Informacja

Drogi użytkowniku, aplikacja do prawidłowego działania wymaga obsługi JavaScript. Proszę włącz obsługę JavaScript w Twojej przeglądarce.

English (EN)·Polski (PL)·Yкраїнський (UK)
Przejdź do strony domowej biblioteki Centralna Biblioteka Wojskowa Link otwiera się w nowym oknie Logo biblioteki Prolib Integro - strona głównaCentralna Biblioteka Wojskowa

Wyszukujesz frazę "Gabrys, Tomasz" wg kryterium: Autor

  Lista filtrów
Wyrównaj
    Wyświetlanie 1-13 z 13
    Tytuł:
    Procesy rozwoju szkolnictwa wyższego w układach regionalnych w Polsce – według województw w latach 2009–2016
    Development of university education in Poland – regional (voivodship) patterns, in 2009–2016
    Autorzy:
    Borowiec-Gabryś, Tomasz
    Rachwał, Tomasz
    Powiązania:
    https://bibliotekanauki.pl/articles/2032380.pdf
    Data publikacji:
    2018
    Wydawca:
    Polska Akademia Nauk. Czytelnia Czasopism PAN
    Tematy:
    university education
    knowledge-based economy
    human capital
    fields of study
    edukacja uniwersytecka
    ekonomia oparta na wiedzy
    kapitał ludzki
    kierunki studiów
    Opis:
    For development of the knowledge-based economy, potential and quality of university education are an important factors to increase a competitiveness of local, regional, national and international scales. To shape the modern economy, the development of university education and studies corresponding with contemporary socio-economic challenges play an important role. As a result, the formation of scientific and academic centres, which are the basic elements of knowledge-based of economy, determines the improvement of the human resources quality and the increase in innovativeness of spatial systems on various scales. The author has discussed the issue of changes in university education in Poland and its role in socio-economic activation of regional systems, and also defined the structure of major studies in regional (voivodship) systems. This paper research has initiated wider investigations which aim will be to answer to what extent the actual university education structure corresponds to contemporary and future socio-economic needs and competences. this level of education in Poland has to face with the growing globalization processes and increasing spatial competitiveness, not only in a regional scale, but also in the national and international ones, and actual reforms of Polish education and science system.
    Źródło:
    Biuletyn Komitetu Przestrzennego Zagospodarowania Kraju PAN; 2018, 272; 94-112
    0079-3493
    Pojawia się w:
    Biuletyn Komitetu Przestrzennego Zagospodarowania Kraju PAN
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The direction of the changes of rates of the internal and external training load under the influence of high-altitude hypoxia on mountain bikers
    Autorzy:
    Gabrys, Tomasz
    Szmatlan-Gabrys, Urszula
    Stanula, Arkadiusz
    Powiązania:
    https://bibliotekanauki.pl/articles/1922006.pdf
    Data publikacji:
    2019-02-20
    Wydawca:
    PPHU Projack Jacek Wąsik
    Tematy:
    cycling
    altitude training
    aerobic capacity
    hypoxia
    Opis:
    The aim of the research carried out was to establish the direction, and scope of the changes in internal, and external load indicator values in cyclists, men, and women, in high-altitude hypoxia conditions. The participants of the study were mountain bike cyclists, members of Russian and Polish Nationals Teams (women n=11, men n=9). They have done the graded incremental exercise test at the altitude of 170 m (Lonato del Garda, Italy) and 2250 m (Livignio-Trepale Italy). In the course of effort VO2, VE, VCO2 was measured by means of K4b2 analyser (Cosmed Italy). Effort intensity was determined at ventilators thresholds VT1 (AT), and VT2. Internal and external load indicators undergo changes during physical effort in cyclists under the influence of high altitude hypoxia. In groups of men and women, the changes in indicator values reach VE: 9% and 12%, HR: 0,5% and 15, O2HR: 7% and 15%, VO2: 14% and 20% respectively, as well as a decrease in 5 and 4% of the generated power, respectively. A decrease in the generated power by 5%, higher ventilation, amounting to 10%, a higher VO2max, amounting to 17% in hypoxic conditions, in comparison with the conditions similar to those at sea level, show that it is necessary to modify training loads.
