Journal of Nursing Theory and Practice

[Postoperative Pain Management Today in Hungary Part 1 ]

LOVASI Orsolya, LÁM Judit

OCTOBER 30, 2018

Journal of Nursing Theory and Practice - 2018;31(05)

[According to the results of relevant publications the practice for providing effective postoperative pain relief needs to be improved in Hungary. The inadequate pain management can occur several complications resulting prolonged recovery and increased cost of care. Providing adequate analgesia is not only a regulated activity, but a professional, ethical and moral obligation to diminish patients’ suffering. The current practice of pain management was evaluated in several Hungarian hospitals with questionnaires and interviews, analyzing the local pain protocols, and identifying the deeper causes of problems founded. After the comparison of our findings with the suggestions founded in the literature we identified numerous issues to be enhanced. The suggestions based on the results of our study are worth to be reconsidered to improve the current pain management practice of the health care providers performing surgical procedures. ]



Further articles in this publication

Journal of Nursing Theory and Practice

[Faces from the Hungarian Nursing Hall of Fame: the exemplary careers of two Hungarian recipients of the Florence Nightingale Medal Part 2]

SÖVÉNYI Ferencné, PERKÓ Magdolna, FEDINECZNÉ VITTAY Katalin, BOROS Károlyné

[This part of the series of articles on Hungarian recipients of the Florence Nightingale Medal is dedicated to the life and work of Ms Vera Józsefné Marosi. Two of the authors of the article had the privilege and honor not only to know Ms. Vera Marosi personally, but also to have been her students and co-workers at the Vocational Secondary School of Nursing, Postgraduate Medical School, Budapest. The other awardee whose life is presented is Ms. Anci Jánosné Faragó who was the last nurse in the Hungarian nursing community to be awarded the Medal in 2003. What connects the two outstanding nursing personalities is that both of them started out as teachers and educators and turned towards nursing spurred by historical circumstances, the cruelties of World War II and last but not least their humanity and desire to help others. ]

Journal of Nursing Theory and Practice

[Influencing Factors of Parenting Sense of Competence - Focusing on Sense of Coherence]

CSIGÓ Luca, KARÁCSONY Ilona Hajnalka

[The aim of the study: Parenting sense of competence (PSOC) has major impact on children’s development. The aim of this study was to examine the influencing factors of the parenting sense of competence from the aspect of a Health Visitor, especially focusing on sense of coherence (SOC). Material and method: A quantitative, cross-sectional, online study was carried out in 2017. A non-random sampling was applied with 254 mothers, who cared healthy, 0-6-year-old children. A self-edited survey was used and we examined SOC by its standard scale (SOC-13). For the data analysis Chi2 probability was used (p<0,05). Results: The mean age of the mothers was 33 years, 47,8% had 2 children and almost 60%. were higher educated. The mean point of SOC was 58,49. Age and sense of coherence had major impact on PSOC (p<0,05). There was not correlation between the residence, the education level, the marital status and PSOC (p>0,05). However the judgement of the Heath Visitors was excellent, internet was the main source of information about childcare. At the same time, human resources were mostly used in practise. Conclusion: The sociodemographic factors had lower impact on PSOC but it had a strong rela­tion­ship with SOC. In case of a risk groups Health Visitor could be a resource, against physical and psychosocial stressors, and she also could help to develop the parenting sense of competence. The role of the professionals should be enhanced in the parents’ source of knowledge related to their children.]

Journal of Nursing Theory and Practice

[Comparative analysis of job and life satisfaction among theatre nurses in Hungary and Germany]


[The aim of the study: The objective of the study was to assess and compare job and life satisfaction affected by workplace problems, stress, rewards, success and social support. We analyzed the coping strategies applied by the employees to solves the above problems. Material and method: The anonymous data collection was carried out in October, 2015 by applying AVEM and an own-edited socio-demographic questionnaire among theatre nurses from Hungarian and German clinics. Results: The employees evaluated stressful situations and problems differently in the two groups examined. Job satisfaction was equally important for both groups, but it affected life satisfaction of the Hungarian employees to greater extent. The stress management of the Hungarian employees was more effective in spite of the fact that German nurses used more coping strategies. Social support had a positive effect on overcoming the workplace problems in both groups. Conclusions: Job satisfaction of the nurses has a beneficial effect on their life satisfaction. The ability to divide work and private life and stress management are different among the nurses. Job satisfaction can be improved by workplace health promotion programs.]

