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    Tytuł:
    Polish infection control nurses – Self-assessment of their duties and professional autonomy in different types of hospitals
    Autorzy:
    Wałaszek, Marta
    Różańska, Anna
    Szczypta, Anna
    Bulanda, Małgorzata
    Wójkowska-Mach, Jadwiga
    Powiązania:
    https://bibliotekanauki.pl/articles/2162576.pdf
    Data publikacji:
    2018-12-18
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    workplace
    healthcare-associated infections
    work organization
    work load
    infection prevention and control nurse
    decision autonomy
    Opis:
    Background The objective of the study is self-assessment of Polish infection control nurses (ICNs) in terms of the structure of professional tasks and autonomy of decision-making. Material and Methods A questionnaire survey was filled out by 208 ICNs (around 21% of all Polish ICNs) in 15 provinces located in Poland. The research encompassed ICNs surveillance healthcare-associated infections (HAIs) in 2014. Results The work time that ICNs devote to professional tasks and decision autonomy on the scale of 1–100% was as follows: 34% (67% of decision autonomy) was dedicated to detecting and registering HAIs, 12% (71%) – internal control, 10% (58%) – devising and implementing infection prevention practices, 10% (68%) – staff trainings, 8% (65%) – identification and study of outbreaks, 7% (58%) – promoting hand hygiene, 6% (51%) – consults with infected patients, 4% (57%) – consults on decontamination, 4% (54%) – consults on maintaining cleanliness, 3% (51%) – isolation and application of personal protective measures, 2% – other tasks. Infection prevention and control nurses estimated, on average, that their autonomy of decisions concerning the professional tasks performed amounted to 60%. Conclusions Infection control nurses in Poland have difficulty in achieving balance between tasks they perform and the authority they exercise. The ICN professional task structure is dominated by duties associated with monitoring hospital infections, however, the greatest decision autonomy is visible regarding internal control. Decision-making concentrated on internal control may hinder building a positive image of an ICN. We should strive to firmly establish professional tasks and rights of ICNs in legislation concerning performing the duties of a nurse and midwife. Med Pr 2018;69(6):605–612
    Wstęp The objective of the study is self-assessment of Polish infection control nurses (ICNs) in terms of the structure of professional tasks and autonomy of decision-making. Materiał i metody A questionnaire survey was filled out by 208 ICNs (around 21% of all Polish ICNs) in 15 provinces located in Poland. The research encompassed ICNs surveillance healthcare-associated infections (HAIs) in 2014. Wyniki The work time that ICNs devote to professional tasks and decision autonomy on the scale of 1–100% was as follows: 34% (67% of decision autonomy) was dedicated to detecting and registering HAIs, 12% (71%) – internal control, 10% (58%) – devising and implementing infection prevention practices, 10% (68%) – staff trainings, 8% (65%) – identification and study of outbreaks, 7% (58%) – promoting hand hygiene, 6% (51%) – consults with infected patients, 4% (57%) – consults on decontamination, 4% (54%) – consults on maintaining cleanliness, 3% (51%) – isolation and application of personal protective measures, 2% – other tasks. Infection prevention and control nurses estimated, on average, that their autonomy of decisions concerning the professional tasks performed amounted to 60%. Wnioski Infection control nurses in Poland have difficulty in achieving balance between tasks they perform and the authority they exercise. The ICN professional task structure is dominated by duties associated with monitoring hospital infections, however, the greatest decision autonomy is visible regarding internal control. Decision-making concentrated on internal control may hinder building a positive image of an ICN. We should strive to firmly establish professional tasks and rights of ICNs in legislation concerning performing the duties of a nurse and midwife. Med Pr 2018;69(6):605–612
    Źródło:
    Medycyna Pracy; 2018, 69, 6; 605-612
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Advance care planning in Spain. A short national report. Part II
    Autorzy:
    Seoane, J.A.
