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Article: Work climate from the perspective of nurses: qualitative research.

Kosydar-Bochenek, Justyna / Krupa, Sabina / Semań, Tomasz / Mędrzycka-Dąbrowska, Wioletta

2023 Volume 10, Page(s) 1199674

Abstract: Introduction: This study aims to determine the nurses' view of the work climate. A positive work climate is one of the keys determining factors in improving nurse outcomes and affects patient satisfaction with care.: Methods: In this qualitative ... ...

Abstract	Introduction: This study aims to determine the nurses' view of the work climate. A positive work climate is one of the keys determining factors in improving nurse outcomes and affects patient satisfaction with care. Methods: In this qualitative research, a semi-structured interview was used to understand nurses' perceptions of their work environment. The participants' responses were recorded and transcribed. Between November and December 2021, 22 nurses participated in the study. Purposive sampling was used to choose nurses for the research, and interviews were performed with these nurses utilizing a semi-structured interview form. The interviews were analyzed using a theme analysis. Results: The themes identified in the data centered on four dominant elements that together shaped the prevailing work climate: participation in making decisions, companionship, job satisfaction, and changes they expect. Conclusion: It is necessary to implement meetings at the level of departments and hospitals, where employees will receive support from the authorities and learn how they can improve the working climate. Implications for nursing management: Research findings on the working climate can help hospital managers makers design interventions to create a good working environment for nurses.
Language	English
Publishing date	2023-07-28
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2775999-4
ISSN	2296-858X
ISSN	2296-858X
DOI	10.3389/fmed.2023.1199674
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Article ; Online: The Impact of the COVID-19 Pandemic on the Professional Autonomy of Anesthesiological Nurses and Trust in the Therapeutic Team of Intensive Therapy Units-Polish Multicentre Study.

Krukowska-Sitek, Hanna / Krupa, Sabina / Grad, Iga

International journal of environmental research and public health

2022 Volume 19, Issue 19

Abstract: Introduction: The COVID-19 pandemic as well as the rate of spread of this particular pathogen around the world have caused the number of patients requiring medical attention and intensive care to exceed the capacity of even the best organized health ... ...

Abstract	Introduction: The COVID-19 pandemic as well as the rate of spread of this particular pathogen around the world have caused the number of patients requiring medical attention and intensive care to exceed the capacity of even the best organized health care systems. This resulted in the need to hire employees who had not previously worked in intensive care units. Experience and knowledge have become particularly important in the context of mutual trust in the ICU team. At the same time, it could affect the level of professional autonomy of nurses, understood as the freedom to perform work based on knowledge, skills and competence without the need to submit to other medical professions. The pandemic status has required that nurses are always involved in their work by participating in training. Faced with the dangers of COVID-19, there is no doubt that by the end of the pandemic, both nursing and healthcare will be better equipped to face future challenges. Methods: The study lasted from July to September 2021. The data collection procedure started with the consent of the heads of the institutions where the data was collected. The study was conducted using the Dempster Practice Behavior Scale (DPBS), which examines work autonomy. The survey using the proprietary questionnaire was conducted among 225 nurses working in eleven ICUs in five voivodeships in Poland. Results: The autonomy of nurses during the COVID-19 pandemic was assessed at a high level. Younger respondents rated autonomy as being higher. Almost half of the respondents assessed the level of professional independence as high, including 52% of nurses, and significantly less, including 34% of doctors. A group of 47% of respondents assessed that trust had decreased and 28% said that trust had improved slightly. Conclusions: Professional independence allows you to perform work independently on others, taking responsibility for decisions and actions. The COVID-19 pandemic, through the influx of new staff members into treatment teams, had an impact on both nursing autonomy and the level of trust in a team, as shown in this study.
MeSH term(s)	COVID-19/epidemiology ; Humans ; Pandemics ; Poland/epidemiology ; Professional Autonomy ; Trust
Language	English
Publishing date	2022-10-05
Publishing country	Switzerland
Document type	Journal Article ; Multicenter Study
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph191912755
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Article ; Online: Nurses' knowledge, barriers and practice in the care of patients with delirium in the intensive care unit in Poland-A cross-sectional study.

