Journal of Nursing Theory and Practice

[Nursing Bag Technique, Practice in home health care]

HIRDI Henriett Éva1, DALLOSNÉ Király Erika2, KÁLMÁNNÉ Simon Mária3

JUNE 30, 2021

Journal of Nursing Theory and Practice - 2021;34(3)

[The nursing bag has been used by District Nurses and Home Care Visiting Nurses for decades to transport patient care equipment and supplies to patients’ homes. The nursing bag is transported from the patient’s home to another family’s living space and may serve as a vehicle for transmitting pathogen microorganisms. This article will focus on the core and supplementary contents in the nursing bag and on principles of practice called “bag technique” to prevent the transmission of pathogenic microorganisms.]


  1. Semmelweis Egyetem Egészségtudományi Kar, Ápolástan Tanszék, Budapest
  2. Váci SZC Selye János Egészségügyi és Szociális Szakgimnázium és Szakközépiskola, Vác
  3. TaloMed Egészségügyi Szolgáltató Kft., Budapest



Further articles in this publication

Journal of Nursing Theory and Practice

[The importance of teamwork in healthcare during the COVID-19 pandemic]


[The present study aimed to investigate the correlations of healthcare teamwork with burnout, workplace uncertainty, and stress factors at the workplace and at home during the COVID-19 pandemic. This cross-sectional study has been conducted through a self-constructed online questionnaire in the beginning of 2021. The answers of 1965 people have been analysed with SPSS 23.0. Descriptive statistics, chi-square and Kruskal-Wallis were applied (p<0.05). This cross-sectional study has been conducted through a self-constructed online questionnaire in the beginning of 2021. The answers of 1965 people have been analysed with SPSS 23.0. Descriptive statistics, chi-square and Kruskal-Wallis were applied (p<0.05). The present study proved that teamwork has high importance even during the COVID-19 pandemic as a protective factor on many areas.]

Journal of Nursing Theory and Practice

[Changing in the daily nursing duties – epidemiological interventions and protocols in residential care facilities related to elderly care]

HADOBÁSNÉ Kiss Hedvig, BALOGH Zoltán

[In this publication we will represent the SWOT-analysis and abilities of the social residential institutes in terms of safety measures and strategies, against the current pandemic situation caused by the Covid-19 outbreak. Our analysis involves the retirement homes and other caretaking facilities in Szabolcs-Szatmár-Bereg County. The data was acquired through anonym only surveys. We will introduce new challenges and task in the daily life of the retirement homes, furthermore we will provide advice and references to these institutes to help them create their own epidemiological protocols and to measure their own preparedness from a professional viewpoint. The aim of study: The goal of our examination was to assess the entire Szabolcs-Szatmár-Bereg County, which by we can gain insight into the situation of the retirement homes during the current pandemic period in the whole county. In Szabolcs-Szatmár-Bereg County there are 97 active retirement homes and caretaking facilities, the leaders of the facilities were asked to fill out an anonymous online survey. Based on the received data, we formed our opinion and draw conclusions. Based on the aspects of the SWOT-analysis used in the research and after the analysis of the results, we can state that the epidemiological experience, knowledge and expertise of the people working in health care show an insufficient picture. Many institutions have faced unresolved labour challenges and challenges, the difficulty of converting living quarters for isolation, and the general unpreparedness to deal with a viral situation of this caliber. The ban on visits to prevent the spread of the virus has also made it more difficult to care for those in need of special care, and in several cases, the attitude of relatives hindered the work of the institutions. Fortunately, in addition to the difficulties that arise, some positive changes should be also highlighted, such as the conscientious approach to the task of forging a team of employees. As a consequence, we can conclude that in the analysis we obtained and evaluated the serious difficulties in relation to the problems of the institutions, there are some options as solution to these. Possible solutions include further training, institution-specific guidelines, development and application of protocols in epidemic situations, support for crisis management and crisis communication within institutions. In the heightened situation, the acquisition of appropriate communication techniques to reassure relatives and patients are essential tools for the solution. Central guidance, monitoring and support are also needed to make all of these options a reality.]

Journal of Nursing Theory and Practice

[Analysis of the impact of dysphagia among stroke patients in acute care]

GRÁNÁSI Bettina, PAPP László

[Stroke is the third most common cause of death in Europe. In Hungary, 40-50 thousand people enter the stroke centers in every year, of which about 15 thousand die. Among the residual symptoms, impairment of swallowing function is significant, which can lead to a life-threatening condition. In our prospective, controlled study, we aimed to investigate the descriptive indicators of swallowing disorders in stroke patients undergoing acute care. The study was done at the Stroke Unit of the Department of Neurology, University of Szeged, between July and November 2020. During this period, 122 patients were included in the study group. The degree of consciousness (p <0.001, Cramer’s V 0.479) and the presence of facial paresis (p <0.001, Cramer’s V 0.73) basically determine the risk of developing swallowing disorders. The incidence of aspiration pneumonia was not higher in the sample than in the control group (p = 0.138). Based on our results, the assessment of the risk of swallowing disorders is an essential element in the care of stroke patients.]