    Powiązania:
    https://bibliotekanauki.pl/articles/1917484.pdf
    Data publikacji:
    2015
    Wydawca:
    Uniwersytet Medyczny w Białymstoku
    Tematy:
    Advance Care Planning
    end-of-life
    Patient Rights
    Spain
    clinical decision-making
    Autonomy
    Advance Directives
    Opis:
    Purpose: Ethical and legal recognition of patient autonomy and rights is a reality in Spain. Together with informed consent, advance directives and advance care planning have also played a major role in bringing about this situation. This paper aims to provide a description and critical analysis of their ethical and legal framework, concept, grounds, purpose and requirements under Spanish law, and to show that the appropriate way to understand and implement advance directives is to integrate them into the broader process of advance care planning, combining its legal, ethical and clinical dimensions.Materials and methods: Descriptions, arguments and conclusions presented in this paper are based on a review of legislation, case law and scientific bibliography. Conclusions: Spanish legal norms on advance directives represents a step forward in the consolidation of autonomy as a core of doctor-patient relationship and in the guarantee of patients, healthcare professionals and health institutions’ rights and duties. Moreover, it guides professionals and eases decision-making process in healthcare. Finally, it improves the quality, humanisation and justice of Spanish health system.
    Źródło:
    Progress in Health Sciences; 2015, 5, 1; 169-175
    2083-1617
    Pojawia się w:
    Progress in Health Sciences
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Advance care planning in Spain. A short national report. Part I
    Autorzy:
    Seoane, J.A.
    Powiązania:
    https://bibliotekanauki.pl/articles/1917487.pdf
    Data publikacji:
    2015
    Wydawca:
    Uniwersytet Medyczny w Białymstoku
    Tematy:
    Advance Care Planning
    End-of-life
    Patient Rights
    Spain
    clinical decision-making
    autonomy
    Advance Directives
    Opis:
    Purpose: Ethical and legal recognition of patient autonomy and rights is a reality in Spain. Together with informed consent, advance directives and advance care planning have also played a major role in bringing about this situation. This paper aims to provide a description and critical analysis of their ethical and legal framework, concept, grounds, purpose and requirements under Spanish law, and to show that the appropriate way to understand and implement advance directives is to integrate them into the broader process of advance care planning, combining its legal, ethical and clinical dimensions.Materials and methods: Descriptions, arguments and conclusions presented in this paper are based on a review of legislation, case law and scientific bibliography. Conclusions: Spanish legal norms on advance directives represents a step forward in the consolidation of autonomy as a core of doctor-patient relationship and in the guarantee of patients, healthcare professionals and health institutions’ rights and duties. Moreover, it guides professionals and eases decision-making process in healthcare. Finally, it improves the quality, humanisation and justice of Spanish health system.
    Źródło:
    Progress in Health Sciences; 2015, 5, 1; 162-168
    2083-1617
    Pojawia się w:
    Progress in Health Sciences
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Being Outside the Decision-Loop: The Impact of Deep Brain Stimulation and Brain-Computer Interfaces on Autonomy
    Autorzy:
    Michałowska, Monika
    Kowalczyk, Łukasz
    Marcinkowska, Weronika
    Malicki, Mikołaj
    Powiązania:
    https://bibliotekanauki.pl/articles/1933396.pdf
    Data publikacji:
    2021
    Wydawca:
    Uniwersytet Szczeciński. Wydawnictwo Naukowe Uniwersytetu Szczecińskiego
    Tematy:
    Neural Technologies
    Autonomy
    Control
    Decision-Making
    Well-Being
    Informed Consent
    neurotechnologie
    autonomia
    kontrola
    decyzyjność
    dobrostan
    zgoda świadoma
    Opis:
    Recent advancements in new neural technologies raise bioethical concerns over personal autonomy, which they potentially threaten to diminish or entirely eliminate. Although caution in the application of deep brain stimulation (DBS) and brain-computer interfaces (BCIs) is explicitly urged in almost every study, the debate features a definitional void as to what notion of autonomy is actually adopted by the authors. The focus on autonomy has dominated the debate to such an extent that other essential values seem to be disappearing from the bioethical horizon, becoming less valued, less important, and less visible. This paper examines the autonomy-problem by probing whether DBS and BCIs indeed threaten personal autonomy. The impact of DBS and BCIs is studied on the examples of several illnesses, whereby the well-being of a person and the importance of informed consent are taken into account to assess the influence of these novel medical technologies on autonomy.
