IntroductionParamedics play a vital role in the healthcare system by providing professional support in situations of direct threat to patient health and life. They experience numerous difficulties during their work, which result in occupational stress. During the COVID-19 pandemic, their work has become even more demanding. The aim of the current study was to examine the role of resilience in the subjective experience of stress among paramedics during the COVID-19 pandemic.Materials and methodsThe study was carried out in two phases, in October-November 2019 (N = 75) and in May-June 2020 (N = 84), using the Sense of Stress Questionnaire (Skala Poczucia Stresu) and the Resilience Scale (Skala Pomiaru Prężności).ResultsParamedics exhibited higher intrapsychic stress before the COVID-19 pandemic. Tolerance of failure and treating life as a challenge were higher during the pandemic, in contrast to optimism and the ability to mobilize in difficult situations. Paramedics who were in contact with patients with COVID-19 experienced higher stress. Perseverance and determination, openness to new experiences and sense of humor, as well as competences and tolerance of negative emotions were revealed to play a key part in mitigating subjectively experienced stress.ConclusionParamedics’ subjectively experienced stress was lower during the COVID-19 pandemic. Paramedics who were in direct contact with patients with COVID-19 experienced higher stress. They had sufficient psychological resources, in the form of resilience (perseverance and determination, openness to new experiences, sense of humor, and competences and tolerance of negative emotions), which allowed them to cope with the situation of the COVID-19 pandemic.
High-grade IVH coincides with severe derangement of coagulation in ELBW infants with FVII level being the most sensitive, it is not clear what the reason for such low FVII concentration is. Further studies are indicated.
Background: Turnover rates among nurses are much higher than in other professions. This poses a challenge for health managers in all countries. The purpose of this study was to investigate the factors affecting nurses' turnover and the differences in this area between Iran and Poland. Material and Methods: In this descriptive cross-sectional study, the population consisted of nurses working in state-owned hospitals in Poland (N = 165) and in Iran (N = 200). Data were collected using the Turnover Intention Scale, the Job Satisfaction Scale, the Work-Family Conflict Scale and the Workplace Support Scale. Use was made of the AMOS 24 and SPSS 22 software for data analysis. Results: The results showed that the predicted factors of nurses' turnover intention in Poland and Iran were different. Workplace support and job satisfaction can reduce turnover intention among Polish nurses while the work-family conflict influences nurses' turnover intention in Iran. Conclusions: Providing a flexible work plan in Iranian hospitals and enhancing teamwork and improving the spirit of cooperation in Polish hospitals could reduce nurses' turnover intention in these 2 countries.
The Bal tic Sea is not typ i cally con sid ered as an area af fected by tsu na mis. How ever, dur ing the Late Pleis to cene and Ho lo cene sev eral tsu nami events have been in ter preted from the sed i men tary re cord, mainly in Swe den and Es to nia. Fur ther more, on the south ern coast of the Bal tic Sea, there are his tor i cal ac counts of catastrophical ma rine floodings called "der Seebär" ("the Sea Bear"). Their de scrip tions re veal many fea tures typ i cal for tsu nami, but their gen e sis re mained un known and sed i men tary ev i dence for such events has not been found. Here we pro vide ev i dence of sandy event lay ers from the area of Rogowo, NW Po land -the area of his tor i cal cat a strophic storms as well as "der Seebär" events. The study area is a low-ly ing coastal plain with an av er age el e va tion of -0.5 to +0.5 m a.s.l., pro tected from the open sea by beach and coastal dune sys tems up to 5 m high. Sedimentological, micropalaeontological and geo chem i cal anal y ses along with AMS 14 C dat ing were ap plied to sed i mentary suc ces sions seen in 5 ma jor trenches and 198 sed i ment cores up to 1.5 m long. Two sandy lay ers were iden ti fied in the peat de pos its that de vel oped on the plain dur ing the last ~2000 years. They re veal a num ber of typ i cal fea tures of tsu nami depos its (sig nif i cant lat eral ex tent and thick ness, rip-up clasts, chem i cal and micropalaeontological ev i dence of ma rine or i gin), how ever, 14 C dat ing along with the his tor i cal ac counts re vealed that the ma jor layer, ex tend ing at least 1.2 km from the mod ern coasts, was prob a bly de pos ited by ar gu ably the larg est storm surge dur ing the last 2000 years, which took place in 1497 AD. These storm de pos its were likely formed dur ing in un da tion of the low-ly ing coastal plain af ter ma jor breach ing of coastal dunes re sult ing in tsu nami -like flow pat tern and thus sim i lar sedimentological ef fects. A dis con tin u ous sand layer of youn ger age (18th cen tury) and shar ing sim i lar prop er ties to the pre vi ous one may be re lated to "der Seebär" event or an other storm surge. The study re vealed that the south ern Bal tic Sea coast may be af fected by much greater coastal flood ing than known from more re cent ac counts and ob ser va tions. Thus, the pre sented geo log i cal re cord should be taken as an ex am ple of a worst-case scenario in coastal zone risk as sess ment from nat u ral haz ards. These events left sed i men tary de pos its that re sem ble tsu nami depos its. It is likely that, in sim i lar set tings where storm surges cause uni di rec tional in un da tion of a coastal plain, it may not be pos si ble to es tab lish whether the re sult ing de pos its were laid down from storms or tsu na mis.Key words: tsu nami de pos its, storm surge de pos its, grain size anal y sis, geo chem is try, ra dio car bon dat ing, Bal tic Sea.
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