Teamwork and safety climate in Polish long-term care facilities: questionnaire reliability and usability

The Teamwork and Safety Climate Survey (TSCS) is one of the questionnaires used to measure patient safety. The questionnaire includes two scales: teamwork climate and safety climate. The objective of the study is the linguistic and cultural adaptation of the TSCS to Polish conditions and checking the reliability and usability of the tool in long-term care facilities. Firstly, the TSCS was translated into Polish. Then, a cross-sectional survey was conducted among the medical and auxiliary personnel of long-term care facilities all over Poland. The psychometric properties of the questionnaire were analysed (including Cronbach's alpha coefficient). Correlations between the areas of the questionnaire and individual variables relating to facility parameters were also calculated. Respondents (n = 558) working in 26 different long-term care facilities participated in the study. The analysis has provided four scales instead of two of the original version of the questionnaire (teamwork climate, safety climate, ability to speak up and following the rules, work organisation). Correlation analysis revealed a number of significant correlations between the scales and individual variables corresponding to the parameters of long-term care facilities and respondents themselves. In conclusion, the Polish version of the TSCS may be a useful tool to measure aspects related to patient safety culture in long-term care facilities.

151 A CROSS-SECTIONAL EXPLORATION OF INTERPROFESSIONAL COLLABORATION WITHIN INTEGRATED CARE TEAMS OPERATING UNDER THE NATIONAL INTEGRATED CARE PROGRAMME FOR OLDER PERSONS

Background

There is an evidence and practice gap in understanding the knowledge, skills, and behaviours required of Health Care Professionals (HCPs) for effective interprofessional collaboration in the context of integrated care for older people. Furthermore, little is known about the outcome factors that may be associated with effective interprofessional collaboration among HCPs working in integrated care teams for older people.

Methods

A cross-sectional representative survey of HCPs employed in the 30 integrated care teams (ICTs) operating under the National Integrated Care Programme for Older Persons was undertaken. The survey measured indicators of competence identified in a previously co-designed framework for core competencies for interprofessional collaboration within ICTs for older people.

Results

The study explores an association between competencies in interprofessional collaboration among HCPs employed in ICTs for older persons and factors associated with higher job satisfaction including psychological safety, trust, and work engagement. Findings elaborate on instances of service innovation which resulted from interprofessional collaboration within the team.

Conclusion

The study findings provide a baseline understanding of competencies for interprofessional collaboration within the ICTs operating in the NICPOP. This will support an implementation evaluation of the co-designed framework that will generate realist evidence regarding how ICTs for older people foster, enhance and sustain their proficiency in interprofessional collaboration. This realist evaluation will identify new models of interprofessional team working and explore the outcomes that are associated with interprofessional collaboration from the perspective of older people, their family carers, and HCPs who are working as part of an interprofessional team.

A real-time multi-channel monitoring system for stem cell culture process

A novel, up to 128 channels, multi-parametric physiological measurement system suitable for monitoring hematopoietic stem cell culture processes and cell cultures in general is presented in this paper. The system aims to measure in real-time the most important physical and chemical culture parameters of hematopoietic stem cells, including physicochemical parameters, nutrients, and metabolites, in a long-term culture process. The overarching scope of this research effort is to control and optimize the whole bioprocess by means of the acquisition of real-time quantitative physiological information from the culture. The system is designed in a modular manner. Each hardware module can operate as an independent gain programmable, level shift adjustable, 16 channel data acquisition system specific to a sensor type. Up to eight such data acquisition modules can be combined and connected to the host PC to realize the whole system hardware. The control of data acquisition and the subsequent management of data is performed by the system's software which is coded in LabVIEW. Preliminary experimental results presented here show that the system not only has the ability to interface to various types of sensors allowing the monitoring of different types of culture parameters. Moreover, it can capture dynamic variations of culture parameters by means of real-time multi-channel measurements thus providing additional information on both temporal and spatial profiles of these parameters within a bioreactor. The system is by no means constrained in the hematopoietic stem cell culture field only. It is suitable for cell growth monitoring applications in general.

Generation of platelet angiostatin mediated by urokinase plasminogen activator: effects on angiogenesis

BACKGROUND

Angiogenesis, the growth of new capillaries from pre-existing blood vessels, is regulated by a balance between its promoters and inhibitors. Platelets are an important circulating store of angiogenesis regulators. We have previously identified the angiogenesis inhibitor angiostatin in human platelets.

AIM

To identify the mechanism of platelet angiostatin generation and its pharmacological regulation.

