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

AUGUST 30, 2018

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

[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.]

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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

[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

[Career Model of Primary Care Workers]

HIRDI Henriett Éva, BALOGH Zoltán

[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. ]

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

[Puerperal Fever from Hippocrates to Semmelweis ]

SALAVERRY GARCÍA Oswaldo

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We aimed to analyze the clinical, laboratory and neuroimaging findings in patients with sporadic Creutzfeldt-Jakob disease (CJD) in a single center as well as to review other published cases in Turkey. Between January 1st, 2014 and June 31st, 2017, all CJD cases were evaluated based on clinical findings, differential diagnosis, the previous misdiagnosis, electroencephalography (EEG), cerebrospinal fluid and cranial magnetic resonance imaging (MRI) findings in our center. All published cases in Turkey between 2005-2018 were also reviewed. In a total of 13 patients, progressive cognitive decline was the most common presenting symptom. Two patients had a diagnosis of Heidenhain variant, 1 patient had a diagnosis of Oppenheimer-Brownell variant. Seven patients (53.3%) had been misdiagnosed with depression, vascular dementia, normal pressure hydrocephalus or encephalitis. Eleven patients (87%) had typical MRI findings but only 5 of these were present at baseline. Asymmetrical high signal abnormalities on MRI were observed in 4 patients. Five patients (45.4%) had periodic spike wave complexes on EEG, all appeared during the follow-up. There were 74 published cases in Turkey bet­ween 2005 and 2018, with various clinical presentations. CJD has a variety of clinical features in our patient series as well as in cases reported in Turkey. Although progressive cognitive decline is the most common presenting symptom, unusual manifestations in early stages of the disease might cause misdiagnosis. Variant forms should be kept in mind in patients with isolated visual or cerebellar symptoms. MRI and EEG should be repeated during follow-up period if the clinical suspicion still exists.

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Life threatening rare lymphomas presenting as longitudinally extensive transverse myelitis: a diagnostic challenge

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Background and aims – Description of two cases of rare intravascular large B-cell lymphoma and secondary T-cell lymphoma diagnosed postmortem, that manifested clinically as longitudinally extensive transverse myelitis (LETM). We discuss causes of diagnostic difficulties, deceptive radiological and histological investigations, and outline diagnostic procedures based on our and previously reported cases. Case reports – Our first case, a 48-year-old female was admitted to the neurological department due to paraparesis. MRI suggested LETM, but the treatments were ineffective. She died after four weeks because of pneumonia and untreatable polyserositis. Pathological examination revealed intravascular large B-cell lymphoma (IVL). Our second case, a 61-year-old man presented with headache and paraparesis. MRI showed small bitemporal lesions and lesions suggesting LETM. Diagnostic investigations were unsuccessful, including tests for possible lymphoma (CSF flow cytometry and muscle biopsy for suspected IVL). Chest CT showed focal inflammation in a small area of the lung, and adrenal adenoma. Brain biopsy sample from the affected temporal area suggested T-cell mediated lymphocytic (paraneoplastic or viral) meningoencephalitis and excluded diffuse large B-cell lymphoma. The symptoms worsened, and the patient died in the sixth week of disease. The pathological examination of the presumed adenoma in the adrenal gland, the pancreatic tail and the lung lesions revealed peripheral T-cell lymphoma, as did the brain and spinal cord lesions. Even at histological examination, the T-cell lymphoma had the misleading appearance of inflammatory condition as did the MRI. Conclusion – Lymphoma can manifest as LETM. In cases of etiologically unclear atypical LETM in patients older than 40 years, a random skin biopsy (with subcutaneous adipose tissue) from the thigh and from the abdomen is strongly recommended as soon as possible. This may detect IVL and provide the possibility of prompt chemotherapy. In case of suspicion of lymphoma, parallel examination of the CSF by flow cytometry is also recommended. If skin biopsy is negative but lymphoma suspicion remains high, biopsy from other sites (bone marrow, lymph nodes or adrenal gland lesion) or from a simultaneously existing cerebral lesion is suggested, to exclude or prove diffuse large B-cell lymphoma, IVL, or a rare T-cell lymphoma.

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