Journal of Nursing Theory and Practice

[Investigation of Diabetes Mellitus screening in Hungarian General Practices]

GALVÁCS Henrietta1,2, BALOGH Zoltán3

SEPTEMBER 30, 2020

Journal of Nursing Theory and Practice - 2020;33(05)

Journal Article

[To examine the knowledge about diabetes and its screening practices and the role of advanced practice nurses in the prevention, among general practice employees. Our study was carried out via an online questionnaire which was completed by 94 general practitioners and 83 nurses. 20% of nurses did not possess appropriate qualifications. Overall, advanced practice nurses produced the highest results in the study. 55.4% of the practices performed regular diabetes screening, while only 35.5% of the nurses recommended screening examinations to patients. The most frequently cited causes for not performing screenings were the high number of daily patient visits and inadequate infrastructure and personnel resources. According to the opinions of general practitioners, the efficacy of prevention could be improved by increased financing, hiring dietitians, organising lifestyle clubs and limiting the number of daily patient visits. Independent work by advanced practice nurses was supported by the general practitioners. Emphasis on preventative methods should be expanded in the training of nurses with secondary education and these nurses should take on additional responsibilities in screening examinations. Integrate of advanced practice nurses is essential as soon as possible, into development of primary health care. ]

AFFILIATIONS

  1. Semmelweis Egyetem Egészségtudományi Kar, Ápolástan Tanszék, Budapest
  2. Semmelweis Egyetem Doktori Iskola, Budapest
  3. Semmelweis Egyetem Egészségtudományi Kar, Ápolástan Tanszék, Budapest

COMMENTS

0 comments

Further articles in this publication

Journal of Nursing Theory and Practice

[The Role of Movement Therapy in Balance Training and Fall Prevention of Patients with Osteo­porosis: A Systematic Review]

MISZORY Erika Viktória, JÁROMI Melinda, PAKAI Annamária

[Introduction: The frequent occuring of traumatic events resulting from falls among the patients with osteoporosis and their negative consequencies to the life quality make the application of efficient movement therapy interventions for preventing falls. The aim of the study: The authors’ purpose is to revise the effectiveness of movement therapy interventions regarding osteoporosis, mainly in the field of balance training and fall prevention. We carried out a detailed systematic literature reasearch in the database of Ebsco Discovery Service concerning the period of January 2014 and December 2019. We only searched for articles available in full and in English language using appropriate keywords. We found 42 publications potentially relevant, of which 12 met the inclusion criteria. The programs performed in different media, intensity and time period highlighted the significance of each exercise form in the functional variables. The different exercise programs prove to be effective for muscle and balance training as well as there is a growing number of evidences which emphasize the role of multimodal programs.]

Journal of Nursing Theory and Practice

[Effectiveness of video-supported Resuscitation Training among Primary School Children ]

NAGY Richárd , BÁNFAI-CSONKA Henrietta, MUSCH János, DERZSI-HORVÁTH Martina, BÁNFAI Bálint

[In sudden cardiac arrest situations laypeople are important parts of the chain of survival. The aim of the study: Our aim was to compare different resuscitation education methods and to measure the effectiveness of video-supported method among primary school children. In our study participants were 10-15 years old primary school children (N=147). There were made a pre-test and two post-tests (1 and 4 months later). Data collection was made by a self-fill-in questionnaire and a practical test with a BLS manikin. There were made three groups: the FRONTAL group was teached with traditional methods; the VIDEO group was teached by a 5-minutes long, self made video; the PHANTOM group was teached by the video and a self-made manikin. Based on the tests the FRONTAL group performed the highest scores (p<0.001). However, the best performance in the depth of the chest compression scored the PHANTOM group (p<0.001). The frequency of the chest compressions was the best in the FRONTAL group (p=0.01). Body weight >50 kg (p=0.042) and age >12 years (p<0.001) associated with significantly deeper chest compressions. In our study, the traditional method was the most effective. However, using a video the results can be similar.]

Journal of Nursing Theory and Practice

[The possible implication and challanges of Artificial Intelligence and Robotics on the field of Nursing Practice: Friend or Foe?]

FULLÉR Noémi, LAMPEK Kinga, ROZMANN Nóra , SZUNOMÁR Szilvia , ZRÍNYI Miklós, OLÁH András

[The paper discusses latest developments in the field of artificial intelligence (AI) and its applications for the future of nursing care and services. Authors emphasize that AI should not be treated as a threat to nurses but as a potential support that may relieve nurses from performing routine tasks which can be automated by AI and robotics. The article cites examples from international experiments with AI and nursing robots that make the case for the controlled and intelligent use of technology in support of a nursing workforce that experiences pressures and stress because of increasing workloads and decreasing number of nursing staff. Authors call for the recognition that nurses fall behind in participating in the development of future nurse specific technologies, also due to the fact that nurses receive no education in the field of AI and robotics. Authors conclude that for nurses to stay in the driving seat of future nurse technologies, graduate and/or postgraduate level education for nurses in AI and robotics is a must.]

Journal of Nursing Theory and Practice

[Functioning of SMART Hospitals from a Nursing Perspective ]

VÖRÖSMARTY Attila

[More and more people hear about the need for smart hospitals to operate in the 21st century. Looking at the hospital developments of the past decades, we can see that actually it is the mainstream. Widespread, simultaneous and effective access to health care data is the key issue for future professionals and patients. In the following study, I would like to briefly outline the prerequisites for setting up and operating an intelligent hospital.]