    Źródło:
    Physical Activity Review; 2019, 7; 40-48
    2300-5076
    Pojawia się w:
    Physical Activity Review
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Obesity in 18-25-year-olds in relation to their physical activity, and lifestyle
    Autorzy:
    Gabrys, Tomasz
    Nowak, Zbigniew
    Michalski, Cezary
    Szmatlan -Gabrys, Urszula
    Stanula, Arkadiusz
    Powiązania:
    https://bibliotekanauki.pl/articles/1031711.pdf
    Data publikacji:
    2018
    Wydawca:
    PPHU Projack Jacek Wąsik
    Tematy:
    health promotion
    obesity
    overweight
    physical activity
    Opis:
    The quality of life is a multidimensional notion. When studying it, one should take the physical, the psychological, the social, and the professional aspects into consid eration. Among them, the notion of the influence of obesity, understood as a modern -age disease, relates the quality of life to the notion of health, in the aspect of physical activity. The aim of the study carried out, was to determine the relationship be tween obesity in 18 -25 year - olds, and their physical activity, as well as the quality of their lives. The study was carried out by means a WHOQOL - BREF, and IPAQ survey questionnaires carried out on a group of 100 participants. The control group included pe ople whose BMI was within the norm, whereas the study group comprised people whose BMI was over 25. The results of the study have shown obesity to have a statistically significant negative impact on the quality of life in the physical, and mental domains, and as far as the general perception of health was concerned. In the study group, the mean weekly energy expenditure, was lower than in the control group. The physical activity of the obese, includes, mainly, activities based on light effort, and to a less er extent, those based on moderate effort. A comparative analysis has shown the level of physical activity to be significantly lower in obese women, in each type of physical effort, except light effort. This difference does not exist between the study, and control groups of men.
    Źródło:
    Physical Activity Review; 2018, 6; 64-72
    2300-5076
    Pojawia się w:
    Physical Activity Review
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    CALLFOR CONTRIBUTIONS TransCanadiana: Polish Journal of Canadian Studies N° 7/2014
    APPEL À CONTRIBUTIONS TransCanadiana : Revue Polonaise d’Études Canadiennes no 7/ 2014
    Autorzy:
    Soroka, Tomasz
    Gabryś, Marcin
    Powiązania:
    https://bibliotekanauki.pl/articles/445116.pdf
    Data publikacji:
    2013
    Wydawca:
    Polskie Towarzystwo Badań Kanadyjskich
    Opis:
    Submissions are invited for the seventh volume of TransCanadiana: Polish Journal of Canadian Studies – a peer-reviewed journal published by the Polish Association of Canadian Studies. Every issue comprises articles on a subject specified by the editors, as well as short reviews of recent publications in the field of Canadian studies, and a newsletter presenting information and updates on the activities of the PACS and Canadian Studies Centers in Poland.
    Nous avons l’immense plaisir de vous inviter à contribuer au septième volume de TransCanadiana : Revue Polonaise d’Études Canadiennes, revue avec comité de lecture publiée par l’Association Polonaise d’Études Canadiennes. Chaque livraison de la revue est consacrée à un sujet spécifique que les rédacteurs du numéro se proposent d’approfondir. La revue contient également des comptes rendus des publications récentes relatives aux études canadiennes et un bulletin esquissant les actions et projets réalisés aussi bien au sein de l’APEC que dans le cadre des centres canadianistes en Pologne.
    Źródło:
    TransCanadiana; 2013, 6
    1899-0355
    Pojawia się w:
    TransCanadiana
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Analiza parametrów technologicznych druku 3D na właściwości wytrzymałościowe gotowych wyrobów z MABS oraz PET
    Analysis of the technological parameters of 3D printing on the strength properties of finished MABS and PET products
    Autorzy:
    Gabryś, Aleksander
    Dembiczak, Tomasz
    Kruzel, Robert
    Powiązania:
    https://bibliotekanauki.pl/articles/2175033.pdf
    Data publikacji:
    2021
    Wydawca:
    Politechnika Częstochowska
    Tematy:
    3D printing
    optimization of 3D printing parameters
    static tensile test
    MABS
    PET – Polyethylene terephthalate
    druk 3D
    optymalizacja parametrów druku 3D
    statyczna próba rozciągania
    Opis:
    Celem pracy było poznanie wpływu parametrów technologicznych druku 3D w technologii FDM (Fused Deposition Modeling) na właściwości mechaniczne materiału MABS oraz PET. Próbki do badań statycznej próby na rozciąganie wydrukowano zgodnie z normą PN-EN ISO 527:1998. Tworzywa sztuczne. Oznaczenie właściwości mechanicznych przy statycznym rozciąganiu. Parametry wydruku dla każdej próbki bez względu na rodzaj użytego filamentu, były takie same. Zmianie jedynie ulegał parametr wypełnienia poprzez zmianę gęstości (20%, 40%, 80%) oraz wzoru wypełnienia (wzór liniowy oraz honeycomb). Badania laboratoryjne przeprowadzono z wykorzystaniem uniwersalnej maszyny wytrzymałościowej. PET wykazał większe wartości wytrzymałości na rozciąganie od MABS przy różnych gęstościach wypełnienia próbki.