Journal of Nursing Theory and Practice

[Changes in Quality of Life in Patients with Parkinson’s Disease following Deep Brain Stimulation (DBS) Surgery]

POLGÁRNÉ Lőrinczi Andrea, PAPP László

[The primary objective of our study was to assess the effect of deep brain stimulation (DBS) on subjectively lived quality of life in patients with Parkinson’s disease (PD). Our focus was on postoperative changes in patients’ activities, social relationships, as well as changes observed in drug therapy as a result of stimulation. In our qualitative, phenomenological study, we conducted interviews with PD patients 4–10 months after DBS surgery. The 30-60 minute interviews were conducted between July 1 and December 31, 2020. Patients reported positive changes in daily activities, work ability, sleep quality, mood and medication. No change in cognitive status was identified. After DBS surgery, patients’ quality of life changes in a clear positive direction. To achieve the optimal effect of the intervention, given the complexity of the disease, the basic motive for care should be a holistic approach.]

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Related contents

Lege Artis Medicinae

[Family medicine, home care, family care]


[General Practice as an independent speciality of medicine has a very special territory, the family care. The family care is a general wish of the society. This special care is continuously made in every fifth-sixth family. ln the author's practice in the autumn of 1989 113families and 16 lonely persons, in 1990 120 families and 18 lonely persons were controlled regularly at home. The family care, the family medicine needs special knowledge and skill. Minimal addicional technical, personal and financial support is requested, burt due to the special care activity the level of medical work increases and it becomes more humanistic, needs of hospitalization decreases and the plus expenditure refunds. Far the better evaluation of family care a more systematic undergraduate and postgraduate teaching and a special research work would be needed.]

Clinical Neuroscience

Comparison of direct costs of percutaneous full-endoscopic interlaminar lumbar discectomy and microdiscectomy: Results from Turkey

ÜNSAL Ünlü Ülkün, ŞENTÜRK Salim

Microdiscectomy (MD) is a stan­dard technique for the surgical treatment of lumbar disc herniation (LDH). Uniportal percutaneous full-endoscopic in­terlaminar lumbar discectomy (PELD) is another surgical op­tion that has become popular owing to reports of shorter hos­pitalization and earlier functional recovery. There are very few articles analyzing the total costs of these two techniques. The purpose of this study was to compare total hospital costs among microdiscectomy (MD) and uniportal percutaneous full-endoscopic interlaminar lumbar discectomy (PELD). Forty patients aged between 22-70 years who underwent PELD or MD with different anesthesia techniques were divided into four groups: (i) PELD-local anesthesia (PELD-Local) (n=10), (ii) PELD-general anesthesia (PELD-General) (n=10), (iii) MD-spinal anesthesia (MD-Spinal) (n=10), (iv) MD-general anesthesia (MD-General) (n=10). Health care costs were defined as the sum of direct costs. Data were then analyzed based on anesthetic modality to produce a direct cost evaluation. Direct costs were compared statistically between MD and PELD groups. The sum of total costs was $1,249.50 in the PELD-Local group, $1,741.50 in the PELD-General group, $2,015.60 in the MD-Spinal group, and $2,348.70 in the MD-General group. The sum of total costs was higher in the MD-Spinal and MD-General groups than in the PELD-Local and PELD-General groups. The costs of surgical operation, surgical equipment, anesthesia (anesthetist’s costs), hospital stay, anesthetic drugs and materials, laboratory wor­kup, nur­sing care, and postoperative me­dication diffe­red significantly among the two main groups (PELD-MD) (p<0.01). This study demonstrated that PELD is less costly than MD.

Clinical Neuroscience

[The connection between the socioeconomic status and stroke in Budapest]


[The well-known gap bet­ween stroke mortality of Eastern and Western Euro­pean countries may reflect the effect of socioeconomic diffe­rences. Such a gap may be present between neighborhoods of different wealth within one city. We set forth to compare age distribution, incidence, case fatality, mortality, and risk factor profile of stroke patients of the poorest (District 8) and wealthiest (District 12) districts of Budapest. We synthesize the results of our former comparative epidemiological investigations focusing on the association of socioeconomic background and features of stroke in two districts of the capital city of Hungary. The “Budapest District 8–12 project” pointed out the younger age of stroke patients of the poorer district, and established that the prevalence of smoking, alcohol-consumption, and untreated hypertension is also higher in District 8. The “Six Years in Two Districts” project involving 4779 patients with a 10-year follow-up revealed higher incidence, case fatality and mortality of stroke in the less wealthy district. The younger patients of the poorer region show higher risk-factor prevalence, die younger and their fatality grows faster during long-term follow-up. The higher prevalence of risk factors and the higher fatality of the younger age groups in the socioeconomically deprived district reflect the higher vulnerability of the population in District 8. The missing link between poverty and stroke outcome seems to be lifestyle risk-factors and lack of adherence to primary preventive efforts. Public health campaigns on stroke prevention should focus on the young generation of socioeconomi­cally deprived neighborhoods. ]

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.]