Journal of Nursing Theory and Practice

[Career Model of Primary Care Workers]

HIRDI Henriett Éva1, BALOGH Zoltán1

AUGUST 30, 2018

Journal of Nursing Theory and Practice - 2018;31(04)

[The aim of the study: To assess the working conditions and level of job satisfaction of health professionals in primary care, and to explore key elements for a succesful career model. Methods: The cross-sectional survey was conducted between 12 March 2018 and 06 April 2018 among health professionals working in primary care, selected using a random, sampling method. The data gathering took place using a web-based, anonymous, self-completion questionnaire. For data analysis they used SPSS version 25.0 with Chi square test (p<0,05). Results: The sample size of the research comprised of 3740 persons, the average age was 44.87 years. The heath professionals are generally satisfied with their work schedule (74.8%), but they expressed the least satisfaction (81.5%) with their financial compensation. According to these survey results, pay is significant. 96.2% of respondents would like to be compensated according to new government-regulated pay scales. Conclusions: It can be stated that increasing the job satisfaction of health professionals and to elaborate the career model of them would be of crucial importance. Key elements of a successful career model offers benefits that are essential for health professionals retention: direction and motivation. ]

AFFILIATIONS

  1. Magyar Egészségügyi Szakdolgozói Kamara, Semmelweis Egyetem, Egészségtudományi Kar, Budapest

COMMENTS

0 comments

Further articles in this publication

Journal of Nursing Theory and Practice

[Faces from the Hungarian Nursing Hall of Fame: the exemplary careers of two Hungarian recipients of the Florence Nightingale Medal]

SÖVÉNYI Ferencné, PERKÓ Magdolna, FEDINECZNÉ VITTAY Katalin, BOROS Károlyné

[In their pervious article, authors described how the Florence Nightingale Medal came to existence and provided a list of Hungarian nurses whose achievements were honoured by the Medal between 1920 and 2003. In this contribution, they review the lives and careers of Baroness Gizella APOR and Ms. Ilona DURGÓ, two Hungarian nurses who were awarded the Medal in 1920 thus being among its first recipients globally.]

Journal of Nursing Theory and Practice

[Work Values Preference among hospital midwives]

GEBRINÉ ÉLES Krisztina, SÁRVÁRY Andrea, SÁRVÁRY Attila, TAKÁCS Péter, LAMPEK Kinga

[The Aim of the Study: The aim of the research was to explore the structure of work values among midwives. Material and Method: Cross sectional study was used with Super‘s Work Values Inventory from 13 hospitals across Hungary. Our questionnaire was divided into 370 midwives, 224 were evaluated. We calculated mean and standard deviation in descriptive statistical analysis. We did factor analysis; variance analysis and post-hoc LSD (Least Significant Difference) test. Results: The most preferred work values were altruism, finances and hierarchy. The level of education influenced the hierarchy of work values. The factor analysis separated two secondary factors: working condition and the self-realisation. There was a significant difference between midwives with OKJ education level and midwives with BSc degree (p=0,014), and other qualifications (p=0,033). Conclusions: Our results suggest that a higher level of education gives the foundation of professional competencies which enable the employee to take conscious consideration of other employee’s views in health care. ]

Journal of Nursing Theory and Practice

[Study based on special care needs of elderly people in Nursing Home run by Church ]

BADÓ Erika, BALOGH Zoltán

[Aims: The changes from the introduction of the care needs of elderly people in Nursing Home run by Church, set year 2011 against year 2016. Methods: The sample was taken from the residents of Filadelfia Integrated Social Institution in 2011 (N=118), in 2016 (N=122) and from the nurses who worked there in 2011 and also in 2016 (N==18). The survey was conducted through a self-constructed online questionnaire. The Nursing Documentation was reviewed during the document analysis. Data were analyzed with SPSS using Chi square and Fisher’s tests. Results: It can be concluded that the numbers of care needed people increased, like living with dementia (p=0,001), using catheter (p=0,001), handicapped (p=0,001), using long term painkillers (p=0,005). Fluctuation and the decrease of the numbers of professional stuff are typical. Conclusions: For the care needs of elderly people, higher level care is needed with professional stuff qualifications. ]

Journal of Nursing Theory and Practice

[Academic and Practical Skills of Supraglottic Airway Management among Nurses ]

SÓS András

[Aim of the study: The research goal is to measure supraglottic airway management academic and practical skills of working nurses considering education level and workplace. Methods: The research was conducted between 1 December 2015 and 15 March 2016 among nurses in one Hungarian hospital and nurses in ambulance service. The online questionnaire was volunteer and anonym. The results (N=90) were processed in Microsoft Excel 2013. Results: The none device method results shows that the OKJ nurses reached 76%, the practical nurses 74,4% and the nurses with diploma reached 78,3%, they got nearly the same results. Looking the airway management with devices OKJ nurses reached 60%, the practical nurses 74,3%, and nurses with diploma got 79,1%. In both cases the ambulance nurses got the highest result which is reached above 90%. Conclusion: The results shows that the workplace is strongly and the education level is barely affects the supraglottic airway management skill.]

