Newborn Infant Parasympathetic Evaluation Index for the Assessment of Procedural Pain in Nonanesthetized Infants: A Multicenter Pilot Study.

OBJECTIVE: The aim of this study is to evaluate the ability of the Newborn Infant Parasympathetic Evaluation (NIPE) index to detect the response to nociceptive stimuli in nonanesthetized infants and to compare these results to simultaneous scoring by behavioral scales. STUDY DESIGN: Thirty-six nonanesthetized infants admitted to neonatal/pediatric intensive care unit (N/PICUs) were enrolled to the study. Due to faulty records of the data, three patients had to be excluded. To detect pain caused by noxious stimuli, the heart-rate-variability-derived NIPE index and behavioral pain scales designed for measuring procedural pain in nonverbal children were used. RESULTS: Forty-one painful events were available for analysis. We observed in the whole group a statistically significant decrease in NIPE values at 1, 2, and 3 minutes after a painful stimulus, in comparison to the NIPE value at rest and the statistically significant differences between the minimum NIPE value within 3 minutes after the stimulus in comparison to NIPE value at rest in the whole group, as well as in the subgroups of moderate and severe pain. Receiver operating characteristic (ROC) analysis has shown the strong sensitivity and specificity of the NIPE in detecting the noxious stimuli (ROC AUC: 0.767). We also found that the stronger the sensation of pain was, the more rapidly NIPE reached its lowest value. DISCUSSION: Our study indicates that the painful procedures are associated with a significant decrease in the NIPE value within 3 minutes after a noxious stimulus. Based on our observation, the minimum value within 3 minutes from the painful procedure seems to be the most distinctive value.

[Self-evaulation of personal physical health, accidents while performing duty and preventive treatment of stress in Prison Service]. / Samoocena stanu zdrowia, wypadki w trakcie sluzby i profilaktyka stresu zawodowego w Sluzbie Wieziennej.

BACKGROUND: The purpose of the work was to assess the level of health, estimate the number of accidents during service and to identify the use and perceived effectiveness of the prevention of occupational stress in Prison Service (PS). MATERIAL AND METHODS: The questionnaire survey was carried out in 2015 at the Central Prison Service Training Center in Kalisz and in selected prisons and detention centers for the group of 250 officers. The questionnaire, which had been constructed for the purpose of the cooperation with the Occupational Safety Body of the Central Board of the Prison Service, was used. There were questions about the frequency of headaches, hypertension, sleep disorders, taking painkillers, accidents during service and prevention of occupational stress. RESULTS: For frequent headaches, sleep disorders and hypertension complain 9-14% of officers. Every 8th officer in the period of 5 years preceding the survey had an accident during his service. Participation rate in the stress prevention and interpersonal training workshops accounted for 70%, and most officers consider them to be effective. The lack of the possibility to make holidays in accordance with the schedule represents the percentage share of 10% of the sample tested, and every 20th of the PS must stop it due to the situation in the service. It was revealed that preferences in the area of applied coping strategies turned out to be slightly differentiating between officers undertaking and not undertaking activity in the field of occupational stress prevention. CONCLUSIONS: Officers serving in the multi-shift system and with a longer service period should be covered by greater prevention from the PS work medicine. Conducting training in the prevention of occupational stress should take place at the beginning of the service. Med Pr 2018;69(4):425-438.

[The psychological profile of pilots of passenger planes: Analysis of temperamental traits, aggression and risk]. / Profil psychologiczny pilotów samolotów pasazerskich ­ analiza temperamentu, agresji i sklonnosci do podejmowania ryzyka.

BACKGROUND: Over the years it has been assumed, that the greater the number of pilot flight hours, the better the development of problem-solving skills among pilots. Research suggests, however, that the problem is more complex than that. Not only one's experience is of importance - temperament, aggression and risk may also affect the decision-making process under stressful conditions. MATERIAL AND METHODS: We examined 97 male pilots of passenger planes, who had flew ATRs, Boeings, Airbuses, Embraers, and Saabs. The comparative group was made up of 127 graduates of technical studies (not connected with aviation). In our study, we used the following methods: the PTS (Pavlovian Temperament Survey) Temperament Questionnaire by Strelau, the Aggression Questionnaire by Buss and Perry, and the Stimulating-Instrumental Risk Inventory (SIRI) by Zaleskiewicz. RESULTS: Following the analyses we could categorize the pilots into 3 distinct groups: group 1 - strong type of nervous system with a tendency to avoid risk; group 2 - strong type of nervous system with a tendency to take risks; group 3 - the relatively weakest type of nervous system with a tendency toward aggressive behavior. CONCLUSIONS: Members of each group were analyzed to assess how they function in a task situation, i.e., whilst piloting a passenger plane. The study showed that individuals with high need for stimulation may - consciously or not - seek situations of excessive or unnecessary risks, and this is done in order to reach the right level of stimulation. A constellation of the following variables: temperament, risk, and aggression could be - we argue - useful in psychological examinations, and should be taken into account in training procedures for pilots. Med Pr 2017;68(5):639-651.