    The aim of the study was to understand the influence of the technological parameters of 3D printing in FDM (Fused Deposition Modeling) technology on the mechanical properties of MABS and PET material. Samples for static tensile tests were printed in accordance with PN-EN ISO 527: 1998. Plastics. Determination of mechanical properties under static stretching. The print parameters for each sample, regardless of the type of filament used, were the same. Only the filling parameter was modified by changing the density (20, 40, 80%) and the filling pattern (line pattern and honeycomb). Laboratory tests were carried out with the use of a universal testing machine. PET showed higher tensile strength values than MABS at different sample filling densities.
    Źródło:
    Zeszyty Naukowe Politechniki Częstochowskiej. Budownictwo; 2021, 27 (177); 37-42
    0860-7214
    Pojawia się w:
    Zeszyty Naukowe Politechniki Częstochowskiej. Budownictwo
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Nurses’ intention to leave their jobs in relation to work environment factors in Polish hospitals: Cross-sectional study
    Autorzy:
    Malinowska-Lipień, Iwona
    Gabryś, Teresa
    Kózka, Maria
    Gniadek, Agnieszka
    Brzostek, Tomasz
    Powiązania:
    https://bibliotekanauki.pl/articles/22637478.pdf
    Data publikacji:
    2023-12-15
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    nurses
    work environment
    occupational burnout
    hospitals
    emotional exhaustion
    intention to leave work
    Opis:
    Background The lack of nursing staff is a current problem not only in Poland, but also in the world. The decision of nurses to leave the workplace, apart from the financial aspect, often results from unfavourable working conditions related to the work environment. Material and Methods The study was multicentre, cross-sectional. The study was conducted among a group of 1509 nurses employed in surgical and internal medicine wards in 21 hospitals in Poland. The key variables of the study were: the intention of the nurses to leave their jobs, the nurses’ working environment, the level of satisfaction, the level of occupational burnout and the number of patients cared for on the last shift, the number of nurses on the last shift. The Practice Environment Scale of the Nursing Work Index (PES-NWI) and the Maslach Burnout Inventory (MBI) questionnaire were used in the research. Results Almost half of the surveyed nurses (48.84%) declared their willingness to leave their current workplace. The statistical analysis showed that nurses declaring their willingness to quit their job in the hospital where they were employed were significantly younger (42.88 vs. 45.04, p = 0.000), had shorter total length of service overall (19.96 vs. 23.20), and also in the hospital where they were employed (15.86 vs. 18.50, p = 0.000). The increase in the number of patients by one was significantly associated with a 1% increase in the risk of leaving work (OR = 1.01, 95% CI 1.00–1.02). An increase in emotional exhaustion significantly increased the risk of leaving work by 2% (OR = 1.02, 95% CI 0.99–1.03). Conclusions Younger age of nurses, greater workload resulting from more patients and occupational burnout – emotional exhaustion is correlated with the risk of leaving work in the hospital. A lower risk of leaving the job is associated with a higher level of job satisfaction in the hospital, salary and promotion opportunities.
    Źródło:
    Medycyna Pracy. Workers’ Health and Safety; 2023, 74, 5; 377-387
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy. Workers’ Health and Safety
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Podwójna praktyka pielęgniarek w Polsce na tle aktualnych zasobów kadrowych
    Dual practice of nurses in Poland against the current staff resources
    Autorzy:
    Malinowska-Lipień, Iwona
    Gabryś, Teresa
    Kózka, Maria
    Gniadek, Agnieszka
    Wadas, Tadeusz
    Ozga, Edyta
    Brzostek, Tomasz
    Powiązania:
    https://bibliotekanauki.pl/articles/2082634.pdf
    Data publikacji:
    2021-04-09
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    pielęgniarki
    opieka zdrowotna
    zasoby kadrowe
    podwójna praktyka pielęgniarek
    podwójne zatrudnienie
    wielozadaniowość
    nurses
    health care
    staff resources
