Areas of professional life and job satisfaction of nurses.

Introduction: Job satisfaction among nurses is closely related to work environment as well as organizational and professional commitment. Satisfaction is a concept derived from Latin, where "satis" means "enough," as much as is needed to fully satisfy expectations, needs, aspirations, in such a way that there is no room for complaint. Job satisfaction, on the other hand, is formulated as a positive attitude of employees toward the duties of the job, the work environment and other employees. The aim of this paper was to demonstrate how the different areas of nurses' professional life, i.e., workload, control, rewards, community, sense of justice and values, correlate with their perceived job satisfaction. Materials and methods: A cross-sectional study was conducted in a group of 509 nurses working in a public hospital in Poland. Data were collected using a survey questionnaire, which consisted of a section containing sociodemographic data and standardized instruments: The Minnesota Satisfaction Questionnaire (MSQ) and The Areas of Worklife Survey (AWS) developed by Maslach and Leiter. Correlations were made using Spearman's rho coefficient. The calculations also used stepwise linear regression analysis after checking certain assumptions, including checking the assumption of normality of residuals and the Durbin-Watson Test. Results: The mean score for the 20 items of the MSQ questionnaire ranged from 3.05 to 3.43 on a 5-point Likert scale. Support from the interdisciplinary team, which concerned assessing the quality of the social environment in the workplace, cooperation and showing positive feelings received the highest rating among respondents (3.51 ± 0.76). The sense of fair treatment at work averaged 3.26 ± 0.58. The area of value conflict within the organization itself or between the employee's values and those of the organization, respondents rated an average of 3.26 ± 0.65. The mean score for all areas of professional work in the surveyed group was 3.09 ± 0.45. Conclusion: As satisfaction in particular areas of work life increases, so does the level of satisfaction in such aspects of work as achievement and a sense of fairness. The higher the level of satisfaction in the area of control, the more the sense of satisfaction with independence increases. The higher the satisfaction of respondents in the areas of values, workload and control, the higher the level of satisfaction with working conditions occurs.

Nonsteroidal anti-inflammatory drug use in patients with chronic kidney disease.

AIMS: Nonsteroidal anti-inflammatory drugs (NSAIDs) are the cornerstone of pain management. There are no detailed data on NSAIDs use in Poland, especially in patients with chronic kidney disease (CKD). The aim of this study was to evaluate the frequency, circumstances, and causes of NSAIDs use as well as knowledge of their side-effects in patients with CKD. METHOD: This cross-sectional study was conducted in 972 individuals with CKD, enrolled in a written survey originally developed by the authors. There were 574 patients with CKD stage I-IV, 414 patients after renal transplantation stage II-IV (CKDT) and 84 dialyzed patients (44 peritoneal, 40 hemodialysis). RESULTS: Among the entire study group, 16.9 % of patients used NSAIDs every day, or several times a week. The average number of tablets taken within a month was 21.8. Subgroup analysis revealed that NSAIDs were taken most often by patients on hemodialysis: 35 % of them used NSAIDs every day or several times a week (43.15 pills per month). The most common reason for using NSAIDs were bone-joint pain (29.3 %) and headache (26.2 %). Side effects of painkillers such as renal function deterioration and the possible promotion of stomach ulcers were experienced by 43.6 and 37.6 % of respondents, respectively. CONCLUSION: Patients with CKD often take NSAIDs. This applies especially to the group of people undergoing hemodialysis, which is mainly associated with chronic osteo-articular pain. The results also show a low awareness of painkillers' adverse effects.

[Health awareness and cooperation with the patient in the therapeutic process in a population of patients with chronic kidney disease in the center of Gdansk].

Chronic kidney disease (CKD) is considered as a disease of civilization of the XXI century. The increase of patients with CKD is associated with a higher incidence of hypertension, diabetes and aging. Hypertension occurs in 60-90% of patients with CKD. It is worth to underline that the nephroprotective therapy can delay or even stop the progression of CKD to end-stage renal disease. The therapy nephroprotective should be understood as both pharmacological and nonpharmacological treatment. The aim of this study was to evaluate the health awareness of patients with CKD, as well as the degree of patient compliance especially in terms of pharmacological and non-pharmacological treatment. Material and Methods: A crosssectional survey was offered for 1300 patients with CKD who are are under the care of the Department of Nephrology, Transplantology and Internal Medicine, University Hospital in Gdansk. 972 patients (M/F) (74.8%) responded positively to participate in the study Results: It was shown that 91.2% of the patients measured blood pressure at home. 41.2% measured blood pressure everyday and 54.2% of patients used at least one non-pharmacological treatment for hypertension. 71.7% of patients declared that buy all drugs prescribed by the doctor. 53.4% of patients used the possibility of substitution drugs prescribed by a doctor for cheaper preparations recommended by the pharmacist. 85.7% of patients taking medicines according to doctor's advice (frequency, dose). Conclusions: The results of the study indicate that the education of patients, the therapeutic process and their health awareness are good, especially among patients treated with peritoneal dialysis. It should be continued as educational program because these activities may contribute to improving the prognosis and quality of life. A patients after kidney transplantation are particularly vulnerable to the effects of failure to comply with recommendations.