Work-Related Suicide Exposure, Occupational Burnout, and Coping in Emergency Medical Services Personnel in Poland

Work-related suicide exposure may significantly contribute to the risk of burnout in first responders. This study assessed the exposure to suicide, burnout, and coping mechanisms in emergency medical services in Poland, including psychosocial determinants, such as age, gender, and access to psychological support. The level of burnout was assessed using the Link Burnout Questionnaire (LBQ), and coping was measured using the Coping Inventory for Stressful Situations (CISS). Data were analysed using a series of variance analyses and a partial least squares structural equation modelling. The study showed that 98% of emergency medical services personnel reported work-related suicide exposure. The LBQ score indicated symptoms of burnout, in particular relational deterioration, and the CISS showed low levels of emotion-oriented coping. Physicians reported higher levels of psycho-physical exhaustion than paramedics and nurses. Access to psychological support in the workplace was related to lower levels of burnout. Emergency medical services personnel are frequently exposed to suicide, which may be related to the risk of occupational burnout, and coping strategies used in this occupational group are often not optimal. Preventive measures, such as training emergency medical services personnel in regard to effective coping strategies, are needed, and personnel should be encouraged to access mental health services and supports

Nursing care of the patient with hyperthyroidism

Przełom tyreotoksyczny jest stanem bezpośredniego zagrożenia życia i bezwzględnym wskazaniem do hospitalizacji. Dlatego bardzo ważna jest edukacja chorych pod kątem zapobiegania i wczesnego reagowania na nasilające się objawy, a także pod kątem konieczności systematycznego przyjmowania zaleconych leków. Praca licencjacka pod tytułem: „Opieka pielęgniarska nad pacjentem z nadczynnością tarczycy” jest próbą ukazania najbardziej istotnych problemów pielęgniarskich, występujących u pacjentów hospitalizowanych z tego powodu. Pierwszy i drugi rozdział niniejszej pracy zawiera ogólne wiadomości na temat nadczynności tarczycy, jej objawów, diagnostyki i sposobów leczenia. W kolejnym rozdziale została poruszona kwestia opieki pielęgniarskiej, która ma istotny wpływ na poprawę stanu zdrowia osoby chorej. Przedstawiono w nim historię choroby pacjentki, przeprowadzone skale i problemy pielęgnacyjne, które wystąpiły w czasie hospitalizacji. Opisane zostały również interwencje pielęgniarskie w odniesieniu do konkretnych problemówTurning point tyreotoksic is a state of the direct threat to life and an absolute reading for the hospitalization. Therefore an education of sick persons is very important with respect to preventing and early reacting to intensifying manifestations. As well as, under the angle, necessities of systematic accepting recommended medicines. Thesis under the title: „ nursing above the patient with hyperthyroidism ” is an attempt to portray the most substantial problems nursing, appearing at patients hospitalized for this reason. The first and second chapter of this work contains general messages about the hyperthyroidism of her manifestations, diagnostics and courses of treatment. In the next chapter an issue of the nursing which has the significant influence on the improvement was brought up states of health of the ill person. In it a medical record of the patient, conducted scales and nursing problems which appeared during the hospitalization were presented. Nursing intervention was also described with reference to specific problems