    nurses’ dual practice
    dual employment
    holding multiple jobs
    Opis:
    Wstęp: Zatrudnienie pracowników sektora opieki zdrowotnej równolegle w 2 miejscach pracy (tzw. podwójna praktyka) jest powszechnym zjawiskiem niemal we wszystkich krajach. W Polsce możliwość zatrudnienia w ≥2 miejscach pracy pojawiła się wraz ze zmianami polityczno-społecznymi i reformą sytemu opieki zdrowotnej. Mimo że problem ten podlega licznym badaniom, w Polsce nadal nie jest znana skala tego zjawiska, motywy i potencjalne skutki mogące mieć wpływ zarówno na pracowników, jak i na cały system opieki zdrowotnej. Materiał i metody: Badaną grupę stanowiło 1023 pielęgniarek zatrudnionych w publicznych i niepublicznych zakładach opieki zdrowotnej na terenie województwa małopolskiego. Narzędziem badawczym był autorski kwestionariusz (ankieta). W opracowaniu statystycznym wykorzystano nieparametryczny test U Manna-Whitneya oraz test niezależności χ2. Dla wszystkich analiz przyjęto maksymalny dopuszczalny błąd I rodzaju α = 0,05, za statystycznie istotne uznano p ≤ 0,05. Wyniki: Staż pracy badanych pielęgniarek/pielęgniarzy wynosił 1–43 lat, średnio – 23 lata (SD = 11,1). Osoby >40 r.ż. stanowiły 77,5% (N = 793) grupy badanej, w tym 38,2% (N = 391) było między 41 a 50 r.ż. oraz 39,3% (N = 402) to osoby >50 r.ż. Spośród badanych 44,0% (N = 450) pracowało w 2 miejscach pracy, w tym 93,5% na stanowisku pielęgniarki, realizując ponad 160 godz. w miesiącu (39%). Decydującym powodem podjęcia dodatkowego zatrudnienia (93,3% badanych) były względy materialne. Wnioski: Względy finansowe są głównym powodem, dla których prawie połowa badanych pielęgniarek podejmuje dodatkowe zatrudnienie w wymiarze dwukrotnie przekraczającym obciążenie zawodowe. Badania sugerują potrzebę weryfikacji Centralnego Rejestru Pielęgniarek i Położnych (CRPiP) w celu wskazania liczby podwójnych etatów i osób pracujących w zawodzie pielęgniarek nie tylko w południowym regionie Polski, ale i całego kraju. Wyniki obrazują potrzebę prowadzenia dalszych badań dotyczących przyczyn i konsekwencji podwójnego zatrudnienia zarówno dla pielęgniarek, jak i wpływu tego zjawiska na jakość opieki i bezpieczeństwo pacjentów.
    Background: Employment of health care workers simultaneously in 2 workplaces (the so called dual practice) is a common phenomenon in almost every country. In Poland, a possibility of employment in 2 or more workplaces arose with the socio-political changes and the reform of the health care system. In Poland, the scale of the phenomenon, as well as its motifs and potential effects influencing both employees and the whole health care system, are still not known despite numerous studies being conducted to that end. Material and Methods: The study group consisted of 1023 nurses (males and females) employed in public and non-public health care facilities in the territory of the Lesser Poland Voivodeship. The research tool was the authors’ poll questionnaire. In the statistical elaboration, the non-parametric Mann-Whitney U test and the χ2 independence test were used. For all the analyses, the maximum permissible error of type I, α = 0.05, was accepted, and p ≤ 0.05 was recognized as statistically significant. Results: Work experience of the nurses studied ranged 1–43 years, on average it was 23.1 years (SD = 11.1). Persons aged >40 years accounted for 77.5% (N = 793), out of whom 38.2% (N = 391) were aged 41–years and 39.3% (N = 402) >50 years. In the study group, 450 (44%) people were employed in 2 workplaces, out of whom 93.5% in the nurse position, working >160 h/month (39%). A decisive reason to take up an additional job (93.3% of the study group) were financial matters. Conclusions: Financial matters are the main reason for which almost half of the studied nurses undertake additional employment, in the scope twice as high as the work load. Research suggests the need to verify the Central Registry of Nurses and Midwives in order to precisely estimate the number of dual practice positions and the number of persons employed as nurses not only in the south of Poland but also in whole country. The results point to the necessity of further research concerning both the reasons for and consequences of dual practice for nurses, and the impact of this phenomenon on the quality of care and patient safety.
