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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Further articles in this publication

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

[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. ]

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[Efficient, cardiovascular risk-dependent therapy of patients with hypertension according to the data from database of the Hungarian Hypertension Registry]

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[Over 3.5 million people have hypertension in Hungary, although with only 40-45% of them have the target blood pressure of under 140/90 been reached thanks to the non-medication and medication therapies. The reason of this can be several folds as an improperly chosen blood pressure lowering therapy, not sufficient care, insufficient doctor-patient cooperation and the incompetent information of the patients. According to the Hungarian Hypertension Register’s database of 2015 it is confirmed that the reaching of target blood pressure significantly differs and in the case of the hypertension disease coincide with the morbidity and mortality differences of the regions. These regional differences can be explained with not only the social, cultural and economic dissimilarities, but with the diversity of the quality of the healthcare and the professional work. Analyzation of the biggest risk factors of hypertension as the diabetes, ischemic heart failure and chronic kidney disease showed that when all of them are extant, the reaching of the target blood pressure is only successful in the case of 26% of the male and 33% of the female’s patients. According to the Register it turned out that the leading cause of the unsuccessful reaching of the target blood pressure is the peripheral vascular disease in the case of female patients which is followed by in turn with the disorder of lipid metabolism, the disorder of uric acid metabolism and obesity. The leading cause in the case of male patients is lipid metabolism which is followed by in turn with smoking, alcohol abuse and peripheral vascular disease. According to the summed-up results, 88% of the patients received combined treatment with the medication suggested by the professional guidelines. The proportion responsible for the unsuccessful reaching of the target blood pressure can be explained by the insufficient patient concordance and adherence. Both patient information and the care involved in the doctor-patient relationship have to be corrected and improved. One possible solution is the transmission of some competence of the doctors to the well-trained assistants and nurses who have a decisive role in the risk assessment and the base medical examination. It is also important to draw the pharmacists in too to the care of patients with applying more telemedicinal methods. It can be concluded from the results that came from the processing of the Register’s database that the population-level knowledge is important and the continuation of the data entry into the Register is necessary.]