All articles in the issue

Related contents

Clinical Neuroscience

[Investigating cognitive impairment in communities of practice – lessons learned]

VAJER Péter, JANCSÓ Zoltán, CSENTERI Orsolya, SZÔLLÔSI Gergô József, ANDRÉKA Péter

[In the “Three Generations for Health” programme, general practitioners were responsible for screening for dementia in their practices using mini-COG and Mini Mental State Examination. The aim was to present the screening results of those included, their assessment by the doctor and the further fate of the patients. After mini-COG test, MMSE test was performed in case of suspected dementia. The examiner categorized the result as abnormal or no abnormal, recorded the referral, and recorded the data in an online interface. Our study is a cross-sectional study; the evolution and distribution of the parameters described in the objectives are described with raw case numbers and proportions. Patients aged 55 years and over were recruited consecutively. Only those cases (29 730) where mini-COG and MMSE test results were available, their assessment by the physician, and referral data to specialist care were analyzed. The Mini-COG test revealed that 64% of the subjects were suspected of cognitive decline. Misclassification occurred in 13 015 cases, with 21% of the Mini-Cog test scores matching cognitive decline and 21% of lesions considered abnormal by GPs. The MMSE test raised the suspicion of dementia in 34% of the sample (10 174 people), with 4 262 (42%) of the participating GPs considering the result abnormal. 11% (2095 people) of people with abnormal Mini-Cog test scores and 17% (1709 people) of people with suspected dementia based on MMSE test scores were referred to specialist care. Our study assessed the practice of detecting cognitive decline in primary health care. The tools adopted for screening for dementia were used by practices, but the assessment of results and referral of suspected cases of dementia to specialist care were below the expected level. There is a need to improve primary care providers’ knowledge of dementia detection and treatment and to strengthen links with specialist care.]

Lege Artis Medicinae

[The importance of continuous glucose monitoring in modern diabetes care]

KOCSIS Gyôzô

[It is no exaggeration to say that there is a paradigm shift in the diabetes care. Since 2015, the driving force behind are primarily the widely spreading sensor technologies instead of the new insulin products and treatment regimens. The rapidly spreading sensor technologies are applied in more and more countries financially supported in type 1 diabetes since 2015. The use of Continuous Glucose Monitoring (CGM, tissue glucose sensor, simplified as sensor), which includes both real-time CGM (RT-CGM) and intermittently scanned CGM (isCGM), has grown rapidly over the past few years by improving sensor accuracy, greater convenience and ease of use, and expanding support of reimbursement. Numerous studies have demonstrated the significant clinical benefits of using CGM in diabetic patients, regardless of the type of insulin treatment. In this summary, we review the practical aspects of glucose monitoring, the optimal frequency of monitoring, the effectiveness, re­liability, and role of continuous glucose mo­­nitoring systems.]

Hypertension and nephrology

[Beyond the blood sugar reduction. SGLT-2 inhibitors in kidney protection]

SIMONYI Gábor

[Results of cardiovascular safety studies with SGLT-2 inhibitors have shown that in addition to their hypoglycaemic and beneficial cardiovascular effects, they are renoprotective. A number of mechanisms underlying the renoprotective effects of SGLT-2 inhibitors have been shown to reduce albuminuria and deterioration of renal function. Their nephroprotective effects extend over a very wide range of eGFR and albuminuria categories. In the DAPA-CKD study, dapagliflozin was shown to exert its nephroprotective effect regardless of the presence of diabetes and a baseline eGFR, while also having a beneficial effect on cardiovascular endpoints and mortality. Following the confirmation of favourable renal results for SGLT-2 inhibitors, it is no coincidence that they have been included in national and international recommendations for the treatment of chronic kidney disease.]

Hypertension and nephrology

[May measurement month: analysis of the Hungarian results of years 2017 and 2019]

NEMCSIK János, PÁLL Dénes, JÁRAI Zoltán

[Cardiovascular (CV) diseases are not only the leading causes of mortality in Hungary, but also the mortality rate is excessively high compared with the average of European Union, so screening programs identifying subjects with elevated blood pressure (BP) is of utmost importance. May Measurement Month (MMM) is an annual global initiative which began in 2017 aimed at raising awareness of high BP. Hungary, through the Hungarian Society of Hypertension has joined the campaign of MMM from the beginning. The results of years 2017 and 2019 are presented in this paper. ]

Hypertension and nephrology

[Changes in systolic blood pressure in the Hungárián aduit population between 2010 and 2018 based on public health screening data]

KÉKES Ede, BARNA István, DAIKI Tenno, DANKOVICS Gergely

[Using our mobile public health screening system, we examined the changes in systolic blood pressure averages and systolic pressure distribution between 2010 and 2018 by analyzing the data of 72,857 women (mean age 42.3±13.9 years) and 61,563 mén (mean age 42.2±13.9 years) in three consecutive time periods. The SBP averages have been gradually and significantly decreased since 2010 in all age groups. The parametric and non-parametric characteristics of the systolic distribution curves alsó showed a favorable change during the indicated period. The observed changes may indicate that the primary and secondary prevention, as well as the treatment of hypertension and the physician-patient cooperation in Hungarywere successful in the indicated period.]