    Źródło:
    Medycyna Pracy; 2021, 72, 2; 113-121
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Organizacja i zakres badań RN4CAST (Registered Nurse Forecasting) dotyczących planowania zatrudnienia w pielęgniarstwie w Polsce
    Forecasting nursing. Planning human resources in nursing, organisation and scope of the RN4CAST study in Poland
    Autorzy:
    Przewoźniak, Lucyna
    Kózka, Maria
    Cisek, Maria
    Gajda, Krzysztof
    Brzyski, Piotr
    Ogarek, Maria
    Gabryś, Teresa
    Brzostek, Tomasz
    Powiązania:
    https://bibliotekanauki.pl/articles/635221.pdf
    Data publikacji:
    2012
    Wydawca:
    Uniwersytet Jagielloński. Wydawnictwo Uniwersytetu Jagiellońskiego
    Tematy:
    adaptacja kulturowa narzędzi badawczych
    dobór próby
    satysfakcja zawodowa pielęgniarki
    satysfakcja pacjenta
    szpital
    wyniki leczenia pacjentów
    cultural adaptation of research tools
    hospital
    nurse professional satisfaction
    patient satisfaction
    patient treatment outcomes
    sampling
    Opis:
    The study was conducted as part of European RN4CAST project, with participation of 16 countries, including 12 from Europe. Aim: To develop universal and modern assumptions for the policy of effective nurse employment and management in hospital. Material and method: The study was conducted on a nationally representative sample of 30 hospitals, selected through multi-stage group sampling. Professional satisfactions of nurses working at internal and surgical wards, as well as satisfaction of patients of these wards were tested in a questionnaire study. Data on patient treatment outcomes, and hospital organisation and operation were also collected. Hierarchical linear modelling (HLM) and generalised estimating equations (GEE) were used for statistical analysis. Conclusion: RN4CAST is the first project focused on the hospital and contextual determinants of its operation, which compares Polish results with those from other European states, thanks to a single international study procedure.
    Źródło:
    Zdrowie Publiczne i Zarządzanie; 2012, 10, 4; 267-277
    2084-2627
    Pojawia się w:
    Zdrowie Publiczne i Zarządzanie
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Wpływ struktury zatrudnienia personelu i wybranych czynników organizacyjnych szpitala na wskaźnik zgonów pacjentów hospitalizowanych w szpitalach polskich uczestniczących w projekcie RN4CAST
    Influence of hospital staffing and selected organisational circumstances on the death rate of patients treated in Polish hospitals participating in the RN4CAST project.
    Autorzy:
    Gajda, Krzysztof
    Kózka, Maria
    Brzyski, Piotr
    Gabryś, Teresa
    Przewoźniak, Lucyna
    Cisek, Maria
    Ogarek, Maria
    Ksykiewicz-Dorota, Anna
    Brzostek, Tomasz
    Powiązania:
    https://bibliotekanauki.pl/articles/635171.pdf
    Data publikacji:
    2012
    Wydawca:
    Uniwersytet Jagielloński. Wydawnictwo Uniwersytetu Jagiellońskiego
    Tematy:
    czynniki organizacyjne
    obsada kadrowa
    szpital
    wskaźnik zgonów
    death rate
    hospital staff
    hospital organization
    Opis:
    Introduction. Adequate hospital staff employment and assorted organisational circumstances influence outcomes of hospitalised patients. Aim. To analyse influence of hospital staff employment structure and selected organisational circumstances on the death rate of patients hospitalised in acute hospitals. Material and method. Anonymous data of hospitalised patients (fragment of the NHF* report) and of hospital organisational questionnaire were used. The hospital death rate (proportion of hospital deaths to patient admissions) was defined as the dependent variable. The study included 25 hospitals, which provided all the required data. Statistical analysis was conducted in IBM SPSS Statistics 20, using rho Spearman’s rank correlation coefficient for quantitative variables and eta correlation ratio for qualitative variables. Results. The death rate value was adversely correlated with the number of employed physicians, nurses and other not-nursing staff who provided direct patient care. The global number of hospital intensive care units and allocation of separate medical and surgical intensive care units positively influenced the hospital death rate. Conclusions. The number of employed personnel (physician, nurses, and other staff) involved in direct patient care and organization of intensive care in a hospital structure influence the death rate of patients treated in Polish acute hospitals.
