Journal of Nursing Theory and Practice

[Knowledge on elderly home care residents’ rights among caregivers and nurses körében]


FEBRUARY 28, 2015

Journal of Nursing Theory and Practice - 2015;28(01)

[Aim of the study: To survey the awareness of carers and nurses regarding to patients’ rights as outlined in Act III of 1993 and Act CLIV of 1997, regulating welfare management, welfare services and health care. Sample and methods: The survey was conducted with the means of data collection with questionnaires, analysis of documents and statistical methods. The Survey was conducted in December 2013 and January 2014. The sample of respondents consisted of the carers and nurses of the Gödöllő unit of the Budapest Metropolitan Home for the Elderly. The analysis of the document aimed to introduce the of the house rules of the Home. The author used SPSS 22 statistical software to analyse the data collected with questionnaires. A chi squared test was employed to investigate the relations between the descriptive statistical methods and variables. Results: The knowledge of carers and nurses have deficiencies in the area of patients’ rights. They are more familiar with the rights provided for by the welfare act, as the majority of the workers have worked in the welfare area for a long time, and, in the course of their work have become aware of the rights described by the act in question. Conclusions: as the workers had no possibility to familiarise themselves with the patients’ rights during their education, the Home is to provide the workers with adequate training to make up for the above mentioned lack of knowledge. ]



Further articles in this publication

Journal of Nursing Theory and Practice

[The significance of post-reanimation treatment using therapeutic hypothermia in the intensive care ward]


[Aim of the research: To assess the significance of applying therapeutic hypothermia (TH) in order to prevent cerebral neurologic damage following cardiopulmonary resuscitation (CPR). Research and sampling methods: Retrospective and quantitative research, applying stratified, not random sampling. The research was conducted by analysing medical and clinical nurse documentation, using direct data collection. The total number of patients (n) referred to the intensive care ward of county hospital due to prolonged life support (PLS) during the two different years was 68. In 2005, the number of patients (n) not receiving TH was 28 whereas in 2010 the number of patients who did receive TH was 29 and the number of those who did not receive TH in the same year was 11. Results: Comparing the research results of the two patient groups, it can be concluded that the patients who received TH in 2010 left the intensive care ward with better neurological function, no significant difference. PLS carried out with full body cooling proved to be more effective by decreasing hypoxic damage in the brain tissue, in consequence of which better neurological results are expectable. Conclusion: the application of TH is necessary following CPRs when the patient remains unconscious even after regaining spontaneous circulation. In everyday practice of intensive care wards, TH should be applied as per standard protocol. All clinical nurse staff should be aware of the cooling techniques and of the use the necessary medical equipment. Practical application and the earliest possible start of TH can be done more effectively by improving the nurses’ relevant knowledge, providing higher financial support and expanding the circle of medical equipment. ]

Journal of Nursing Theory and Practice

[Value research of students in the patient care sector. Research carried out in a vocational secondary school]


[Aim of the study: Mapping out the value system, the professional motivation and the socio-cultural background of care provider students at the Zsuzsanna Kossuth Vocational Secondary School Sample and methods: Descriptive type research, number of elements 169 (n=169). The data was synthesized with Microsoft Office Excel 2007. Results: Taking into consideration the influence of the parents’ educational and professional background it can be stated that the parents’s influence gains control of their children’s school choice. In every analyzed group students are backed by strong family support. Regarding their career choice most students were motivated by the desire to help people. Graduate students demonstrate a more consistent career choice than younger students. The most important values of the care provider career proved to be: professional knowledge, know-how, responsibility and precision. An increase in career values related to age has not been demonstrated. Conclusions: It is very important to know the students’s value system because the values gained in the family and at school play a determining role in the care providers’s job. ]

Journal of Nursing Theory and Practice

[The founder of industrial nurse training in Hungary, Maria Baloghy was born 120 years ago]

HIRDI Henriett Éva

[Maria Baloghy, founder of industrial nurse training in Hungary, was born 120 years ago at Košice. This short paper intends to commemorate her merits, which remained valid even after long decades after her death]

All articles in the issue

Related contents

Lege Artis Medicinae

[Doctors’ obligations and patients’ rights in the health legislation of the Austro-Hungarian Empire in the 19th century]

