Journal of Nursing Theory and Practice

[Attitudes to starting a family among students at Semmelweis University Faculty of Health Sciences]

VÁCZI Anna1, FEITH Helga Judit2, SOÓSNÉ Kiss Zsuzsanna3, NÉMETHNÉ Gradvohl Edina2, FARKAS Boglárka1

FEBRUARY 28, 2014

Journal of Nursing Theory and Practice - 2014;27(01)

[Aim of the study: To assess the willingness of students at the Faculty of Health Sciences of Semmelweis University, with respect to the preferred number of children and the planned date of the first birth. To gain an understanding of student attitudes in relation to motherhood and the role of the woman and the relevance of the traditional family model today. Further, to examine the differences in responses from students of the three specialist areas. Methodology and sample: The authors conducted the quantitative sociological survey, based on a self-completion questionnaire, among 2nd, 3rd and 4th year student nurses, student midwifes and student health visitors at the Semmelweis University Faculty of Health Sciences. The results were analysed with the SPSS 19.0 program, using a descriptive statistical method. The proportion of useful responses to the questionnaire was 94.1% (N=257). Results: The majority of the students planned to have children, at an average age of 26.5. The preferred number of children was two or three in most cases. The majority would like to start a family when married, and regard the daily caring for children as mainly the woman’s task, which shows support for the traditional family model. In their present/future circumstances, health visitors expressed a preference for motherhood in the highest numbers, and nurses in the lowest numbers (p=0.,012). Conclusions: The student nurses, midwives and health visitors at the Faculty of Health Sciences clearly plan to start families in the future. They have a traditional attitude towards the maternal role, but putting these ideas into practice is made more difficult by their paramedical vocation. Nurses and midwives, in particular, are in danger of a conflict of roles in their future lives, for reasons such as the shift working and secondary jobs. ]


  1. Semmelweis Egyetem, Egészségtudományi Kar, Budapest
  2. Semmelweis Egyetem, Egészségtudományi Kar, Alapozó Egészségtudományi Intézet, Társadalomtudományi Tanszék, Budapest
  3. Semmelweis Egyetem, Egészségtudományi Kar, Egészségfejlesztési és Klinikai Módszertani Intézet, Egészségtudományi Klinikai Tanszék, Budapest



Further articles in this publication

Journal of Nursing Theory and Practice

[Can be taught first aid for children 5-6 years old?]

BÁNFAI Bálint, RADNAI Balázs, MARTON József, PÉK Emese, DEUTSCH Krisztina, BETLEHEM József

[Aims of the study: Basic Life Saving Activities should be thought in early childhood in order to base helping aptitude for adulthood. The authors’s aim was to teach kindergarten children for basic first aid duties and than to examine their results. Sample and methods: 51 children were involved in the survey. There was two sessions with theoretical and practical games about first aid. On the third session children were tested about their skills and one month later re-tested. The statistical analyses were made with SPSS 17.0 software. Results: The maximum point of the test was 38 points. The average point of the first test was 16,94 points and the re-test score was higher. The difference between the results was significant (p<0,05). The results showed attitudinal differences between boys and girls (p<0,05). Conclusions: The 5 and 6 years old children of kindergarten can learn the basic concepts. ]

Journal of Nursing Theory and Practice

[Occupational Health Nursing in the Netherlands: Study Trip Review]

HIRDI Henriett Éva

[In October 2012 the author had the opportunity to spend 4 days in the Netherlands on a study trip. The purpose of the trip was to exchange information about the nursing education facilities and the tasks of Occupational Health Nurses in the Netherlands. The study tour supported by the Federation of Occupational Health Nurses within the European Union. Although the length of the trip was relatively short, the impact and exposure it brought to the author was definitely enormous. ]

Journal of Nursing Theory and Practice

[Examination of nursing students’s leisure activities and the most important elements of the their social support system ]

