Journal of Nursing Theory and Practice

[Job satisfaction and well-being among nurses]


APRIL 30, 2014

Journal of Nursing Theory and Practice - 2014;27(02)

[Aim of the study: To monitor the changes in job satisfaction and well-being of nurses and to investigate whether the uncertainty caused by the reorganisation of workplaces affected their well-being. Sample and methods: Two cross-sectional studies were conducted in six Hungarian teaching hospitals in 2003 and in 2010 involving full time worker female inpatient care nurses who were asked to complete a questionnaire developed by the researchers. Results: The degree of acknowledgement and psychological strain at the workplace decreased significantly since the first survey. The autonomy at work dropped which is reflected by the diminished decision making and fewer opportunities to plan the working methods, work tasks, pace of work and jobs. Nurses evaluate the working community as worse, but the judgement of the head nurses did not change in 7 years. The rate of positive well-being significantly decreased since 2003, although the extent of negative well-being did not change. Conclusions: The job satisfaction of nurses decreased and the uncertainty at workplace affects their well-being.]



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Journal of Nursing Theory and Practice

[Occurrences involving aggression among healthcare workers ]


[Aim of the study: Evaluation of prevalence and manner of verbal and psychical aggression, as well as measuring its emotional impact on the healthcare workers. Sample and methods: A total of 453 healthcare workers were involved in a national cross-sectional study using self-administrative questionnaires. Data were analyzed by descriptive methods, Chi square and Wilcoxon test using SPSS 19. A p-value of <0, 05 was accepted as statistically significant. Results: 86,1% of the participating healthcare workers (n=453) have reported being subject of aggression (verbal and/or psychical) during their work. Of the participants’ sociodemographic parameters, age was found to be a significant factor in incidents involving aggression, which had a statistically significant negative emotional impact. It was also established, that those healthcare workers who have been subject to aggression received more support from their colleagues than from their institution after the incident. Conclusions: Occurrences involving aggression in healthcare is a common phenomenon. The authors’s results show that there is an urgent need to develop an aggression management programme for all healthcare workers since they can encounter aggressive patients on all fields of medicine. ]

Journal of Nursing Theory and Practice

[Managing faecal incontinence with a rectal catheter]

STELA Gilanová, KOLLÁROVÁ Lívia, PAPP Katalin

[All patients have the right to the appropriate treatment and level of comfort during their stay in hospital. One of the basic requirements of quality nursing is the assurance of bodily hygiene and humane treatment. In our paper we would describe rectal catheterisation, which is now a widely used procedure in the care of patients with faecal incontinence in Slovakia. Moreover, we cite specific data on the economic benefits of using a rectal catheter.]

Journal of Nursing Theory and Practice

[Research for Nurses 4. part: Interpretation of the results and deduction of the conclusions]


[The usefulness of the scientific work is classified through the results. The research is not a mechanical activity. The researchers can use the statistical methods versatile ways, but they are often faced, that their work is valuable or not? Data defining is a subjective process and the researcher must keep in mind: always to move within by the data indicated limits and their conclusions must be related to the research. The scientific research is not just characterizes by the result but also the moral value.]

Journal of Nursing Theory and Practice

[Awareness of Blood donation-related issues among paramedical professionals in Hungary]

RAJKI Veronika, HIRDI Henriett Éva, BALOGH Zoltán, MÉSZÁROS Judit

[Aim of the research: To assess the blood donation-related knowledge of paramedical professionals working in the fields of nursing and care-giving, emergency care, surgical care and obstetric care in Hungary. Sample and method: The anonymous, self-completion questionnaire used in the survey was based on the „Eurobarometer 41.0 (1995): Europeans and Blood” survey, which the authors supplemented with their own questions. The authors conducted a web-based survey. The survey took place between 15 July and 15 September 2012, among paramedical professionals in four different professional groups, using a convenience sampling method. The authors analysed the collected data with IBM SPSS Statistics 20 software and the Kingsoft Office Spreadsheet (2012) program, using a descriptive statistical method and chi square test. Results: The survey took place with the participation of 312 paramedical professionals. Based on the results of the survey it was established that all the professional groups displayed gaps in their knowledge regarding blood donation. 86.19% of respondents have a correct understanding of blood donation. No significant differences can be observed between the levels of knowledge in the individual professional groups. Conclusions: The results display some significant and some non-significant correlations, as well as stochastic relationships relating to the distribution within the submanifolds. In the interest of eliminating the gaps in knowledge that were revealed in respect of the individual issues, the authors highlight the need for further training of paramedical professionals regarding blood donation.]

