Journal of Nursing Theory and Practice - 2021;34(6)

Journal of Nursing Theory and Practice

DECEMBER 15, 2021

[Etymology for the word nurse]

SÖVÉNYI Ferencné, FEDINECZNÉ VITTAY Katalin

[Auothors review the etymology and semantics of the Hungarian word for ’to nurse’ and ’nursing’. The Hungarian word ’ápol’ originally meant to kiss, to caress, from which it developed over time into meaning ’to care for in sickness or in distress’. It is maintained that the activity denoted by the word ’ápol’ [nurse] must always be characterised by gentle and affectionate attention and devotion.]

HUN 2021;34(6)

Journal of Nursing Theory and Practice

DECEMBER 15, 2021

[A possible role of Advanced Practice Nurses in primary care - the possibility of screening for retinopathy in patients with diabetes]

TOKODI Attila Csaba, GALLOVICH Éva, RAJKI Veronika

[WHO data show that the prevalence of diabetes is constantly rising. The ocular complication of diabetes (Diabetic Retinopathy (DR)) is one of the leading causes of blindness worldwide. While the screening of the fundus is performed by ophthalmologists and optometrists in Hungary, internationally, the expertise of APN nurses is relied upon in primary care in many places. In Hungary, with modern methods, by integrating screening into primary care and at the same time by involving APN community nurses with master degree, the current screening rate of DR can be improved in the short term. In Hungary, the APN training leading to a university degree was launched in September 2017. The first APN community nurses with advanced competencies and master degree graduated in February 2019. In accordance with their qualifications, they have complex knowledge of the diagnosis of diabetes, the implementation of its screening, as well as the pharmacological and non-pharmacological therapy of the disease, and the tasks of nursing and patient education. They are able to independently evaluate the findings and decide on the modification, discontinuation of the required medication order, and the revision of the treatment plan. APN community nurses with a university degree are suitable for the care and follow-up of chronic patients in general practitioner practices and practice communities according to their level of competence.]

HUN 2021;34(6)

Journal of Nursing Theory and Practice

DECEMBER 15, 2021

[Correct Methodology of the Blood Culture Sampling ]

BÁLINT Csaba, PAKAI Annamária, GRÓF Kinga, AHMANN Mercédesz Anna, VERZÁR Zsófia

[Various bloodstream infections are associated with high mortality, so early diagnosis is very important to reduce complications, with the gold standard procedure being blood culture and evaluation. Several databases were used to search for qualitative, relevant literatures (MEDLINE, PubMed, Ebsco). We selected national and international literature on the correct sampling of blood culture and sampling errors published between 2010 and 2020. The timing, method and location of blood culture sampling, the amount and frequency of sampling, the choice of haemoculture bottles, their storage and transport are all factors that influence the outcome. The choice of time can be independent of the clinical condition of the patient. Intravascular cannulation should be avoided if possible. Careful disinfection prior to haemoculture sampling and the use of chlorhexidine disinfection, which is already customary abroad, with the appropriate contact time, will both reduce contamination samples. Whether or not the patient is on antibiotic therapy is a key factor in the choice of blood culture bottle. To ensure optimal detection of pathogens, a quality control phase should be built into the pre-analytical processes. The solution to reduce the number of contaminated samples is to use sampling kits and to follow a mandatory blood culture sampling protocol.]

HUN 2021;34(6)

Journal of Nursing Theory and Practice

DECEMBER 15, 2021

[Examination stress among BSc nursing students]

MESTER Adrienn, STALLER Judit

[To evaluate the stressors which affect students during their theoretical education and field clinical practices. We also examined their subjective health, physical activity, stress levels and the use of health-harming substances. During a quantitative research, we examined 133 first-, second-, third- and fourth-year, both full time and part-time nursing students at the Department of Nursing and Patient Care (BSc) with the help of an anonymous online self-completion questionnare. 49% of nursing students have considered discontinuing their nursing education program due to excessive stress. During their field clinical practice, contact with staff, fear of the unknown, making mistakes, and failure emerged as the most common stressors. The least common stressors included the quality of hospital equipment and the experience of dying/death. In all four years, lack of time, feeling overwhelmed, and difficult exams are the main sources of stress during the theoretical education. Undergraduate nursing students encounter a number of stressful stimuli during their academic years. Reducing or eliminating these stressors could reduce thoughts of discontinuing nursing education program, increase health status and last, the nursing profession could become more popular among higher educational health related students.]

HUN 2021;34(6)

Journal of Nursing Theory and Practice

DECEMBER 15, 2021

[Nutritional Therapy in the Stroke Ward: Treatment of Dysphagia in Acute Care of Stroke Patients ]

SZABÓ Pál Tamás, KOVÁCS Andrea, HALÁSZ Tímea, BÉRES-MOLNÁR Katalin Anna, MOLNÁR Beatrix, BALOGH Zoltán, FOLYOVICH András

[Background: Dysphagia can reach 50% among stroke patients and might cause serious complications. Proper treatment of the disorder and personalized nutritional therapy can help reduce negative outcomes. Aim: Based on existing guidelines and our own practical experience, we intended to provide a clear and practical summary that can help understand the specific aspects of nutrition in the care of stroke patients. Conclusion: The care and nutrition therapy for stroke patients requires teamwork and expertise. Early detection of a swallowing disorder and personalized nutritional therapy can reduce the serious complications that threaten stroke patients.]

HUN 2021;34(6)