    Źródło:
    Zdrowie Publiczne i Zarządzanie; 2012, 10, 4; 297-305
    2084-2627
    Pojawia się w:
    Zdrowie Publiczne i Zarządzanie
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Czynniki wpływające na rekomendację szpitala jako miejsca pracy w opinii pielęgniarek zatrudnionych w polskich szpitalach
    Factors influencing recommendation of a hospital as place of employment in the opinion of nurses working in Polish hospitals
    Autorzy:
    Gabryś, Teresa
    Kózka, Maria
    Brzyski, Piotr
    Ogarek, Maria
    Cisek, Maria
    Przewoźniak, Lucyna
    Ksykiewicz-Dorota, Anna
    Gajda, Krzysztof
    Brzostek, Tomasz
    Powiązania:
    https://bibliotekanauki.pl/articles/635179.pdf
    Data publikacji:
    2012
    Wydawca:
    Uniwersytet Jagielloński. Wydawnictwo Uniwersytetu Jagiellońskiego
    Tematy:
    bezpieczeństwo pacjenta
    jakość opieki
    pielęgniarki
    rozwój zawodowy
    warunki pracy
    wyczerpanie emocjonalne
    zatrudnienie
    emotional burnout
    employment, nurses
    patient safety
    professional development
    quality care
    working conditions
    Opis:
    Introduction. European states observe an increased demand for healthcare services and diminishing numbers of nurses working in the healthcare system. A divergence that may result in future shortages of hospital nursing staff. Aim. Definition of factors that influence readiness to recommend the hospital as place of employment by nurses employed in Polish hospitals. Material and method. Polish part of the RN4CAST protocol, the study uses logistic regression model on data from 2605 questioners from nurses working in 30 Polish hospitals. Results. About half of the responders declared readiness to recommend employment in their hospital. The recommendation depended on working conditions, quality of care, patient safety, and manager interest in professional development of personnel. Higher level of emotional burnout reduced the probability of recommendation. Conclusions. Working conditions, quality of care, patient safety, and potential of professional development are the main factors deciding about the eagerness to recommend employment in one’s hospital.
    Źródło:
    Zdrowie Publiczne i Zarządzanie; 2012, 10, 4; 289-296
    2084-2627
    Pojawia się w:
    Zdrowie Publiczne i Zarządzanie
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Factors affecting Polish nurses’ willingness to recommend the hospital as a place of care
    Czynniki wpływające na gotowość polskich pielęgniarek do rekomendowania szpitala jako miejsca opieki
    Autorzy:
    Kózka, Maria
    Brzostek, Tomasz
    Cisek, Maria
    Brzyski, Piotr
    Przewoźniak, Lucyna
    Gabryś, Teresa
    Ogarek, Maria
    Gajda, Krzysztof
    Ksykiewicz-Dorota, Anna
    Powiązania:
    https://bibliotekanauki.pl/articles/2164271.pdf
    Data publikacji:
    2016-08-10
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    bezpieczeństwo
    pielęgniarki
    praca
    środowisko
    szpital
    depersonalizacja
    safety
    nurses
    work
    environment
    hospital
    depersonalisation
    Opis:
    Background Nurses constitute the major professional group offering constant hospital patients’ care. Willingness to recommend their hospital reflects confidence in the offered care, satisfaction and identification with the work place. The aim of the present study has been to investigate which elements of hospital environment and nurse personal related factors predict recommendation of the hospital as a place of care by employed nurses. Material and Methods Cross-sectional, correlation study was, based on 1723 self-reported, anonymous questionnaires of nurses working in 30 acute hospitals. Data was analyzed using the logistic regression model, with general estimation equations. Results About 25% of nurses were unwilling to recommend their hospital as the place of care. The odds ratio (OR) of the lack of willingness to recommend the hospital was related to assessment of patients’ safety (OR = 0.28, 95% confidence interval (CI): 0.18–0.46, p = 0.00), decrease in the quality of patient care during the preceding year (OR = 0.62, 95% CI: 0.41–0.93, p = 0.02), overall work conditions (OR = 0.35, 95% CI: 0.22–0.57, p = 0.00), weak cooperation between nurses and physicians (OR = 0.37, 95% CI: 0.25–0.54, p = 0.00), poor work schedule flexibility (OR = 0.74, 95% CI: 0.55– 0.99, p = 0.04) and educational opportunities (OR = 0.71, 95% CI: 0.54–0.95, p = 0.02) and the level of nurses depersonalization (OR = 1.78, 95% CI: 1.18–1.68, p = 0.00). Conclusions The hospital manager should consider strategies which improve patients’ safety and the staff working conditions. Thanks to that they will also achieve better and more competitive image of the hospital in the local community. Med Pr 2016;67(4):447–454
