Review of Best Practices for Patient Monitoring to Improve the Effectiveness of Therapy in Pediatric Hospitals.

Context: Significant differences exist in the needs of an adult patient and those of a sick child with members of his or her family involved. Monitoring questionnaires of patients and their family members can show ways to improve medical care and develop methods for effective staff behavior. The Consumer Assessment System for Healthcare Service Providers and Systems (CAHPS) helps hospitals, using management data, to identify strengths and weaknesses, determine what needs improvement, and track progress over time. Objective: The study intended to identify the most effective methods for monitoring patients and their families in pediatric hospitals, which can lead to the achievement of high-level medical care. Design: The research team performed a narrative review by searching the Agency for Healthcare Research and Quality, PubMed Central, and the National Library of Medicine databases for scientific studies and reports from researchers who have used the innovations from CAHPS in their practices. The search used the keywords children and hospital, improving the quality of service, coordination of care, and medical care. Setting: The study took place in the Department of Pediatric Hematology, Oncology and Transplantation at the Medical University of Lublin in Lublin, Poland. Outcome Measures: The research team analyzed the selected studies to find specific, applicable, and successful monitoring methodology. Results: The study examined many important aspects of the stay of children in a hospital and of the difficulties that young patients and their families face and identified the most effective monitoring methods for various areas that affect the interests of a child and his or her family within the walls of the hospital. Conclusions: This review provides direction for medical institutions, allowing the possibility of improving the quality of patient monitoring. Researchers have carried out few studies in pediatric hospitals today, and the field needs further study.

Attitudes Toward Organ Transplantation.

BACKGROUND: The purpose of transplantation is to improve the health or save the life of the recipient. Although organ transplantation is a method generally accepted by society, there are still people who, referring to moral and ethical aspects, reject its validity. A great threat to transplantology is also the lack of knowledge of the society resulting from insufficient education. AIM: The aim of this study was to find out attitudes and opinions about organ transplantation and to determine the level of acceptance of organ and tissue transplantation. METHODS: The tool chosen for the study was a survey questionnaire. The research group consisted of 200 people. Approval from the Bioethics Committee was obtained to conduct the study. RESULTS: The studies showed that more than half of the respondents (57%) would agree to organ donation for transplantation after the death of a loved one. Age was found to be statistically significant (P = .001). Older people showed more doubts about transplantation than people under 30. Over 80% of respondents agreed that initiatives to educate the public about transplantation are needed. CONCLUSIONS: The respondents refer to transplantation positively as a method of treating and saving life, and more than half of respondents would agree to donate their organs for transplant after the death of a loved one. The majority of respondents described their attitude toward transplantation as positive, admitting that the objection to donating is due to the ignorance and too little awareness on the subject.

Pediculosis capitis and scabies in nurses from Eastern Poland - occupational risk and environmental determinants.

INTRODUCTION AND OBJECTIVE: Nurses are a group of healthcare professionals particularly vulnerable to infestations by Pediculus humanus capitis and Sarcoptes scabiei var. hominis contracted from patients under their medical care. MATERIAL AND METHODS: The cross-sectional study included 322 professionally active nurses within public healthcare units in eastern Poland. The research tool was a questionnaire collecting anonymized data on the occurrence of pediculosis capitis and scabies in nurses, and their patients, concerning the environmental determinants in the period 2001-2013. The study was retrospective and participation of nurses was voluntary. RESULTS: The obtained results indicated that 24.8% and 9.9% of the 322 respondents were infested by head lice and scabies mites, respectively. During their professional work, most nurses contracted head lice once (76.2%) while others (23.8%) were infested twice or more. The respondents did not declare repeated occupational scabies. The risk of contracting pediculosis capitis and scabies was not related to the length of service, but increased with the rise in the number of patients provided with nursing care. In the head lice-infested patients, the majority were aged 6-10 years (31.3%), while in the case of scabietic patients, children aged 0-5 years prevailed (26.4%). CONCLUSIONS: In medical care facilities, regular hygienic checks of both patients and medical staff, covering the condition of the skin and scalp, should be mandatory. The spread of pediculosis capitis and scabies among nurses can be reduced by the implementation not only of protective procedures mitigating occupational risk, but also the improvement of working conditions in medical facilities.