Lange, Sandra / Mȩdrzycka-Da Browska, Wioletta / Tomaszek, Lucyna / Wujtewicz, Magdalena / Krupa, Sabina

Frontiers in public health

2023 Volume 11, Page(s) 1119526

Abstract: Background: Delirium is a cognitive disorder that occurs with high frequency in patients in intensive care units and affects patient outcomes. Despite recommendations for monitoring and assessing delirium in the ICU, studies show that it is still not ... ...

Abstract	Background: Delirium is a cognitive disorder that occurs with high frequency in patients in intensive care units and affects patient outcomes. Despite recommendations for monitoring and assessing delirium in the ICU, studies show that it is still not routinely assessed and often remains undiagnosed or misinterpreted as dementia or depression. Aim: The aim of this study was (1) to assess nurses' knowledge and clinical practices regarding delirium, (2) to identify the factors associated with nurses' knowledge, and (3) to define barriers to effective control of delirium. Methods: A cross-sectional study was conducted among 371 ICU nurses in Poland. Results: 53.1% of nurses had never been educated on delirium control resulting in a deficit in knowledge of delirium symptoms, risk factors and complications associated with delirium in ICU patients. Master's degree in nursing (vs. Registered nurses + Bachelor's), female gender, and working in university hospital (vs. other) were positively correlated with nurse's knowledge, while age had a negative impact on knowledge. Delirium is a marginalized state in ICU patients, only 16.4% of nurses assessed delirium routinely and 35.8% assessed delirium occasionally, rarely using validated scales. Barriers to effective delirium control were primarily the lack of a requirement to assess delirium, the difficulty of assessing delirium in intubated patients and nurses' lack of confidence in their ability to use delirium assessment tools. Conclusions: There is an urgent need to educate nurses about delirium and to make delirium assessment obligatory in clinical practice. The area of change should also include a hospital policy on delirium monitoring and management. The study was registered on ClinicalTrials.gov (NCT05384964).
MeSH term(s)	Humans ; Female ; Cross-Sectional Studies ; Clinical Competence ; Poland ; Delirium/diagnosis ; Health Knowledge, Attitudes, Practice ; Nursing Staff, Hospital/psychology ; Intensive Care Units
Language	English
Publishing date	2023-03-03
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2023.1119526
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Article ; Online: Occurrence of Delirium during ECMO Therapy in a Critical Care Unit in Poland-A Cross-Sectional Pilot Study.

Krupa, Sabina / Friganovic, Adriano / Mędrzycka-Dąbrowska, Wioletta

International journal of environmental research and public health

2021 Volume 18, Issue 8

Abstract: Background: The problem of delirium during extracorporeal membrane oxygenation (ECMO) therapy, which has rarely been studied, is an important issue since it is necessary to ensure patient safety during therapy. This study aimed to show the incidence of ... ...

Abstract	Background: The problem of delirium during extracorporeal membrane oxygenation (ECMO) therapy, which has rarely been studied, is an important issue since it is necessary to ensure patient safety during therapy. This study aimed to show the incidence of delirium in patients after extracorporeal membrane oxygenation therapy and factors affecting the occurrence of delirium in this group of patients. Design: A cross-sectional study was conducted. Method: The study involved a group of patients from an intensive cardiac care unit who received extracorporeal membrane oxygenation therapy. The study lasted for more than two years, in the period from 2018 until 2020. The Nursing Delirium Screening Scale (NuDESC) and the Delirium Observation Screening Scale (DOSS) were applied. Additionally, the patients were examined using Numeric Rating Scale (NRS), the Insomnia Severity Index (ISI), the Richmond Agitation Sedation Scale (RASS), the Ramsay Sedation Scale (RSS), and a thirst intensity scale; ultimately, relationships between these factors and delirium were examined. Results: In patients who underwent ExtraCorporeal Membrane Oxygenation (ECMO) therapy, delirium was confirmed by the NuDESC in 68.75% of patients in the evening hours, while it was measured by the DOSS scale in 84.38% of patients in the morning. The study found that ECMO delirium was not associated with hyperactivity, sleep disturbance, sedation, pain, or thirst. Conclusion: Delirium in patients undergoing ECMO therapy was confirmed by both the NuDESC and DOSS. Factors such as thirst and sleep disturbance after ECMO therapy were shown to influence the occurrence of delirium. The diagnosis of delirium using standardized scales is possible provided that more tests are carried out. Research should be conducted to determine whether the NuDESC is equivalent to the DOSS.
MeSH term(s)	Critical Care ; Cross-Sectional Studies ; Delirium/epidemiology ; Extracorporeal Membrane Oxygenation/adverse effects ; Humans ; Pilot Projects ; Poland/epidemiology
Language	English
Publishing date	2021-04-12
Publishing country	Switzerland
Document type	Journal Article
ISSN	1660-4601
ISSN (online)	1660-4601
DOI	10.3390/ijerph18084029
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Article: Review of the Literature on the Occurrence of Delirium after Veno-Venous and Veno-Arterial Extracorporeal Membrane Oxygenation: A Systematic Review.

