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

[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

[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

[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. ]

Journal of Nursing Theory and Practice

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Journal of Nursing Theory and Practice

[Nursing career of the high-school students]

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[Aim of the research: The aim of the study is to analyze the trends of student orientation in the age and compulsory education process by age group. In our research, we would like to answer the question of how much „popularity” the health care profession as a professional area among students participating in Hungarian public education. If you feel this area of expertise close to you, what kind of vision you have. Research and sampling methods: A self-constructed questionnaire was administered during 24 Oct 2017 - 13 Jan 2018. In all counties of Hungary, the authors sent it to at least one of the training sites and filled up with me (N=329). These training sites are involved in healthcare training. Data were analysed with SPSS 15.0 for Windows statistical program. Chi square, Mann-Whitney tests were applied (p <0,05). Results: Out of the 159 people (48%), 170 (52%) in the family have healthcare workers. When performing the controls of the distributions, we can conclude that there is no significant difference in the distribution between the two groups, so there is the same number - that is, statistically significant difference - of the proportion of those willing to choose the health care path. In terms of career choice, 276 (86%) of respondents believe it is likely to be oriented towards the health care path, with 46 people (14%) planning their life is in another direction. Seven of its principal did not answer the question. By completing the Mann-Whitney test, we can conclude that there is no significant difference between the two groups in the medians, so there is no difference - that is, statistically significant difference - with respect to career choice as a nursing profession’s esteem. Of the 329 participants, 215 (65%) replied that they would like to work as a nurse, while 114 (35%) responded that they would not choose this job. Conclusion: Don’t influence significantly the career entrant if there is a healthcare worker in the family. Who stand in front of career choice don’t influence significantly the appreciation but is more motivated by sympathy and helplessness toward another person.]

Journal of Nursing Theory and Practice

[Associated factors of independency in older adults with cognitive impairment living in a long term care institute]

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[Aim of the research: Functional independence determines the elderly’s health and quality of life. In them cross-sectional study the authors analysed the associations between functional abilities (balance, gait, functional mobility, cognitive abilities), age, BMI and comorbidities and independency in older adults with cognitive impairment. Research and sampling methods: 110 elderly people were measured. Self-sufficiency was measured by the Katz-index, balance, and gait by the Tinetti Test and functional mobility by the Timed Up and Go Test. Correlations between variables were analysed with the Spearman’s rank-order correlation. Results: There was strong association between balance (r=0,557), gait (r=0,515), functional mobility (r=-0,647), and independency. It means the better the balance, gait, and functional mobility is, the higher the independency is. There was weak association between age, BMI, cognitive abilities, comorbidities and independency. Conclusion: Results show that preserving of the functional independence in older adults with cognitive impairment is a multidisciplinary task: physiotherapists and nurses should work together to complete doctors’ curative work of chronic diseases.]

Lege Artis Medicinae

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[Using an uncustomary approach to nursing history, authors review the intensive development process in the 1990s that resulted in the transition of nursing from an occupation to profession in Hungary. An occupa­tion attains professional status if its practitio­ners have access to education and training of a considerable duration, it has independent professional organisation, an ethical code of its own and is regulated by law. The article addresses these factors discussing at length the history and development of nurs­ing education and training in Hungary, subsequently it describes the process arching from practical nursing to the appearance of nursing science, an intrinsic part of which was the birth of a scientific nursing journal “Nővér”. The relevant and effective legislation on nursing and nursing practice is re­viewed comprehensively and the efforts to establish professional nursing organisations are described. It is maintained that framework conditions had to be established as a necessary precondition for nursing to professionalise itself on its own and become a vocation highly regarded by society. ]

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

[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.]