Journal of Nursing Theory and Practice

[Assessment of environmental health and knowledge of silicosis among dental technicians]

LÁNG Anett, HIRDI Henriett Éva

[The aim of the study: The aim was to assess the health status of the Hungarian dental technicians and their knowledge of silicosis diseases. Methods: The survey was conducted in December 2017 - January 2018 through self-constructed online questionnaire among dental laboratory technicians in Budapest. Data were analysed with SPSS 22.0. Results: The survey was completed by 157 dental technicians. The sample consisted 80 male and 77 women. The average age was 38. Technicians were working for 9.4 hours a day. About the self equipment most of the participants (94.3%) wear respiratory protective equipment during laboratory work but 5.1% of them do not feel that the use of masks is necessary in laboratory. 13.37% of the participants don’t know the symptoms of silicosis and other 39.47% of them don’t know the right answer. Conclusions: The research has shown that the work safety situation of dental technicians is extremely low and their access to occupational health care is limited. The test results also demonstrated the need for early transfer of basic knowledge about the silicosis disease (its way of preventing, symptom, diagnosis and consequences) among dental technicians. ]

All articles in the issue

Related contents

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. ]

Clinical Neuroscience

Neuroscience highlights: Main cell types underlying memory and spatial navigation

KRABOTH Zoltán, KÁLMÁN Bernadette

Interest in the hippocampal formation and its role in navigation and memory arose in the second part of the 20th century, at least in part due to the curious case of Henry G. Molaison, who underwent brain surgery for intractable epilepsy. The temporal association observed between the removal of his entorhinal cortex along with a significant part of hippocampus and the developing severe memory deficit inspired scientists to focus on these regions. The subsequent discovery of the so-called place cells in the hippocampus launched the description of many other functional cell types and neuronal networks throughout the Papez-circuit that has a key role in memory processes and spatial information coding (speed, head direction, border, grid, object-vector etc). Each of these cell types has its own unique characteristics, and together they form the so-called “Brain GPS”. The aim of this short survey is to highlight for practicing neurologists the types of cells and neuronal networks that represent the anatomical substrates and physiological correlates of pathological entities affecting the limbic system, especially in the temporal lobe. For that purpose, we survey early discoveries along with the most relevant neuroscience observations from the recent literature. By this brief survey, we highlight main cell types in the hippocampal formation, and describe their roles in spatial navigation and memory processes. In recent decades, an array of new and functionally unique neuron types has been recognized in the hippocampal formation, but likely more remain to be discovered. For a better understanding of the heterogeneous presentations of neurological disorders affecting this anatomical region, insights into the constantly evolving neuroscience behind may be helpful. The public health consequences of diseases that affect memory and spatial navigation are high, and grow as the population ages, prompting scientist to focus on further exploring this brain region.

Clinical Neuroscience

Simultaneous subdural, subarachnoideal and intracerebral haemorrhage after rupture of a peripheral middle cerebral artery aneurysm


The cause of intracerebral, subarachnoid and subdural haemorrhage is different, and the simultaneous appearance in the same case is extremely rare. We describe the case of a patient with a ruptured aneurysm on the distal segment of the middle cerebral artery, with a concomitant subdural and intracerebral haemorrhage, and a subsequent secondary brainstem (Duret) haemorrhage. The 59-year-old woman had hypertension and diabetes in her medical history. She experienced anomic aphasia and left-sided headache starting one day before admission. She had no trauma. A few minutes after admission she suddenly became comatose, her breathing became superficial. Non-contrast CT revealed left sided fronto-parietal subdural and subarachnoid and intracerebral haemorrhage, and bleeding was also observed in the right pontine region. The patient had leucocytosis and hyperglycemia but normal hemostasis. After the subdural haemorrhage had been evacuated, the patient was transferred to intensive care unit. Sepsis developed. Echocardiography did not detect endocarditis. Neurological status, vigilance gradually improved. The rehabilitation process was interrupted by epileptic status. Control CT and CT angiography proved an aneurysm in the peripheral part of the left middle cerebral artery, which was later clipped. Histolo­gical examination excluded mycotic etiology of the aneu­rysm and “normal aneurysm wall” was described. The brain stem haemorrhage – Duret bleeding – was presumably caused by a sudden increase in intracranial pressure due to the supratentorial space occupying process and consequential trans-tentorial herniation. This case is a rarity, as the patient not only survived, but lives an active life with some residual symptoms.

Clinical Neuroscience

Autonomic nervous system may be affected after carpal tunnel syndrome surgery: A possible mechanism for persistence of symptoms after surgery

ONDER Burcu, KELES Yavuz Betul

After carpal tunnel surgery, some patients report complaints such as edema, pain, and numbness. Purpose – The aim of this study was to evaluate autonomic nervous system function in patients with a history of carpal tunnel surgery using sympathetic skin response (SSR). Thirty three patients (55 ±10 years old) with a history of unilateral operation for carpal tunnel syndrome were included in the study. The SSR test was performed for both hands. Both upper extremities median and ulnar nerve conduction results were recorded. A reduced amplitude (p=0.006) and delayed latency (p<0.0001) were detected in the SSR test on the operated side compared to contralateral side. There was no correlation between SSR and carpal tunnel syndrome severity. Although complex regional pain syndrome does not develop in patients after carpal tunnel surgery, some of the complaints may be caused by effects on the autonomic nervous system.