Journal of Nursing Theory and Practice

Nurses‘ competences in preventive cardiology

IVANA Chloubová, VALÉRIE Tóthová

JUNE 30, 2019

Journal of Nursing Theory and Practice - 2019;32(03)

Introduction: The nurse education in the Czech Republic is based on the recommendations of the European Union, respecting the outcoming knowledge and skills of general nurses, formulated in basic competence criteria. Cardiovascular diseases rank among the main causes of death not only in many developed countries, but also in developing countries. Accent should be put on prevention of these diseases and the nurses should provide for efficient education. Goals and methods: The goal of the article consists in presenting the results of the analysis of the available sources focused on nurse education and the resulting competences in the field of cardiology, as well as in describing the system of health-educational activities of nurses in preventive cardiology in selected EU countries. The methods of research and structured interview were used. Results: The nurse‘s task in prevention of cardiovascular diseases consists in educating the public on influenceable risk factors which have significant impact on the incidence of cardiovascular diseases, but also on people‘s quality of life. It is important to alert the people to changes in their own risk behaviours and to motivate them to activities leading to improved life style. Conclusion: It can be concluded that the nurses in preventive cardiology make use of the competences acquired through pregradual studies. However, the current practice requires increasing competences within postgradual education.



Further articles in this publication

Journal of Nursing Theory and Practice

[Understanding the past may help to shape the future (’Medical tasks, delegation and nursing’ - the past, present and the way forward)]

SÖVÉNYI Ferencné

[The history of nursing in Hungary has an aspect that has often been addressed but never looked into to the required depth and detail. This aspect concerns the regulation by law of certain specific relations between medicine and nursing from the mid-twentieth century to date. This issue has now come to the fore due partly to amendments to the legal framework and partly to changes in nursing education. ]

Journal of Nursing Theory and Practice

[Postoperative pain management today in Hungary - Part 2 ]

LOVASI Orsolya, LÁM Judit

[According to the literature, the practice of postoperative pain relief in Hungary is an area to be developed. Postoperative pain is a key issue for patients. Surveys show that more than 59% of patients are worried about postoperative pain. Their concerns are not baseless, as recent studies have consistently shown that pain has not been properly treated after surgery. It has also been shown that postoperative pain can lead to a deterioration in the quality of life of patients. The aim of our study was to assess the degree of postoperative pain in patients and their satisfaction with pain relief. We conducted interviews based on personal inquiries with a total of 168 patients, with the involvement of certain surgical departments of three Hungarian institutions. Based on our results, we found that patients report remarkable pain after surgery, so the practice of postoperative pain relief is in many cases unsatisfactory. Comparing the results and the international literature, postoperative analgesic practice can be considered as an area to be developed. ]

Journal of Nursing Theory and Practice

[The role of nurses and their tasks in early sepsis management]

VÁRADI Annamária, FEHÉR Gábor, FÖMÖTÖR Péter

[The Surviving Sepsis Guideline (SSG) is a document that proposed new solutions in the diagnostics and treatment of sepsis. The methods identified were the 100% oxygen therapy, fluid resuscitation, blood culture and microbiological analysis, empiric combination antibiotic therapy, lactate monitoring, comparison of PCT and CRP, and surgical opening. Using the above mentioned methods has proven to improve the quality of sepsis treatment and the safety of patients. Sepsis -6 protocol has been highlighted by the authors as a process that is easy to implement in terms of cost while remaining highly beneficial. This recommendation should also be well known for nurses that do not work in emergency units. This will help recognise sepsis at an early stage, and provide guideline in the analytical examination and the possibilities within the competence. ]

Journal of Nursing Theory and Practice

[Regulation of the Legal and Extent Competence for Nurse’s at Healthcare in Slovakia ]


[The nursing competencies changed in Slovakia during 2018. One of the main goals of today’s nursing training is to ensure that nurses fully meet the needs of today’s society. According to the new regulation in Slovakia, it divided nurses into three categories. The aim of this article is, to explain what changes occurred in the competencies over the past year. ]

Journal of Nursing Theory and Practice

[Primary Health Care experts and practitioners discussed in Pécs - 3rd National Conference on Primary Health Care]

HIRDI Henriett Éva, LUKÁCS Miklós, IZSÁK Szekeresné Margit, BALOGH Zoltán

All articles in the issue

Related contents

Lege Artis Medicinae



[The prevalence of type 2 diabetes mellitus has recently dramatically increased worldwide. While many factors contribute to the startling data, including changes in the diagnostic criteria of glucose intolerance, increase of life expectancy, manifestation of diabetes at younger ages, and increased detection of unrecognized diabetes due to more efficient screening, the genuine, steep rise in the incidence of diabetes is explained by the increasing prevalence of obesity. Among the late complications of both diabetes and obesity, cardiovascular diseases are particularly important. Insulin resistance due to visceral obesity plays a central role in the pathomechanism of type 2 diabetes. In the prevention of both type 2 diabetes and obesity, non-pharmacological intervention such as life style changes should be considered first. Supplementary pharmacological treatment should target all cardiovascular risk factors.]

Journal of Nursing Theory and Practice

[The role of nurses in the clinical trials]

NAGY Mónika Anita

[Aim of the research: To assess the occupational duties and responsibilities of nurses in relation to clinical trials in Hungary. Research and sampling methods: Self-administered questionnaire was used among the colleagues working in the field of clinical trial and IBM SPSS 22.0 software using descriptive statistical methods was performed. Results: It was found that the majority of nurses complete the duties of a study coordinator and the task of a study nurse simultaneously. They were involved in everyday activities that characterise the assistance of patients and in the management of paper-based documentation during clinical trials. Lack of knowledge in English language was identified for the reason of reduced-functionality of nurses in 59 cases. Conclusions: nurses have complex responsibilities, although they meet the requirements when it comes to the professional tasks and documentation obligations, but in the case of more complicated professional challenges nurses get fewer opportunities, mainly because of their poor English skills.]

Journal of Nursing Theory and Practice

[Job satisfaction and well-being among nurses]


[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.]

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. ]

Lege Artis Medicinae

[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. ]