Journal of Nursing Theory and Practice

[Safe Handover - Opportunities to improve Patient Handover]

SINKA Lászlóné Adamik Erika1, BÖCSKEI Anna2, VASS Zsolt3, GÖBÖLY Ágnes4

APRIL 30, 2018

Journal of Nursing Theory and Practice - 2018;31(02)

[Mistakes, errors made in the patient handover process can result in severe outcomes, but with appropriate measures it is possible to decrease their numbers. Therefore, we considered it important to develop a methodology which would help us analysing our internal processes. Getting to know the current situation well provides the opportunity to implement those changes into our daily work which focus on the actual problems, and which could lead to measurable improvements in our everyday work processes. ]


  1. Semmelweis Egyetem EMK Betegbiztonsági Tanszéki Csoport mesterápoló hallgató, Semmelweis Egyetem Egészségtudományi Kar
  2. Szent Imre Egyetemi Oktatókórház, Gasztoenterológiai Profil mesterápoló hallgató, Semmelweis Egyetem Egészségtudományi Kar
  3. Péterfy Sándor utcai Kórház-Rendelőintézet és Baleseti Központ, Onkológiai osztály mesterápoló hallgató, Semmelweis Egyetem Egészségtudományi Kar
  4. Magyar Honvédség Egészségügyi Központ, Szívsebészet mesterápoló hallgató, Semmelweis Egyetem Egészségtudományi Kar



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Journal of Nursing Theory and Practice

[The Florence Nightingale Medal - Its History and the Hungarian Connection]

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

[Apropos of the International Nurses Day, authors discuss Nightingale’s impact on the development of nursing and her role in international nursing history. They consider as one of the main achievements of Nightingale that she raised the profile of nursing to an appreciated profession, thereby contributing to modifying the widely held view on women’s role in society in Hungary, too. After reviewing the developments related to the educational empowerment of women in the Hungary of the 19th century they suggest that these changes as well as awakening of the nation might explain the decision of the Hungarian Red Cross Society to table a motion at the 8th International Conference of Red Cross Societies in London with a view to establishing a medal in honour of Florence Nightingale. The Hungarian proposal was approved by the international conference in Washington in 1912 and a resolution was passed to institute the Florence Nightingale Medal. ]

Journal of Nursing Theory and Practice

[The psychological Well-being and Burnout among Ambulance Personnel]


[The aim of the study: The aim of the presented study was to investigate the psychological well-being and burnout among ambulance personnel of the Hungarian National Ambulance Service. Our goal was to identify the ambulance specific stressors that negatively affect the psychological health of personnel and lead to burnout. Material and method: The quantitative, cross-sectional study included 1979 ambulance personnel. Level of burnout was measured by Pines-Aronson Burnout Inventory. SPSS version 17.0 was used for statistical analyses. Types of analyses included Khi square test, ANOVA and correlation analysis. Level of significance was defined at p<0.05. Results: The 40% of ambulance personnel are affected by job-related stressors. The heightened and constant state of readiness does not let time for discussing work-related experiences. There was significant correlation between burnout level, years worked at NAS, and the evaluation of workplace circumstances and climate. Conclusion: Due to the results of the present study we created different possibilities of prevention and intervention that can help handle the symptoms of burnout among ambulance personnel.]

Journal of Nursing Theory and Practice

[Quality of Life of Cancer Patients’]


[Aim of the study: This research is the part of an extended examination. It’s aim is to assess the cancer patients’ quality of life, how the diseas effects in the way of life, and also the psychologycal burden of the patients. Furthermore to assess the patient’s knowledge of their desease. Material and Methods: The research is descriptive, empirical, supplemenary, which in nurses and patients in oncology departments of Hondvéd Hospital in Budapest and Bács-Kiskun County Hospital in Kecskemét were attend. The method of the survey was an individual questionnaire. The evaulation of the results made with MS Excel and SPSS. The complete evaluable questionnaire’s rate is 74,9% (N=131). Results: the patients judge their own health and quality of life to low in a rate of 56,6%, and 75% of them stated that their way of life and their daily routin has changed in a significant extent. 50% of the responders described their actual emotional condition with a negative indicative, and also occur different psychic disfunctions amuong them. For example the depression in a rate of 17,5%, anxiety is in 18,5%, and reduced self-evaluation in 14,1%. A significant majority (76,3%) of respondents don’t possess the appropriate knowledge. Conclusions: The disease effect on cancer patients’ way of life and quality of life in a significant way. Patients are exposed to a significant psycholigycal burden. ]

Journal of Nursing Theory and Practice

[Nurses Knowledge and Tasks of real Time Evacuation of Inpatient Care Institutions]