    Wstęp Pielęgniarki są znaczącą grupą zawodową personelu szpitalnego, która obejmuje pacjentów stałą opieką. Gotowość pielęgniarek do polecenia szpitala, w którym pracują, jako miejsca opieki odzwierciedla ich zaufanie do oferowanej w nim opieki, satysfakcję z pracy i identyfikację z miejscem pracy. Celem badania było określenie, które czynniki środowiska pracy i związane z nimi czynniki zawodowe i/lub osobiste sprawiają, że pielęgniarki rekomendują szpital jako miejsce opieki. Materiał i metody Przekrojowe badania korelacyjne bazowały na anonimowych ankietach uzyskanych od 1723 pielęgniarek pracujących w 30 polskich szpitalach. Dane analizowano przy użyciu modelu regresji logistycznej szacowanego za pomocą uogólnionych równań estymujących. Wyniki Około 25% pielęgniarek nie poleciłoby swojego szpitala jako miejsca opieki. Wynikało to z negatywnej oceny bezpieczeństwa pacjenta (iloraz szans (odds ratio – OR) = 0,28; 95-procentowy przedział ufności (confidence interval – CI): 0,18–0,46; p = 0,00), pogorszenia jakości opieki w roku poprzedzającym badanie (OR = 0,62; 95% CI: 0,41–0,93; p = 0,02), niezadowalających warunków pracy (OR = 0,35; 95% CI: 0,22–0,57; p = 0,00), niezadowalającej współpracy lekarzy z pielęgniarkami (OR = 0,37; 95% CI: 0,25–0,54; p = 0,00), mało elastycznego czasu pracy (OR = 0,74; 95% CI: 0,55–0,99; p = 0,04), ograniczonych możliwości dokształcania się (OR = 0,71; 95% CI: 0,54–0,95; p = 0,02) i wysokiego poziomu depersonalizacji badanych (OR = 1,78; 95% CI: 1,18–1,68; p = 0,00). Wnioski Zarządzający szpitalami powinni wdrożyć strategie, które poprawią bezpieczeństwo pacjentów i warunki pracy personelu. Pozwoli to również stworzyć lepszy i bardziej konkurencyjny wizerunek szpitala w społeczności lokalnej. Med. Pr. 2016;67(4):447–454
    Źródło:
    Medycyna Pracy; 2016, 67, 4; 447-454
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Wybrane czynniki determinujące ocenę jakości opieki pielęgniarskiej w szpitalach pełniących stały dyżur. Wyniki projektu RN4CAST
    Selected factors determining assessment of nursing care quality in acute hospitals. Results of RN4CAST project
    Autorzy:
    Kózka, Maria
    Gabryś, Teresa
    Brzyski, Piotr
    Ogarek, Maria
    Cisek, Maria
    Przewoźniak, Lucyna
    Ksykiewicz-Dorota,, Anna
    Gajda, Krzysztof
    Brzostek, Tomasz
    Powiązania:
    https://bibliotekanauki.pl/articles/635175.pdf
    Data publikacji:
    2012
    Wydawca:
    Uniwersytet Jagielloński. Wydawnictwo Uniwersytetu Jagiellońskiego
    Tematy:
    jakość opieki
    obciążenie pracą
    pielęgniarki
    środowisko pracy
    zarządzanie
    zdarzenia niepożądane
    adverse events
    management
    nurses
    quality of care
    working environment
    workload
    Opis:
    Introduction. The essence of nursing care is to improve treatment results, patient satisfaction, and decrease treatment costs. Aim. Presenting the factors determining the assessment of nursing care quality in acute hospitals. Material and method. The study included 2605 nurses working in 30 hospitals in Poland. The Work Environment Scale and an opinion questionnaire were used to collect the data. The analysis based on logistic regression model, generalised estimating equations, χ² test, and Mann-Whitney test. Results. Three in every four respondents evaluated the quality of nursing care as good. The assessment depended on the conditions of work, autonomy in providing care, patient information flow, patient safety, occurrence of adverse events, discussion of mistakes, nurse workload, potential for education, and flexible working time. Conclusion. The factors significantly influencing the assessment of nursing care quality are the working environment, care monitoring and management.
