się konieczne dla rozwoju obu dyscyplin. Wątkiem empirycznym w prezentowanych rozważaniach jest – stosownie do ich tytułu – wykazanie przy pomocy aparatu metodologicznego składni predykatowo-argumentowej amorficzności stosowanego w badaniach przekładoznawczych terminu „eksplicytacja” i propozycja doprecyzowania odpowiadającej mu kategorii pojęciowej.The article aims to demonstrate that it is worthwhile to carry out a comparative analysis of the conceptual and terminological inventories of translatology and text linguistics. The inquiry should start by juxtaposing the metalanguages used in the research within these two areas of study, with a view to identifying conceptual categories common to both fields and eliminating those methodological assumptions which contradict the key assumption of text analysis, i.e. the separation of the plane of form from the plane of content. Through this it would be possible to achieve an added value by establishing a common ground for sharing research experiences, which appears to be the sine qua non for the development of both disciplines. The empirical strand of the article consists in demonstrating – with the help of the methodological apparatus of predicate-argument syntax – the amorphousness of the term ‘explicitation’ used in translation studies and in outlining a proposal for defining more precisely the conceptual category associated with the term

The level of knowledge of paramedics from Podkarpacie Province about the use of simulation in training

Szela Stanisław, Surowiec Tomasz, Ozga Dorota, Kiszka Jerzy, Jędrzejczyk‑Cwanek Marzena. The level of knowledge of paramedics from Podkarpacie Province about the use of simulation in training. Journal of Education, Health and Sport. 2017;7(11):93-102. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1042922 http://ojs.ukw.edu.pl/index.php/johs/article/view/5009 https://pbn.nauka.gov.pl/sedno-webapp/works/836434 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2017; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 20.10.2017. Revised: 21.10.2017. Accepted: 07.11.2017. The level of knowledge of paramedics from Podkarpacie Province about the use of simulation in training Stanisław Szela1, Tomasz Surowiec2, Dorota Ozga1, Jerzy Kiszka1, Marzena Jędrzejczyk‑Cwanek1 1. Department of Didactics in Intensive Care and Emergency Medicine, Faculty of Medicine, University of Rzeszow 2. Emergency Medicine Student Scientific Circle, Department of Emergency Medicine, Faculty of Medicine, University of Rzeszow Abstract Introduction: Medical Simulation allows to improve knowledge, skills and social competences in undergraduate and post-graduate training in medical professions in a shorter time than traditional education. The aim of the paper was to assess the level of knowledge of paramedics on the use of medical simulation during undergraduate education in the field of emergency medicine. Material and Method The study was conducted from January to June 2014 among 60 paramedics from the Podkarpackie Province aged over 21. The research tool was the questionnaire developed by the authors. Results Men dominated in the study (18% women and 82% men). The most numerous group were the youngest subjects, i.e. between 21 and 30 (76%), and the smallest group was the oldest, i.e. over 40 (7%). The study demonstrated the relationship between respondents' responses regarding the use of patient simulators during university or postsecondary training and their self-assessment in terms of improved practical skills and their positive effect on the communication of paramedics with patients. Self-assessments of paramedics in terms of the increase of their practical skills through medical simulators correlated with the suitability of these skills in daily work and the impact on communication of medical rescue teams. Conclusions The medical simulation is used in the education of the students of medicine, but it is also of great importance in terms of modern teaching in emergency medicine, nursing, obstetrics in under and postgraduate education. Keywords: medical simulation, level of knowledge, paramedics, medical simulation, teaching paramedic

Pneumonia as an impediment to treat patients in the early period after stroke

Introduction: Infections are a common complication in the treatment of acute stroke. Among them, most often pneumonia, which contributes to increased mortality from stroke, prolong hospitalization, difficulties in care, reduce functional performance improvement and increased cost of treatment. The aim of the work is less analysis of the causes and consequences of the development of pneumonia in the early period after stroke and identify predictors of pneumonia and the need to take preventive measures to prevent the development of disease. Summary: Pneumonia developing in the early period after stroke affects the final outcome and contributes to longer hospitalization, deterioration of clinical status of patients and the results of functional improvement. Current methods to prevent the development of lung zaplenia require the involvement of the entire therapeutic team, which involves a large investment of time and cost of therapy. Therefore, constantly sought are more effective methods of prevention and treatment of pneumonia among stroke patients

Practical possibilities in using q SOFA scale by Emergency Medical Teams

Sepsis is a life-threatening dysfunction of the body that causes a host to respond incorrectly to an infection. Sepsis and septic shock are a major health issue affecting millions of people each year worldwide. Every fourth person with sepsis dies. Multi-organ trauma, acute myocardial infarction or stroke, early diagnosis and management in the first hours after the onset of sepsis improve survival rate. The Sequential Organ Failure Assessment (SOFA) scale is mainly used to assess sepsis. SOFA helps medical staff to assess the risk of morbidity and mortality due to sepsis. The basic parameters of SOFA are: assessment of the respiratory system based on partial oxygen pressure in the blood (PaO2), assessment of the nervous system based on the Glasgow Coma scale (GCS), assessment of the cardiovascular system based on the average blood pressure or after vasopressor administration (any dose), assessment of liver function based on the level of bilirubin in the blood, assessment of kidney function based on the level of creatinine in the urine, assessment of blood clotting based on the amount of thrombocytes contained in the plasma. This scale is used in hospital settings. qSOFA (Quick Sequential Organ Failure Assessment score) is a simplified version of the SOFA score as the first way to identify high-risk patients due to poor results associated with infection. qSOFA simplifies the SOFA score drastically, taking into account only three clinical criteria and introducing "any change" instead of requiring GCS ≤13. It uses three criteria, assigning one point for low blood pressure (SBP ≤100 mmHg), high respiratory rate (≥ 22 breaths per minute) or changed mentation (GC