Profile Optimisation of a Solid Modular Hob in the Machining of Gears Made of Classic and Unusual, Innovative Materials.

Modular hobs are tools with very complex geometry. Regardless of the material of the gear wheels, they determine the accuracy of the gears made in the hobbing machining process. Gears are made of various, often innovative materials depending on the requirements. Sometimes, the materials are characterised by very high hardness (over 65 HRC). The mathematical basis for describing the faces of a hob presented in the article allows for modifying the rack profile shaping the gear wheel's teeth. The model's universality makes it possible to perform numerical simulations of the influence of individual parameters of the hob creation process (geometry of the grinding wheels and their setting in the shaping process) on the profile of the rake and flank surfaces. The cutting edge (rack edge) is the locus of points belonging to both of these surfaces and thus directly impacts the accuracy of the gear wheel that is shaped in the hobbing process. The article summarises the authors' long-term cooperation with the industry, resulting in a series of articles devoted to hobs. The issues presented in the article are significant to the machinery industry and hob manufacturers.

Prospective, randomised comparison of two intravenous sedation methods for magnetic resonance imaging in children.

BACKGROUND: Children usually need sedation or even anaesthesia for magnetic resonance imaging (MRI) studies. As there is no universally accepted method for this purpose we undertook a prospective, randomised comparison of propofol and dexmedetomidine in children aged 1 to 10 years. METHODS: After Institutional Board approval and parents' informed consent 64 ASA status I or II children scheduled for MRI scan were enrolled. Patients were premedicated with intravenous (IV) midazolam (0.1 mg kg -1 ) and ketamine (1 mg kg -1 ) and randomised to propofol (P) or dexmedetomidine (D) group. A propofol bolus of 1 mg kg -1 followed by infusion of 4 mg kg -1 h -1 , or dexmedetomidine 1 µg kg -1 followed by 2 µg kg -1 h-1 infusion were used. Heart rate, SpO 2 and non-invasive blood pressure were monitored and recorded at 5 min intervals. Results were compared by means of standard statistical methods. RESULTS: Both dexmedetomidine and propofol after premedication with ketamine and midazolam are suitable for MRI sedation, although propofol use results in shorter recovery time. Less interventions are needed when dexmedetomidine is used.

A-trait and risk-taking behavior in predicting injury severity among martial arts athletes.

Introduction: Trait anxiety (A-trait) can be seen as a multiplicative function of the person-situation interaction. Considering risk-taking behavior (R-TB), literature highlights instrumental and stimulating risk. The aim of the research is to investigate the level of A-trait (in physically dangerous conditions and in new, unusual situations) and the level of R-TB (instrumental and stimulating risk) in athletes, and to verify to what extent A-trait and risk-taking behavior predict injury severity. Materials and methods: One hundred and fifty-four senior martial arts athletes from grappling combat sports, striking combat sports and mixed martial artists (MMA) participated in the study. For assessing trait anxiety and risk-taking behavior, the Romanian adaptation of the Endler Multidimensional Anxiety Scales (EMAS), respectively the Romanian adaptation of the Makarowski's Stimulating and Instrumental Risk Questionnaire were used. Results: Using multivariate analysis of variance, significant differences between athletes (according to the sports disciplines practiced), in terms of A-trait and R-TB, were examined. Next, we checked the existing correlations between injury severity, A-trait and R-TB scores in athletes practicing striking combat sports, grappling combat sports and MMA. To verify whether there are significant differences in terms of trait anxiety, stimulating and instrumental risk between athletes who have suffered mild, moderate and/or severe injuries and athletes who have suffered only minor/mild injuries, t-Test for Independent Samples was used. Binomial logistic regression procedures were, also, performed, predicting athletes' likelihood of injury, based on R-TB and A-trait. Conclusion: A moderate or slightly below average level of anxiety in new, unusual situations and a higher level of instrumental risk are linked with a decreased likelihood of severe injuries in athletes. Martial arts athletes (in entire sample) who have suffered more severe injuries are more adrenaline-seeking in competition and use less rational thinking, taking more pleasure in just performing technical executions, regardless of the outcome.

