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The Influence of Nursing Care on Pregnancy and Labour

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Kozłowiec J., Kozłowiec M., Książek P.
Polish Journal of Public Health
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2015
|
vol. 124
|
issue 4
195-198
EN
Introduction. Performance management is a crucial concept in the broader field of human resource management. In accordance with its principles, in defining a professional role, its aim must be included. In addition, key results areas and crucial competencies must be stated. The professional role of a nurse with regard to pregnancy and pre-natal care, is defined by way of the set of functions fulfilled. The role of a midwife and her competencies are, however, in this situation, much broader. Aim. The aim of the conducted research was to determine the roles played by both nursing and midwifery staff in ensuring a healthy pregnancy and delivery by way of their patients' assessment. Material and methods. The research was conducted in the Obstetrics and Gynaecology unit, in the Regional Specialist Hospital in Biała Podlaska, and it involved 40 pregnant women. Results and discussion. Our study reveals that what the subject women need the most from the nursing and midwifery staff, is emotional support. What is more, the dominant majority connects their expectations as to the fulfilment of the roles played by nursing and midwifery staff to an increase in information support. Conclusion. The obtained results allow a defining of the aim of the professional roles of nurses and midwives in supporting and assisting the pregnant, as well as identifying their key results areas and crucial competencies from the patients' point of view. In comparing our own study results to that involving patients' opinions (gained by way of a study conducted in the obstetrics and gynaecology unit, by the quality care assessment section of the Regional Specialist Hospital in Biała Podlaska), it can be stated that there is continuous positive growth in the quality of service provided by nurses and midwives.
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The Nutritional Knowledge of Pregnant Women

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Książek P., Kozłowiec J., Kozłowiec M.
Polish Journal of Public Health
|
2015
|
vol. 124
|
issue 4
191-194
EN
Introduction. Rational nutrition of women during pregnancy has a great influence on the developing fetus. In the properly developing pregnancy, woman should eat 3-4 quality meals per day. What is more, for the proper development of the fetus, as well as the placenta, uterus and the mammary gland, it is necessary to consume high-value protein products. Moreover, vitamins and mineral compounds are important due to the serious implications that arise if not properly provided. Aim. The aim of the paper is to assess the nutritional practices, the level of knowledge held by pregnant women with respect to proper nourishment practices, and to define the influence of level of formal education achieved upon this issue. Material and methods. The research involved 87 pregnant women who were under the care of the outpatient women's health centre and high-risk pregnancy unit of the Regional Specialist Hospital in Biała Podlaska. Results and discussion. According to most of the female respondents, information concerning proper nutrition of pregnant women is not generally available. Because of this, in completing the questionnaire, more than half of the subjects stated that they often consume white bakery products, white rice and refined pasta - with insufficient consumption of brown bread, rice and wholemeal pasta. Furthermore, while the respondents seem to consume the proper amount of potatoes, barely 8% consume other vegetables with the advised frequency. Moreover, only 31% of the respondents take-in fruits in necessary quantities. However, a majority of them frequently consume milk, yoghurt, cheese, kefir and buttermilk; plus, more than half of the respondents drink at least 1-2 litres of various kinds of liquids per day. Our results also reveal that they very rarely consume fresh fish, poultry and red beef meat, preferring cooked products. Indeed, the respondents stated that they consume meat and fish mainly in a fried form, while 52.9% of the women take-in fast food products. Of note, the surveyed women prefer animal fats. In addition, nearly 70% of the subjects consume too many eggs. Furthermore, more than 40% consume an excessive amount of sugar and sweets. To conclude, the proper amount of meals is consumed by only 52.7% of the respondents, no matter their formal education level. Conclusions. Many abnormalities were found while verifying negatively the hypothesis, according to which, level of formal education achieved has an impact on the increase of consciousness in terms of proper nourishment during the pregnancy.
3
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Stress and methods of coping with it among students of the Medical University of Lublin

76%
Książek P., Grabska K., Trojanowska D., Słowińska A., Dreher P., Ścirka N., Dreher S.
Polish Journal of Public Health
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2015
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vol. 125
|
issue 2
94-98
EN
Introduction. Stress is a complex and ubiquitous phenomenon. According to the World Health Organization, it is one of the most common problems of the 21st century. It is no surprise that the majority of people associate stress with something entirely negative. However, there is no life without stress and a certain amount of stress in life is necessary. Aim. The aim of the study was to assess the occurrence of stress among students of the Medical University from the faculties of Medicine, Pharmacy, Dentistry and Public Health, and evaluate its influence on physiological changes and behavior, and present the ways of coping with it. Material and methods. The study comprised 240 students from the faculties mentioned above. Stress was measured by means of a questionnaire consisting of 14 fully anonymous questions which concerned factors causing stress, ways of reacting to it and methods of coping with it. Results. It was found out that stress as an intense emotional reaction to a number of stimuli triggers some physiological and psychological adaptation responses among students. Conclusions. The findings of this research suggest that pharmacy students are the most exposed to high levels of stress. Oral examination is considered to be the most stressful form of testing students’ knowledge. According to survey respondents, the most common symptoms of stress include abdominal pain palpitations, sleep disorders, excessive sweating, hand shaking. The majority of respondents listed the following activities to beat stress: sports, sleeping or listening to music, as most effective in reducing stress. Some of the respondents also turned to substances, such as tobacco or alcohol. The respondents admitted that they have also used drugs
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