Satisfaction survey of patients hospitalized in the Department of Clinical Neurological Rehabilitation and systemic USK in Olsztyn

Szypulska Anna, Fischer Beata, Gutysz- Wojnicka Aleksandra, Ozga Dorota. Satisfaction survey of patients hospitalized in the Department of Clinical Neurological Rehabilitation and systemic USK in Olsztyn. Journal of Education, Health and Sport. 2017;7(8):1113-1126. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1000959 http://ojs.ukw.edu.pl/index.php/johs/article/view/4969 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2017; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.08.2017. Revised: 10.08.2017. Accepted: 31.08.2017. Satisfaction survey of patients hospitalized in the Department of Clinical Neurological Rehabilitation and systemic USK in Olsztyn Anna Szypulska1, Beata Fischer2, Aleksandra Gutysz- Wojnicka1, Dorota Ozga3 Katedra Pielęgniarstwa, Uniwersytet Warmińsko-Mazurski w Olsztynie1 Regionalny Szpital Specjalistyczny im. Dr Wł. Biegańskiego w Grudziądzu2 Zakład Dydaktyki w Intensywnej Opiece Medycznej i Ratownictwie Medycznym, Wydział Medyczne, Uniwersytet Rzeszów 3 Summary Introduction. As a result of rising patient expectations and the implementation of medical priority for medical facilities is an increase in satisfaction with the quality of services offered. Identify areas requiring modification is possible by analyzing patient satisfaction. Verification of the data makes it possible to request that the recipient have to say about the services offered at the institution, as well as help determine dysfunctions of the activities of these institutions. The aim of the study is to evaluate the satisfaction of patients hospitalized in the Department of Clinical Neurological Rehabilitation and systemic University Hospital in Olsztyn. Material and methods. The survey questionnaire survey was conducted based on the original questionnaire using Likert scale. Respondents were hospitalized at the University Clinical Hospital in Olsztyn. Statistical analyzes were performed using Statistica 10PL Results. Overall satisfaction with the received health benefits patients assessed at 4.1 on a scale of 1-5. In contrast, satisfaction with health services performed by nurses rated at 4.7, and the activities performed by a doctor and physiotherapists rated at 4.3. The lowest level of satisfaction applies to the first contact of the patient with the hospital staff (3.1). Conclusions. The level of patient satisfaction with medical procedures depends on patients educational level. Top rated benefits are realized by nurses. Patient’s expectations are varied in relation to the members of the therapeutic team. The first contact with the patient has no effect on the final assessment of the medical services. Overall satisfaction with the quality of medical services is satisfactory. Keywords: patient, satisfaction, hospitalizatio

Complications after cerebral stroke as a medical, nursing and social problem - the role of a nurse in preventing complications

Abstract Stroke is a serious problem of modern medicine. It leads to death, permanent disability or lack of independence. Prevention and early detection and treatment of complications are the most important element of treatment. A key role in this time plays a nurse caring for the patient. She is responsible for the diagnosis distressing symptoms in a patient in the early stages of the disease. The aim of the study was to test the level of knowledge about stroke and its consequences among nursing staff working in the Specialist District Hospital and analysis of educational expectations of patients hospitalised in neurological department of this hospital. Material and methods. The survey method and questionnaire technique were applied. The sources of data were the answers given by groups of nurses and patients from the same department of Specialist District Hospital. The statistical program SPSS v.14 was used for data analysis. We used statistical inference test of independence chi-square-based statistics χ2 and α=0,05. Results. The majority of nurses (64.52%) indicated the immobilisation of the patient and complications associated with it as the most important nursing problem in caring of patients after stroke. Other important problems were the swallowing difficulties (54,84%) and urinary incontinence. The level of nursing education, years of work experience and age did not significantly influence the nurses opinions. Conclusions. Nurses have knowledge of prevention of complications after a stroke and performed benefit does not depend on additional qualifications acquired by nurses. Patients most often await information on their disease from a nurse. Patients consider it reasonable to take educational activities for the prevention of complications after a stroke

Requirements for teachers in the context of postgraduate nursing education: Polish experiences

The competency of nurse teachers and collaboration between nurse educators, nurse leaders and mentors are crucial for achieving high-quality Evidence-Based nursing education. The profession of a nurse teacher is one of public trust and it requires the integration of skills, attitudes, standards, and theoretical knowledge as well as awareness of individual, organisational and social circumstances. The data were collected via email using a structured questionnaire (A Tool for the Evaluation of Requirements of a Nurse Teacher). The respondents' evaluation of the professional competencies and the overall rating correlated with their age. Older age corresponded to higher scores in professional and teaching competencies, in personality factors, and to a higher general ERNT score (p = 0.019). The lowest scores were awarded for teaching competencies - which shows that postgraduate education should be more closely monitored in this respect. The tool for the Evaluation of Requirements of a Nurse Teacher (ERNT) designed for the needs of nurse education can also be implemented in the evaluation of postgraduate education of nurses and midwives.</p