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1

Evaluation of satisfaction with nursing care in the Children’s Surgery Department

100%

Laska E., Cepuchowicz A.

Health Promotion & Physical Activity

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2021

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vol. 16

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issue 3

7-15

EN

Aim: The aim of the study is to assess the satisfaction of parents with nursing care at a pediatric surgery department.Material and method: The research was conducted among parents / caregivers of children discharged from the ward in the period from February to April 2019. The study involved 50 respondents. The test method was a diagnostic poll method in the form of a questionnaire. The research tool was a questionnaire of own authorship.Results: Factors determining satisfaction with child care on a surgical ward are: the age of the child, the mode of the child’s admission to the ward, accessibility, and the nurse’s support. Thirty-one parents were in favour of the multi-purpose nature of nursing care on the ward. The others felt that nursing care was task-oriented. Parents of the youngest children (mean age 4.9 years) expected the nurse to be kind or professional (mean age 5.5 years). Parents of early childhood children (mean age 7.2 years) were more likely to expect understanding, and parents of the oldest children (mean age 9.0 years) expected communicativeness. It was shown that throughout the entire period of hospitalization, caregivers of children under 3 years of age (n = 13; 100.0%) or aged 3-6 years (n = 15; 78.9%) stayed with their children more often. There was a correlation between the mode of admission and the emotions that parents felt during the admission of their child to hospital, as shown in Tab. 5. The level of significance (p < 0.001) in the hypothesis tested, was lower than the typical level of significance of 0.05. In the case of emergency admission (n = 13; 54%) and planned admission for surgery (n = 17; 74%), emotions related to helplessness and anxiety predominated.Conclusion: Parents rated the quality of nursing care on the ward well. Parents’ expectations of the nurse are not dependent on the age of the child. The mode of admission of the child to the ward did not affect the expectations towards the nurse. The age of the child affected the time the caregiver stayed with the child on the ward. The mode of admission of the child affected the emotional state of the parents of the caregivers.

2

Deep and extensive pediatric burns: retrospective evaluation of scheme of patients at the Department of Children’s Developmental Defects Surgery and Traumatology SUM

86%

Jaworski W., Jaworski A., Kufel J., Grabowski A., Korlacki W.

Polish Journal of Surgery

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2022

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vol. 94

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issue 5

31-39

EN

Introduction: Burns are one of the most common injuries among children. Despite the scale of the problem, there is no generally accepted algorithm for dealing with burn wounds in children in Poland. Aim: The aim of our study was to evaluate our treatment scheme as well as the long-term effects of burn treatment in our department. Material and methods: We conducted a telephone survey with the parents of patients treated at our ward in 01.01.2016–01.01.2021 due to thermal burns. To assess the cosmetic effect of treatment, the modified Vancouver Scar Scale (mVSS) was used, as well as the evaluation of parents’ satisfaction with the treatment of patients on a scale from 1 to 10. Criteria to be included were the thermal burn of the skin to at least a 2b degree and/or burns with not less than 8% of the Total Body Surface Area (TBSA), as well as answering all the questions included in the questionnaire. The inclusion criteria were met by 38 out of 97 hospitalized patients. Results: 26.32% of patients achieved 0 points on the mVSS, 21.05% achieved 1 point, 15.79% achieved 2 points, 15.79% achieved 3 points, 2.63% patients received 4 points, 5.26% patients received 5 points, 5.26% patients received 7 points, 2.63% patients received 8 points, 2.63% patients received 9 points, 2.63% of patients received 10 points, none of the patients received 6 and 11 points higher. 3% of parents rated their satisfaction at 5 points, 3% of caretakers as 7 points, 8% as 8 points, 8% as 9 points, and 89% as 10 points. Discussion: Our treatment algorithm brings good therapeutic effects and is also very well received by the patients' parents. In order to carry out a nationwide standardization of the treatment of childhood burn wounds, it would be necessary to conduct a similarly constructed study in a multicenter setting.

3

Rola pielęgniarki w opiece nad dzieckiem z oparzeniem II stopnia w trakcie hospitalizacji

51%

Chabowska N.