The Personality and Resilience of Competitive Athletes as BMW Drivers-Data from India, Latvia, Lithuania, Poland, Romania, Slovakia, and Spain.

BACKGROUND: Individual differences in personality and resilience are related to a variety of social behaviors. The current study sought to answer the question of whether BMW drivers exhibit different personality profiles and resilience levels compared with drivers of other car brands. PARTICIPANTS AND PROCEDURE: An international study was carried out in India, Latvia, Lithuania, Poland, Romania, Slovakia, and Spain on a sample of 448 athletes using the 20-item Mini-IPIP and the Resilience Scale. The results of BMW drivers (n = 91) were compared with the results of drivers of other German car brands (n = 357). RESULTS: BMW drivers were characterized by higher neuroticism compared with drivers of other German car brands. They also showed higher resiliency, both in terms of total score and scores on the subscales of: personal coping competences and tolerance of negative emotions, tolerance of failures and perceiving life as a challenge, and optimistic attitude towards life and capacity for self-mobilization in difficult situations. The greatest difference was observed for the factor of tolerance of failures and perceiving life as a challenge. Using the Dwass-Steel-Critchlow-Fligner (DSCF) pairwise comparison test, gender differences between athletes (as BMW drivers and drivers of other German car brands, respectively) were discussed. Additionally, the results of the main logistic regression analyses emphasized that neuroticism represents a better predictor of BMW preference in the case of athletes (as drivers) than the scores obtained for resilience. CONCLUSIONS: BMW drivers differed from drivers of other German car brands only with regard to neuroticism. A higher level of neuroticism can affect mental health and the overall quality of life in athletes; aggression and distress management are essential. Athletes (as BMW drivers) also showed differences in resiliency levels. Understanding the mechanisms of behavior among BMW drivers is possible through considering their personality and individual differences.

Does nationality affect nurses' information security participation? A comparative study in Iran and Poland.

BACKGROUND: Confidential personal data breaches are a serious problem for medical service providers. They may result in high financial costs for medical care facilities and unnecessary stress for patients. Research on information security (IS) in healthcare has been insufficient thus far. International studies may add a new perspective on this issue. PARTICIPANTS AND PROCEDURE: A quantitative approach was assumed to analyse relationships between IS climate and IS indicators in countries with different cultures (Iran and Poland). The Information Security Climate Index was used in the study. The software PLS3 and SPSS 22 was used for data analysis. RESULTS: The results showed that the predicted factors of nurses' IS participation were different in Iran and Poland. In both countries, nurses' perception of the importance of IS had an effect on IS participation, but in Poland, IS compliance had an additional positive effect. In addition, IS compliance moderated the relationship between IS motivation and IS participation. CONCLUSIONS: Components of IS climate have a significant effect on nurses' IS participation in both Iran and Poland, though nationality can modify this relation. However, in both countries, by linking IS policies with human resource management activities such as performance appraisal and training, nurses' perception of IS importance can be increased and IS participation can be facilitated.

Resilience, Occupational Stress, Job Satisfaction, and Intention to Leave the Organization among Nurses and Midwives during the COVID-19 Pandemic.

The current study on the intention to leave the organization among nurses and midwives aligns with the broader direction of research on the consequences of demanding jobs. This is particularly important in the context of the COVID-19 pandemic, which began in 2020 and is ongoing. The aim of the current study was to identify the levels of intention to leave the organization and job satisfaction in a sample of 390 Polish nurses and midwives. A multiple stepwise linear regression was carried out to establish which variables are predictors of job satisfaction and intention to leave the organization. The following measures were used in the study: Nurses' Occupational Stressor Scale, The Brief Resilience Coping Scale, The Turnover Intention Scale, The Job Satisfaction Scale, and an occupational questionnaire (number of workplaces, weekly number of evening and night shifts, working at a unit dedicated to treating COVID-19, working as a supervisor/executive). The current study showed that almost 25% of the sample reported high turnover intention, and a similar proportion reported low job satisfaction. Resilience was related to nurses' job satisfaction. In the predictive models for job satisfaction, the organizational factor of the number of workplaces was significant (positively related), while job experience was a negative predictor of intention to leave. The practical implications of the results and the need to continue research on this topic are also discussed.

