Journal of Nursing Theory and Practice

[Occurrences involving aggression among healthcare workers ]


APRIL 30, 2014

Journal of Nursing Theory and Practice - 2014;27(02)

[Aim of the study: Evaluation of prevalence and manner of verbal and psychical aggression, as well as measuring its emotional impact on the healthcare workers. Sample and methods: A total of 453 healthcare workers were involved in a national cross-sectional study using self-administrative questionnaires. Data were analyzed by descriptive methods, Chi square and Wilcoxon test using SPSS 19. A p-value of <0, 05 was accepted as statistically significant. Results: 86,1% of the participating healthcare workers (n=453) have reported being subject of aggression (verbal and/or psychical) during their work. Of the participants’ sociodemographic parameters, age was found to be a significant factor in incidents involving aggression, which had a statistically significant negative emotional impact. It was also established, that those healthcare workers who have been subject to aggression received more support from their colleagues than from their institution after the incident. Conclusions: Occurrences involving aggression in healthcare is a common phenomenon. The authors’s results show that there is an urgent need to develop an aggression management programme for all healthcare workers since they can encounter aggressive patients on all fields of medicine. ]



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Journal of Nursing Theory and Practice

[Research for Nurses 4. part: Interpretation of the results and deduction of the conclusions]


[The usefulness of the scientific work is classified through the results. The research is not a mechanical activity. The researchers can use the statistical methods versatile ways, but they are often faced, that their work is valuable or not? Data defining is a subjective process and the researcher must keep in mind: always to move within by the data indicated limits and their conclusions must be related to the research. The scientific research is not just characterizes by the result but also the moral value.]

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


Journal of Nursing Theory and Practice

[Job satisfaction and well-being among nurses]


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Journal of Nursing Theory and Practice

[Managing faecal incontinence with a rectal catheter]

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Related contents

Journal of Nursing Theory and Practice

[Aggression management programme for healthcare workers]


[Aim of the study: Introducing a programme for aggression prevention and assessing the experiences of its first session in Budapest. Sample and methods: The study was conducted with the involvement of 30 healthcare workers, using a self-administrative questionnaire and a focus group session. The self-administrative questionnaires were used to evaluate the quality of the programme, while the aim of the focus group was to reveal its further details. Results: The training was met by positive responses both in connection with the material and the preparedness of the instructors. During the focus group, numerous sensitive points came to light about the programme, and further suggestions were given this way helping the improvement. Conclusions: The objective and subjective results of the study both support the need for a training that helps prevent aggression. However, further changes are needed in order to increase its effectiveness. ]

Clinical Neuroscience

The etiology and age-related properties of patients with delirium in coronary intensive care unit and its effects on inhospital and follow up prognosis

ALTAY Servet, GÜRDOGAN Muhammet, KAYA Caglar, KARDAS Fatih, ZEYBEY Utku, CAKIR Burcu, EBIK Mustafa, DEMIR Melik

Delirium is a syndrome frequently encountered in intensive care and associated with a poor prognosis. Intensive care delirium is mostly based on general and palliative intensive care data in the literature. In this study, we aimed to investigate the incidence of delirium in coronary intensive care unit (CICU), related factors, its relationship with inhospital and follow up prognosis, incidence of age-related delirium and its effect on outcomes. This study was conducted with patients hospitalized in CICU of a tertiary university hospital between 01 August 2017 and 01 August 2018. Files of all patients were examined in details, and demographic, clinic and laboratory parameters were recorded. Patients confirmed with psychiatry consultation were included in the groups of patients who developed delirium. Patients were divided into groups with and without delirium developed, and baseline features, inhospital and follow up prognoses were investigated. In addition, patients were divided into four groups as <65 years old, 65-75 yo, 75-84 yo and> 85 yo, and the incidence of delirium, related factors and prognoses were compared among these groups. A total of 1108 patients (mean age: 64.4 ± 13.9 years; 66% men) who were followed in the intensive care unit with variable indications were included in the study. Of all patients 11.1% developed delirium in the CICU. Patients who developed delirium were older, comorbidities were more frequent, and these patients showed increased inflammation findings, and significant increase in inhospital mortality compared to those who did not develop delirium (p<0.05). At median 9-month follow up period, rehospitalization, reinfarction, cognitive dysfunction, initiation of psychiatric therapy and mortality were significantly higher in the delirium group (p<0.05). When patients who developed delirium were divided into four groups by age and analyzed, incidence of delirium and mortality rate in delirium group were significantly increased by age (p<0.05). Development of delirium in coronary intensive care unit is associated with increased inhospital and follow up morbidity and mortality. Delirium is more commonly seen in geriatric patients and those with comorbidity, and is associated with a poorer prognosis. High-risk patients should be more carefully monitored for the risk of delirium.