Innowacje w Pielęgniarstwie i Naukach o Zdrowiu

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2022

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vol. 7

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issue 4

91-123

EN

Introduction. A thermal injury of a child is a very painful, stressful and even life-threatening situation. This situation demands from therapeutic team to take efficient and professional actions which are based on knowledge and experience to allay the patient's needs. A nurse in the care of a child with burns must works on many levels, be aimed at patient's wellbeing, his as soon as possible recovery and shows him support and empathy at the same time. Aim. The aim of this bachelor thesis is to present nurse’s duties towards child after thermal injury and bio-psychosocial patients and his parents/protectors needs. Case study. A 2-year-old child was admitted to the pediatric surgery ward due to injuries resulting from thermal trauma. Prior to the initial assessment of the extent and depth of the burn wounds, the child was given analgesics and sedatives to reduce the child's anxiety and pain. Mosaic burns IIa/IIb located on the right side of the chest, right shoulder, and right arm, as well as I/IIa burns of the face in the area of the cheek, mouth and right temple were diagnosed. The burnt area in relation to the total area was estimated at about 20%. Conclusion. In a care of a child with burns the nurse has to deal with many serious nursing problems. Thermal injury causes not only very painful burns. The patient canals have a systemic burn disease. The injury and hospitalization are stressful for the child and interfere with his psychological comfort. Nurses' actions in care of a child with burns are multifaceted in order to meet the needs of every sphere of patient's life.

PL

Wstęp. Uraz termiczny u dziecka jest sytuacją dla niego bardzo bolesną i stresującą, a nawet zagrażającą życiu. Wymaga to od zespołu terapeutycznego sprawnego oraz profesjonalnego podejmowania działań zaspakajających potrzeby pacjenta w oparciu o wiedzę i doświadczenie. Pielęgniarka w opiece na małym dzieckiem oparzonym wykonuje działania na wielu płaszczyznach mając na celu dobro pacjenta oraz jego jak najszybszy powrót do zdrowia, jednoczasowo okazując mu wsparcie oraz empatię. Cel. Celem pracy było przedstawienie zadań pielęgniarki wobec opieki nad dzieckiem po przebytym urazie termicznym z uwzględnieniem potrzeb biopsychospołecznych pacjenta i jego rodziców/opiekunów. Prezentacja przypadku. Dziecko w wieku 2 lat, trafiło na oddział chirurgii dziecięcej z powodu obrażeń powstałych na skutek przeżytego urazu termicznego. Przed rozpoczęciem wstępnej oceny rozległości oraz głębokości ran oparzeniowych podano dziecku leki przeciwbólowe i uspokajające, aby ograniczyć niepokój i ból dziecka. Zdiagnozowano oparzenia mozaikowe IIa/IIb umiejscowione po prawej stronie klatki piersiowej, prawego barku oraz prawego ramienia, a także oparzenia I/IIa stopnia twarzy w okolicy policzka, ust oraz prawej skroni. Powierzchnia oparzona w stosunku do całkowitej powierzchni została oceniona na koło 20%. Wnioski. W opiece nad dzieckiem oparzonym pielęgniarka ma do czynienia z wieloma poważnymi problemami pielęgnacyjnymi. Uraz termiczny powoduje nie tylko bardzo bolesne rany oparzeniowe, ale może również powodować ogólnoustrojową chorobę oparzeniową. Uraz i hospitalizacja są dla dziecka stresogenne i zaburzają jego komfort psychiczny. Działania pielęgniarki w opiece nad oparzonym dzieckiem są wielopłaszczyznowe, w celu zaspokojenia potrzeb z każdej sfery życia pacjenta.

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1 Health Promotion & Physical Activity

1 Innowacje w Pielęgniarstwie i Naukach o Zdrowiu

1 Polish Journal of Surgery

2 2022

1 2021

1 Cepuchowicz A.

1 Chabowska N.

1 Grabowski A.

1 Jaworski A.

1 Jaworski W.

1 Korlacki W.

1 Kufel J.

1 Laska E.

Evaluation of satisfaction with nursing care in the Children’s Surgery Department

Deep and extensive pediatric burns: retrospective evaluation of scheme of patients at the Department of Children’s Developmental Defects Surgery and Traumatology SUM

Rola pielęgniarki w opiece nad dzieckiem z oparzeniem II stopnia w trakcie hospitalizacji