Value of troponin T measurements for prediction of postoperative course and length of ICU stay of children after surgical correction of congenital heart disease.

BACKGROUND: The development of surgical and anaesthetic techniques improved the outcomes in children with congenital heart disease (CHD). After repair of defects using cardiopulmonary bypass (CPB) children often require prolonged respiratory or inotropic support in the intensive care unit (ICU). The aim of the study was to assess troponin T (TnT) values as a predictor of postoperative requirements and ICU length of stay (ICU-LOS) after cardiac surgery. METHODS: We included 41 patients who underwent corrective surgery for CHD between August and December 2017. TnT level was measured after induction of anaesthesia, 12 h after CPB (t2) and 24 h following CPB (t3). The Aristotle Basic Score for procedure complexity was calculated, total times of CPB and aortic cross-clamping were measured, and maximal Vasoactive-Inotropic Score and ICU-LOS were determined. Statistical relationships between TnT levels and the mentioned parameters were estimated. RESULTS: The median age of the patients was 37 months (14 days to 17 years). Three patients died. The median ICU-LOS was 42.7 hours. A positive correlation was found between ICU-LOS and TnT values at t2 ( Rs = 0.62, P = 0.008) and t3 ( Rs = 0.44, P = 0.018). TnT concentrations at t2 correlated significantly with: Aristotle score ( Rs = 0.50, P = 0.001), total time of CPB ( R s =0.58, P = 0.001), CC time ( Rs = 0.47, P = 0.002) and VIS ( Rs = 0.42, P = 0.001). TnT levels did not discriminate between survivors and non-survivors. CONCLUSIONS: Troponin T concentration is a useful tool to anticipate postoperative course and ICU-LOS in children after cardiac surgery.

Thermal and Stress Properties of Briquettes from Virginia Mallow Energetic Crops.

The article discusses the influence of briquetting/compaction parameters. This includes the effects of pressure and temperature on material density and the thermal conductivity of biomass compacted into briquette samples. Plant biomass mainly consists of lignin and cellulose which breaks down into simple polymers at the elevated temperature of 200 °C. Hence, the compaction pressure, compaction temperature, density, and thermal conductivity of the tested material play crucial roles in the briquetting and the torrefaction process to transform it into charcoal with a high carbon content. The tests were realized for samples of raw biomass compacted under pressure in the range from 100 to 1000 bar and at two temperatures of 20 and 200 °C. The pressure of 200 bar was concluded as the most economically viable in briquetting technology in the tests conducted. The conducted research shows a relatively good log relationship between the density of the compacted briquette and the compaction pressure. Additionally, higher compaction pressure resulted in higher destructive force of the compacted material, which may affect the lower abrasion of the material. Regarding heat transfer throughout the sample, the average thermal conductivity for the compacted biomass was determined at a value of 0.048 ± 0.001 W/(K∙m). Finally, the described methodology for thermal conductivity determination has been found to be a reliable tool, therefore it can be proposed for other applications.

Usefulness of two types of pain monitors in newborns treated in NICU, in the opinion of experts: Results of the survey.

Pain experienced in the neonatal period has been shown to have serious short- and long-term consequences. It is also known that painkillers have side effects and should not be abused. The basis of proper pain management is assessment of pain, which in newborns is very difficult due to the lack of verbal communication. In these patients, behavioural scales are used to assess pain, but they have numerous shortcomings. For this reason, many newborns treated in the ICU are at risk of pain, so instrumental methods of detecting and assessing the severity of pain are being sought. During three months, seven Polish NICUs conducted research with the use of NIPE and SCA monitors. After this time, the heads of these departments filled in questionnaires regarding their individual opinions on the usefulness of these devices. All respondents found pain monitors useful in the NICU. The NIPE monitor was rated slightly higher, as its usefulness in assessing the effectiveness of analgosedation and in the management of patients in the postoperative period was better rated. The high acceptance of both devices by legal guardians of newborns is noteworthy. It should be stated that in newborns, any way to improve pain monitoring is valuable. In the opinion of Polish experts, pain monitors are useful in NICU. The NIPE monitor was assessed a little higher and was considered useful in the assessment of analgosedation and in postoperative treatment. Pain monitors can provide valuable support for pain assessment in newborns treated in the NICU.

