Background: The quality of medical services for a child and their parents are tantamount to a sense of satisfaction with care. Purpose: The assessment of determinants of parental satisfaction with nursing care in paediatric wards. Methods: The study covered 336 parents of children hospitalised in paediatric departments and was based on the “EMPHATIC” questionnaire, standardized and adapted to Polish conditions. Results: The mean score of the overall parental satisfaction was high, amounting to 4.19 points. The lower level of satisfaction with nursing care was reported in parents of children under the age of 6 years, admitted in an emergency mode with a diagnosed post-trauma condition and those with higher education. The duration of hospitalisation, sex and age of parents did not have an influence on the satisfaction with care. Conclusions: The age of the child, admission mode and education of respondents are determinants of parental satisfaction with nursing care.

Aims/Background. The proportion of patients who experience anxiety prior to planned surgery, even a minimally invasive one, is estimated at 50-70%. Thoracic surgery, causes significant preoperative anxiety, especially in children. The aim of this study was to determine the effect of an important component of psychological preparation for a surgery as information support on levels of anxiety, pain and satisfaction with postoperative analgesia. Methods. The randomized double blind study including patients aged 9-18 years qualified for lateral thoracotomy or Ravitch procedure. The subjects were randomized to the control group (n=56) provided with a routine preoperative information by a nurse, and the experimental group (n=56) offered additional psychological consultation. Data were collected via the State-Trait Anxiety Inventory. Results. In the experimental group, the level of state anxiety at 48 h post-surgery was significantly lower than prior to the procedure, but only in subjects with preoperative trait anxiety <7/10 sten. In the control group, the level of postoperative anxiety was significantly higher than prior to the surgery; this effect was observed irrespectively of preoperative trait anxiety level. Lack of preoperative psychological consultation (β=-0.23), trait anxiety ≥7 sten (β=0.25), and higher level of preoperative state anxiety (β=0.65) were independent predictors of greater state anxiety at 48 h post-surgery. Patients from the experimental group did not differ significantly from the controls in terms of their median pain scores and satisfaction with postoperative analgesia. Greater state anxiety was associated with 22% lesser likelihood of complete satisfaction with the analgesia. Conclusion. Information support from a psychologist offered prior to a thoracic surgery decrease the level of postoperative state anxiety solely in children with lower levels of trait anxiety. Higher level of postoperative state anxiety negatively affect patients' satisfaction with post-surgical analgesia.

Although lung transplantation markedly improves the quality of life of patients with cystic fibrosis, they still experience problems with social functioning and future concerns.

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Introduction: Nurses' professionalism is an important component of the assessment of childcare quality during hospitalisation. Aim of the research: Assessment of parental satisfaction with the professionalism of nursing care in paediatric surgical departments. Material and methods:The cohort study was conducted in a group of 127 parents of children hospitalised in surgical departments. The Polish adaptation of the Emphatic questionnaire and the original questionnaire were applied in the study. Results:The median of overall parental satisfaction with child nursing professionalism was 4. 3 (3.8; 4.7). A low level of satisfaction with nursing care in the specific criteria was observed only for The nurse introduced herself by name: 2.0 (1.0; 3.0). Statistical significance was demonstrated between the overall level of parental satisfaction with care regarding Professional Attitude and the reason of the child's hospitalisation (p = 0.017) as well as the number of children in a family (p = 0.001). The child's developmental stage, the mode of admission to hospital, and the parents' sex differentiated parental satisfaction regarding selected components of the professionalism of nursing care (p < 0.05). The strongest relationships were demonstrated between the level of overall satisfaction for Professional attitude and the satisfaction level for the specific criterion The nurse greeted the parents/guardians kindly at admission/visits (rho = 0.803). Conclusions: A high level of parental satisfaction with nurses' professionalism was observed. The optimization of care is especially needed in the area of nurses introducing themselves. The determinants of the level of overall satisfaction were as follows: the reason for hospitalisation, the number of children in a family, and the attitude of the nursing team. StreszczenieWprowadzenie: Profesjonalizm pielęgniarek jest istotnym elementem oceny jakości opieki nad dzieckiem w czasie hospitalizacji. Cel pracy: Ocena satysfakcji rodziców z profesjonalizmu opieki pielęgniarskiej na oddziałach chirurgii dziecięcej. Materiał i metody: Badanie kohortowe przeprowadzono w grupie 127 rodziców dzieci hospitalizowanych na oddziałach chirurgii dziecięcej. W badaniu wykorzystano kwestionariusz Empathic autorstwa Latour i wsp. w polskiej adaptacji, a także kwestionariusz autorski. Wyniki: Mediana poziomu ogólnej satysfakcji rodziców z profesjonalizmu opieki pielęgniarskiej wyniosła 4,3 (3,8; 4,7). Niski poziom satysfakcji rodziców w zakresie kryteriów szczegółowych wykazano jedynie dla kryterium Pielęgniarka przedstawiła się z imienia i nazwiska: 2,0 (1,0; 3,0). Stwierdzono istotność statystyczną pomiędzy poziomem ogólnej satysfakcji rodziców z opieki pielęgniarskiej w kryterium Profesjonalizm/Profesjonalne podejście a przyczyną hospitalizacji dziecka (p = 0,017) oraz liczbą posiadanych dzieci (p = 0,001). Okres rozwojowy dziecka, tryb przyjęcia dziecka do szpitala, a także płeć rodziców istotnie statystycznie różnicowały satysfakcję w wybranych elementach profesjonalizmu opieki pielęgniarskiej ...