Dorota Kilańska

Medical Science Nursing

PhD, MSc, RN,
6.38

Publications

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    Dorota Kilańska
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    DESCRIPTION: Rola pielęgniarek w przestrzeganiu zaleceń terapeutycznych jest nieoceniona. Umiejętność komunikowania się w sytuacjach trudnych, przystępność informacji i monitorowanie postępów w terapii to kluczowe atrybuty implementacji procesu pielęgnowania w praktyce klinicznej. Artykuł ma na celu pokazanie wykorzystania Międzynarodowej Klasyfikacji Pielęgniarskiej ICNP(R) w przestrzeganiu zaleceń przez pacjentów w Podstawowej Opiece Zdrowotnej.
    Full-text · Research · Nov 2015
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    ABSTRACT: Background. Living donor kidney transplantation (LDKT) is the best treatment option in the late stage of chronic kidney disease. The objective of the study was to analyze the attitudes of nursing students at the Medical University of Poznan toward living donation of kidney. Methods. Sampling points were compulsory attendance in the 5 nursing courses of the degree of fulfilment of 80%. The validated questionnaire (PCID-DVR Rios) was self-administered and anonymous. Results. The completion rate was 92% (324 of 354). Among the students, 91% (n = 296) were in favor of LDKT, 5% (n = 15) were undecided, and 4% (n = 11) remained is against. When the living kidney donor is not related, 57% (n = 185) of respondents were in favor. The factors that are associated with a more favourable attitude are 1) the needs of organs for transplantation are covered (P = .012); 2) attitude in favor of organ donation and transplantation (P <= .001); 3) attitude toward living liver donation (P =.001); 4) attitude in favor of acceptance of LDKT for a relative (P < .001); 5) discussing organ donation and transplantation with friends (P = .002); and 6) attitude in favor of organ donation from a family member (P = .011). In the multivariate analysis, highlights are acceptance of the donation of a living kidney donor from a family member [OR = 9.900 (35.714-2.770); P <= .001] and donating a piece of liver in life [OR = 50 (166.666-14.492); P <= .001]. Conclusions. Among the nursing students, 91% are in favor of living kidney donation.
    No preview · Article · Nov 2015 · Transplantation Proceedings
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    ABSTRACT: Objective. Because of the shortage of organs, it has become necessary to look for alternative sources of organs, such as xenotransplantation. The aim of this study was to analyze the attitude of nursing students at a university in the Eastern Poland toward xenotransplantation, to determine factors that affect their acceptance. Material and Method. During the 2011-2012 academic year, nursing students at the University of the Eastern Poland enrolled the 5 nursing courses self-administered a validated questionnaire (the PCID-XenoTx Rios) anonymously. We undertook a descriptive statistical analysis using the Student t test, chi(2) test, and logistic regression analysis. Results. The completion rate was 90% (608 of 672). When asked about the acceptability of organ donation from humans, 62% (n = 379) were in favor, 9% (n = 54) against, and 29% (n = 175) undecided. We found a significant association between the acceptability of transplantation and the university course and the respondents' religion (P < .05). Fourth-year students have a more favorable attitude toward xenotransplantation than third-year students (75% vs 54%; P = .018). Catholics accept this type of donation more readily than those belonging to other faith traditions (63% vs 37%; P = .053). In the multivariate analysis, academic course is a significant influence on attitude toward xenotransplantation (odds ratio, 2.421; 95% CI, 4.347-1.345; P = .003). Conclusions. Nursing students have an unfavorable attitude toward xenotransplantation. This attitude is influenced by the religious beliefs and their academic year.
    No preview · Article · Nov 2015 · Transplantation Proceedings
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    ABSTRACT: Background. The opinion of future nursing professionals can influence the number of transplants. The objective of this study was to analyze the attitude of nursing students at the Medical University of Warsaw in the center of Poland toward organ donation and determine the factors that affect this attitude. Methods. The study was conducted in the 2011 to 2012 academic year. The study population consisted of nursing students. Type of sampling consisted of sampling in points of compulsory attendance, in the 5 nursing courses with the higher degree of fulfillment of 80%. Measuring instrument used was the validated questionnaire (PCID-DTO Rios). The questionnaire was completed anonymously and was self-administered. Results. The completion rate was 96% (793 of 828). Of the students surveyed (n = 793), 69% (n = 547) were in favor of organ donation and transplantation, 25% (n = 201) were undecided, and 6% (n = 45) were against. This attitude was related to being in favor of donating the organs of a relative (OR = 3.174; P < .001); discussion of the subject with the family (OR = 2.188; P < .001); positive attitude toward donation and transplantation of the father (OR = 3.039; P = .001); considered to having good information on the subject (OR = 8.695; P < .001); being a regular donor blood (OR = 3.597; P = .001); not worried by the possible mutilation of the body after donation (OR = 6.802; P < .001); and accepting other treatment options of the body such as the burial (OR = 1.683; P = .015). Conclusions. More than 30% of the nursing students are not in favor of organ donation, but this attitude is conditioned by several psychosocial factors.
    Full-text · Article · Nov 2015 · Transplantation Proceedings
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    Full-text · Dataset · Jul 2015
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    Dorota Kilańska · Andreas Xyrichis · Sylvia Gomez · Paul de Reave

