Journal of Nursing Theory and Practice

[Current issues in geriatric care from a nursing perspective at certain patient wards of Sárvár Municipal Hospital ]

BARTA Katalin, RAJKI Veronika

APRIL 30, 2012

Journal of Nursing Theory and Practice - 2012;25(01)

[Aim of the study: The authors aim is to identify differences in the aspects of nursing at rehabilitation, chronic internal medicine and nursing departments, and to assess the characteristics and personality traits regarded as essential by the specialist nurses participating in the survey, as well as to identify the factors and causes named by patients as leading to an improvement in their satisfaction and comfort. Sample and method: The survey was performed in three departments of the Sárvár Municipal Hospital (chronic internal medicine, nursing and rehabilitation), and involved the specialist nurses working in the departments and the patients of the three departments. The questionnaire-based surveys were conducted both among the paramedical workers and the patients. The results and correlations were examined using descriptive statistical methods. Results: It can be concluded from the survey of the patients that a high proportion of them (42%) are admitted to the nursing department on the basis of social considerations. The opinions of patients at the individual departments differ significantly with regard to the skill of the nurses and the necessity of increasing the nurse headcount. The most important conclusions of the survey of the workers include the findings that the self-assessment of their own knowledge by workers at the surveyed departments is relatively low; a significant proportion of the nurses would like to see an increase in the number of paramedical workers; and verbal ward handovers are still overly preferred among nurses, rather than the use of nursing documentation. Conclusions: Nurses working the field of rehabilitation need to be prepared for the new tasks emerging as a result of the increasingly marked demographic changes. For this, a strengthening of the rehabilitation-oriented approach is essential. ]

COMMENTS

0 comments

Further articles in this publication

Journal of Nursing Theory and Practice

[The process of patient admission and triage, and nursing competencies in the Emergency department ]

PÁPAI Tibor

[A key factor in the successful and efficient operation of any emergency department is the rapid and precise classification of patients, following a preliminary examination, for the purpose of determining the order in which to provide treatment. A prerequisite for applying this procedure is the satisfactory regulation of the process, which also involves the appropriate management of human resources, the provision of training, the clear definition of competencies, and management of patient careers. The author introduces the triage process suitable for application at emergency wards in Hungary, through adaptation of the Canadian Triage and Acuity Scale. ]

Journal of Nursing Theory and Practice

[New nursing tasks in the Children’s Heart Centre]

VINCZE Beatrix

[The Children’s Heart Centre began operation in the Gottsegen György Hungarian Institute of Cardiology in 1999. In response to the technical advancements of the recent period and the achievements of medical science, paramedical workers are faced with new tasks such as the care of children undergoing interventional cardiology, ablative intervention and treatment as a part of the heart transplant program. The nurses and assistants assimilate the skills set necessary for performing the new tasks through in-house education programs and further training courses. An important challenge for nursing management is incorporating the changes into the operating procedures of the departments, and ensuring the human resources necessary to provide the care. The author’s aim is to give an insight into these specialist nursing tasks. ]

Journal of Nursing Theory and Practice

[Ethical Codex of the Chamber of Hungarian Healthcare Professionals]

All articles in the issue

Related contents

Journal of Nursing Theory and Practice

[Hungarian Nurses Day]

TISÓCZKI Evelin, BALOGH Zoltán

[On February 19, 2022 We celebrate the 205th anniversary of the birth of the first national matronage (head nurse), Zsuzsanna Kossuth. Zsuzsanna Kossuth was characterized by a high degree of empathy, self-sacrifice, exemplary behaviour, and professionalism. She laid the foundation for the processes of nursing and patient care and performed outstanding professional work throughout his life. She made no distinction between man and man, she only saw the suffering patient, in every soldier and injured. She sacrificed his life for his profession. The Hungarian Nursing Association founded the Zsuzsanna Kossuth commemorative medal in 1998, the year of the 150th anniversary of the War of Independence, which is donated every year on February 19.]

Clinical Neuroscience

[Rehabilitation results after severe traumatic brain injury ]

DÉNES Zoltán, MASÁT Orsolya

[To assess the rehabilitation outcome after severe traumatic brain injury. Retrospective evaluation of the rehabilitation process and prospective follow-up five years after discharge. Patients – Patients treated in 2013 at the Traumatic Brain Injury Unit, National Institute for Medical Rehabilitation were included in the study (n = 232). Ninety-nine of 232 patients were treated with severe traumatic brain injury. Data were available for 66/99 patients (67%). Fifty patients (13 women and 37 men) were successfully contacted for follow-up (51%), three patients deceased. The mean age of the patients was 42 years (range: 22-72). The majority of them (36/50) was injured in traffic accidents. The mean duration of coma and post-traumatic amnesia were 19 (1-90) and 45 days (5-150), respectively. Patients were admitted for rehabilitation on the 44th (11-111) day after the injury and were rehabilitated for 95 days (10-335). Thirty-eight patients became independent at daily living activity during the rehabilitation period, and none during the follow-up. Two patients needed moderate and one a little help for the daily life. After successful rehabilitation 4 patients continued their higher education, 24 patients worked (six in sheltered, six in the original, 12 in other workplaces). Twenty-two patients did not have permanent jobs, two of whom were retired. The majority of the patients were successfully reintegrated into society. More than half of the patients returned to work or continued their studies. These successes were greatly facilitated by the 40 years of experience and the multidisciplinary team working in the National Institute for Medical Rehabilitation. ]

