The nature of a nurse’s workplace and their attitude towards learning communicative competence — a representative study of Polish nurses’ population

Background: In the education of nurses and midwives, the greatest emphasis is put on practical skills asthe most important element of vocational competences. Education in the sphere of widely understoodinterpersonal communication and effective team interdisciplinary cooperation is getting equally important.It also accounts for important complementation of practical skills.Exploration of factors influencing the attitude towards learning communicative competence in a group ofnurses undertaking specialization training.Methods: In the cross-sectional survey study 969 professionally active nurses from various regions ofPoland took part. The respondents were divided into two groups, depending on the specialization trainingcompleted (“anaesthesiological, intensive care medicine and emergency medicine nursing” vs. “geriatrics,long-term and palliative care nursing”). The voluntary, anonymous survey was conducted with the use ofCSAS questionnaire. A comparative analysis of the results for the two examined groups of nurses wasperformed with the use of the t-Student test. The scale of the effect for the observed mean variation wasestimated with the use of d Cohen coefficient.Results: The examined nurses manifested a positive attitude towards learning communicative competence,however, a statistically significant difference in the context of the specificity of the ward was observed.The age of nurses had a negative influence on the analysed variables. Also, a correlation between highself-esteem of the possessed communicative skills and a high CSAS result was noted.Conclusions: The nature of the ward, time of hospitalization, as well as age and education of the personnelinfluence shaping the attitudes of the nursing personnel in the applicability of communicative competencein their professional practice

Analysis of Web-based learning methods in emergency medicine : randomized controlled trial

Introduction: In medical education, Web-based learning is increasingly used as a complement to practical classes. The objective of the study was to perform a comparative analysis of three different forms of e-learning course on emergency medicine in terms of an indicator of knowledge growth and students’ satisfaction.Material and methods: For the purpose of the study, we developed and im-plemented a tool in the form of an online course: A – non-animated presen-tation, B – video, C – interactive video. The participants were undergraduate students of emergency medicine and nursing (n = 106). A pre-test and a post-test were carried out, and the resulting data were analyzed using parametric tests (t-test, ANOVA, post-hoc). Final questionnaires assessing six parameters of satisfaction were also evaluated.Results: A significant increase in knowledge in the experimental group which used an interactive video was observed (p = 0.04). Moreover, the number of replays of learning material was the highest in group C (2.09 ±2.48). The level of post-course satisfaction turned out to be comparable in all three groups (p = 0.62).Conclusions: The study allowed the interactive course to be identified as the most effective method of distance learning among selected ones. Due to the limitations of the study, we conclude that there is a need for further studies on the effectiveness of e-learning in emergency medicin

Prevalence of PgR, ER and HER2+ receptors among women with breast cancer by age in Poland

Introduction. Prevalence of estrogen (ER), progesterone (PgR) and human epidermal growth factor receptors (HER2) vary by age among women with breast cancer (BC). Such variation has a large significance for the prognosis and treatment process. This study characterizes the prevalence of breast cancer subtypes by age in a hospital sample in Poland. Material and methods. The study population included 735 women with BC aged 27–91 years old (ICD-10: C50) and treated in the years 2009–2011 in the Military Institute of Medicine in Warsaw. Subjects were divided into 2 age categories — 27–44 and 45+ — which included 66 (9%) and 669 (91%) women respectively. In each group prevalence of PgR, ER and HER2+ receptors was investigated. Results. In both age groups the most frequent BC subtype was luminal A (hormone dependent BC — with PgR and ER receptor expression) — 27–44 years old — 44% and 45+ years old — 56%. The lowest number of cases in the age group 27–44 was luminal B (triple positive breast cancer) — about 15% of cases and for 45+ age group — HER2+ BC — about 11%. Discussion. Performed research shows relationship between growing age of diagnosis and presence of more desirable features of BC among women aged 55 and more, such as expression of steroid receptors or lack of expression of HER2 receptors, which is a good prognostic indicator for treatment outcomes. In the same time, many studies suggest that more aggressive types of breast cancer (basal-like — triple negative) are more characteristic for younger age groups (under 45 years old and younger women in perimenopausal age). Same results have been obtained in own study. Conclusions. A high incidence of BC in older age groups (45+) and more frequent occurrence of aggressive types of BC among younger women (27–44 years old) indicate the need to educate women from both age groups about risk factors and early symptoms of the disease. As we still have not recognized all BC risk factors, education about well-known agents, such as alcohol intake, overweight and obesity, play significant role in decrease of BC incidence and mortality

The opinion of Master’s degree graduates in Public Health, Warsaw Medical University on their career path plans