PICZIL Márta, PIKÓ Bettina

[Aim of the sudy: The aim of the examination is to show how and what kind of leisure activities the full-time and part-time nursing students spend their free-time. Also that social supportive system is in the centre which can provide help in case of occurence of mental and financial problems by its most important components. Sample and methods: The questionnaire survey was going on at the University of Szeged, Faculty of Health Sciences and Social Studies where the sample consisted of nursing students (N=208) both part-time (n=136) and full-time (n=72). Results: In connection with leisure activities it can be ascertained that the professional nursing students mainly prefer free and located spare time activities. The components of their social supportive system are especially informal ignoring professionism. Conclusions: By the achievements it can be established that a long-waited reform should be carried out in order that in consequence of higher incomes and a better organization of work the extended free-time serves and recreation indeed. In case of mental problems the professional assistants should receive places among the components of social supportive system. ]

Journal of Nursing Theory and Practice

[Oriental dance as rehabilitation method of malignant neoplastic diseases]

SZALAI Márta, REKTOROVICS Kitti Renáta, PRÉMUSZ Viktória

[Belly dance is perceived as the symbol of the healthy, young and beautyful woman. However when the history of this ancestral dance is studied, it can be seen, that certain movements are applied in healing, furthermore it is employed in some oriental countries until nowadays. Women patients with cancer diseases are suffering both from physical damage and psychical trauma after a resective surgery. Their self-image and self-respect are disturbed, which in several cases leads to isolation, social segregation and at last to disability. Based on literary data cancer caused disability shows an intensely increasing tendency. As an own initiation Százszorszép Hastáncklub (Moonflower Belly Dance Club) hase been established in 2005, which is developed to an ocological rehabilitation method. This method integrates the elements of movement, music andd dance therapie. In addition, it provides a supportive community to the companions. Our examinations confirmed the efficiency of the method. Significant development was demonstrated in the field of social support, quality of life and life-contentment.]

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Journal of Nursing Theory and Practice

[Attitudes to careers and the future among students at Semmelweis University]


[Aim of the study: The authors studied the attitudes, regarding the future, of female students who had chosen a paramedical vocation. In the course of their work they assessed the students’ vision of the future, and obtained a detailed knowledge of their family and career plans, and the correlations between them. Methodology and sample: The quantitative sociological survey, based on a self-completion questionnaire, was conducted among 2nd, 3rd and 4th year student nurses, student midwifes and student health visitors at the Semmelweis University Faculty of Health Sciences. The results were analysed with the SPSS 19.0 program, using a descriptive statistical method. The proportion of useful responses to the questionnaire was 94.1% (N=257). Results: The students clearly prefer motherhood, but their vision of the future is uncertain. Achieving new and higher professional targets was considered important by 29.2% of the sample, and going to practice their studied profession by 54.5%. With regard to career plans, the authors found a statistically provable difference between the specialisations (p<0.001). Of the nursing students who responded, 82.6% wanted to attain middle-management status by the age of 40, while only 8.7% would also be happy to work as general staff. Conclusions: The female students at Semmelweis University are preparing both to have children and to practice their paramedical vocation. The responses given regarding their vision of the future could show that the reconciliation of these two future roles is already causing uncertainty. A higher proportion of the respondents would like to achieve middle-management status, which represents greater prestige for them. A positive shift in their vision of the future could help prevent career abandonment and emigration. ]

Clinical Neuroscience

Neuroscience highlights: Main cell types underlying memory and spatial navigation

KRABOTH Zoltán, KÁLMÁN Bernadette

Interest in the hippocampal formation and its role in navigation and memory arose in the second part of the 20th century, at least in part due to the curious case of Henry G. Molaison, who underwent brain surgery for intractable epilepsy. The temporal association observed between the removal of his entorhinal cortex along with a significant part of hippocampus and the developing severe memory deficit inspired scientists to focus on these regions. The subsequent discovery of the so-called place cells in the hippocampus launched the description of many other functional cell types and neuronal networks throughout the Papez-circuit that has a key role in memory processes and spatial information coding (speed, head direction, border, grid, object-vector etc). Each of these cell types has its own unique characteristics, and together they form the so-called “Brain GPS”. The aim of this short survey is to highlight for practicing neurologists the types of cells and neuronal networks that represent the anatomical substrates and physiological correlates of pathological entities affecting the limbic system, especially in the temporal lobe. For that purpose, we survey early discoveries along with the most relevant neuroscience observations from the recent literature. By this brief survey, we highlight main cell types in the hippocampal formation, and describe their roles in spatial navigation and memory processes. In recent decades, an array of new and functionally unique neuron types has been recognized in the hippocampal formation, but likely more remain to be discovered. For a better understanding of the heterogeneous presentations of neurological disorders affecting this anatomical region, insights into the constantly evolving neuroscience behind may be helpful. The public health consequences of diseases that affect memory and spatial navigation are high, and grow as the population ages, prompting scientist to focus on further exploring this brain region.

