Kantianism, Intercultural Differences, and Attitudes Toward Organ Donation Among First-Year Nursing Students - Article abstract #950445

Narrative Review of the Role of Nondepolarizing Neuromuscular Blocking Agents in Anesthesia: Perspective 2026 - Article abstract #951845

Background: The verbal pressure generated by co-workers and superiors adds to the stress of having even more limited time to make the right decisions, and consequently affects the quality of medical services provided. In our study, we decided to evaluate the effect of verbal pressure, which involved urging paramedic students by team leader, on the effectiveness of chest compressions and preparation for endotracheal intubation (time and completeness of the kit). Methods: Fourteen Polish male paramedic students were randomized into two groups. Participants took part in a low-fidelity simulation scenario of advanced life support. Both groups were tasked with completing an intubation kit based on the SPEEDBOMB checklist, and then performing 2 minutes of cardiopulmonary resuscitation (CPR). During the simulation, the control group was subjected to verbal pressure. Students were evaluated using a special prepared score. Results: In general, the research group performed the task with a lower total score, which means they were more efficient. A statistically significant difference was shown in this aspect between the control group and the study group. In addition, there is a negative correlation between the level of stress and the speed of chest compressions. This means that higher levels of stress are associated with slower performance of chest compressions. Conclusions: The stress factor is perceived on an individual basis and can have both positive and negative effects on the performed medical activities. This aspect requires further evaluation on a greater number of participants.

Unethical Leadership in Critical Care Teams Can Increase Burnout Among Healthcare Professionals - Article abstract #951155

BACKGROUND The Dark Triad Scale (DTS) encompasses 3 personality traits: narcissism, psychopathy, and Machiavellianism. While numerous studies have explored the structure and social, medical, and behavioral implications of Dark Triad personality, its association with attitudes toward brain death, organ donation, and futile therapy has not been previously examined. The aim of this study was to assess how DTS traits influence perceptions of these end-of-life issues. MATERIAL AND METHODS This cross-sectional study used the DTS and an original questionnaire. Participants included Polish paramedic and midwifery students (n=48) and non-medically educated (NM) individuals recruited via Facebook (n=88). Due to underrepresentation of males in the NM group, only female respondents (n=75) from this group were included in cluster analysis. RESULTS Students of both genders were significantly more willing to become organ donors after death than were NM participants (mean score 3.92±1.3 vs 3.33±1.4 on a 1-5 scale; P=0.014). Among male and female students, higher Machiavellianism was associated with the belief that futile therapy is unethical. In NM females, psychopathy was correlated with denial of the existence of brain death, while Machiavellianism correlated with acceptance of withdrawing futile therapy. Cluster analysis identified 3 subgroups of NM females. Individuals with the highest levels of Dark Triad traits showed the greatest acceptance of withdrawing futile therapy, whereas those tending to deny brain death had moderate levels of these traits. CONCLUSIONS DTS traits are associated with attitudes toward futile therapy and brain death. Higher Machiavellianism is linked to greater acceptance of withdrawing futile therapy, while denial of brain death among females is associated with intermediate Dark Triad traits and higher psychopathy.

Background: There is still an insufficient data on how medical professionals perceive verbal pressure made by team leaders. The aim of our study was to examine if there are any differences in team leaders’ management ways between different workplaces and professions. Moreover, we decided to check if leaders and members have similar opinion on this issue. Methods: The observational quantitative study was based on online survey. It was sent to polish medical professionals working in Anaesthesiology and Intensive Care Unit (AICU), Emergency Department (ED) and prehospital emergency care. Incidence of verbal pressure (rushing), shouts, curses as well as if they perform debriefing and other parameters were checked. Results: Team leaders and members agree on the incidence of rushing made by leaders while they do not confess accordingly the incidence of curses and shouts (leaders underestimate these phenomena). EDs’ leaders rate their team management skills (0–10 scale) statistically lower than prehospital leaders (5.40±1.59 versus 6.80±1.65; P=0.01). Moreover, physicians as team leaders claim to rush others more often than paramedic team leaders (2.93±2.51 versus 1.69±1.96; P=0.02). Prehospital team members experience rushing, shouts and curses statistically less often in comparison with hospital team members. Furthermore, prehospital team members evaluate their members’ management skills higher than hospital team members do. Chi-square analysis reveals that prehospital medical professionals claim that they perform debriefing always/usually more often than hospital (AICU and ED combined) ones. Conclusions: Prehospital team members and leaders are more likely to be consistent in their teams’ work evaluation. Paramedics as team leaders rarely rush others, shout or curse in comparison with hospital team leaders (physicians). There is a potential positive influence of debriefing which is performed more often by prehospital teams. Shouts and curses made by physicians are reported with higher incidence by their team members than by leaders.