Journal of Nursing Theory and Practice

[Investigation of the factors infl uencing among members of the care team in terms of the identity of the leadership]


AUGUST 30, 2015

Journal of Nursing Theory and Practice - 2015;28(04)

[Aim of the research: The objective of the research is to map the different subcultures, examine in detail the role of subgroups and the influencing factors that are determining the relationships between the members of the Institution’s healthcare provider teams. Research and sampling methods: Data and information collection was advisedly planned, guided and implemented with help of personal communication techniques. With regard to the final form of data collection method based on standardized preliminary research plan, I’ve selected partly structured and unstructured interview forms, with closed and open questions. The analysis was performed by interviewing 10 chief physicians and 10 head assistants. Results: 100% of the interviewed leaders related that competencies are determined primarily by skills, human attitudes and personality. The analyzed subjects confirmed that well defined expectations expressed by leaders and open communication is enhancing the close co-operation between team members and is reducing hereby the work stress. The investigation underpinned that good co-operation of team leader couples, or lack of co-operation has strong impact on the team’s performance and on the relationships between team members. Conclusions: Identifying, understanding and handling our own or other people feelings, the behavior with our fellow creatures is matter of emotional intelligence, and not of cognitive capability. With help of deep interviews, valid facts, leadership manners, management of conflict situations were identified and pointed at the influencing factors of department’s micro culture and the work atmosphere of the organization. Diversity of the work, rate of workplace monitoring, rate of qualifications and skills required for the job, quality of interpersonal relationships are contributing to workplace satisfaction and the evolution of team spirit among colleague ]


  1. Budapest Fváros II. kerületi Önkormányzat Egészségügyi Szolgálat
  2. Semmelweis Egyetem, Egészségtudományi Kar, Ápolástan Tanszék



Further articles in this publication

Journal of Nursing Theory and Practice

[The effects of night shifts on nurses]


[Aim of the research: The present study aimed to investigate the effects of night shifts on the somatic and psychic health, sleeping habits and substance use of nurses. Research and sampling methods: A self constructed questionnaire was administered online in October 2014 (N=396). Data were analyzed with SPSS 19.0 using descriptive statistics, chi-square and unpaired two-sample t-tests program (p<0.05). Results: Nurses having night shifts evaluated their health as worse (p=0.031), backache (p=0.019) and heartburn (p=0.029) were reported more frequent. They consume significantly more cigarettes (p=0.011). They experience more work related stress (p=0.002) and sleep disorders (p=0.006). Regarding burn-out (p=0.438) and chronic diseases (p=0.061) there was no significant difference between nurses with and without night shifts. Conclusions: Night shifts affect the health and substance use of nurses and disturb their biorhythms. ]

Journal of Nursing Theory and Practice

[And who is the other?]

ROZSOS Erzsébet

[The author reviews, interprets and illustrates the main concepts with practical examples that appear in the area of transcultural health care and nursing. ]

Journal of Nursing Theory and Practice

[Care of patients with Amyotrophic Lateral Sclerosis]

PALLA László, BALOGH Zoltán

[Aim of the research: Assessment of workers’ knowledge regarding patients suffering from a rare neurological disorder, Amyotrophic Lateral Sclerosis. Research and sampling methods: The target groups were: intensive care unit (Group I) and home care service nurses (Group II). The authors chose a self-developed questionnaire study, what was filled out on by 161 nurses. Results: Considering graduation from Group I. 17 (20%), from Group II, 27 (36%) have diploma in nursing education. Based on the answers, the ratio of the results are almost identical. Over 40% declare that they do not have sufficient knowledge, nurses can professional protocols in practice, but not always correctly. Taking the recommendation over 70% of answered the questions correctly. More than 95% of the two surveyed agreed, that they are able to give advice on care. 18.87% of Group I, and 20.97% of Group II attend case discussions weekly. Conclusions: Nurses need to supplement their knowledge about the disease, and technical protocol. Additional information needed to develop the competencies of communication among nurses. I would consider to develop a practice guideline on the disease, which members of the care team will uniformly apply. ]

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[Mirror Shards]

ROZSOS Erzsébet

[The author is a nursing ethicist, who reviews the past 18 years of this professional and draws comparisons with a status report published in 1994 by two leading bioethicists, Dr. Béla Blasszauer and Dr. Tibor Jakab. The comparison deals with the issues of the overall situation of nurses, salaries, working conditions, the system of “gratitude payments” (as a phenomenon specific to Hungary), the problems associated with conflicting instructions from doctors, nurses’ lack of autonomy, the lack of recognition, the untenable ratio of patients to nurses, the explicit and implicit divisions among nurses, the unconscionable and frequently changing statutory provisions, the problems related to providing information, the tolerance of a lack of healthcare, the absence of advocacy, and the emerging phenomenon of nurse emigration. It can be inferred from the analysis that if the professional does not succeed in autonomously taking control of its own future, it could lose the moral foundation and status that it has earned in the course of its history.]

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[Assessment of multidisciplinary teams in psychiatric care – Lessons of three focus groups ]

MOLNÁR László, ZANA Ágnes, GYŐRFFY Zsuzsa, SZVATH Petra

[Our research group, has studied psychiatric and psycho­the­ra­peutic teams since 2015. The aim of the present research was to identify the Hun­garian characteristics of team composition and operation. Qualitative focus group survey has been conducted on the operation of multidisciplinary teams at the annual conferences of the Hungarian Psychiatric Society in 2017, 2018 and 2019. These three groups focused on the issues of leadership, communication within the team, and competencies. The groups of an average of 17 people formed spontaneously by participation of professionals with different qualifications. The main results of the focus groups were as follows: 1. The various ty­pes of leadership within the team require the distribution and allocation of res­pon­si­bilities and roles and stop the dest­­ruc­tions. 2. Wi­thin the teams there are pre­vai­ling the informal channels of communication. 3. It is im­portant to clarify com­petencies and responsibilities. 'Actually, psy­chiat­ric spe­cia­lists' list of competencies there is not available in Hungary. It seems necessary to define more precisely and reconsider the professional competences of the specialized training in psychiatry and integrating these in the education, further promote the development of „list of competences in psychiatric specialization” by the legislators. The second phase of the research continues as a quantitative study based on the foregoing results gained by questionnaires. ]

Journal of Nursing Theory and Practice

[Safe Handover - Opportunities to improve Patient Handover]

SINKA Lászlóné Adamik Erika, BÖCSKEI Anna, VASS Zsolt, GÖBÖLY Ágnes

[Mistakes, errors made in the patient handover process can result in severe outcomes, but with appropriate measures it is possible to decrease their numbers. Therefore, we considered it important to develop a methodology which would help us analysing our internal processes. Getting to know the current situation well provides the opportunity to implement those changes into our daily work which focus on the actual problems, and which could lead to measurable improvements in our everyday work processes. ]