Clinical Neuroscience

The etiology and age-related properties of patients with delirium in coronary intensive care unit and its effects on inhospital and follow up prognosis

ALTAY Servet, GÜRDOGAN Muhammet, KAYA Caglar, KARDAS Fatih, ZEYBEY Utku, CAKIR Burcu, EBIK Mustafa, DEMIR Melik

Delirium is a syndrome frequently encountered in intensive care and associated with a poor prognosis. Intensive care delirium is mostly based on general and palliative intensive care data in the literature. In this study, we aimed to investigate the incidence of delirium in coronary intensive care unit (CICU), related factors, its relationship with inhospital and follow up prognosis, incidence of age-related delirium and its effect on outcomes. This study was conducted with patients hospitalized in CICU of a tertiary university hospital between 01 August 2017 and 01 August 2018. Files of all patients were examined in details, and demographic, clinic and laboratory parameters were recorded. Patients confirmed with psychiatry consultation were included in the groups of patients who developed delirium. Patients were divided into groups with and without delirium developed, and baseline features, inhospital and follow up prognoses were investigated. In addition, patients were divided into four groups as <65 years old, 65-75 yo, 75-84 yo and> 85 yo, and the incidence of delirium, related factors and prognoses were compared among these groups. A total of 1108 patients (mean age: 64.4 ± 13.9 years; 66% men) who were followed in the intensive care unit with variable indications were included in the study. Of all patients 11.1% developed delirium in the CICU. Patients who developed delirium were older, comorbidities were more frequent, and these patients showed increased inflammation findings, and significant increase in inhospital mortality compared to those who did not develop delirium (p<0.05). At median 9-month follow up period, rehospitalization, reinfarction, cognitive dysfunction, initiation of psychiatric therapy and mortality were significantly higher in the delirium group (p<0.05). When patients who developed delirium were divided into four groups by age and analyzed, incidence of delirium and mortality rate in delirium group were significantly increased by age (p<0.05). Development of delirium in coronary intensive care unit is associated with increased inhospital and follow up morbidity and mortality. Delirium is more commonly seen in geriatric patients and those with comorbidity, and is associated with a poorer prognosis. High-risk patients should be more carefully monitored for the risk of delirium.

Clinical Neuroscience

Simultaneous subdural, subarachnoideal and intracerebral haemorrhage after rupture of a peripheral middle cerebral artery aneurysm


The cause of intracerebral, subarachnoid and subdural haemorrhage is different, and the simultaneous appearance in the same case is extremely rare. We describe the case of a patient with a ruptured aneurysm on the distal segment of the middle cerebral artery, with a concomitant subdural and intracerebral haemorrhage, and a subsequent secondary brainstem (Duret) haemorrhage. The 59-year-old woman had hypertension and diabetes in her medical history. She experienced anomic aphasia and left-sided headache starting one day before admission. She had no trauma. A few minutes after admission she suddenly became comatose, her breathing became superficial. Non-contrast CT revealed left sided fronto-parietal subdural and subarachnoid and intracerebral haemorrhage, and bleeding was also observed in the right pontine region. The patient had leucocytosis and hyperglycemia but normal hemostasis. After the subdural haemorrhage had been evacuated, the patient was transferred to intensive care unit. Sepsis developed. Echocardiography did not detect endocarditis. Neurological status, vigilance gradually improved. The rehabilitation process was interrupted by epileptic status. Control CT and CT angiography proved an aneurysm in the peripheral part of the left middle cerebral artery, which was later clipped. Histolo­gical examination excluded mycotic etiology of the aneu­rysm and “normal aneurysm wall” was described. The brain stem haemorrhage – Duret bleeding – was presumably caused by a sudden increase in intracranial pressure due to the supratentorial space occupying process and consequential trans-tentorial herniation. This case is a rarity, as the patient not only survived, but lives an active life with some residual symptoms.