35 research outputs found
Czynniki rokownicze u chorych leczonych w latach 2001-2009 w Klinice Anestezjologii i Intensywnej Terapii Gdańskiego Uniwersytetu Medycznego = Prognostic factors in patients hospitalised in Department of Anaesthesiology and Intensive Therapy of Medical University of Gdansk between the years 2001-2009
No full textpromotor: Maria Wujtewicz
Laryngeal dystonia in the course of multiple system atrophy: a cause of postoperative respiratory insufficiency
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Multifactorial analysis of fatigue scale among nurses in Poland
No full textSignificant progress in the field of nursing has contributed to the widening of range of functions and professional duties of nurses. More frequent lack of nursing personnel has an impact on negative reception of work, it decreases sense of professional satisfaction and increases the level of burden and fatigue. Methods. The study applied the non-experimental method – a descriptive comparative study without a control group. The data was collected on the basis of Polish-language version of a Japanese questionnaire. In order to evaluate the level of physical fatigue the pedometer was used. Results.158 respondents of a group of 160 were included in the statistical analysis. The study group was internally diversified. The research project assessed the usefulness of the multifactorial analysis in evaluating the main components of nursing fatigue. Multifactorial analysis has shown that mental fatigue concentrated with changes in activeness, motivation and physical fatigue are strongly correlated with age, professional experience and education. Conclusion. Nursing is a profession of a special character and mission. Regardless of the place of work, nursing staff should be given the possibility of pursuing their profession under conditions ensuring the sense of security and protecting them from harmful effects on health
Selected methods of measuring workload among intensive care nursing staff
No full textIntensive care units and well-qualified medical staff are indispensable for the proper functioning of every hospital facility. Due to demographic changes and technological progress having extended the average life expectancy, the number of patients hospitalized in intensive care units increases every year. Global shortages of nursing staff (including changes in their age structure) have triggered a debate on the working environment and workload the nursing staff are exposed to while performing their duties. This paper provides a critical review of selected methods for the measurement of the workload of intensive care nurses and points out their practical uses. The paper reviews Polish and foreign literature on workload and the measurement tools used to evaluate workload indicators
Conflicts in the intensive care unit
No full textConflicts in intensive care units (ICUs) are common and concern all professional groups, patients and their families. Both intra- and inter-team conflicts occur. The most common conflicts occur between nurses and physicians, followed by those within nursing teams and between ICU personnel and family members. The main causes of conflicts are considered to be unsatisfactory quality of the information provided, inappropriate ways of communication and improper approach towards treatment of patients. ICU conflicts can have serious consequences not only for families but also for patients, physicians, nurses and wider society. Lack of communication among ICU teams is likely to impair cooperation and ICU team-family contacts. From the point of view of patients and their families, communication skills, as one of the factors affecting the satisfaction of families with treatment, are essential to ensure high quality of ICU treatment. While conflicts are generally unfavourable, they can also have positive implications for the parties involved, depending on their prevalence and management, as well as the community they concern.Conflicts in intensive care units (ICUs) are common and concern all professional groups, patients and their families. Both intra- and inter-team conflicts occur. The most common conflicts occur between nurses and physicians, followed by those within nursing teams and between ICU personnel and family members. The main causes of conflicts are considered to be unsatisfactory quality of the information provided, inappropriate ways of communication and improper approach towards treatment of patients. ICU conflicts can have serious consequences not only for families but also for patients, physicians, nurses and wider society. Lack of communication among ICU teams is likely to impair cooperation and ICU team-family contacts. From the point of view of patients and their families, communication skills, as one of the factors affecting the satisfaction of families with treatment, are essential to ensure high quality of ICU treatment. While conflicts are generally unfavourable, they can also have positive implications for the parties involved, depending on their prevalence and management, as well as the community they concern