    Źródło:
    Analiza i Egzystencja; 2021, 56; 25-52
    1734-9923
    2300-7621
    Pojawia się w:
    Analiza i Egzystencja
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    2010 and 2011 EU Competition Law and Sector-specific Regulatory Jurisprudence and Case Law Developments with a Nexus to Poland
    Autorzy:
    Mościbroda, Anna
    Kuik, Krzysztof
    Powiązania:
    https://bibliotekanauki.pl/articles/530365.pdf
    Data publikacji:
    2012-11-30
    Wydawca:
    Uniwersytet Warszawski. Wydawnictwo Naukowe Wydziału Zarządzania
    Tematy:
    telecommunication
    pharmaceuticals
    antitrust
    cartel
    competition law
    Commission decision
    state aid
    merger control
    case law
    regulatory cases
    infringement
    preliminary ruling
    Electronic Communications Framework
    broadband
    alternative operators
    powers of NCA
    Regulation 1/2003
    modernisation
    procedural autonomy
    number portability
    conditional approval
    general prohibition of combined sales
    publication requirements
    Act of Accession
    internet tariffs
    Universal Service Directive
    Framework Directive
    retail broadband tariffs
    generic products
    marketing authorisations
    Opis:
    This third overview of EU competition and sector-specific regulatory jurisprudential and case law developments with a nexus to Poland covers the years 2010 and 2011. This period of time is worth noting for several reasons. First, EU courts delivered a significant number of judgments in ‘Polish’ cases including an increased number of preliminary rulings. Second, 2010-2011 developments were dominated by judgments and decisions concerning telecoms. Finally, the Commission adopted only a handful of Polish State aid decisions following a formal investigation procedure under Article 108(2) TFEU. The main developments in telecoms relate to the Court of Justice's preliminary reference judgment in Tele 2 Polska focusing on the interpretation of Regulation 1/2003 and the PTC v UKE ruling that dealt with number portability charges. Relevant is also the antitrust prohibition decision issued by the Commission against Telekomunikacja Polska S.A. for its refusal to grant access to its wholesale broadband services. In other fields, the Court of Justice delivered three State aid judgments (including two appeals against pre-2010 judgments of the General Court) and two judgments in infringement proceedings (regarding pre EU Accession marketing authorisations for medicines and the reutilisation of data from the public sector). The General Court ruled on appeal in the butadiene rubber cartel case (e.g. in Trade-Stomil v Commission). Finally, the Commission dealt with a merger case with a truly Polish specificity (Kraft Foods/ Cadbury), approved subject to divestiture of the E. Wedel brand.
    Ce troisième aperçu portant sur les développements de la réglementation relative au droit de la concurrence de l’UE et droit séctoriel, ainsi qu’à la jurisprudence ayant un lien imporatnt avec la Pologne, couvre les années 2010 et 2011. Cette période vaut l’intérêt pour plusieurs raisons. Premièrement, les tribunaux de l'UE ont délivré un nombre important d'arrêts dans les cas « polonais » dont un nombre croissant de questions préjudicielles. Deuxièmement, les développements en 2010-2011 ont été dominés par les jugements et décisions concernant les télécommunications (télécoms). Enfin, la Commission n’a adopté qu’un petit nombre de décisions sur les aides de l’État polonais à la suite d'une procédure formelle d'examen conformément à l'article 108 (2) du TFUE. Les développements principaux dans les télécoms se rapportent au renvoi préjudiciel de la Cour de justice dans le cas Tele 2 Polska portant sur l'interprétation du règlement 1/2003 et celui relatif au cas UKE v PTC sur les frais de portabilité des numéros. La décision concernant une infraction en application adoptée par la Commission contre Telekomunikacja Polska SA pour son refus d'accorder l'accès à ses services de gros de la large bande est également pertinente. Dans les autres domaines, la CJCE a rendu trois arrêts sur les aides d'État (deux recours contre les arrêts rendus par le Tribunal de première instance avant 2010) et deux arrêts dans une procédure d'infraction (en ce qui concerne les autorisations de marketing pour la médecine préalables à l'adhésion à l’UE et la réutilisation des données du secteur public). Le Tribunal de première instance a statué sur le recours dans le cas de cartel caoutchouc butadiène (par exemple le cas Trade-Stomil v Commission). Enfin, la Commission a traité un cas de fusion avec une spécificité typiquement polonaise (Kraft Foods / Cadbury), approuvé assujetti à la cession de la marque E. Wedel.
    Źródło:
    Yearbook of Antitrust and Regulatory Studies; 2012, 5(7); 157-190
    1689-9024
    2545-0115
    Pojawia się w:
    Yearbook of Antitrust and Regulatory Studies
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
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