Head Lice Infestation in Schoolchildren, in Poland-Is There a Chance for Change?

Pediculosis capitis is a current and neglected health issue worldwide. The lack of screening programs contributes to the marginalization of the problem and delays therapeutic measures. Our study aimed to analyze the occurrence of this parasitosis in primary schools in Poland and to determine factors contributing to the persistence of its foci. The research tools were two questionnaires: one for primary school children and the other for school managers. While children answered questions about the epidemiology of pediculosis capitis and expressed their opinion on the hygienic condition of infested persons, the school directors were asked about the occurrence of head lice in schools, preventive measures, and institutions supporting schools in combating the infestation. The survey covered the period 2014-2018. Pediculosis capitis was reported in 87.5% of the schools. The greatest number of cases was reported in the group of 6-9 year-olds (68%). Among 4970 children, 16.7% had no knowledge of head lice; however, 57.1% wanted to increase their awareness of the problem. Campaigns on lice were conducted mainly as a result of emerging pediculosis capitis cases, and most schools could not rely on institutional support. Screening programs and preventive educational campaigns should be part of pediculosis capitis control in Poland.

Parents' attitudes towards a difficult situation resulting from the chronic disease of their child.

INTRODUCTION AND OBJECTIVE: The family is a reliable and permanent source of support for every human being. It is the key link in the welfare system. The aim of the study is to assess parents' attitudes towards the occurrence of a difficult situation resulting from a child's chronic illness. MATERIAL AND METHODS: The study involved randomly selected parents of children with chronic diseases (N=107). The study was carried out at the Dental Clinic of the 'Little Prince' Children's Hospice in Lublin. RESULTS: The study revealed that for parents a difficult life situation is mainly associated with the disability of a family member or a friend, whereas the action approach is the most frequently chosen attitude towards a child's chronic disease. In the examined group of parents, a significant correlation was observed between the age of the parents and the choice of a specific parental attitude towards the child's chronic disease (in terms of intellectual approach). However, no significant correlations were found between the parents' place of residence and the choice of a specific parental attitude towards the chronic disease of a child. CONCLUSIONS: During the diagnosis of chronically ill children, parents should also be educated in this regard. Therapy and psychological help, as well as directing parents to relevant support groups, organizations or associations, will prove immensely valuable while coping with a difficult life situation.

Quality of life of patients undergoing specific allergen immunotherapy in allergic rhinitis.

INTRODUCTION: Although allergic diseases have been known since antiquity, both their understanding and systematics came later. The World Allergy Organization (WAO) defines the phenomenon of atopy as a predisposition of a person or family to the uncontrolled synthesis and release of IgE antibodies. Allergic rhinitis (AR) is one of the most important clinical diseases of rhinitis (NN, rhinitis). AR significantly reduces the quality of life, tends to increase, and its consequences may be life-threatening diseases. OBJECTIVE: The aim of the study is to determine the quality of life of patients who underwent specific allergen immunotherapy in allergic rhinitis. MATERIAL AND METHODS: The study was conducted at the Center for Specialist Allergology in Lublin between October 2018 - February 2019. The study covered a group of 157 patients. The diagnostic method used was a questionnaire. The first research tool was own questionnaire consisting of 31 questions. The second tool was the standardized questionnaire, the Polish version of the SF-36 Quality of Life Questionnaire. RESULTS: Studies have shown statistically significant changes in the symptoms of before and after immunotherapy, which means improving the quality of life and reducing the severity of symptoms and problems of respondents after therapy. The respondents were not in the best of health (50%). Over 50% of respondents said that the immunotherapy process significantly reduced personal / family expenses for treatment associated with allergic rhinitis. CONCLUSIONS: The conducted process of specific allergen immunotherapy improved the quality of life of respondents by increasing awareness of the quality of life through the prism of health change in relation to the general indicator in the area of mental problems by reducing their nuisance value more than in the area of somatic symptoms.