    Źródło:
    Zdrowie Publiczne i Zarządzanie; 2012, 10, 4; 278-288
    2084-2627
    Pojawia się w:
    Zdrowie Publiczne i Zarządzanie
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Obciążenie pracą podczas ostatniego dyżuru w opiniach pielęgniarek pracujących w szpitalach objętych projektem RN4CAST
    Autorzy:
    Cisek, Maria
    Przewoźniak, Lucyna
    Kózka, Maria
    Brzostek, Tomasz
    Brzyski, Piotr
    Ogarek, Maria
    Gabryś, Teresa
    Gajda, Krzysztof
    Ksykiewicz-Dorota, Anna
    Powiązania:
    https://bibliotekanauki.pl/articles/635260.pdf
    Data publikacji:
    2013
    Wydawca:
    Uniwersytet Jagielloński. Wydawnictwo Uniwersytetu Jagiellońskiego
    Tematy:
    obciążenie pracą, pielęgniarki, szpital, praca zmianowa
    Opis:
    Workload during the last shift in the opinion of hospital nurses involved in RN4CAST projectBackground The issue of workload is one of the most important ones as far as the nurses’ profession is concerned. Numerous analyses prove the relationship between excessive workload and job dissatisfaction, which may lead to low morale, absenteeism, high rotation and low work efficiency and, consequently, result in deterioration of the care provided to the patient and even put the patient’s safety at risk. RN4CAST project is aimed at the evaluation of the workload which the nurses are exposed to during their shifts. Such a survey focuses on all structural determinants of hospital workload depending on: type of the ward, professional role, number of patients and their health condition as well as work conditions and organization: the number of working hours and shift staffing.Aim of the survey The survey is aimed at determining the factors responsible for the workload which the nurses are exposed to during their shifts in hospitals involved in RN4CAST project.Material and Methods The study included 2605 nurses working in 30 acute hospitals in Poland. The respondents were mainly women. Men made up only 0.4% of the population examined. The average age was 40.3 (SD = 7.8 years old). 23.5% of the respondents had the Bachelor’s degree in nursing. The average seniority was 18.6 years (SD = 8,6), and the seniority in the hospital involved in the survey – 15.6 years (SD = 9,2). The material was collected by means of a survey and a structurised questionnaire completed by the nurses on their own. A correlational model was used to evaluate the workload determinants.Results During their last shift 84% of the nurses worked, on average, 11.3 hours (SD = 2.4). The number of patients on the ward was 31.1, on average (SD = 12.6) it varied significantly (p = 0.000) depending on the ward type. The nursing care was provided by 3.4 qualified nurses on average (SD = 2.2). One nurse was responsible for 20.4 patients on average (SD = 11.1), [median = 18, first quartile (Q1) = 12, third quartile (Q3) = 29)]. It was proved that the increase in the total number of the patients on the ward was accompanied by the increase in the number of patients who required assistance with everyday routines (tau-b = 0.17; p = 0.000) and in the number of patients who required monitoring or hourly (or even more frequent) treatment (tau-b=0.37; p=0.000). Close examination of the variables responsible for individual workload showed that there is a little but noticeable correlation between the increase of the total number of patients on the ward (tau-b = 0.28; p = 0.000) and the increase in the number of patients each nurses was directly responsible for on her shift. There was a positive correlation (tau-b = 0.40; p = 0.000) between the total number of patients and the total number of qualified nurses providing direct care to these patients during their shifts. Also a slight negative correlation was observed (tau-b = –0.061; p = 0.000) between the total number of nurses and the number of patients each nurse was directly responsible for. There was also a slight positive correlation (tau-b = 0.18; p = 0.000) between the number of nurses and the number of helping staff who provided direct care to the patients during their shifts. And also a slight correlation was observed (tau-b = 0.061; p = 0.000) between the number of patients and the number of helping staff during the shifts. The analysis of the findings from both wards leads to the conclusion that the seven most frequent and common routines, which did not require nursing qualifications constituted a significant workload for nurses on all shifts (p = 0,000) and that the nurses who solely provided care to the patients were significantly more often responsible for routines which did not require any professional skills. The nurses examined, evaluated their hospital working conditions as poor – 28.9%; satisfactory – 46.8%; good – 23.2%; excellent – 1.1%. Majority of nurses (59.3%) claim that the number of hospital staff is definitely too low to work efficiently; 64.5% pointed out the lack of qualified nurses and 31.7% the lack of technical and helping staff. Vast majority of nurses (64%) claim that they can rely on the hospital management support only in some situations. Most nurses (77%) complained that their relations with the doctors were not always good, whereas 13.6% complained about lack of good professional relations between nurses and doctors.Conclusions 1. The analysis of the findings shows that structural factors (such as type of the ward, professional role, number and condition of patients) as well as organisational factors (such as number of shift hours, shift staffing and work environment) determined the nurses’ workload. 2. The shift survey as a device for evaluating nurses’ workload should be recommended to ward nurses and hospital management because of the simplicity with which particular elements can be observed. The observation can be carried out during a relatively short period of time (8–12-hour shift), which allows for a better and faster explanation of the reasons of excessive workload and consequently may lead to implementing solutions, which would eliminate this negative phenomenon
    Źródło:
    Zdrowie Publiczne i Zarządzanie; 2013, 11, 2
    2084-2627
    Pojawia się w:
    Zdrowie Publiczne i Zarządzanie
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-13 z 13

      Ta witryna wykorzystuje pliki cookies do przechowywania informacji na Twoim komputerze. Pliki cookies stosujemy w celu świadczenia usług na najwyższym poziomie, w tym w sposób dostosowany do indywidualnych potrzeb. Korzystanie z witryny bez zmiany ustawień dotyczących cookies oznacza, że będą one zamieszczane w Twoim komputerze. W każdym momencie możesz dokonać zmiany ustawień dotyczących cookies