Browsing by Author "Paparde, Artūrs"
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Item Fatigue and burnout among Latvian nurses(2017-12-27) Circenis, Kristaps; Deklava, Liāna; Millere, Inga; Paparde, Artūrs; Kacare, Kristīne; Department of Nursing and Obstetric Care; Department of Human Physiology and BiochemistryThe quality of nursing is one of the most important factors in healthcare. Fatigue and burnout are common complaints among nurses, due to which they may become less productive and make more professional mistakes. The aim of this study is to find burnout and fatigue and their correlation among nurses practicing in Latvia. Research was performed using Maslacha's Burnout Inventory (MBI) assessed emotional exhaustion, de-personalisation and the lack of personal achievement. To measure fatigue, the Checklist Individual Strength (CIS) Questionnaire Study was used; the sample included 190 registered and practicing nurses working both in the medical and surgical units in hospitals. The respondents were aged 23-74 years. Burnout and fatigue were measured and correlations were calculated. The data showed that there are significant correlations between the MBI and CIS subscales. The results indicate that fatigue and burnout are common and are strongly associated in the nursing population in Latvia.Item Relationship between Lesion Parameters after Radiofrequency Catheter Ablation in Striated Muscles and Parenchymal Tissue(2024-07) Gružienė, Aldona; Liobikas, Julius; Paparde, Artūrs; Kerzienė, Sigita; Gružaitė, Jovita; Skaudickas, Darijus; Lenčiauskas, Povilas; Circenis, Kristaps; Vaitiekaitis, Gintautas; Department of Nursing and Obstetric CareBackground and Objectives: Radiofrequency catheter ablation (RFCA) is a highly successful intervention. By comparing the lesion changes in prostate parenchymal and striated muscle tissues after RFCA with and without cooling, it was possible to assess the correlation between the shape regularity, area, and perimeter of the thermal lesion, and to predict the geometric shape changes of the lesions. Materials and Methods: A standard prostate and striated muscle RFCA procedure was performed on 13 non-purebred dogs in two sessions: no cooling and cooling with 0.1% NaCl solution. Microtome-cut 2-3 µm sections of tissue samples were stained with haematoxylin and eosin and further examined. The quotient formula was employed to evaluate the geometric shape of the damage zones at the ablation site. Results: The extent of injury following RFCA in striated muscle tissue was comparable to that in prostate parenchymal tissue. Regression analysis indicated a strong and positive relationship between area and perimeter in all experimental groups. In the experimental groups of parenchymal tissues with and without cooling, an increase in the area or perimeter of the damage zone corresponded to an increase in the quotient value. A similar tendency was observed in the striated muscle group with cooling. However, in the striated muscle group without cooling, an increase in lesion area or perimeter lowered the quotient value. Standardised regression coefficients demonstrated that in the striated muscle with cooling, the damage zone shape was more determined by area than perimeter. However, in the parenchymal tissue, the perimeter had a more substantial impact on the damage zone shape than the area. Conclusions: The damage area and perimeter have predictive power on the overall shape regularity of damage zone geometry in both striated muscles and parenchymal tissue. This approach is employed to achieve a balance between the need for tumour eradication and the minimisation of ablation-induced complications to healthy tissue.Item Supervision in Nursing : Latvian sample study(Elsevier Science, 2015) Circenis, Kristaps; Jeremejeva, Jekaterina; Millere, Inga; Deklava, Liāna; Paparde, Artūrs; Sudraba, Velga; Miljkovic, D.; Sabiedrības veselības un sociālās labklājības fakultāteBurnout is a work related mental health impairment comprising three dimensions: emotional exhaustion, depersonalisation and reduced personal accomplishment. Preventing and reducing work related burnout is of great importance not only with regard to the quality of life of those affected or endangered, but also for preventing the economic losses which come about as a result of absenteeism and job turnover. Supervision is known to be one of protective factors of burnout and professional effectiveness. Purpose of study was to evaluate the effectiveness of supervision of nurses practicing in mental health hospital in Latvia aimed at preventing burnout. To measure burnout we used Maslach's 22-item Burnout Inventory (MBI). It is the well-studied measurement of burnout in the literature. MBI assesses emotional exhaustion, depersonalization and the lack of personal achievement. Study sample included 60 registered and practicing mental health nurses, sample was divided in 2 groups - one who were provided with group and individual supervision (n=30), and the second - control group (n=30). The experimental group received 8 sessions of supervision. The levels of burnout were assessed 2 times for each nurse - before and after supervision sessions. The data show that there is a statistically significant difference between emotional exhaustion and depersonalization indicators within experimental group participants before and after the supervisions as well as between experimental group and control group indicators after supervisions. Supervisions reduced burnout indicators in experimental group compared to control group. Supervision also was helpful for nurses to understand better themselves, their emotions and behavioral aspects of the various work issues.