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Keywords = justice system in Poland

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12 pages, 262 KiB  
Article
Attitudes of Internal Medicine Nurses, Surgical Nurses and Midwives towards Reporting of Clinical Adverse Events
by Anna Majda, Michalina Majkut, Aldona Wróbel, Alicja Kamińska, Anna Kurowska, Agata Wojcieszek, Kinga Kołodziej and Krystian Barzykowski
Healthcare 2024, 12(1), 115; https://doi.org/10.3390/healthcare12010115 - 3 Jan 2024
Cited by 3 | Viewed by 2231
Abstract
Understanding the attitudes of medical staff contributes to shaping a culture of safety in health care. The aim of this study was the measurement of attitudes of nurses and midwives towards reporting clinical adverse events. Various research tools were used, including the Reporting [...] Read more.
Understanding the attitudes of medical staff contributes to shaping a culture of safety in health care. The aim of this study was the measurement of attitudes of nurses and midwives towards reporting clinical adverse events. Various research tools were used, including the Reporting of Clinical Adverse Events Scale (RoCAES; Polish: P-RoCAES), the Justice Sensitivity Inventory, the Feelings in Moral Situations Scale, the Perceived Stress at Work Scale and the Author’s Survey Questionnaire. The cross-sectional survey was conducted from October 2022 to April 2023. The study used assessment-based sampling. The study included 745 midwives and nurses working in internal medicine—surgical wards in nine hospitals in a large provincial city in Poland. One-way analysis of variance ANOVA, post hoc test (Fisher’s NIR), and r-Spearman correlation test were used. The level of significance (p) did not exceed 0.05. Respondents did not differ in terms of sensitivity to justice, moral feelings, and perceived stress at work, all of which variables were at moderate levels. Respondents’ attitudes towards reporting clinical adverse events in the P-RoCAES were positive (surgical nurses 71.10; internal medicine nurses 72.04; midwives 71.26; F(2.741) = 1.14, p = 0.319), especially those with a master’s degree, longer work experience and older age. Respondents with a master’s degree were most likely to perceive a benefit from reporting adverse events (P-RoCAES subscale) (F(2.737) = 8.45, p = 0.001). The longer employment tenure (F(3.716) = 4.63, p = 0.003) and having a master’s degree (F(2.737) = 3.10, p = 0.045) were associated with a higher feeling of guilt among the respondents (P-RoCAES subscale). The longer the participants worked, the more positive their attitude became towards the importance of transparency in procedures (F(2.741) = 3.56, p = 0.029), but the more negative their attitude was towards the benefits of reporting adverse events (P-RoCAES subscale) (r(686) = −0.08, p = 0.037). Individual attitudes of nurses and midwives as well as their age, length of service or education can influence the formation of a culture of safety in health care (including the reporting of clinical adverse events). Attitudes can motivate corrective action, can be reinforced and shaped by educational programs, good quality management and monitoring system solutions. Full article
(This article belongs to the Section Healthcare Quality and Patient Safety)
20 pages, 9598 KiB  
Article
Financial Expenses and “Losses” of the Polish Healthcare System Resulting from the Occurrence of Adverse Events
by Tomasz Leśniak, Aleksandra Sierocka, Dariusz Kostrzewa, Remigiusz Kozłowski and Michał Marczak
Int. J. Environ. Res. Public Health 2022, 19(13), 7932; https://doi.org/10.3390/ijerph19137932 - 28 Jun 2022
Cited by 3 | Viewed by 2318
Abstract
Background: The globally increasing healthcare expenditures related to the need to treat the consequences of adverse events, as well as the number of claims filed by patients (or their families) and remuneration paid as their result mean that the interest in the subject [...] Read more.
