Areas of professional life and job satisfaction of nurses.

Introduction: Job satisfaction among nurses is closely related to work environment as well as organizational and professional commitment. Satisfaction is a concept derived from Latin, where "satis" means "enough," as much as is needed to fully satisfy expectations, needs, aspirations, in such a way that there is no room for complaint. Job satisfaction, on the other hand, is formulated as a positive attitude of employees toward the duties of the job, the work environment and other employees. The aim of this paper was to demonstrate how the different areas of nurses' professional life, i.e., workload, control, rewards, community, sense of justice and values, correlate with their perceived job satisfaction. Materials and methods: A cross-sectional study was conducted in a group of 509 nurses working in a public hospital in Poland. Data were collected using a survey questionnaire, which consisted of a section containing sociodemographic data and standardized instruments: The Minnesota Satisfaction Questionnaire (MSQ) and The Areas of Worklife Survey (AWS) developed by Maslach and Leiter. Correlations were made using Spearman's rho coefficient. The calculations also used stepwise linear regression analysis after checking certain assumptions, including checking the assumption of normality of residuals and the Durbin-Watson Test. Results: The mean score for the 20 items of the MSQ questionnaire ranged from 3.05 to 3.43 on a 5-point Likert scale. Support from the interdisciplinary team, which concerned assessing the quality of the social environment in the workplace, cooperation and showing positive feelings received the highest rating among respondents (3.51 ± 0.76). The sense of fair treatment at work averaged 3.26 ± 0.58. The area of value conflict within the organization itself or between the employee's values and those of the organization, respondents rated an average of 3.26 ± 0.65. The mean score for all areas of professional work in the surveyed group was 3.09 ± 0.45. Conclusion: As satisfaction in particular areas of work life increases, so does the level of satisfaction in such aspects of work as achievement and a sense of fairness. The higher the level of satisfaction in the area of control, the more the sense of satisfaction with independence increases. The higher the satisfaction of respondents in the areas of values, workload and control, the higher the level of satisfaction with working conditions occurs.

Assessment of Health Behaviours and Satisfaction with Life among Catholic Priests in Poland.

The aim of the study was to assess the relationship between the health behaviours of diocesan priests in Poland and their level of life satisfaction. The specific goal was to determine the factors that most affect their quality of health (internal health control, the influence of others or coincidence) and life satisfaction (positive mental attitude, preventive behaviour, eating habits, health practices). The study involved 250 diocesan priests from the Podkarpackie region who took part in the research by completing an anonymous questionnaire. The questions were mainly based on tools for assessing health behaviours, namely the HBI-health behaviour inventory, MHLC-multidimensional scale of health locus of control and the SWLS-satisfaction with life scale. The general index of health behaviour of clergymen on the HBI scale was 77.12 ± 16.20 (Me = 78), showing a moderate level on the sten scale. On the MHLC health locus of control scale, the respondents believed that their health depended most on internal control: 25.27 ± 5.10 and the influence of others: 23.13 ± 5.57, are of utmost importance for their health. To a lesser extent they believed that health was dependent on chance: 17.60 ± 5.95. The SWLS satisfaction with life index was 22.51 ± 5.43 (Me = 23), also within the moderate range of the sten scale. The factors most closely related to the assessment of life satisfaction were positive mental attitudes and the overall HBI index. The health behaviours of priests measured by the HBI scale and the level of satisfaction with the life of SWLS clergymen are within a moderate range. On the MHLC scale, priests likewise believe that their health depends on themselves and then on others. They are clearly less likely to indicate accidental causes.

Current epidemiology and practice patterns in prevention and treatment of PD-related infections in Poland.

BACKGROUND: Peritoneal dialysis (PD) related infections are associated with technique failure and mortality. The aim of this multicentre study was to examine epidemiology, treatment and outcomes of PD-related infections in Poland as well as practice patterns for prevention of these complications in the context of current ISPD recommendations. METHODS: A survey on PD practices in relation to infectious complications was conducted in 11 large Polish PD centres. Epidemiology of peritonitis and exit-site infections (ESI) was examined in all patients treated in these units over a 2 year period. RESULTS: The study included data on 559 PD patients with 62.4% on CAPD. Practice patterns for prevention of infectious complications are presented. The rate of peritonitis was 0.29 episodes per year at risk, with Gram positive microorganisms responsible for more than 50% of infections and 85.8% effectively treated. Diagnosis and treatment followed ISPD guidelines however most units did not provide an anti-fungal prophylaxis. Although neither of the centres reported routine topical mupirocin on catheter exit-site, the rate of ESI was low (0.1 episodes per year at risk), with Staphylococcus aureus as most common pathogen and full recovery in 78.3% of cases. CONCLUSION: The study shows rewarding outcomes in prevention and treatment of PD-associated infections, mainly due to a thorough compliance with the current ISPD guidelines, although some deviations from the recommendations in terms of practice patterns have been observed. More studies are needed in large numbers of patients to differentiate the importance of specific recommendations and further support the guidelines.

[Evaluation and determinants of pain in patients hospitalized for cancer]. / Ocena i uwarunkowania bólu u hospitalizowanych z powodu choroby nowotworowej.

Pain is a symptom that occurs in almost every third person at the time of diagnosis of cancer. Its intensity and frequency increases with the progression of the disease. AIM: The aim of the studywas to determine of pain conditions in patients treated for cancer during oncological treatment. MATERIALS AND METHODS: The study included 229 randomly selected patients hospitalized at Fr. B. Markiewicz Specialist Hospital of the Podkarpacki Oncological Center in Brzozów. The method of the diagnostic survey and the technique of the survey were used. The research tools were the author's questionnaire and the numerical rating scale NRS (Numeric Rating Scale). The statistical analysis used the following tests: U Mann Whitney and symmetric measures Phi and V Kramer based on the chi-square test. The statistical significance level p≤0.05 was assumed. RESULTS: The incidence of pain resulting from neoplastic disease, treatment and the consequences of the disease was declared by 61,6% of patients. The mean severity of pain in patients was 3.38. Middleaged pain was reported by 55.3% of patients. Low level pain occurred in almost every third patient (31.9%) and in severe form in 12.8% of patients. The most frequent places of pain were abdominal cavity, osteoarticular system and head. Painkillers were taken by 59.4% of patients and mainly were drugs from the first stage of analgesic ladder, among them Paracetamol. Morphine - every tenth patient took the drug of the third grade of the analgesic ladder. The pain was not affected by education, age, sex, marital status, place of residence and self-assessment of functioning in everyday life. Patients suffering from pain assessed their health better. CONCLUSIONS: Most individuals with cancer suffered from pain and painkillers, mainly from the first degree of analgesic ladder. The occurrence of pain was not differentiated as for socio-demographic variables. The treatment method was associated with the sensation of pain, the experience of which influenced the self-assessment of health. Pain is a threat to the quality of life and significantly affects the treatment process. Relief and elimination of pain is a priority in the care and treatment of cancer patients.