Ocena przydatności skal APACHE II, SAPS II i SOFA jako czynników rokowniczych u chorych ze schorzeniami rozrostowymi układu krwiotwórczego leczonych na oddziale anestezjologii i intensywnej terapii
No full textBACKGROUND: Cancer-related mortality remains the second most common cause of death in Poland. In many cases, the occurrence of treatment-related complications requires admission to the intensive care unit (ICU). The aim of this study was to assess the clinical application of the APACHE II, SAPS II and SOFA scales to evaluate the risk of death in patients with haematological malignancies treated in the ICU.METHODS: This study’s analysis included 99 patients, who were each assigned to one of the following two groups: surviving patients who were discharged from the ICU (n = 24); and patients who died in the ICU (n = 75). Analysis was performed using demographic, clinical and laboratory data obtained during the patient’s admission to the ICU and also during the first 24 hours of intensive therapy. Patient assessment was performed using the APACHE II, SAPS II and SOFA scoring systems as well as other clinical variables.RESULTS: Univariate logistic regression identified the following risk factors of death in patients with haematological malignancies: systolic (P = 0.006), diastolic (P = 0.01) and mean arterial pressure values (P = 0.009); occurrence of acute kidney injury; neutrophil (P = 0.009) and platelet count in the peripheral blood (P = 0.001); and the SAPS II (P = 0.00005), SOFA (P = 0.00009) and APACHE II (P = 0.0007) scores. SAPS II score was the only independent risk factor of patient death in multivariate analysis (P = 0.0004; unitary OR 1.052 [95% CI: 1.022–1.082]).CONCLUSION: Of all the applied patient assessment scales, only the SAPS II score was found to be useful in subjects with haematological malignancies hospitalised in the ICU.BACKGROUND: Cancer-related mortality remains the second most common cause of death in Poland. In many cases, the occurrence of treatment-related complications requires admission to the intensive care unit (ICU). The aim of this study was to assess the clinical application of the APACHE II, SAPS II and SOFA scales to evaluate the risk of death in patients with haematological malignancies treated in the ICU.METHODS: This study’s analysis included 99 patients, who were each assigned to one of the following two groups: surviving patients who were discharged from the ICU (n = 24); and patients who died in the ICU (n = 75). Analysis was performed using demographic, clinical and laboratory data obtained during the patient’s admission to the ICU and also during the first 24 hours of intensive therapy. Patient assessment was performed using the APACHE II, SAPS II and SOFA scoring systems as well as other clinical variables.RESULTS: Univariate logistic regression identified the following risk factors of death in patients with haematological malignancies: systolic (P = 0.006), diastolic (P = 0.01) and mean arterial pressure values (P = 0.009); occurrence of acute kidney injury; neutrophil (P = 0.009) and platelet count in the peripheral blood (P = 0.001); and the SAPS II (P = 0.00005), SOFA (P = 0.00009) and APACHE II (P = 0.0007) scores. SAPS II score was the only independent risk factor of patient death in multivariate analysis (P = 0.0004; unitary OR 1.052 [95% CI: 1.022–1.082]).CONCLUSION: Of all the applied patient assessment scales, only the SAPS II score was found to be useful in subjects with haematological malignancies hospitalised in the ICU
Analysis of intraoperative transfusions of red blood cell concentrates in adults
No full textBACKGROUND: Transfusion of red blood cell (RBC) concentrates is the most common allogeneic transplantation. The aim of the study was to analyse the indications for RBC transfusions, compared to the estimated intraoperative blood loss and the actual requirements for blood transfusion.METHODS: We retrospectively analysed the files of 250 adult patients who were transfused over the year 2006, during various general, oncologic, trauma, vascular, plastic and thoracic surgical procedures. Preoperative screening was done in a hospital laboratory, whereas postoperative haemoglobin concentration and haematocrit were assessed at the bedside using a co-oximeter.RESULTS: The majority of RBC transfusions were started at relatively high haemoglobin concentrations (mean 