Background: The globally increasing healthcare expenditures related to the need to treat the consequences of adverse events, as well as the number of claims filed by patients (or their families) and remuneration paid as their result mean that the interest in the subject of adverse event cost management is increasing. An increase in the number of cases concerning medical errors has also occurred in Poland in recent years. The newest statistics from the Ministry of Justice demonstrate that the courts are awarding increasingly higher amounts. The goal of this work was an attempt to approximate, based on our own experiences, the impact of adverse events on the expenditures of the healthcare system in Poland, including the costs of treatment of the consequences of such events, described by the authors as “secondary harm”. Methods: Based on the analysis of 100 cases for compensation for the occurrence of a medical event, an initial estimate of the costs of primary (initial) treatment, which resulted in the occurrence of the adverse event, and the costs of subsequent hospitalisations/stays, which were its consequences. The study was conducted in the period from October 2020 to November of 2021. Results: The statistical analysis of the examined cases enabled establishing that in 62% they concerned women. Only 38% were events which applied to men. The highest number of cases concerned events which occurred in the last years, that is 2018 (35%), 2019 (23%), and 2017 (17%). The most frequent events included those related to incorrect diagnosis (the lack of correct diagnosis), which resulted in appropriate activities not being undertaken and a lack of appropriate treatment, e.g., lack of diagnosis of cancer, myocardial infarction, appendicitis, or fracture (26%). The next one was incorrect surgical treatment (17%)—the consequence of which was most frequently a need for repeated surgery and an incorrect conservative treatment of injuries. The obtained results demonstrate that significantly higher funds are spent by medical entities for “restorative” actions (on average EUR 1433, which attempt to mitigate against the negative consequences of incorrect decisions or actions in the original treatment (average cost of EUR 814)). Conclusions: The consequences of adverse events include not only health-related harm for the patient, but also long-term social, familial, or professional results. The authors of the article are of an opinion that all the conducted analyses and conclusions drawn from them should serve the improvement of patient safety. They also form an initial point for establishing recommendations and advice for the improvement of safety and quality of medical services and the reduction of healthcare-related costs. The authors propose covering the parties injured by an adverse event (subjected to “secondary harm”) with a unique, innovative programme of post-accident health care, “Health Reconstruction”. Full article
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17 pages, 1687 KiB  
Article
Burnout among Probation Officers in Poland and the Role of Preferred Styles of Coping with Stress
by Łukasz Wirkus, Anna Babicka-Wirkus, Robert Opora and Krzysztof Stasiak
Int. J. Environ. Res. Public Health 2021, 18(1), 355; https://doi.org/10.3390/ijerph18010355 - 5 Jan 2021
Cited by 15 | Viewed by 5780
Abstract
The current article examined the relationship between preferred styles of coping with stress and occupational burnout among probation officers in Poland. The probation system in Poland is unique in comparison to similar organizations in Europe and the world. It is characterized by two [...] Read more.
The current article examined the relationship between preferred styles of coping with stress and occupational burnout among probation officers in Poland. The probation system in Poland is unique in comparison to similar organizations in Europe and the world. It is characterized by two separate specializations in the area of performed tasks: probation officers for adults and for family and juvenile clients. The main purpose of the study was to assess the relationship between occupational burnout levels among probation officers (n = 390) and their preferred styles of coping with stress. Two psychological tools were used in the study: the Maslach Burnout Inventory (MBI) and the Coping Inventory for Stressful Situations (CISS). A linear regression analysis was carried out to explain the variance in occupational burnout. Occupational burnout was the dependent variable and the CISS scales were the predictors. In order to test the moderating role of the sociodemographic factors of gender, work experience, age, and probation specialization in the relationship between coping styles and occupational burnout, a range of moderation analyses using Hayes’ PROCESS macro on SPSS was carried out. Full article
(This article belongs to the Special Issue Psychological Wellbeing in Prisons and Corrections)
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15 pages, 2572 KiB  
Article
Changes in the Assortment and Species Structure of Timber Harvested from the Polish Managed Part of Białowieża Forest
by Dariusz Zastocki, Hubert Lachowicz, Jarosław Sadowski and Tadeusz Moskalik
Sustainability 2018, 10(9), 3279; https://doi.org/10.3390/su10093279 - 14 Sep 2018
Cited by 6 | Viewed by 3974
Abstract
The subject of the research, which is the Polish managed part of Białowieża Forest together with Białowieża National Park, a remnant of primeval forests, is one of the most valuable forest areas in Europe. This article presents the history of the use of [...] Read more.
The subject of the research, which is the Polish managed part of Białowieża Forest together with Białowieża National Park, a remnant of primeval forests, is one of the most valuable forest areas in Europe. This article presents the history of the use of these forests. The assortment and species structure of the harvested timber was analyzed in detail for the Białowieża, Browsk, and Hajnówka Forest Districts from 2008 to 2017. The research is based on data from the State Forests Information System (SILP) and Forest Management Plans (PUL), as well as Nature Conservation Programs (POP). The volume of harvested timber was diversified. In 2011–2013, it was limited by a decision of the Minister of the Environment from 110,000 m3 in 2010 to 48,500 m3. This contributed to the increase of the European spruce bark beetle gradation, causing the death of spruce stands. By an annex to the Forest Management Plan issued in 2016, the Minister of the Environment increased the amount of the timber harvest. In 2017, it amounted to almost 190,000 m3, where 91% of the harvested volume was spruce, but the wood was markedly inferior in technical quality compared to previous years. Such a large increase in harvesting aroused the opposition mainly of environmental organizations and the European Commission. In April 2018, the EU Court of Justice decided that Poland violated EU law by increasing the number of felled trees in Białowieża Forest. After this decision, the Minister of the Environment repealed the earlier decision, the basis for conducting the increased wood harvesting in Białowieża Forest. Changes in the timber harvested in terms of volume, quality, and assortment, are due to the specificity of managing environmentally valuable areas. This relates to the many limitations on commercial forestry, which must take into account the need to protect nature and the legal acts regulating timber harvesting. Full article
(This article belongs to the Special Issue Sustainable Timber Consumption)
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