Support provided by nurses to parents of hospitalized childrencultural adaptation and validation of Nurse Parent Support Tool and initial research resultsIntroduction: Child's illness and hospitalisation are difficult and stressful situations both for the patients themselves and for their parents. Supporting the ill child and their guardians is an indispensable element of caring for ill children. The Nurse-Parent Support Model developed by Margaret Miles is based on four elements, namely emotional support, appraisal support, informational support and instrumental support. Aim: The aim of the research was (i) cultural adaptation and validation of The Nurse-Parent Support Tool into Polish and (ii) initial assessment of parents' perception of nursing support given to the parents of children hospitalised in five paediatric wards in Poland. Material and method: Quantitative cross-sectional study was conducted in a group of 195 parents of children hospitalised in five different hospital wards in eastern Poland. Results and conclusions: Theoretical validity of the fourfactor version of NPST is proved by the correlation matrix analysis and inter-correlation between the dimensions of the described tool as well as the analysis of the internal structure of the test verified on the basis of its internal validity which also confirms its reliability. However, theoretical validity of the test is not confirmed by the factor analysis whose results indicate that the tool encompasses two factors that explain 58.5% of variances. Respondents rated instrumental support provided by the nurses the highest, appraisal and informational support were rated slightly lower, and emotional support was rated the lowest. Negative correlation between the level of stress and emotional support (r = À0.35), informational support (r = À0.29) and support in general (r = À0.30) was demonstrated. Polish four-factor version of NPST is recommended only for international comparative analyses, whereas the use of two-factor version of NPST is recommended for national research programmes. The level of support given to the parents of children hospitalised in Poland seems to be unsatisfactory.

Introduction. Depressive disorders are one of the most common psychiatric disorders. Recognition of signs of mental health disorders is not always easy, hence the availability of simple and accurate tools for assessing them is very important in the practice of primary care. Objective. The aim of the study is to assess the theoretical accuracy and reliability of the Patient Health Questionnaire-9 (PHQ-9) in Polish conditions, when applied to general population studies for adults aged between 35-64. Materials and method. The study comprised a population of 4,040 people. Women constituted 59% of the research population and people living in the countryside 65%. The average age of participants was 53.45 ± 7.05 years. According to PHQ-9, 727 people (18.0%) had moderate, moderate to severe or severe depression. PHQ-9 showed a significant positive internal cohesion (Cronbach's alpha = 0.77), and factor charges oscillated between 0.43-0.63, and the R 2 coefficients of determination were in the range of 0.21-0.40. Conclusions. The Polish version of PHQ-9 is a valid tool for diagnosing depression in the general population aged 35-64. Good psychometric properties and compactness make the PHQ-9 a useful clinical and research tool.

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BackgroundA program of immunization that ensures optimal development of acquired immunity should be carried out in all healthy newborns. The aim of the present study was to verify, at 2.5–3 years after the last dose of basic vaccination, if preschool children who have been delivered preterm and at term differ in their levels of post-vaccination protective antibodies.Material/MethodsHumoral response was assessed in 352 children (mean age: 5.22±0.34 years) who received a series of obligatory vaccinations in the period from birth to 2.5–3 years of age. Antibodies (in IgG class) against vaccine antigens – diphtheria (D), tetanus (T), pertussis (P), Haemophilus influenzae type b (Hib), poliomyelitis (IPV), measles, mumps, and rubella (MMR) – were measured using ELISA. The level of antibodies against hepatitis B (HBV) was assessed by chemiluminescence.ResultsAll children had been immunized according to the Polish National Vaccination Program. The group of 352 children eligible for the study included 46 (13.1%) preschoolers delivered preterm (32–36 weeks of gestation), and 306 (86.9%) born at term (37–42 weeks of gestation). All children maintained seroprotective antibody levels against polioviruses type 1, 2, and 3 (>12 mIU/mL), and against measles antigens (>300 U/mL). No statistically significant differences were found in the proportions of preschoolers born preterm and at term who were seroprotected against other vaccine antigens.ConclusionsAmong preschool children who were immunized according to chronological age, those we were born late preterm do not seem to differ in vaccine-induced immunity from those who were born full-term.

Introduction. The professional image of a nurse which is influenced by a whole variety of factors is the main subject of this work. The social attitudes toward nurses are related to people’s own beliefs, opinions, stereotypes, as well as the nurses’ professional, personal and interpersonal skills. The proper image of a nurse is very important. Patients are becoming increasingly demanding toward nurses which poses new challenges for nurses attempting at creating a positive image of this profession. Aim. The aim of this work was to elicit the opinions about nurses’ work from parents of children hospitalized on the oncologic ward. Material and methods. The authors used a questionnaire of their own making and conducted a literature analysis. The literature review was made using the data taken from Main Medical Library. The research group consisted of 50 parents of children hospitalized in Oncology, Hematology and Child Transplantology Department in Lublin. All the parents were advised about the aim of the study and informed that the questionnaire is anonymous and voluntary. The obtained results have then undergone a statistical analysis, using a Chi2 test. Statistical significance was reached at the level of p<0.05. Results. The most important factors affecting the professional image of a nurse are as follows: the parent’s sex, their place of residence, nurse’s appearance, as well as the following traits: being nice, protective and friendly. Discussion. The image of a nurse as someone who is smiling, friendly and calm appears to be the closest to an ideal picture of such a professional. This pertains not only to parents but to the society as a whole. The nurse should pay attention to patients’ physical needs and expectations, as well as their spiritual side. Conclusions. The researched group provided a positive opinion about the work of nurses at the Department. They paid special attention to their being nice, protective and friendly. It is the nurses’ physical appearance that sheds a positive light on them, as competent and friendly professionals. Even though most people perceive nursing as a rather unattractive profession, there is a huge deal of respect for nurses.