Krupa, Sabina / Ozga, Dorota

Dementia and geriatric cognitive disorders extra

2019 Volume 9, Issue 3, Page(s) 374–380

Abstract: Introduction: Extracorporeal membrane oxygenation (ECMO) is an extracorporeal gas exchange method which, despite a number of advantages, carries the risk of many complications. ECMO is a modern intensive care method which in many cases is the last ... ...

Abstract	Introduction: Extracorporeal membrane oxygenation (ECMO) is an extracorporeal gas exchange method which, despite a number of advantages, 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, and nurses. The aim of this review is to analyze the occurrence of delirium in ECMO patients. Methods: Both authors independently extracted data from all included trials and assessed the risk of bias. A systematic review was performed using the protocol of the Cochrane Collaboration Risk of Bias tool. The search was based on PubMed, Web of Science, and Mendeley. Three articles from recent years have been analyzed in this work. Literature selection was made using the PRISMA checklist. The analyzed literature proves how important the topic of delirium is in ECMO therapy. In the case of pharmacotherapy, there are many combinations of drugs that prevent the occurrence of the delirium phenomenon. Results: This work deals with the subject of delirium after ECMO, which is not a common subject in the popular literature. Many of the elements mentioned in the articles analyzed show how important this topic is. The authors place great emphasis on the elements which are not related to pharmacotherapy and the prevention of delirium. For the prevention of delirium after ECMO, a psychological approach to the patient is important. As far as pharmacotherapy is concerned, it is the last element to be taken into account in the prevention of delirium in ECMO patients. An overview of the literature indicates that the subject of nursing care has been omitted; however, there are tools which allow nurses to assess delirium in patients. Conclusion: Delirium in patients undergoing ECMO therapy is a topic that has not been fully described in the literature. This review of the literature shows how important it is to treat a patient with delirium during this therapy and how important it may be to have an early diagnosis of delirium to prevent complications.
Language	English
Publishing date	2019-12-05
Publishing country	Switzerland
Document type	Systematic Review
ZDB-ID	2621464-7
ISSN	1664-5464
ISSN	1664-5464
DOI	10.1159/000502685
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Article ; Online: Nurses' knowledge, barriers and practice in the care of patients with delirium in the intensive care unit in Poland—A cross-sectional study

Sandra Lange / Wioletta Mȩdrzycka-Da̧browska / Lucyna Tomaszek / Magdalena Wujtewicz / Sabina Krupa

Frontiers in Public Health, Vol

2023 Volume 11

Abstract: BackgroundDelirium is a cognitive disorder that occurs with high frequency in patients in intensive care units and affects patient outcomes. Despite recommendations for monitoring and assessing delirium in the ICU, studies show that it is still not ... ...

Abstract	BackgroundDelirium is a cognitive disorder that occurs with high frequency in patients in intensive care units and affects patient outcomes. Despite recommendations for monitoring and assessing delirium in the ICU, studies show that it is still not routinely assessed and often remains undiagnosed or misinterpreted as dementia or depression.AimThe aim of this study was (1) to assess nurses' knowledge and clinical practices regarding delirium, (2) to identify the factors associated with nurses' knowledge, and (3) to define barriers to effective control of delirium.MethodsA cross-sectional study was conducted among 371 ICU nurses in Poland.Results53.1% of nurses had never been educated on delirium control resulting in a deficit in knowledge of delirium symptoms, risk factors and complications associated with delirium in ICU patients. Master's degree in nursing (vs. Registered nurses + Bachelor's), female gender, and working in university hospital (vs. other) were positively correlated with nurse's knowledge, while age had a negative impact on knowledge. Delirium is a marginalized state in ICU patients, only 16.4% of nurses assessed delirium routinely and 35.8% assessed delirium occasionally, rarely using validated scales. Barriers to effective delirium control were primarily the lack of a requirement to assess delirium, the difficulty of assessing delirium in intubated patients and nurses' lack of confidence in their ability to use delirium assessment tools.ConclusionsThere is an urgent need to educate nurses about delirium and to make delirium assessment obligatory in clinical practice. The area of change should also include a hospital policy on delirium monitoring and management. The study was registered on ClinicalTrials.gov (NCT05384964).
Keywords	delirium ; knowledge ; delirium assessment ; nursing practice ; barriers ; ICU ; Public aspects of medicine ; RA1-1270
Subject code	150
Language	English
Publishing date	2023-03-01T00:00:00Z
Publisher	Frontiers Media S.A.
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Influence of various types of light on growth and physicochemical composition of blueberry (Vaccinium corymbosum L.) leaves