Journal of Nursing Theory and Practice

[Puerperal Fever from Hippocrates to Semmelweis ]

SALAVERRY GARCÍA Oswaldo

All articles in the issue

Related contents

Journal of Nursing Theory and Practice

[Job satisfaction and well-being among nurses]

NÉMETH Anikó, LAMPEK Kinga, BETLEHEM József

[Aim of the study: To monitor the changes in job satisfaction and well-being of nurses and to investigate whether the uncertainty caused by the reorganisation of workplaces affected their well-being. Sample and methods: Two cross-sectional studies were conducted in six Hungarian teaching hospitals in 2003 and in 2010 involving full time worker female inpatient care nurses who were asked to complete a questionnaire developed by the researchers. Results: The degree of acknowledgement and psychological strain at the workplace decreased significantly since the first survey. The autonomy at work dropped which is reflected by the diminished decision making and fewer opportunities to plan the working methods, work tasks, pace of work and jobs. Nurses evaluate the working community as worse, but the judgement of the head nurses did not change in 7 years. The rate of positive well-being significantly decreased since 2003, although the extent of negative well-being did not change. Conclusions: The job satisfaction of nurses decreased and the uncertainty at workplace affects their well-being.]

Clinical Neuroscience

[Prevention of invasive meningococcal infection, recognition and first treatment of the disease in primary care]

KOVÁCS Ákos, KULCSÁR Andrea, KALABAY László, TORZSA Péter

[Neisseria meningitidis, the meningococcus, is a Gram-negative diplococcal bacterium that is only found naturally in humans. The meningococcus is part of the normal microbiota of the human nasopharynx and is commonly carried in healthy individuals. In some cases systemic invasion occurs, which can lead to meningitis and/or septicemia. Invasive disease caused by Neisseria meningitidis is potentially devastating, with a high case fatality rate and high rates of significant sequelae among survivors after septicaemia or meningitis. Between 2006-2015 every year between 34 and 70 were the numbers of the registered invasive disease because of Neisseria meningitis, the morbidity rate was 0.2-0.7⁰⁄₀₀₀₀. Half of the diseases (50.7%) were caused by B serotype N. meningitidis, 23.2% were C serotype. In this article the authors summarise what you must do and must not do as primary care physician when suddenly meeting a young patients suspected of having meningococcus infection. ]

Journal of Nursing Theory and Practice

[Milestone in the Development of the Primary Health Care]

GUTÁSI Éva, TÓTH Baloghné Edit, LÁZÁR Marsiné Erika

[All health care systems in Europe face similar challenges. In Hungary the most important one is the emigration of health system workers and the increasing demand for care in ageing population. Key areas of the development of primary health care are prevention, public health and health promotion. In The Primary Care Development Model Program the single-handed general practices comprised of one GP, one nurse and one health visitor who were teamed up and formed the GP’s cluster employing various other health professionals (including community nurses). In the last 4 years the new primary care system became a reality for 40,000 inhabitants of four disadvantaged micro-regions of Hungary. The health status of more than 20.000 adults and 8000 children were assessed between 2013 and 2017 in the Modell Programme that uncovered a number of hidden diseases.]

Lege Artis Medicinae

[Prevention of invasive meningococcal infection, recognition and first treatment of the disease in primary care]

KOVÁCS Ákos, KULCSÁR Andrea, KALABAY László, TORZSA Péter

[In this article, based on a short case report, the authors summarise what you must do and must not do as a primary care physician when suddenly meeting a young patient suspected of having meningococcus infection. Neisseria meningitidis, the meningococcus, is a Gram-negative diplococcal bacterium that is only found naturally in humans. The meningococcus is part of the normal microbiota of the human nasopha-rynx and is commonly carried in healthy individuals. In some cases systemic invasion occurs, which can lead to meningitis and/or septicemia. Invasive disease caused by Neisseria meningitidis is potentially de­vastating, with a high case fatality rate and high rates of significant sequelae among survivors after septicaemia or meningitis. Between 2006 and 2015 every year there were 34 to 70 cases of the registered invasive disease caused by Neisseria meningitidis, the morbidity rate being 0.02-0.07‱. Half of the diseases (50.7%) were caused by serotype B N. meningitidis, 23.2% were serotype C. ]

Lege Artis Medicinae

[Hypertensive emergency conditions in Family practice]

TORZSA Péter

[Family doctors play an important role in the treatment of high blood pressure emergencies. There are two forms of these: hypertensive, non-life-threatening states (urgency) and the hypertensive crisis (emergency) with life-threatening complications. The boundary between these two forms is not sharp, and a non-life-threatening urgency can turn into a hypertensive crisis. Hypertensive emergency is defined as an acute, marked increase of blood pressure with concomitant life-threatening target organ dysfunction. Treatment always requires hospitalization and parenteral administration of antihypertensive agents. In the case of hypertensive urgency, the acute increase of blood pressure is not complicated with organ damage. In these cases treatment can be performed in primary care with oral drugs. ]