METHODS

Platelet aggregometry, flow cytometry, Western blot, zymography, immunofluorescence microscopy, matrigel-induced angiogenesis of human umbilical vein endothelial cells (HUVECs), and a panel of selective proteinase inhibitors were used to study the mechanism of angiostatin generation by platelets, its pharmacological regulation, and effects on angiogenesis. Release of pro-MMP-2 by HUVECs was also used to quantify angiogenesis.

RESULTS

Platelet membranes were identified as the site of angiostatin generation from plasminogen. Generation of angiostatin by platelet membranes was not affected by a matrix metalloproteinase (MMP) inhibitor, phenanthroline, but was inhibited by serine proteinase inhibitors aprotinin, leupeptin, plasminogen activator inhibitor-1, and selective inhibitor of urokinase plasminogen activator (uPA), uPA-STOP(TM). Angiostatin generation by intact platelets was inhibited by aprotinin, and the resulting incubate promoted angiogenesis to a greater extent than incubate where angiostatin generation occurred. Furthermore, HUVECs incubated with reaction mixture, where angiostatin generation was inhibited, released more pro-MMP-2 than HUVECs incubated with supernatants, where angiostatin generation occurred.

CONCLUSIONS

We conclude that; (i) platelets constitutively generate angiostatin on their membranes; (ii) this mechanism is dependent on uPA, but not, MMPs; and (iii) inhibition of platelet angiostatin generation can further promote angiogenesis.

Retinol palmitate as a model substance to test antioxidant properties in vitro on the example of captopril

In the test of accelerated ageing it has been shown that captopril inhibits autooxidation of retinol palmitate. The results of the test have confirmed that retinol palmitate can be used as a model substance to estimate the effectiveness of antioxidant properties of different agents. The study was performed for different temperatures and concentrations of captopril. In order to estimate the strength of the antioxidant effect of captopril its activity was compared with that of the well known antioxidant octyl gallate. The thermodynamic parameters and frequency index of the decomposition of retinol palmitate were determined.

Spectrophotometric bioanalytical flow-injection system for control of hemodialysis treatment

A spectrophotometric flow-injection analysis (FIA) system for monitoring clinical hemodialysis is demonstrated. The role of a dialysate urea detector incorporated in this bioanalytical system is played by an optical flow-through biosensor based on Prussian Blue film with chemically linked urease forming a monomolecular layer of the enzyme. This pH-enzyme optode-FIA system is useful for the selective determination of post-dialysate urea in the range of concentration corresponding to its level in real clinical samples (2-16 mmol l(-1)). This bioanalytical system allows the analysis of about 15 samples of spent dialysate per hour. The operational and storage stabilities of the applied biosensor are longer than 2 weeks and 2 months, respectively. Clinical evaluation of the bioanalytical system was performed.

Optical biosensors based on Prussian Blue films

Optical biosensing schemes based on enzymatically modified inorganic/organic transparent films predominately composed of Prussian Blue are demonstrated. The composite film, which is non-electrochemically deposited on a non-conducting support. is used as an optical transducer for flow-through biosensors based on hydrolases and oxidases. Urease and glucose oxidase are utilized as model enzymes. Action of the urea biosensor is based on optical pH sensitivity of Prussian Blue indicator. The glucose biosensor is acting as first-generation optical biosensor based on in situ generated Prussian White transducer for hydrogen peroxide. These simple, single-pass transmission optical biosensors exhibit sensitivity in the millimolar range of concentration. The biosensors are very stable owing to presence of a poly(pyrrolylbenzoic acid) network in the composite material. This organic polymer plays a dual role as a binding agent for inorganic material and as a functionalized support for strong covalent immobilization of enzyme molecules.

The use of some ingredients for microemulsion preparation containing retinol and its esters

A study of microemulsions with retinol and its esters. Physical properties of w/o and o/w microemulsions containing Tween 60, Tween 80, Epicurone 135 (soy bean lecithin) as surfactants, n-butanol, triacetin, propylene glycol as cosurfactants were examined. The drug-containing systems were characterised in regard to their ophthalmic parameters. Physiologically well-tolerated and physically stable multiple-components were developed. The concentrations of surfactants and cosurfactants which are necessary to form stable systems were evaluated. The values of the following parameters--refractive index, viscosity, pH value, osmotic tension, obtained in the study, proved suitable for the purpose and the preparations were physiologically tolerated, the use of microemulsions as potential drug delivery systems for ocular administration has been discussed. The influence of retinol and its esters on the physical parameters the preparation was investigated. Microemulsion stored at 20 degrees C up to 6 months showed no significant physical changes.