    Full-text · Dataset · Jul 2015
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    Dorota Kilańska
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    DESCRIPTION: Powszechnie wiadomo, że opieka pielęgniarska stanowi nieodłączny element systemu opieki zdrowotnej. Dla zapewnienia wysokiej jakości świadczeń opieki zdrowotnej szczególne znaczenie ma odpowiednia obsada pielęgniarska. Pochodząca z lat siedemdziesiątych definicja odpowiedniej obsady kadry medycznej brzmi: „właściwa liczba i rodzaj członków personelu medycznego odpowiadająca aktualnym zapotrzebowaniom na świadczenia opieki zdrowotnej” (Giovannetti 1978, MCGillis Hall 2005). (...) Kovner i Gergen (1998) dowiedli, że istnieje ścisły związek pomiędzy liczbą wysoko wykwalifikowanych pielęgniarek przypadającą na jednego pacjenta dziennie a liczbą przypadków występowania zakażeń dróg moczowych, zapaleń płuc, zakrzepic oraz infekcji dróg oddechowych po przebyciu poważnej operacji. (...)
    Full-text · Research · Jul 2015
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    Dorota Kilańska
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    DESCRIPTION: Description of the activities carried out by the Polish Nurses Association, nurses in Poland, concerning the implementation of ICNP (R) in Poland.
    Full-text · Research · Jul 2015
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    Dorota Kilańska
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    DESCRIPTION: The functioning of the Electronic Patient Record requires the existence of an ICT infrastructure (rail services) independent of the healthcare facilities created by national (public and private) or regional institutions. Access to the data is typically through a patient’s internet account. The International Classification for Nursing Practice ICNP® is an international standard for the reference terminology used in Nursing and an integral part of the global information infrastructure of health care, the description of nursing practices and the creation of health policy, whose aim is to improve health care around the world. Although it has been specified that the student should know and apply the nursing diagnosis classifications at the first level of training knowledge and skills, the name of the classification is not stated, which frees its interpretation and application, and raises the danger that the classification taught is the one that the teacher is most familiar with and not the one necessarily recommended by the WHO, ICN, PTP or the NRPiP Classification of the ICNP. For the purposes of the study, a questionnaire consisting of 15 questions concerning the implementation of the teaching classifications was developed (Annex 1). The questionnaire addressed the one-year introduction of the ICNP Classification in teaching, as well as the number of students who received information during lectures, or had the opportunity to work with the ICNP in exercises, seminars and classes.
    Full-text · Research · Jul 2015
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    ABSTRACT: This presentation will showcase the achievements of ENS4Care (www.ens4care.eu), a project funded by the EU for 2 years from December 2013 to engage social and health care practitioners in collaboratively addressing challenges arising from the ageing population and accompanying increase in the numbers of people living with long­term conditions and non­communicable and chronic disease in many parts of Europe. The International Federation of Social Workers (IFSW) is one of 24 European partners in the project which includes representatives from civil society, academia, social and health care professionals, researchers, regulators, trade unions and industry, led by the European Federation of Nurses (EFN), working together to develop evidence based guidelines for eHealth social and nursing care services. Guidance produced by the project focuses on healthy lifestyles and prevention, early intervention and integrated care and highlights the need for skills development for advanced roles such as those concerned with the protection of children and vulnerable adults, social and nurse prescribing and the urgent need to replace institutional service models with those that prevent illness and disability occurring and promote self­directed care and interdependence, realising the benefits of telecare, eHealth and other technological developments. The eHealth guidance that is being developed by the ENS4Care project will put up to date information at the fingertips of service users, carers and those professionals supporting them about the merits of different treatment options and the availability of specialised equipment that may enhance their well­being and keep them safe, enabling them retain or regain control over the services they are receiving and live as independently as possible.
    Full-text · Conference Paper · Jul 2015
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    Dorota Kilańska · Andreas Xyrichis · Sylvia Gomez · Paul de Reave

