Journal of Nursing Theory and Practice

[Mirror Shards]

ROZSOS Erzsébet

DECEMBER 10, 2012

Journal of Nursing Theory and Practice - 2012;25(06)

[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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Journal of Nursing Theory and Practice

[The annual health insurance activity of the physiotherapy procedures related to definition in outpatient care]

MOLICS Bálint, ÁGOSTON István, ENDREI Dóra, ÉLIÁS Zsuzsanna, KRÁNICZ János, SCHMIDT Béla, BONCZ Imre

[Aim of the study: The aim of the study is mapping the extent, prevalence, specialty distribution of physiotherapy procedures in out-patient care and the health insurance expense on provisions. Methodology and sample: The data concerning the number of cases were requested from the Healthcare Strategic Research Institute, Healthcare Detailed Data Base according to the data of National Health Insurance Fund (OEP). Paragraph J17 in Book of Rules on the application of the code list of out-patient activities provided the OENO activity list with the scores, number of cases in 2008, and we obtained the financing expense/year from the 1.46 FT/point score. Results: The total number of cases of 151 physiotherapy activities /year were 24.748.877. The 20 most prevalent procedures accounted for 72.56% (17.958.097) of the total number of cases. The procedures performed by physiotherapists, masseurs, conducters and physiotherapy assisstants accounted for 7.339.446.299 Fts financed by OEP in 2008. Among the BNO main groups, most interventions occured in musculoskeletal and connective tissue diseases. Conclusions: According to results OEP financed 7,339 billion FTs on physiotherapy treatment in out-patient care, mostly in procedures of musculoskeletal disorders in 2008.]

Journal of Nursing Theory and Practice

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Journal of Nursing Theory and Practice

[A Bridge between the Hungarian and Slovakian nursing - In Memoriam doc. PhDr. Alžbeta Hanzlíková, PhD (1935-2012)]

BETLEHEM József

Journal of Nursing Theory and Practice

[Providing ambulance paramedics with more in-depth knowledge relating to the on-site treatment of acute cardiac asthma ]

MOSKOLA Vladimír, HORNYÁK István

[Aim of the study: The authors sought an answer to the questions arising in the course of on-site emergency care, in relation to the treatment of acute cardiac asthma: What is the ratio of men and women developing the disease? How frequently is supplementary, symptomatic treatment applied in the course of on-site emergency care? What is the distribution of the incidence of acute cardiac asthma by age group and time of day? Methodology and sample: The descriptive, retrospective research was conducted at the Nyíregyháza ambulance station of the North Plain Regional Ambulance Service. In the period lasting from 1 January 2006 to 31 December 2007, a total of 13 511 incident sheets were reviewed, from among which a total of 130 were subjected to a more detailed examination, on the strength of the diagnoses of acute cardiac asthma and pulmonary oedema. The data was collated using Microsoft Excel, and the processing of the results thus obtained took place using descriptive statistical methods (frequency, correlative coefficient). Results: With regard to acute cardiac asthma, 51% of the cases took place in the early hours, while 40% occurred in the evening. The remaining cases can be placed in the mid-morning and afternoon periods, which together represented only 9% of all the cases. Of the 130 patients studied, 68 were women and 62 were men. Supplementary treatment was given on-site in the form of Cerucal in 17 cases, and with Theospirex in 13% of cases. Conclusions: The incidence of the disease is increasing from year to year. The rise in the incidence of acute cardiac asthma has been especially notable among the 71-81 age group. In terms of the time of day, acute cardiac asthma tends to occur in the early hours and in the evening. Over the age of sixty incidence increases significantly in both sexes; however, age is not a significant factor in the effectiveness of the treatment. ]

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[Current issues in geriatric care from a nursing perspective at certain patient wards of Sárvár Municipal Hospital ]

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[Aim of the study: The authors aim is to identify differences in the aspects of nursing at rehabilitation, chronic internal medicine and nursing departments, and to assess the characteristics and personality traits regarded as essential by the specialist nurses participating in the survey, as well as to identify the factors and causes named by patients as leading to an improvement in their satisfaction and comfort. Sample and method: The survey was performed in three departments of the Sárvár Municipal Hospital (chronic internal medicine, nursing and rehabilitation), and involved the specialist nurses working in the departments and the patients of the three departments. The questionnaire-based surveys were conducted both among the paramedical workers and the patients. The results and correlations were examined using descriptive statistical methods. Results: It can be concluded from the survey of the patients that a high proportion of them (42%) are admitted to the nursing department on the basis of social considerations. The opinions of patients at the individual departments differ significantly with regard to the skill of the nurses and the necessity of increasing the nurse headcount. The most important conclusions of the survey of the workers include the findings that the self-assessment of their own knowledge by workers at the surveyed departments is relatively low; a significant proportion of the nurses would like to see an increase in the number of paramedical workers; and verbal ward handovers are still overly preferred among nurses, rather than the use of nursing documentation. Conclusions: Nurses working the field of rehabilitation need to be prepared for the new tasks emerging as a result of the increasingly marked demographic changes. For this, a strengthening of the rehabilitation-oriented approach is essential. ]

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Journal of Nursing Theory and Practice

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[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.]

Lege Artis Medicinae

[Mobbing and bullying among physicians - when colleagues become enemies]

KAPOCSI Erzsébet

[Workplace mistreatment, mobbing, bully-ing, or psychoterror has become a prioritised field of research in social sciences in the past two-three decades. Mobbing means more than a simple conflict situation between two individuals; it is a complex problem that could and should be investigated in various individual and organisational contexts. In spite of its large-scale theoretical and empirical research, the phenomenon still does not have a uniform definition; it is most commonly de-scribed via its social manifestations. Although the interpersonal constellation of mobbing is diverse, its trigger factors, stages and participants show similar patterns. The description and the evaluation of consequences is also uniform in the literature: workplace mobbing is accompanied by considerable health impairment, and it has severe psychosomatic and mental health effects on both the targeted individuals and the whole community. The latter group has to deal with poor performance, impaired morale and dissatisfaction. All these factors add up and lead to significant financial damage as well. The prevalence of mobbing is especially high in health care. Hierarchy, continuous overload, as well as emotional and physical stress all favour the development of mobbing. In turn, the professional-social culture of medicine that is based on traditions contributes to its acceptance, understatement and denial. The first time medical students have to face psychoterror is typically during their university years. The positive aspects of socialisation and finding their vocation cannot always compensate for the negative experiences. The model role of physicians, their behaviour towards colleagues and students can be protective, but it can also trigger further mobbing. Prevention is essential both at the organisational and individual level, and it requires complex measures whose effect will only be felt in the long term. ]

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