Aim. This study aimed to perform a preliminary psychometric evaluation of the Polish version of the Readiness for Discharge Scale, developed within the Canadian Health Outcomes for Better Information and Care (C-HOBIC) project by Sidani and Doran, in a population of surgical patients. Material and methods. The study included 317 patients discharged from three surgical wards general surgery with trauma, urology and transplantology in clinical public, and private hospitals. The Polish version of the readiness for discharge questionnaire published by Andruszkiewicz et al. (8 items; 0–5 scale) was used. Analyses assessed structural validity, unidimensionality, response scale functioning and measurement invariance using Rasch modeling and the Multiple Indicators Multiple Causes approach. Results. The Polish version demonstrated strong psychometric properties, confirming a single-factor structure and the proper functioning of the six-point response scale. No significant item-level differences were found by sex or ward type, supporting measurement invariance across groups. Conclusions. Initial validation supports the clinical utility of the scale for assessing discharge readiness in surgical patients and its potential application in nursing practice. Further research in larger and more diverse samples is needed to confirm the scale stability and enable integration into routine care.
Author Aim. The aim of this study was to explore the association of perceived stress, psychological resilience with some key facets of job satisfaction among Emergency Department personnel in Greece and evaluated how these psychological factors shape employees’ perceptions of their work environment. Material and methods. A cross-sectional study was performed among physicians, nurses and clinical laboratory personnel working in EDs of twelve public hospitals in Attica, Greece. Three validated tools were used: the Perceived Stress Scale-10, the Connor–Davidson Resilience Scale-10 and the Job Satisfaction Survey. Pearson correlations and multiple linear regression analyses were conducted (SPSS v.30). Ethical approval was granted by Scientific Councils/Ethical Committees of the participating hospitals. Results. Increased stress was associated with lower job satisfaction across all professional groups, with the “nature of work” being more influential than all other aspects of satisfaction, especially for nurses. Conversely, resilience was positively associated with job satisfaction, particularly in issues related to nature of work and supervision. Conclusions. The findings highlight the need for stress-reduction policies and resilience-enhancing interventions in EDs to support personnel well-being and strengthen job satisfaction.
Introduction. One of the significant problems in nursing education is students’ distraction, impatience, haste, tension, anxiety, racing thoughts and often a lack of engagement in the learning process. There are many causes for this state of affairs. A considerable contribution to students’ lack of focus is also made by the spirit of the times, which popularizes and legitimizes a certain way of being and thinking based on the idea of fluidity, speed, rootlessness and instant gratification. Various causes of distraction can be partially prevented by mindfulness. Aim. The aim of the article is to show the educational benefits that practicing mindfulness provides and to present an outline of the mindfulness exercise. its purpose is also to articulate the importance of mindfulness for quality of life and for deepening humanistic sensitivity, which will in the future impact work in the area of patient care. Material and methods. The phenomenological method in the approach of Edmund Husserl was used to describe the phenomenon of mindfulness. Conclusions. Mindfulness promotes critical reflection, restores control over emotions, prevents mood swings and loss of resilience. Moreover, mindfulness should be incorporated into the education system at the academic level.
Aim. The aim of this study was to explore resilience among LGBTQ+ older adults and to analyse its implications for nursing practice and for the organisation of integrated health and social care. Material and methods. A qualitative study design was applied. Data were collected through in-depth semi-structured interviews with 11 LGBTQ+ older adults aged 50 years and over, recruited using the method of snowball sampling. Interviews were transcribed verbatim and underwent qualitative content analysis supported by NVivo software. Results. The overarching category, navigating ageing and care in the context of lifelong minority stress, illustrates resilience as a dynamic process shaped by discrimination and healthcare experiences. While resilience supported autonomy, it could also conceal unmet needs. The organisational climate, professional competence and structural conditions influenced disclosure and access to services, revealing gaps in education and integrated care that may perpetuate structural invisibility. Conclusions. The mental resilience among LGBTQ+ older adults should be understood not only as an individual psychological resource, but also as a phenomenon shaped by organisational and societal contexts. Nursing practice and integrated care systems must include culturally competent education, inclusive procedures and coordinated service delivery to support equitable ageing and reduce the cumulative effects of minority stress.
Aim. The aim of the study was to present a model of obstetric care for patients experiencing recurrent miscarriage based on case analysis, the identification of nursing problems and the implementation of interventions aligned with current recommendations. Material and methods. An individual case study was conducted. Data were obtained through interviews, patient observation and medical record analysis. ICNP (International Classification for Nursing Practice) terminology and C-HOBIC indicators supported care planning. The model was developed by integrating ESHRE (European Society of Human Reproduction and Embryology) guidelines, Callista Roy’s adaptation theory and the ICF (International Classification of Functioning, Disability and Health) classification, enabling multidimensional assessment. The case report followed CARE (for CAse REports) guidelines. Results. Key nursing problems were identified: risk of intrauterine infection, moderate pain, depressive mood and feelings of helplessness. The patient required emotional and informational support. The implementation of the care plan reduced discomfort, improved comfort and increased sense of security as well as self-care ability. Conclusions. Holistic midwifery care based on adaptive models and current guidelines is essential in managing recurrent miscarriages. Integration of the ICNP, ICF and Roy’s theory may support practice standardisation and the development of integrated perinatal care. This approach strengthens coordinated patient-centred management in clinical practice.