5.6 mmol L-1), contrary to the current guidelines. A high correlation coefficient (r=0.82) was found between the estimated blood loss and the volume of RBCs transfused; therefore we concluded that the observed blood loss was the main factor in transfusion decisions.CONCLUSIONS: Despite enormous progress in transfusion science, the current practice in our institution is still far from ideal; RBCs are frequently transfused too early and without a real indication.BACKGROUND: Transfusion of red blood cell (RBC) concentrates is the most common allogeneic transplantation. The aim of the study was to analyse the indications for RBC transfusions, compared to the estimated intraoperative blood loss and the actual requirements for blood transfusion.METHODS: We retrospectively analysed the files of 250 adult patients who were transfused over the year 2006, during various general, oncologic, trauma, vascular, plastic and thoracic surgical procedures. Preoperative screening was done in a hospital laboratory, whereas postoperative haemoglobin concentration and haematocrit were assessed at the bedside using a co-oximeter.RESULTS: The majority of RBC transfusions were started at relatively high haemoglobin concentrations (mean 5.6 mmol L-1), contrary to the current guidelines. A high correlation coefficient (r=0.82) was found between the estimated blood loss and the volume of RBCs transfused; therefore we concluded that the observed blood loss was the main factor in transfusion decisions.CONCLUSIONS: Despite enormous progress in transfusion science, the current practice in our institution is still far from ideal; RBCs are frequently transfused too early and without a real indication
Application of the Bispectral Index (BIS) During Deep Sedation for Patients with ICD Testing
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Obciążenie pracą a satysfakcja zawodowa pielęgniarek oddziałów intensywnej terapii w placówkach ochrony zdrowia noszących miano Szpitali Magnesów (Magnet Hospital)
No full textThe need for intensive care services and high educated, trained intensive care nurses professionals has grown substantially. These factors
have been fundamentals for the proper hospital functioning. Demographic changes mainly ageing of the population as well as medicaltechnologic
progress, cause that amount of intensive care patients seems to increase progressively each year. The national and global
nursing shortage have been very important issues of health policy. Changes in work environment as well as wages reduction and uncertain
career in nursing profession have been one of the main reason of job migration. Nursing profession is one of the most difficult and responsible.
Workload and fatigue among intensive care nurses have been persistent problems associate with job satisfaction. To prevent nursing
exodus many countries have aspired to create a positive work environments. These elements have been associated with Magnet Hospitals.
This paper provides a critical review of nursing workload and job satisfaction problem among intensive care nurses. It contains a review of
Polish and foreign bibliography on such issues as workload, job satisfaction and Magnet Hospital attributes.
Nursing Topics 2012; 20 (4): 529–534Potrzeba istnienia oddziałów intensywnej terapii wraz z wysoko wykwalifikowanym personelem medycznym jest niezbędna w prawidłowym
funkcjonowaniu każdej placówki medycznej. Zmiany demograficzne, a także postęp technologiczny, który pozwala na wydłużenie
średniej długości życia, sprawiają, że liczba pacjentów hospitalizowanych na oddziałach intensywnej terapii z roku na rok wzrasta. Wszechobecne
braki personelu pielęgniarskiego w Polsce i na świecie stanowią ważny problem legislacyjny. Coraz gorsze warunki pracy, niezadowalające
płace, jak również brak pewności rozwoju zawodowego są jednym z głównych powodów migracji. Praca personelu pielęgniarskiego
jest jedną z najtrudniejszych o dużym poziomie odpowiedzialności. Jej nieodzownym elementem jest znaczny poziom poczucia
obciążenia i zmęczenia. Przekłada się to na subiektywny odbiór warunków pracy, w tym ocenę poziomu satysfakcji zawodowej.
Coraz więcej krajów, dążąc do poprawy sytuacji w zakresie zatrzymania exsodusu personelu pielęgniarskiego do krajów bardziej rozwiniętych,
tworzy „przyjazne środowiska pracy”. Środowiska te są udziałem Szpitali Magnesów.
Celem pracy była krytyczna analiza problemu obciążenia pracą i jego wpływu na poziom satysfakcji zawodowej personelu pielęgniarskiego
oddziałów intensywnej terapii. W pracy przeanalizowano piśmiennictwo krajowe i zagraniczne dotyczące obciążenia pracą, środowiska
pracy oddziału intensywnej terapii, a także zasady funkcjonowania Szpitali Magnesów.
Problemy Pielęgniarstwa 2012; 20 (4): 529–53