PÁPAI Dániel, PÁPAI Tibor

[In our modern, globalized world, there is a significant increase in the number of events requiring immediate action where coordinating the rescue, health care and placement of several people at the same time. Unfortunately, we can count not only on international, but domestic relations, for various mass disaster threats and events, whether it is a natural disaster or a different form of artificial disaster. It is of the utmost importance to treat such a qualified situation in inpatient care and health care institutions, where there is a large number of patients and caregivers with limited self-reliance and movement. Although it is important to emphasize the importance of disaster prevention in the domestic context, in cases requiring immediate and rapid intervention, there is a great deal of responsibility and responsibility for nursing staff. By questionnaire surveys, we investigated the catastrophic and evacuation knowledge of inpatient care nurses and the system and method of acquiring these skills. After the results were processed, we concluded that our assumptions proved that the knowledge of the target group in question was very incomplete. In order to increase efficiency, we consider it of the utmost importance to develop a procedure based on unified principles but to adapt to the local conditions of the given institution and to develop its ability-based education system. ]

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SÁRGA Norbert Zétény

[A well-functioning performance appraisal system and information obtained from it will provide support for executive decisions. Developing the performance appraisal system, not only the definition of performance is a key factor, but also the steps to be taken to shape it; such as the purpose for which the performance appraisal system is to be used, the method of evaluating who the members of the evaluation system are. This paper presents the various evaluation techniques and methods; the importance and effective application of the written and oral evaluations as well as the evaluation interview. Furthermore, the difficulties encountered in the evaluations and the evaluation mistakes are described. ]

Journal of Nursing Theory and Practice

[Investigation of the factors infl uencing among members of the care team in terms of the identity of the leadership]


[Aim of the research: The objective of the research is to map the different subcultures, examine in detail the role of subgroups and the influencing factors that are determining the relationships between the members of the Institution’s healthcare provider teams. Research and sampling methods: Data and information collection was advisedly planned, guided and implemented with help of personal communication techniques. With regard to the final form of data collection method based on standardized preliminary research plan, I’ve selected partly structured and unstructured interview forms, with closed and open questions. The analysis was performed by interviewing 10 chief physicians and 10 head assistants. Results: 100% of the interviewed leaders related that competencies are determined primarily by skills, human attitudes and personality. The analyzed subjects confirmed that well defined expectations expressed by leaders and open communication is enhancing the close co-operation between team members and is reducing hereby the work stress. The investigation underpinned that good co-operation of team leader couples, or lack of co-operation has strong impact on the team’s performance and on the relationships between team members. Conclusions: Identifying, understanding and handling our own or other people feelings, the behavior with our fellow creatures is matter of emotional intelligence, and not of cognitive capability. With help of deep interviews, valid facts, leadership manners, management of conflict situations were identified and pointed at the influencing factors of department’s micro culture and the work atmosphere of the organization. Diversity of the work, rate of workplace monitoring, rate of qualifications and skills required for the job, quality of interpersonal relationships are contributing to workplace satisfaction and the evolution of team spirit among colleague ]

Clinical Neuroscience

Atypical presentation of late-onset Sandhoff disease: a case report

SALAMON András , SZPISJAK László , ZÁDORI Dénes, LÉNÁRT István, MARÓTI Zoltán, KALMÁR Tibor , BRIERLEY M. H. Charlotte, DEEGAN B. Patrick , KLIVÉNYI Péter

Sandhoff disease is a rare type of hereditary (autosomal recessive) GM2-gangliosidosis, which is caused by mutation of the HEXB gene. Disruption of the β subunit of the hexosaminidase (Hex) enzyme affects the function of both the Hex-A and Hex-B isoforms. The severity and the age of onset of the disease (infantile or classic; juvenile; adult) depends on the residual activity of the enzyme. The late-onset form is characterized by diverse symptomatology, comprising motor neuron disease, ataxia, tremor, dystonia, psychiatric symptoms and neuropathy. A 36-year-old female patient has been presenting progressive, symmetrical lower limb weakness for 9 years. Detailed neurological examination revealed mild symmetrical weakness in the hip flexors without the involvement of other muscle groups. The patellar reflex was decreased on both sides. Laboratory tests showed no relevant alteration and routine electroencephalography and brain MRI were normal. Nerve conduction studies and electromyography revealed alterations corresponding to sensory neuropathy. Muscle biopsy demonstrated signs of mild neurogenic lesion. Her younger brother (32-year-old) was observed with similar symptoms. Detailed genetic study detected a known pathogenic missense mutation and a 15,088 base pair long known pathogenic deletion in the HEXB gene (NM_000521.4:c.1417G>A; NM_000521:c.-376-5836_669+1473del; double heterozygous state). Segregation analysis and hexosaminidase enzyme assay of the family further confirmed the diagnosis of late-onset Sandhoff disease. The purpose of this case report is to draw attention to the significance of late-onset Sandhoff disease amongst disorders presenting with proximal predominant symmetric lower limb muscle weakness in adulthood.