    Full-text · Dataset · Jul 2015
  • Dorota Kilańska · Lidia Niemiec · Beata Brosowska
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    ABSTRACT: STRESZCZENIE Opieka nad dzieckiem z chorobą nowotworową, jaką najczęściej stanowi ostra białaczka limfoblastyczna, to wyzwanie dla profesjonalistów, zwłaszcza pielęgniarek. Pielęgniarki są najbliżej pacjenta, dlatego ich systematyczna i planowa praca, transparentna w działaniu dla wszystkich uczestników zespołu terapeutycznego, to warunek niezbędny do osiągnięcia jak najwyższej jakości opieki. Służy temu praca metodą procesu pielęgnowania, która nie tylko porządkuje zarządzanie opieką, ale i umożliwia systematyczną ewaluację jej wyników. Wkład pielęgniarek w proces terapeutyczny staje się widoczny. Niekwestionowaną zaletą jest stosowanie w procesie pielęgnowania standardów, takich jak klasyfikacja. Terminologia referencyjna klasyfikacji ICNP® pozwala na jednolite rozumienie wykonywanych czynności, zapewnia ich transparentność oraz dostępność do opieki we właściwym czasie i miejscu, aby jak najlepiej pomóc małym pacjentom. ABSTRACT Care for child diagnosed with neoplasm disease among which the acute lymphoblastic leukemia is the most common illness, is a challenge for professionals. Nurses who managing the symptoms are always forefront. Persistent work of nurses, who using Nurses Care Plans makes transparency in activity for everyone in therapeutic team and is the necessary factor for achievement of the highest quality of care. Not only does the work using the Nursing Process order the care management but gives also possibilities of systematic evaluation its outcomes. It shows the nurse contribution in therapeutic process. Therefore the unquestionable advantage is using in nursing process standards in managing care such as classifications. The reference terminology which is available in ICNP® allows to understand all actions and interventions in the same way and help nurses with providing right care in the right place to help the little patients.
    No preview · Article · Jul 2015
  • Dorota Kilańska · Lidia Niemiec · Beata Brosowska
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    ABSTRACT: STRESZCZENIE Opieka nad dzieckiem z chorobą nowotworową, jaką najczęściej stanowi ostra białaczka limfoblastyczna, to wyzwanie dla profesjonalistów, zwłaszcza pielęgniarek. Pielęgniarki są najbliżej pacjenta, dlatego ich systematyczna i planowa praca, transparentna w działaniu dla wszystkich uczestników zespołu terapeutycznego, to warunek niezbędny do osiągnięcia jak najwyższej jakości opieki. Służy temu praca metodą procesu pielęgnowania, która nie tylko porządkuje zarządzanie opieką, ale i umożliwia systematyczną ewaluację jej wyników. Wkład pielęgniarek w proces terapeutyczny staje się widoczny. Niekwestionowaną zaletą jest stosowanie w procesie pielęgnowania standardów, takich jak klasyfikacja. Terminologia referencyjna klasyfikacji ICNP® pozwala na jednolite rozumienie wykonywanych czynności, zapewnia ich transparentność oraz dostępność do opieki we właściwym czasie i miejscu, aby jak najlepiej pomóc małym pacjentom. Problemy Pielęgniarstwa 2015; 23 (1): 81–86 Słowa kluczowe: klasyfikacja; proces pielęgnowania; planowanie opieki; białaczka limfoblastyczna; chemioterapia; dziecko ABSTRACT Care for child diagnosed with neoplasm disease among which the acute lymphoblastic leukemia is the most common illness, is a challenge for professionals. Nurses who managing the symptoms are always forefront. Persistent work of nurses, who using Nurses Care Plans makes transparency in activity for everyone in therapeutic team and is the necessary factor for achievement of the highest quality of care. Not only does the work using the Nursing Process order the care management but gives also possibilities of systematic evaluation its outcomes. It shows the nurse contribution in therapeutic process. Therefore the unquestionable advantage is using in nursing process standards in managing care such as classifications. The reference terminology which is available in ICNP® allows to understand all actions and interventions in the same way and help nurses with providing right care in the right place to help the little patients.
    No preview · Article · Jul 2015
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    Dorota Kilańska
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    ABSTRACT: Integrated care is essential to ensuring optimal outcomes are achieved for EU citizens and especially those burdened with chronic disease and complex care needs and who require attention from a range of professionals from primary and secondary health and social care sectors. EHealth is a key enabler for Integrated Care, used here to refer to the management and delivery of health services so that citizens receive a continuum of preventive and curative services, according to their needs across different levels of the health system.
    Full-text · Conference Paper · Jun 2015
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    Dorota Kilańska
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    ABSTRACT: Introduction: Integrated care is essential to ensuring optimal outcomes are achieved for EU citizens and especially those burdened with chronic disease and complex care needs and who require attention from a range of professionals from primary and secondary health and social care sectors. eHealth is a key enabler for Integrated Care, used here to refer to the management and delivery of health services so that citizens receive a continuum of preventive and curative services, according to their needs over time and across different levels of the health system. Purpose & Methods: The purpose of this presentation is to report on the work of the Integrated Care work stream, as part of the Thematic Network ENS4Care. This work builds on the results of an EU wide survey undertaken using a semi-structured questionnaire and administered online. Responses to closed questions were analyzed using descriptive statistics. Analysis of responses to open questions followed a content analysis approach. Results: Analysis of the evidence collected, and the extrapolation of the key elements of the practice examples amassed, pointed towards a four-stage deployment pathway consisting of planning, implementation, evaluation and elaboration processes influenced by cross-cutting structural and procedural factors. This presentation outlines the key steps and considerations for the design and delivery of eHealth services for Integrated Care at different levels of deployment. Conclusions: The guideline deployment pathway that is detailed here is targeted at a range of stakeholders with an interest in eHealth services and is designed to be transferable across EU countries. It is of interest to policy-makers, health professionals, citizens, patients and industry who have a role in the design or deployment of eHealth services for Integrated Care at local, regional, national and EU level. Keywords: nursing, continuity of care, IT
    Full-text · Conference Paper · Apr 2015
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    Dorota Kilańska · Andreas Xyrichis · Sylvia Gomez · Paul de Reave

