Factors affecting Polish nurses' willingness to recommend the hospital as a place of care.

BACKGROUND: Nurses constitute the major professional group offering constant hospital patients' care. Willingness to recommend their hospital reflects confidence in the offered care, satisfaction and identification with the work place. The aim of the present study has been to investigate which elements of hospital environment and nurse personal related factors predict recommendation of the hospital as a place of care by employed nurses. MATERIAL AND METHODS: Cross-sectional, correlation study was, based on 1723 self-reported, anonymous questionnaires of nurses working in 30 acute hospitals. Data was analyzed using the logistic regression model, with general estimation equations. RESULTS: About 25% of nurses were unwilling to recommend their hospital as the place of care. The odds ratio (OR) of the lack of willingness to recommend the hospital was related to assessment of patients' safety (OR = 0.28, 95% confidence interval (CI): 0.18-0.46, p = 0.00), decrease in the quality of patient care during the preceding year (OR = 0.62, 95% CI: 0.41-0.93, p = 0.02), overall work conditions (OR = 0.35, 95% CI: 0.22-0.57, p = 0.00), weak cooperation between nurses and physicians (OR = 0.37, 95% CI: 0.25-0.54, p = 0.00), poor work schedule flexibility (OR = 0.74, 95% CI: 0.55- 0.99, p = 0.04) and educational opportunities (OR = 0.71, 95% CI: 0.54-0.95, p = 0.02) and the level of nurses depersonalization (OR = 1.78, 95% CI: 1.18-1.68, p = 0.00). CONCLUSIONS: The hospital manager should consider strategies which improve patients' safety and the staff working conditions. Thanks to that they will also achieve better and more competitive image of the hospital in the local community. Med Pr 2016;67(4):447-454.

[Influence of health education on the occurrence of risk factors for coronary heart disease]. / Wplyw edukacji zdrowotnej na wystepowanie czynników ryzyka choroby niedokrwiennej serca.

Despite many prophylactic activities, coronary heart disease (CHD) remains the main health problem in Poland and the most common cause of death among men. Risk factors related to life style are the target for the modification of prophylaxis. The main task of health education is to develop the skills and knowledge affecting the future behavior and habits of healthy lifestyle. The aim of this project was to assess the influence of health education on the occurrence of CHD risk factors among healthy young men. Sixty four men (31 submitted to education and physical training group and 33 to the control group) up to 50 years of age, without recognized cardiovascular diseases were selected for the study. At the beginning the presence of risk factors was recorded in each participant. The education (6 weeks) and training program (25 weeks) was conducted and it was finally evaluated after six months by comparing experimental versus control groups. The background data showed that 95% of men had at least one risk factor, the mean number of risk factors in average participant was 8.8, minimum 2 and maximum 17, there was no difference between the experimental and control groups. The educational program limited amount of risk factors in the experimental group (p<0.0001). Positive changes concerned physical activities (p=2E-09), knowledge (p=0.01) and stress management (p<0.05).