Coping Strategies and Perceiving Stress among Athletes during Different Waves of the COVID-19 Pandemic-Data from Poland, Romania, and Slovakia.

Coronavirus disease (COVID-19), an infectious disease caused by the SARS-CoV-2 virus, has affected numerous aspects of human functioning. Social contacts, work, education, travel, and sports have drastically changed during the lockdown periods. The pandemic restrictions have severely limited professional athletes' ability to train and participate in competitions. For many who rely on sports as their main source of income, this represents a source of intense stress. To assess the dynamics of perceived stress as well as coping strategies during different waves of the COVID-19 pandemic, we carried out a longitudinal study using the Perception of Stress Questionnaire and the Brief COPE on a sample of 2020 professional athletes in Poland, Romania, and Slovakia. The results revealed that in all three countries, the highest intrapsychic stress levels were reported during the fourth wave (all, p < 0.01) and the highest external stress levels were reported before the pandemic (p < 0.05). To analyze the data, analyses of variance were carried out using Tukey's post hoc test and η2 for effect size. Further, emotional tension was the highest among Polish and Slovak athletes in the fourth wave, while the highest among Romanian athletes was in the pre-pandemic period. The coping strategies used by the athletes in the fourth wave were more dysfunctional than during the first wave (independent t test and Cohen's d were used). The dynamics of the coping strategies­emotion focused and problem focused­were also discussed among Polish, Romanian, and Slovak athletes. Coaches and sports psychologists can modify the athletes' perceived stress while simultaneously promoting effective coping strategies.

Evaluation of Work Mode and Its Importance for Home-Work and Work-Home Relationships: The Role of Resilience, Coping with Stress, and Passion for Work.

The COVID-19 pandemic necessitated and facilitated the introduction of telework in organizations. This has also impacted the workers' relationship between work and private life. The aim of the current study was to examine the links between resilience and mode of work (stationary vs. remote) and the work-home and home-work relationships, and whether they are mediated by passion for work and strategies of coping with stress. The study was carried out on a sample of 1251 participants from Great Britain, India, Latvia, Lithuania, Norway, Poland, Romania, Serbia, Slovakia, and Vietnam. The following measures were used: The Survey Work-Home Interaction, The Brief Resilience Coping Scale, The Passion Scale, and the Brief COPE. Results showed that the more stationary the mode of work, the lower the intensity of the negative influence of personal life on work. Resilience was revealed to have a positive effect on worker functioning. The study also showed a relationship between education and gender and passion for work. Finally, the importance of furthering the knowledge on the home-work and work-home relationships among teleworkers is discussed.

Insomnia among Prison Officers and Its Relationship with Occupational Burnout: The Role of Coping with Stress in Polish and Indonesian Samples.

Thus far, data on sleep disorders among prison officers (POs) have been scarce. Research allows us to relate this problem to occupational stress, which POs experience every day. The aim of the current study was to analyze the scale, predictors, and impact of select factors on the relationship between insomnia and occupational burnout. This study was carried out on a sample of 376 Indonesian and 288 Polish POs using the Athens Insomnia Scale (AIS), the Coping Orientation to Problems Experienced (COPE) inventory, and the Oldenburg Burnout Inventory (OLBI). Results showed that 43.4% of the Polish sample exhibited early symptoms of insomnia, compared to 26.1% of the Indonesian sample. Sleep disorders had a significant role in developing occupational burnout. In both samples, coping strategies such as help-seeking and engagement were revealed to have a mediating role in the relationship between insomnia and occupational burnout dimensions. For the total sample and for the Polish sample, the coping strategy of help-seeking was the only predictor of insomnia. Discrepancies (concerning the role of age, gender, and multi-shift work) were observed between the current results and earlier studies. The current study's limitations were discussed and new solutions were proposed.

Stress among nurses from countries variously affected by the COVID-19 pandemic - results collected in Poland and Iran.