Introduction. Although statistical data demonstrate a systematic decrease in the interest in Public Health among student applicants, growth in the importance of public health professionals in the health system is increasingly recognised. Master’s degree graduates in Public Health, Warsaw Medical University have a broad spectrum of possibilities when choosing their career path. The present study aimed to analyse plans for further education and career path among Master’s degree graduates from the Public Health Division, Faculty of Health Sciences, Warsaw Medical University.Materials and methods. The study involved 86 graduates (women constituted 83% of all) from the second-cycle degree programme in Public Health at the Public Health Division, Faculty of Health Sciences, Warsaw Medical University. The study enrolled second-cycle degree students who graduated in the academic year 2015–2016. Mean age of the study population amounted to 26.88 years (min. 24; max. 52; SD 4.540). The study used a questionnaire developed by the authors at the Department of Teaching and Education Outcomes, Faculty of Health Sciences, Warsaw Medical University, based on the list of educational outcomes adopted by the resolution of Warsaw Medical University Senate. Students filled in the questionnaire after graduation while receiving the certificate evidencing completion of the programme in the Dean’s OfficeResults. Most respondents graduated from the second-cycle degree programme in Public Health (n = 67.78%) specialising in Management (n = 49.57%). Over 80% of graduates did not intend to commence a third-cycle degree programme (doctoral course). Most study participants worked during their studies (n = 61.71%) and their job was related to the area of public health (n = 37.43%). Graduates saw themselves in a job that is consistent with their major (n = 60.70%), in public sector (n = 33.38%) and in managerial positions (n = 23, 27%).Conclusions.1. There is a need to show students as early as during their educational cycle a wide range of employment options they have after graduation, for instance by recommending summer internship places.2. A summer internship database for students should be developed at Warsaw Medical University in order to help Public Health students enter the health system

Wybrane aspekty umiejętności przywódczych a satysfakcja z pracy i życia położnych

Wstęp: Wysoki poziom satysfakcji położnych z wykonywanej pracy może stanowić ważny element opieki medycznej nad pacjentem, ale także warunkuje ogólne zadowolenie z własnego życia. W związku z tym analiza czynników wpływających na poziom satysfakcji z pracy jest ważnym wyzwaniem współczesnej opieki zdrowotnej. Kluczowe znaczenie w tym kontekście mogą mieć umiejętności przywódcze.Cel: Celem pracy była analiza związku miedzy nasileniem wybranych umiejętności przywódczych a subiektywnym poziomem satysfakcji z wykonywanej pracy i ogólnego zadowolenia z własnego życia aktywnych zawodowo położnych.Materiał i metody: Grupę osób badanych stanowiło 231 aktywnych zawodowo położnych. Badania przekrojowe przeprowadzono w okresie od stycznia do kwietnia 2018 roku. Do pomiaru analizowanych zmiennych wykorzystano trzy wystandaryzowane narzędzia badawcze Kwestionariusz Samooceny Autentycznego Przywództwa (ALSAQ) – samoświadomość oraz transparentność relacyjna; Skala Satysfakcji z Życia (SWLS) oraz Skala Satysfakcji z Pracy (SSP). W celu oceny korelacji między wybranymi zmiennymi wyznaczano współczynniki rho-Spearmana.Wyniki: Poziom satysfakcji z pracy położnych wykazuje dodatni związek z postrzeganą jakością własnego życia (rho=0,25; p<0,05). Dodatkowo, istnieje dodatnia zależność między wymiarem samoświadomości (podskala ALSAQ), a jakością życia położnych (rho=0,20;p<0.05). W przypadku transparentności relacyjnej, odnotowano dodatni związek z nasileniem satysfakcji z wykonywanej pracy (rho=0,16;p<0,05).Wnioski: Podejmowanie działań mających na celu kształtowanie i doskonalenie umiejętności przywódczych położnych może pozywanie wpływać na ich subiektywną ocenę zadowolenia z wykonywanej pracy oraz satysfakcje z jakości własnego życia. Skutkować to może większym zaangażowaniem w wykonywaną pracę, a pośrednio w zwiększenie efektywności opieki nad pacjentem

Aspek-Aspek Pengelolaan dan Kepemimpinan Inovatif untuk Implementasi Teknologi Informasi dan Komunikasi di Perguruan Tinggi

The development of information and communication technology (ICT) quickly brings both challenges and opportunities for universities to the implementation, for administration and supporting activities as well; and is also used for activities in universities\u27 tridharma. This paper describes the management aspects of ICT in higher education and the importance of innovative leadership in succeeding the implementation of ICT in highereducation