Monika Figiel-Kroczyńska / Ireneusz Ochmian / Marcelina Krupa-Małkiewiecz / Sabina Lachowicz

Acta Scientiarum Polonorum: Hortorum Cultus, Vol 21, Iss

2022 Volume 2

Abstract: It is important to use light that has a positive effect on plants. For plant growers, achieving the lowest possible cost of shrub production is crucial. We investigated the influence of light (white and violet LEDs as well as fluorescent white and red ... ...

Abstract	It is important to use light that has a positive effect on plants. For plant growers, achieving the lowest possible cost of shrub production is crucial. We investigated the influence of light (white and violet LEDs as well as fluorescent white and red light) on the rooting and growth of blueberry cuttings (V. corymbosum L.) 'Aurora' and 'Huron'. Blueberry cuttings (4 cm tall) were planted into boxes with peat, which were placed in a phytotron at 22 °C and illuminated for 16 hours a day. The plants died under the red fluorescent light source and, therefore, we discontinued its use. The other three light sources had a positive effect on plant growth and development. The light source had little effect on the content of macroelements in the leaves. Plants grown under white fluorescent and white LED light did not significantly differ in the height (22.0-25.8 cm), proline (4.67-7.23 μmol g-1), and polyphenol content (4987-5212 mg 100 g-1). In both cultivars, the violet LED light reduced plant growth and increased the content of polyphenols (6,448 mg 100 g-1) and proline (8.11-9.06 μmol g-1) in the leaves, which may indicate abiotic stress. During the rooting of highbush blueberry cuttings, it is advisable to use white LED light. It has a positive economic impact on crop production due to low electricity consumption and it benefits the environment by eliminating mercury. The plant quality is similar to that of fluorescent white light.
Keywords	phytotron ; LED light ; polyphenols ; proline ; macro and microelements ; Biochemistry ; QD415-436 ; Plant culture ; SB1-1110 ; Science ; Q
Subject code	580
Language	English
Publishing date	2022-04-01T00:00:00Z
Publisher	University of Life Sciences in Lublin - Publishing House
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Occurrence of Delirium during ECMO Therapy in a Critical Care Unit in Poland—A Cross-Sectional Pilot Study

Sabina Krupa / Adriano Friganovic / Wioletta Mędrzycka-Dąbrowska

International Journal of Environmental Research and Public Health, Vol 18, Iss 4029, p

2021 Volume 4029

Abstract	Background: The problem of delirium during extracorporeal membrane oxygenation (ECMO) therapy, which has rarely been studied, is an important issue since it is necessary to ensure patient safety during therapy. This study aimed to show the incidence of delirium in patients after extracorporeal membrane oxygenation therapy and factors affecting the occurrence of delirium in this group of patients. Design: A cross-sectional study was conducted. Method: The study involved a group of patients from an intensive cardiac care unit who received extracorporeal membrane oxygenation therapy. The study lasted for more than two years, in the period from 2018 until 2020. The Nursing Delirium Screening Scale (NuDESC) and the Delirium Observation Screening Scale (DOSS) were applied. Additionally, the patients were examined using Numeric Rating Scale (NRS), the Insomnia Severity Index (ISI), the Richmond Agitation Sedation Scale (RASS), the Ramsay Sedation Scale (RSS), and a thirst intensity scale; ultimately, relationships between these factors and delirium were examined. Results: In patients who underwent ExtraCorporeal Membrane Oxygenation (ECMO) therapy, delirium was confirmed by the NuDESC in 68.75% of patients in the evening hours, while it was measured by the DOSS scale in 84.38% of patients in the morning. The study found that ECMO delirium was not associated with hyperactivity, sleep disturbance, sedation, pain, or thirst. Conclusion: Delirium in patients undergoing ECMO therapy was confirmed by both the NuDESC and DOSS. Factors such as thirst and sleep disturbance after ECMO therapy were shown to influence the occurrence of delirium. The diagnosis of delirium using standardized scales is possible provided that more tests are carried out. Research should be conducted to determine whether the NuDESC is equivalent to the DOSS.
Keywords	delirium ; extracorporeal membrane oxygenation ; critical care ; Medicine ; R
Subject code	610
Language	English
Publishing date	2021-04-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Adaptation and validation of the Barriers to Research Utilization (BARRIERS scale) questionnaire among Polish nurses and midwives: Cross-sectional study.