Clinical Neuroscience

[Rehabilitation possibilities and results after neurosurgical intervention of brain tumors ]

DÉNES Zoltán, TARJÁNYI Szilvia, NAGY Helga

[Objectives - Authors examined the rehabilitation possi­bi­lities, necessities, and results of patients after operation with brain tumor, and report their experiences. Method - Retrospective, descriptive study at the Brain Injury Rehabilitation Unit, in National Institute for Medical Rehabilitation. Patients - Patients were admitted consecutively after rehabilitation consultation, from different hospitals, following surgical intervention of brain tumors, between 01 January 2001 and 31 December 2016. Patients participated in a postacute inpatient rehabilitation program, in multidisciplinary team-work, leaded by Physical and Rehabilitation Medicine specialist included the following activities: rehabilitation nursing, physical, occupational, speech, psychological and neuropsychological therapy. Results - At the rehabilitation unit, in the sixteen-year period 84 patients were treated after operation with brain tumor. Patients arrived at the unit after an average of 41 days to the time of the surgical intervention (range: 10-139 days), and the mean length of rehabilitation stay was 49 days (range: 2-193 days). The mean age of patients was 58 years (20-91), who were 34 men and 50 women. The main symptoms were hemiparesis (64), cognitive problems (26), dysphagia (23), aphasia (16), ataxia (15), tetraparesis (5), and paraparesis (1). The mean Barthel Index at the time of admission was 35 points, whereas this value was 75 points at discharge. After the inpatient rehabilitation, 73 patients improved functionally, the status of 9 patients did not show clinically relevant changes, and 2 patients deteriorated. During the rehabilitation 10 patients required urgent interhospital transfer to brain surgery units, 9 patients continued their oncological treatment, two patients continued rehabilitation treatment at another rehabilitation unit, and after rehabilitation 73 patients were discharged to their homes. Conclusions - Inpatient rehabilitation treatment could be necessary after operation of patients with brain tumor especially when functional disorders (disability) are present. Consultation is obligatory among the neurosurgeon, rehabilitation physician and the patient to set realistic rehabilitation goals and determine place and method of rehabilitation treatment, but even at malignancies cooperation with oncological specialist also needed. Authors’ experience shows benefits of multidisciplinary rehabilitation for patients after brain tumor surgery. ]

Clinical Neuroscience

[The complex intensive care and rehabilitation of a quadriplegic patient using a diaphragm pacemaker]

FODOR Gábor, GARTNER Béla, KECSKÉS Gabriella

[A 21 year female polytraumatized patient was admitted to our unit after a serious motorbike accident. We carried out CT imaging, which confirmed the fracture of the C-II vertebra and compression of spinal cord. Futhermore, the diagnostic investigations detected the compound and comminuted fracture of the left humerus and femur; the sacrum and the pubic bones were broken as well. After the stabilization of the cervical vertebra, a tracheotomy and the fixation of her limbs were performed. She spent 1.5 years in our unit. Meanwhile we tried to fix all the medical problems related to tetraplegia and respiratory insufficiency. As part of this process she underwent an electrophysiological examination in Uppsala (Sweden) and a diaphragm pacemaker was implanted. Our main goal was to reach the fully available quality of life. It is worth making this case familiar in a wider range of public as it could be an excellent example for the close collaboration of medical and non-medical fields.]

Journal of Nursing Theory and Practice

[Healthcare and social aspects of nursing in relation to the rare Pompe disease]

TÓTH Mónika, VÁRDI Katalin Borbála

[Aim of the study: Pompe disease is a rare mitochondrial disease, which is treated with enzyme replacement therapy. The authors examined the lifestyles of patients diagnosed with Pompe disease, and their knowledge regarding the illness. They compared this with the results of the regular checkups performed during the care process, in order to assess the patients’ compliance. Sample and methods: The research was conducted among patients suffering from Pompe disease, treated at the Rehabilitation Department of the Törökbálint Institute of Pulmonary Medicine (N=14). The survey of the patients’ knowledge took place in the form of personal interviews. The findings related to the regular enzyme replacement therapy were recorded and collated in the course of interviews conducted by telephone with the nurses of the centres administering the treatment. The data was processed using Microsoft Excel software. Results: In 2012 in Hungary the number of patients diagnosed with Pompe disease was 14 (12 adults, 2 children). The time elapsed from emergence of the first symptoms to the precise diagnosis in the case of all known patients (except in the case of one screened child) was an average of 13.4 years. Ten of the patients were receiving enzyme replacement therapy. The survey revealed that the conditions of the patients receiving the enzyme replacement therapy did not deteriorate. In the case of the female child, the decrease in CK levels was accompanied by growth and movement consistent with her age, and an improvement in vocalisation. Conclusions: For patients diagnosed with the once fatal Pompe disease, enzyme replacement therapy now offers the opportunity of a full life; and complementary treatments not only boost the effectiveness of the enzyme replacement, but also improve the patients’ subjective quality of life.]