FEITH Helga Judit, GRADVOHL Edina, BALÁZS Péter

[Health care services, particularly the in-patient care experienced a considerable development during the period of Dualism since 1867 in the Hungarian part of the Empire. Its legal basis created the first Hungarian Act on Public Health (Act XIV 1876). Nobody is questioning today the legal protection of patients as consumers of the health care services. It was regulated in comprehensive terms the first time by the 1997 health legislation (Act CLIV of 1997 on Health). Patients’ rights existed already prior to the 20th century however they were dealt with only by few studies thus far. The primary aim of our study is 1) analysing doctors’ obligations regulated by the first Hungarian Act on Public Health (Act XIV 1876) and the Hospital Decree, 2) comparing these legal norms with the actual Act on Health as well. Based on the comparative analysis of the first Hungarian Act on Public Health (Act XIV 1876) and the Act CLIV of 1997 on Health it is obviously demonstrated that endeavouring the protection of patients in vulnerable situation was clearly determined in the 19th century regulation and the patients’ rights in contemporary sense of the word were also emerging. As a result, we draw the conclusion that we must break with the frequently voiced claim about the first emerging of patients’ rights only in the 1972 health legislation in the middle of the 20th century transferred and systematically itemized later in the comprehensive Act of Health in 1997. Our today’s regulation in force was already anticipated in the 19th and even 18th century Hungarian health legislation.]

Clinical Neuroscience

Alexithymia is associated with cognitive impairment in patients with Parkinson’s disease

SENGUL Yildizhan, KOCAK Müge, CORAKCI Zeynep, SENGUL Serdar Hakan, USTUN Ismet

Cognitive dysfunction (CD) is a common non-motor symptom of Parkinson’s disease (PD). Alexithy­mia is a still poorly understood neuropsychiatric feature of PD. Cognitive impairment (especially visuospatial dysfunction and executive dysfunction) and alexithymia share com­mon pathology of neuroanatomical structures. We hypo­thesized that there must be a correlation between CD and alexithymia levels considering this relationship of neuroanatomy. Objective – The aim of this study was to evaluate the association between alexithymia and neurocognitive function in patients with PD. Thirty-five patients with PD were included in this study. The Toronto Alexithymia Scale–20 (TAS-20), Geriatric Depression Inventory (GDI) and a detailed neuropsychological evaluation were performed. Higher TAS-20 scores were negatively correlated with Wechsler Adult Intelligence Scale (WAIS) similarities test score (r =-0.71, p value 0.02), clock drawing test (CDT) scores (r=-0.72, p=0.02) and verbal fluency (VF) (r=-0.77, p<0.01). Difficulty identifying feelings subscale score was negatively correlated with CDT scores (r=-0.74, p=0.02), VF scores (r=-0.66, p=0.04), visual memory immediate recall (r=-0.74, p=0.01). VF scores were also correlated with difficulty describing feelings (DDF) scores (r=-0.66, p=0.04). There was a reverse relationship bet­ween WAIS similarities and DDF scores (r=-0.70, p=0.02), and externally oriented-thinking (r=-0.77,p<0.01). Executive function Z score was correlated with the mean TAS-20 score (r=-62, p=0.03) and DDF subscale score (r=-0.70, p=0.01) Alexithymia was found to be associated with poorer performance on visuospatial and executive function test results. We also found that alexithymia was significantly correlated with depressive symptoms. Presence of alexithymia should therefore warn the clinicians for co-existing CD.

Hypertension and nephrology

[About the care of patients with hyperuricaemia and gout]

[This consensus document is intended to provide guidance for the effective and efficient treatment of asymptomatic individuals with high uric acid levels and gout patients.]

Clinical Neuroscience

[What happens to vertiginous population after emission from the Emergency Department?]

MAIHOUB Stefani, MOLNÁR András, CSIKÓS András, KANIZSAI Péter, TAMÁS László, SZIRMAI Ágnes

[Background – Dizziness is one of the most frequent complaints when a patient is searching for medical care and resolution. This can be a problematic presentation in the emergency department, both from a diagnostic and a management standpoint. Purpose – The aim of our study is to clarify what happens to patients after leaving the emergency department. Methods – 879 patients were examined at the Semmel­weis University Emergency Department with vertigo and dizziness. We sent a questionnaire to these patients and we had 308 completed papers back (110 male, 198 female patients, mean age 61.8 ± 12.31 SD), which we further analyzed. Results – Based on the emergency department diagnosis we had the following results: central vestibular lesion (n = 71), dizziness or giddiness (n = 64) and BPPV (n = 51) were among the most frequent diagnosis. Clarification of the final post-examination diagnosis took several days (28.8%), and weeks (24.2%). It was also noticed that 24.02% of this population never received a proper diagnosis. Among the population only 80 patients (25.8%) got proper diagnosis of their complaints, which was supported by qualitative statistical analysis (Cohen Kappa test) result (κ = 0.560). Discussion – The correlation between our emergency department diagnosis and final diagnosis given to patients is low, a phenomenon that is also observable in other countries. Therefore, patient follow-up is an important issue, including the importance of neurotology and possibly neurological examination. Conclusion – Emergency diagnosis of vertigo is a great challenge, but despite of difficulties the targeted and quick case history and exact examination can evaluate the central or peripheral cause of the balance disorder. Therefore, to prevent declination of the quality of life the importance of further investigation is high.]