Ozga, Dorota / Krupa, Sabina / Mędrzycka-Dąbrowska, Wioletta / Penar-Zadarko, Beata

Applied nursing research : ANR

2021 Volume 63, Page(s) 151547

Abstract: Aim: The study was designed to assess a Polish version of the Barriers to Research Utilization (BRU) scale for reliability and validity, in a group of nurses and midwives.: Background: The implementation of Evidence-Based in practice is a key element ...

Abstract	Aim: The study was designed to assess a Polish version of the Barriers to Research Utilization (BRU) scale for reliability and validity, in a group of nurses and midwives. Background: The implementation of Evidence-Based in practice is a key element of care and the use of research requirements the research awareness of nurses. Methods: In 2018, cross-sectional validation was carried out among nurses and midwives qualified for the project. Results: The Cronbach alpha internal consistency index and mean correlations between items for each of the five subscales comprised in the BRU Instrument were satisfactory. The regression weights show that the items fit well with the subscales and there are no deviations from it. Conclusions: We should the right tools to assess research awareness and be able to identify barriers. Knowing them will allow us to implement preventative measures and allow us to plan our activities.
MeSH term(s)	Cross-Sectional Studies ; Female ; Humans ; Midwifery ; Poland ; Pregnancy ; Psychometrics ; Reproducibility of Results ; Surveys and Questionnaires
Language	English
Publishing date	2021-11-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	1027369-4
ISSN	1532-8201 ; 0897-1897
ISSN (online)	1532-8201
ISSN	0897-1897
DOI	10.1016/j.apnr.2021.151547
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Article: Polish Version of the Post-traumatic Stress Disorder Related to COVID-19 Questionnaire COVID-19-PTSD.

Kosydar-Bochenek, Justyna / Krupa, Sabina / Favieri, Francesca / Forte, Giuseppe / Medrzycka-Dabrowska, Wioletta

Frontiers in psychiatry

2022 Volume 13, Page(s) 868191

Abstract: Objective: Translate and investigate psychometric properties of the Polish version of COVID-19-PTSD in a sample of healthcare workers.: Methods: The PTSD symptoms were investigated among 184 participants (physicians, nurses, and paramedics). The ... ...

Abstract	Objective: Translate and investigate psychometric properties of the Polish version of COVID-19-PTSD in a sample of healthcare workers. Methods: The PTSD symptoms were investigated among 184 participants (physicians, nurses, and paramedics). The respondents completed Post-Traumatic Stress Disorder Related to COVID-19 Questionnaire (COVID-19-PTSD) via online survey. The psychometric properties (i.e., internal consistency, validity, and reliability) of the Polish version of COVID-19-PTSD were analyzed. Results: The findings showed that the Polish version of COVID-19-PTSD is a reliable instrument. The total and subscale scores demonstrated good internal consistency. We also found that the prevalence of PTSD was reported at around 32% of healthcare workers. Discussion: The Post-Traumatic Stress Disorder Related to COVID-19 Questionnaire (COVID-19-PTSD) is a first tool designed to assess the severity of PTSD symptoms related to the pandemic. The findings of our study confirmed good validity and reliability of the Polish version of COVID-19-PTSD which can be recommended to be used as a reliable screening tool to conduct psychological screening among Polish healthcare workers.
Language	English
Publishing date	2022-04-25
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2564218-2
ISSN	1664-0640
ISSN	1664-0640
DOI	10.3389/fpsyt.2022.868191
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