Challenges in Job Seeking and the Integration of Ukrainian War Refugee Healthcare Workers Into the Polish Healthcare System: Facebook Content Analysis

Objectives: The full-scale Russian invasion of Ukraine resulted in a refugee crisis. The terms of employment of Ukrainian Refugee background Medical Professionals (UKR-MPs) in the Polish healthcare system were liberalised. The aim of the study was to identify challenges in job seeking and the integration of Ukrainian war refugee healthcare workers into the Polish healthcare system.Methods: A qualitative, descriptive study based on content thematic analysis of Facebook content. We analyzed 1,700 posts published on two public Facebook groups intended for UKR-MPs.Results: The most common problems encountered by UKR-MPs were: 1) lack of easy-to-understand information about the list of documents necessary to apply for a work permit, 2) lack of feedback from those responsible for handling individual cases, and 3) long waiting time for the decision issued by the Ministry of Health.Conclusion: Despite the promptly implemented solutions enabling access to the job market by UKR-MPs, the refugees have encountered considerable administrative difficulties, as well as those arising from insufficient knowledge of the regulations on working as medical professionals in Poland under the EU law

Współczesna wiedza na temat grypy – przegląd krajowego i światowego piśmiennictwa

Grypa jako choroba zakaźna występująca powszechnie stanowi niezmiennie aktualny problem i zagrożenie dla zdrowia i życia. Zgodnie z danymi WHO każdego roku na grypę choruje do 1,5 miliarda osób, a w wyniku tej choroby umiera nawet 1 milion populacji.Najskuteczniejszą metodę zapobiegania grypie stanowią szczepienia ochronne. Według zaleceń WHO szczepieniem powinien być objęty jak największy odsetek światowej populacji. Szczepieniom powinny poddać się przede wszystkim osoby z grup wysokiego ryzyka oraz małe dzieci. Nowe szczepionki przeciwko grypie pojawiają się na przełomie września i października, i to w tym okresie powinno się zaszczepić. W Polsce jednak szczyt zachorowań na grypę przypada między styczniem a marcem, w związku z czym można dokonać szczepienia w późniejszym terminie. W ciągu ostatnich dwóch lat zapadalność na grypę w Polsce wzrosła prawie dwukrotnie, a liczba hospitalizacji wzrosła prawie o połowę. Liczba szczepień w Polsce na przestrzeni ostatnich dziesięciu lat spadła prawie trzykrotnie. Aktualne dane podają, że jedynie 5% społeczeństwa szczepi się przeciwko grypie. Warto też podkreślić, że koszty spowodowane przez niedocenianą grypę w Polsce sięgają od 40 do ponad 700 milionów złotych rocznie.Â

Teaching evidence-based practice (EBP) in nursing curricula in six European countries—A descriptive study

©2020. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ This document is the Accepted version of a Published Work that appeared in final form in Nurse Education Today. To access the final edited and published work see https://doi.org/10.1016/j.nedt.2020.104561Background: Teaching evidence-based practice (EBP) in nursing education varies among nurse educators and universities. Lack of nurses' knowledge and skills are among the barriers commonly associated with the limited use of EBP in practice. Objectives: To describe the presence, characteristics and content of courses of EBP in nursing bachelor's, master's, and PhD programs in six European countries. Design: A descriptive study design was employed. Settings: The study was implemented as part of the EBP e-Toolkit Project as a strategic partnership of six European higher education institutions from six countries in the framework of the Erasmus+ Programme. Participants: Census sampling (N = 225) was used. A total of 162 (72%) faculties responded from the following countries: Spain (79), Italy (44), the Czech Republic (15), Poland (12), Greece (7), and Slovenia (5). Methods: Three structured instruments were developed by using the consensus development panel. The research was conducted from December 2018 to March 2019. For names of subjects, a manual narrative Template Analysis was used with open descriptive coding. Results: Subjects in “EBP in Nursing or Health Care” are included in 45 (29.2%) bachelor's programs, mostly worth 180 European Credit Transfer System (ECTS) credits, 30 (28%) master's, and 6 (40%) PhD programs. In bachelor's programs, an average of 134 h are spent teaching EBP steps, followed by 127 h in master's programs and 52 h in PhD programs. EBP subjects have different focuses: clear topics in EBP, development of research knowledge, awareness of the need for evidence-based clinical work, and understanding the needs of the profession. Conclusions: Teaching EBP is not yet sufficiently integrated into nursing curricula. For more efficient integration, guidelines on the standardization of teaching approaches and content have to be developed in all three cycles of higher education. Further research is needed on the implementation of teaching at master's and PhD levels of nursing curricul