BACKGROUND: Nursing involves numerous stressful situations, such as overwork, night shifts, responsibility for the patients' health, rapid pace of work, emotional demands, contact with suffering individuals, and patients' aggressive behaviors. The SARS-CoV-2 pandemic is an additional demand on the already demanding profession. Thus, the aim of the current study was to assess the character of the relationship between overwork and subjectively experienced stress, taking into account the moderating role of contact with patients and work in facilities dedicated for COVID-19 patients, and the strategies of coping with stress, including resilience, in countries affected by the pandemic to various degrees. MATERIAL AND METHODS: The study was carried out on 151 Iranian and 158 Polish nurses at the beginning of June 2020. The following research tools were used: the Overwork Climate Scale, the Brief COPE, the Resilience Scale, and the Perception of Stress Questionnaire. The participants were also asked about their contacts with patients infected with COVID-19, and work in facilities dedicated for such patients. RESULTS: Polish and Iranian nurses reported similar levels of overwork, but they differed with respect to the level of subjectively experienced stress and they used different coping strategies to various degrees. Contact with patients infected with COVID-19 and work in facilities dedicated for such patients also moderated the relationship between overwork climate and resilience. CONCLUSIONS: Stress levels among Iranian and Polish nurses during the pandemic are different and are related to the intensity of contact with patients infected with COVID-19. Culture and context have an important impact on coping strategies which requires further studies with a multinational approach. Med Pr. 2021;72(5):457-65.

Effects of Organizational Support and Organizational Justice on Police Officers' Work Engagement.

The impact of organizational support and organizational justice on work engagement was investigated in a group of police officers. A review of the literature revealed that studies reporting differences between the influence of supervisors and coworker justice and support on work engagement among police officers are grossly insufficient. This study hypothesized that organizational support and organizational justice would positively predict work engagement among police officers. It was also hypothesized that, among police officers, supervisor support is more strongly related to work engagement than coworker support and that supervisor justice is more strongly linked to work engagement than coworker justice. Participants were 170 police officers who worked in police departments in northern Poland. A regression analysis showed that supervisor support and supervisor justice had a positive effect on police officers' work engagement, whereby organizational support coupled with organizational justice accounted for 26% of the variability of work engagement. Theoretical and practical implications are discussed, and directions for future research are suggested.

Lack of control over work and organizational citizenship behavior: overwork climate as a suppressor variable.

BACKGROUND: This study investigates a suppressor effect in the relationship between lack of control over work and organizational citizenship behavior (OCB). Suppressor effects operate when the addition of a predictor (in our study it is an overwork climate) increases the predictive power of another variable (lack of control over work) in predicting an outcome variable (OCB). Suppressor effects can play a valuable role in explicating the meaning of examined variables by bringing into clearer focus opposing elements that are inherent - but largely hidden - in the measurement of these variables. PARTICIPANTS AND PROCEDURE: Data were collected through online questionnaires in a cross-sectional study. Using a sample of Polish employees (N = 580) we performed structural equation modelling (SEM) with robust maximum likelihood estimation to test our hypotheses. RESULTS: Confirming our hypothesis, we found that overwork climate, as a suppressor variable, in isolation is not correlated with OCB, but is strongly associated with lack of control over work, which is a significant predictor of OCB. CONCLUSIONS: In our study, we demonstrated that both lack of control over work and organizational citizenship behaviors encompass two dimensions simultaneously. The first, namely dedication to work (which they both share), constitutes the positive correlation between these two variables. The second dimension (which separates the two variables), which constitutes the negative correlation between them, is an attitude. Lack of control over work is rooted in the negative attitude and stems from the overwork climate, while organizational citizenship behaviors can be more widely associated with the positive attitude which generally stems from positive evaluation of the working environment.

Available Instruments to Assess Pain in Infants.

Pain assessment in newborns and infants is challenging for clinicians. Although behavioral and behavioral-physiological scales are validated pain assessment instruments, their use in this age group has significant limitations. In this review, we summarize the methods currently available for assessing pain in neonates and infants. It is possible that these pain detection methods are also useful for assessing the quality of anesthesia and analgosedation in these populations. Further research should be aimed at confirming the usefulness of these tools in infants and identifying additional pain assessment options for clinical practice.

Resilience and Subjectively Experienced Stress Among Paramedics Prior to and During the COVID-19 Pandemic.

INTRODUCTION: Paramedics 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 METHODS: The 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 Preznosci). RESULTS: Paramedics 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. CONCLUSION: Paramedics' 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.