Journal of Nursing Theory and Practice

[Ethical Codex of the Chamber of Hungarian Healthcare Professionals]

APRIL 30, 2012

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

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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

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

BARTA Katalin, RAJKI Veronika

[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. ]

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. ]

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[In this paper we present the Comprehensive Aphasia Test-Hungarian (CAT-H; Zakariás and Lukács, in preparation), an assessment tool newly adapted to Hungarian, currently under standardisation. The test is suitable for the assessment of an acquired language disorder, post-stroke aphasia. The aims of this paper are to present 1) the main characteristics of the test, its areas of application, and the process of the Hungarian adaptation and standardisation, 2) the first results from a sample of Hungarian people with aphasia and healthy controls. Ninety-nine people with aphasia, mostly with unilateral, left hemisphere stroke, and 19 neurologically intact control participants were administered the CAT-H. In addition, we developed a questionnaire assessing demographic and clinical information. The CAT-H consists of two parts, a Cognitive Screening Test and a Language Test. People with aphasia performed significantly worse than the control group in all language and almost all cognitive subtests of the CAT-H. Consistent with our expectations, the control group performed close to ceiling in all subtests, whereas people with aphasia exhibited great individual variability both in the language and the cognitive subtests. In addition, we found that age, time post-onset, and type of stroke were associated with cognitive and linguistic abilities measured by the CAT-H. Our results and our experiences clearly show that the CAT-H provides a comprehensive profile of a person’s impaired and intact language abilities and can be used to monitor language recovery as well as to screen for basic cognitive deficits in aphasia. We hope that the CAT-H will be a unique resource for rehabilitation professionals and aphasia researchers in aphasia assessment and diagnostics in Hungary. ]

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