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© Borgis - New Medicine 4/2013, s. 132-135
*Henriett Hirdi1, Veronika Rajki1, 2, Judit Mészáros3
The effects of occupational health nurse-initiated education on workers knowledge, attitude and practice regarding blood donation
1PhD student, Doctoral School, Semmelweis University, Budapest, Hungary
Director of PhD Programs: prof. Ágoston Szél, MD, PhD, DSc
2Department of Nursing, Institute of Applied Health Sciences, Faculty of Health Sciences, Semmelweis University, Budapest, Hungary
Head of Department: prof. Zoltán Z. Nagy, MD, PhD
3Faculty of Health Sciences, Semmelweis University, Budapest, Hungary
Head of Faculty: prof. Zoltán Z. Nagy, MD, PhD
Summary
Aim. The authors’ aim was to assess the level of knowledge, attitudes, and practices (KAP) regarding blood donation among workers after an occupational health nurse-initiated education.
Material and methods. The authors providing educational brochure on blood donation via company-wide Intranet and company newsletters, then the survey was conducted between August and December 2010 in a major company, using a convenience sampling method. In the course of the survey an anonymous, self-completion questionnaire has been developed based on the Eurobarometer 41.0 (1995): Europeans and Blood, supplemented with the authors’ own questions. They used mixed-mode data collection: traditional paper-based questionnaire and web-based survey. The authors analysed the gathered data with Microsoft Excel 2003 software, using a descriptive statistical method and chi-square tests.
Results. The survey was completed by 483 self-registered workers. The sample consisted of 63% male and 37% female. The respondents were between the ages of 18-60 years. 68% of the sample judged their state of health to be very good or excellent. 82% of respondents were donors. After the education more than three quarters (88%) of total respondents had good knowledge of blood donation. 53% of the respondents cited the company internal communication as main source of information regarding blood donation.
Conclusions. The authors stress the importance of educating and informing workers, because based on the results it can be concluded that education by occupational health nurses can positively contribute to strongly increase KAP towards blood donation among workers and might lead to higher blood donation rates.
INTRODUCTION
Based on literature review, it can be stated that blood donation is a highly relevant issue worldwide (1, 3-6). For the safe and continous blood supply it is essential to recruit healthy and dependable donors, who lead a lifestyle of low-risk of getting infected and donate blood regularly (1, 6). In these days one of the main aim is to increase the awarness of the general population regarding blood donation. Findings of earlier researches showed that the greater part of donors are under employment (1, 5). Occupational health nurses (OHN) are at the frontline in helping to protect and promote the health of working populations. Although workplace health promotion is a core concept in occupational health nursing there was no study referring to promotion of blood donation among workers from the occupational health nurses’ point of view.
AIM
The intention of the survey is to determine the level of knowledge, attitudes, and practices (KAP) regarding blood donation among workers after an occupational health nurse-initiated education. Our hypothesis was that education can increase the KAP level in order to enlarge the number of possible blood donors in the future.
MATERIAL AND METHODS
After providing educational brochure on blood donation via company-wide Intranet and company newsletters a survey was conducted between August and December 2010 in a major company in Hungary, using a convenience sampling method. In the course of the survey an anonymous, self-completion questionnaire has been developed based on the Eurobarometer 41.0 (1995): Europeans and Blood (EB41.0), supplemented with our own questions (3). The original version of the questionnaire was prepared in English language. In a first step we translated it into Hungarian. The results of this first translation were checked by a group of English speaking native Hungarians. The new version was translated back to English language by a professional translator (native English speaker). The differences between the re-translated English version and the original English version were examined and discussed. On the basis of the comments made, a third version of a questionnaire (pre-test) was designed. Following an internal testing the survey was pilot-tested in a convenience sample of 15 individuals from the company. The purpose of this pilot study was to determine item clarity for the participants. The results of the pilot-test showed the adequacy of the data collection instrument for the proposed research objectives. The final survey had 20 questions. The survey is composed of three sections: (a) socio-demographic background, (b) knowledge about blood donation, and (c) attitude regarding blood donation. We used mixed-mode data collection: traditional paper-based questionnaire and web-based survey. Paper-based questionnaire were distributed to workers visiting the company’s occupational health units and via the company’s Intranet. As the survey was anonymous there was no follow up of respondents. To increase the participation rate, two reminder pop-up messages were placed on the company’s Intranet web-page after two months, and 15 days before the closing date of the survey. For the purposes of our analysis, both the paper-based (N = 180) and online (N = 303) responses are combined in a joint database. The analysis was performed applying descriptive statistical methods and chi-square tests, calculated by Microsoft Excel 2003 software.
RESULTS
The information in this survey has several limitations that must be considered when reading the data. The major limitations of the survey is that the response rate was N = 483, and it relies on a mixed-mode self-report method of data collection. It allows less control over the number and type of participants and it is possible that certain groups of workers did not have access to the intranet. These may slightly limit the generalizability of the survey results.

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Piśmiennictwo
1. Buciuniene I, Stonienë L, Blazeviciene A et al.: Blood donors’ motivation and attitude to non-remunerated blood donation in Lithuania. BMC Public Health 2006; 6: 166. 2. Chliaoutakis J, Trakas DJ, Socrataki F et al.: Blood donor behaviour in Greece: implications for health policy. Soc Sci Med 1994; 38: 1461-1467. 3. Europeans and Blood, Eurobarometer 41.0. European Commission (EC) 1995. 4. Blood donation and blood transfusion. Eurobarometer 72.3 European Commission (EC) 2010. 5. Javadzadeh Shahshahani H, Yavari MT, Attar M, Ahmadiyeh MH: Knowledge, attitude and practice study about blood donation in the urban population of Yazd, Iran, 2004. Transfus Med 2006; 16: 403-409. 6. Tomonkó M: A véradók alkalmasságának alapelvei és a hazai követelmények. LAM 2006; 16(2): 131-138. 7. Tscheulin DK, Lindenmeier J: The willingness to donate blood: an empitical analysis of socio-demographic and motivation-related determinants. Health Services Management Research 2005; 18: 165-174.
otrzymano: 2013-11-04
zaakceptowano do druku: 2013-11-29

Adres do korespondencji:
*Henriett Hirdi
Doctoral School, Semmelweis University
1027 Budapest, Margit krt. 64A, Hungary
tel.: +36 30 250-47-09, fax: +36 1 313-64-29
e-mail: hirdi.henriett@gmail.com

New Medicine 4/2013
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