Clinical Neuroscience

Cyanocobalamin and cholecalciferol synergistically improve functional and histopathological nerve healing in experimental rat model

ALBAY Cem, ADANIR Oktay, AKKALP Kahraman Asli, DOGAN Burcu Vasfiye, GULAEC Akif Mehmet, BEYTEMUR Ozan

Introduction - Peripheral nerve injury (PNI) is a frequent problem among young adults. Hopefully, regeneration can occur in PNI unlike central nervous system. If nerve cut is complete, gold standard treatment is surgery, but incomplete cuts have been tried to be treated by medicines. The aim of the study was to evaluate and compare clinical and histopathological outcomes of independent treatment of each of Vitamin B12 (B12) and Vitamin D3 (D3) and their combination on sciatic nerve injury in an experimental rat model. Materials and methods - Experimental animal study was performed after the approval of BEH Ethics Committee No. 2015/10. 32 rats were grouped into four (n=8) according to treatment procedures, such as Group 1 (controls with no treatment), Group 2 (intraperitoneal 1 mg/kg/day B12), Group 3 (oral 3500 IU/kg/week D3), Group 4 (intraperitoneal 1 mg/kg/day B12+ oral 3500 IU/kg/week D3). Sciatic Functional Index (SFI) and histopathological analysis were performed. Results - SFIs of Group 2, 3, 4 were statistically significantly higher than controls. Group 2 and 3 were statistically not different, however Group 4 was statistically significantly higher than others according to SFI. Axonal degeneration (AD) in all treatment groups were statistically significantly lower than in Group 1. AD in Group 4 was significantly lower than in Group 2 and 3; there was no significant difference between Group 2 and 3. There was no significant difference between Group 1,2 and 3 in Axonolysis (A). But A of Group 4 was significantly very much lower than all others. Oedema- inflammation (OE-I) in all treatment groups were significantly lower than in Group 1; there was no significant difference between Group 2 and group 4. OE-I in Group 2 and 4 were significantly lower than in Group 3. There were no significant differences between Group 1, 2 and 3 in damage level scores; score of Group 4 was significantly lower than of Group 1. Conclusions - B12 and D3 were found effective with no statistically significant difference. But combined use of B12 and D3 improve nerve healing synergistically. We recommend combined use of B12 and D3 after PNI as soon as possible.

Clinical Neuroscience

Effects of valproate, carbamazepine and levetiracetam on Tp-e interval, Tp-e/QT and Tp-e/QTc ratio


Aim - To evaluate P-wave dispersion before and after antiepileptic drug (AED) treatment as well as to investigate the risk of ventricular repolarization using the Tpeak-Tend (Tp-e) interval and Tp-e/QT ratio in patients with epileptic disorder. Methods - A total of 63 patients receiving AED therapy and 35 healthy adults were included. ECG recordings were obtained before and 3 months after anti-epileptic treatment among patients with epilepsy. For both groups, Tp-e and Tp-e/QT ratio were measured using a 12-lead ECG device. Results - Tp-e interval, Tpe/QT and Tp-e/QTc ratios were found to be higher in the patient group than in the control group (p<0.05, for all), while QTmax ratio was significantly lower in the patient group. After 3 months of AED therapy, significant increases in QT max, QTc max, QTcd, Tp-e, Tp-e/QT, and Tp-e/QTc were found among the patients (p<0.05). When the arrhythmic effects of the drugs before and after treatment were compared, especially in the valproic acid group, there were significant increases in Tp-e interval, Tp-e/QT and Tp-e/QTc values after three months of treatment (p<0.05). Carbamazepine and levetiracetam groups were not statistically significant in terms of pre- and post-treatment values. Conclusions - It was concluded that an arrhythmogenic environment may be associated with the disease, and patients who received AED monotherapy may need to be followed up more closely for arrhythmia.