Journal of Nursing Theory and Practice


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Journal of Nursing Theory and Practice

[The health care changes affected the everyday lives of nurses ]


[Aims of the study: To examine the changes inpatient care nurses had to undergo following the reorganization of health care system during the last few years. Sample and methods: This was a cross-sectional study conducted in six teaching hospitals of Hungary involving nurses who worked full-time in inpatient care applying self-developed questionnaires between October and December 2010. Results: Nurses had to face many negative events and the feeling of uncertainty during the reorganization, which also affected the self evaluation of their health status. The fear of relocation, reduced salary or losing the job and the worsened psychic status and bad workplace communication are significant. The six-question uncertainty scale can be divided into a promotional and an environmental subscale. Responders expect significant support from their employers, mainly financially. Conclusions: The reorganization of the health care system caused uncertainty by the nurses. ]

Journal of Nursing Theory and Practice

[What does a triage nurse do? ]

BALOGH Khernné Mariann

[Emergency patient care department problems have recently come to the fore, especially in terms of waiting times and triage activity. It is still not entirely clear to society what is the triage system is, what is it good for, and who is the person, who applies the classification of patients. There is countless conflicts and tensions in the process of health services due to lack of knowledge. In Hungary, emergency departments play a prominent role in healthcare. Increased patient flow is a global problem, and therefore a distinction should be made between the „door to physician time” of the patients. The so-called grading system (triage) has been developed for this purpose, during which an experienced qualified nurse will measure and assess the patient’s condition as quickly as possible on the basis of different criteria. In my communication, I present the triage activity, the use of the classification system, what the triage nurse is doing, by comparing two cases. ]

Journal of Nursing Theory and Practice

[Assessing the knowledge of patients after cataract surgery]

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[Aim of study: Examining the knowledge of patients about ophthalmic screenings, their disorder, the necessary lifestyle changes and on how to use eye drops properly. Sample and methods: This cross-sectional study was conducted at the ophthalmology department of the hospital in Kecskemét using a self-developed questionnaire. Inpatients were involved during the period from June to September in 2013. Results: The studied patient population knew the importance of ophthalmic screenings, but they had inappropriate information about the right way to use eye drops and about the nature of cataract and the operation. Although the majority of the responders were informed by an expert, they had much false information about the necessary lifestyle changes. Conclusions: One of the most important task of nurses working at ophthalmology departments is to correct the false beliefs of patients and to replace them with correct and clear information, especially about their disorder and lifestyle changes.]

Journal of Nursing Theory and Practice

[The nursing aspects of the use of Point of Care Testing laboratory diagnostics]


[Aim of the study: The author’s aim was to present the Point of Care Testing (POCT) laboratory diagnostic methods used during the treatment of emergency cases, on the basis of feedback from paramedical professionals. The survey also investigated the opportunities using the procedure more widely, in keeping with the specifi c professional requirements of the various departments. Methodology and sample: The data was gathered in Budapest, at various departments of the Hungarian National Defence Hospital. A name-based sampling method was used, and the quantitative research involved a prospective cross-sectional, descriptive correlation study using an internet-based questionnaire survey. Results: Based on the opinions of paramedical professionals at the surveyed departments, a signifi cant difference was demonstrated in the ranking of the types of POCT clinical tests. The procedure proved to be exceptionally useful in the treatment of acute cases, although the perception of its effectiveness differed between departments. Conclusions: Priority needs to be given to propagating the theoretical aspects and deepening the practical skills related to POCT clinical procedures. Based on a complex survey of several departments, the POCT procedures proved to be quick, accurate and economical, provided that the paramedical professionals have the appropriate theoretical grounding.]

Lege Artis Medicinae

[Empirical examination of the persistence value among the students studying health-care at the beginning of student professionalization]

DINYÁNÉ Szabó Mariann, PUSZTAI Gabriella

[INTRODUCTION – Students in healthcare studies can help maintain the mental base and maintain their health if the lecturers know the degree of student persistence. When entering higher education, it is possible to measure the pre-university experience. Persistence determines the student's relationship to learning and can be a predictor of learning success. PARTICIPANTS AND METHODS – A questionnaire study (N = 200) of the 1st year student (N = 200) of the Health Care Organization (BSc) of the University of Debrecen and Semmelweis University. For the continuous Persistence Variable a descriptive statistical method was used, an independent two-sample t-test was used for comparison between groups, and Hedges-g was used to express the effect size. We used the GLM (General Linear Model) model for fitting the persistence model. By means of factor analysis, we constructed factors from the significant predictor variables of the GLM model, which helped us assessing students' chances of learning. To quantify the strength of evidence against null hypothesis P < 0.05 (5% significance) was chosen as a standard level for concluding that there is evidence against the hypothesis tested. Statistical analysis was performed with IBM SPSS Statistics 24.0 (SPSS, Chicago, IL). RESULTS – The persistence factor loadings can be divided into three types: high, medium and low. High persistence rearranges student preferences, low interest persistence, minimal interest in academic engagement. In the case of middle-ranking people, the importance of volunteering (life-experience) and friendship is paramount. CONCLUSIONS – The results indicate that at the beginning of the student life there is a willingness, diligence, acceptance of academic values, interest or lack of interest in future success studies. During the stu­dies, these features can be monitored and the necessary interventions can be made in time.]