    Full-text · Dataset · Apr 2015
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    Dorota Kilańska

    Full-text · Conference Paper · Apr 2015
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    Paul de Reave · Dorota Kilańska

    Full-text · Dataset · Mar 2015
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    ABSTRACT: Introduction to the practice of nursing reference terminology organizes and unifies that practice. It helps within the meaning of nursing diagnoses and interventions. The reference Terminology supports the work using of the nursing process. Implementation, in the process of nursing, the International Classification for Nursing Practice (ICNP) will help implement an electronic patient record (EHR) for nurses. Visibility the work of the nurses its importance for the therapeutic process, it is a milestone in the health system. For documenting nursing phenomena is also necessary to indicate the International Minimum Data Set for Nursing — INMS. This allows to analyze and evaluate the practice. Working by the nursing process in the Primary Health Care (PHC) is a challenge due to the nature of the practice. The time that nurses can spend with patients also allows the evaluation of the care plan. It is an essential part of preparing a patient for self-care capacity the family context in nursing care.
    No preview · Article · Dec 2014
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    ABSTRACT: Implementing the nursing process in the environment requires systematic planning and evaluation of the results of the individual care plan and caregivers in the context of nursing care capacity of the family. The aim is to prepare basic carers to care and/or client/patient to self-care. Use in nursing, care planning stage, the International Classification for Nursing Practice (ICNP) allows you to implement the reference terminology for the electronic patient record (EHR). The next step is to analyze the records for statistical purposes and standardisation care plans based on their performance. It also allows the evaluation of the contribution of nurses in the therapeutic process and the availability of health care services performed by this group of professionals.
    No preview · Article · Dec 2014

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