Journal of Nursing Theory and Practice

[Advanced, evidence-based care - The care of the mechanically ventillated patient]

FULLÉR Noémi, OLÁH András

JUNE 20, 2014

Journal of Nursing Theory and Practice - 2014;27(03)

[The care of the mechanically ventillated patient is a complex nursing duty what requires comprehensive knowledges from the professionals. The appearance of the nosocomial conditions, costs of the care and days of the care can be decreased by the proper evidence based nursing practice. Many research papers and guidelines were developed at the international literature regarding the mechanically ventillated patients but the well-founded books or studies are missing in Hungary. With this paper the aim is to emphasize the importance of the evidence based nursing practice part of the critically ill patients what is necesary for the eligible care and should be a part of a well-trained health care professional’s knowledge. ]

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[Aim of the study: Investigating the changes in health status, medicine usage and frequency of taking sick-leaves among nurses. Sample and methods: Two cross-sectional studies were conducted in six Hungarian teaching hospitals in 2003 and in 2010 involving full time worker inpatient care nurses who were asked to complete a questionnaire developed by the researchers. Results: The self evaluated health status of nurses worsened since the first survey. Significantly more nurses suffered from chronic diseases and more of them are taking medicines regularly than in 2003. The biggest increment was measured in the rate of people with digestive and musculoskeletal disorders, with allergies, varicose veins and migraine. The number of days on sick-leave decreased significantly and there are more nurses who do not take sick-days when they are sick. Sleep disturbances, head and back aches also occur more often. Conclusions: Based on our data the nurse population is getting older and nurses suffer from numerous chronic diseases.]

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[The author wishes to highlight, for healthcare management, the work of paramedical professionals active in this field. She draws attention to the still largely untapped reserves of specialist knowledge possessed by these health workers. She suggests a method by which the currently underrated field of nursing could receive greater recognition, both in terms of working conditions and professional status. In this way nurses could more effectively provide a higher standard of care to patients registered with their practice, in the case of both acute and chronic diseases. A further aim of the paper is to present the structure and operation of the nursing practices that she envisions.]

Journal of Nursing Theory and Practice

[Assessing the knowledge of patients after cataract surgery]

MELEG Tiborné, BÍRÓ Gyöngyi, NÉMETH Anikó

[Aim of study: Examining the knowledge of patients about ophthalmic screenings, their disorder, the necessary lifestyle changes and on how to use eye drops properly. Sample and methods: This cross-sectional study was conducted at the ophthalmology department of the hospital in Kecskemét using a self-developed questionnaire. Inpatients were involved during the period from June to September in 2013. Results: The studied patient population knew the importance of ophthalmic screenings, but they had inappropriate information about the right way to use eye drops and about the nature of cataract and the operation. Although the majority of the responders were informed by an expert, they had much false information about the necessary lifestyle changes. Conclusions: One of the most important task of nurses working at ophthalmology departments is to correct the false beliefs of patients and to replace them with correct and clear information, especially about their disorder and lifestyle changes.]

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[The purpose of nursing is always the same: to restore a patient’s health, and provide help during his or her illness. Findings demonstrate that nursing already had an important role thousands of years before Christ. Broken bones, healed skull trepanations and joint diseases can be discovered in early findings. Caring for injured members of the same species cannot be seen, but in the case of elephants and dolphins, who provide company to the suffering member. The rest of the animals simply let the injured die. The author reviews the history of this remarkable activity, and introducing it from the beginning to our days, with particular regard to the milestones in Hungary.]

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