Journal of Nursing Theory and Practice

[Scientific reporting in health science]

BETLEHEM József, BONCZ Imre, OLÁH András

DECEMBER 10, 2010

Journal of Nursing Theory and Practice - 2010;23(06)

[Health science professionals are increasingly expected to addressing professional problems to scientifi c standards, and to present the results to the professional community. Specialists with higher-education qualifi cations must not only be capable of reading scientific papers, but must also be capable of carrying out studies of this type themselves, and communicate the results. The purpose of this essay is to describe the historical antecedents to medical and health science papers, the milestones in the evolution of the scientifi c essay, and today’s observable trends in the writing of professional papers. The authors, with a review of specialist literature, summarise the main genre-specifi c features of today’s publications, and also make reference to their suitability for use in health science papers. In addition to written papers they also touch on the fi ner points of lecturing and poster design, with the aim of facilitating the presentation, both at home and abroad, of scientifi cally studied practical healthcare problems.]



Further articles in this publication

Journal of Nursing Theory and Practice

[Trends in nurses’ conversation-leading skills]

PAPP László, NAGY Erika

[Aim of the study: The authors, in the course of their survey, assessed the conversation-leading skills of nursing students. Their objective was to analyse the extent to which the students’ conversational skills fulfi l the criteria for client-oriented treatment. Methodology and sample: The sample for the cross-section survey, conducted using the triangulation method, was selected using random sampling from among third-year students at the Nursing Department of Faculty of Health Sciences and Social Studies at the University of Szeged. The sample consisted of 55 full-time and correspondence nursing students. For the data gathering they used Helembai’s Trap Test method. The data was analysed using a combination of qualitative and quantitative methods. Results: The results pointed to domination of the studied conversations by the nurses. In the course of the communication the nurses primarily attributed cognitive communications to themselves, and affective communications to the patients. The nurses correctly recognised the importance of the principles of client management, which is shown by their effort to achieve a cooperative conversation-leading style. Conclusions: Based on the results, the principle of client-orientation is not fully upheld in the interactions of everyday nursing practice, a role in which is played by the biomedical focus and task-centred, paternalist approach that can still be observed in nursing today.]

Journal of Nursing Theory and Practice

[The simulator-based education methodology]


[The advantage of the simulator-based education is that while students could previously only practice the procedures for certain tests and treatments using demonstration equipment, with the simulator they can now also monitor the effects of the treatments. The objectives of the simulation-based course were determined based on the premise that practicing a healthcare profession does not usually require students to say or write down what they know, but to be capable to use their skills in the course of treating patients, in various situations, for the resolution of a diversity of tasks and problems. In the simulation exercises they fi nd themselves in situations where, through simulations of physiological and chronic conditions they have an opportunity to observe the normal and pathological functioning of the human body, to be a part of the whole treatment process, and to develop their professional skills through constant interaction. The authors give a brief overview of the opportunities for application of clinical simulations in an educational setting, and also describe how they incorporated the practice-room programs based on the patient simulator into the syllabi of the various departments, and how the traditional teachercentred imparting of knowledge can be replaced by problem-based learning in an open, multimedia study environment. They systemise their learning and teaching methods, and use specifi c examples to demonstrate which target skills can be achieved with problem-oriented teaching methods.]

Journal of Nursing Theory and Practice


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Journal of Nursing Theory and Practice

[How to break medical bad news? The importance of the course for breaking medical bad news and an evaluation of his curriculum]


[Breaking bad news to patients is a difficult task for health care professionals and there are many unsolved issues in this area. There are several ways of delivering bad news and the quality of the communication could affect the whole life of the patient. However the wrongly delivered bit of bad news could not only cause a crisis for the recipient but will create a stressful situation for the communicator. The course created at the University of Pécs, Faculty of Health Sciences is specified to the delivery of bad news with modern communication methods, which uses video feedback method to analyse and develop the participants’ communicational attitude, thus providing potent aid for the acquisition of the proper communicational techniques, from which both the patient and the care giver can profit.]

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

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.

Lege Artis Medicinae

[Vaccines against COVID-19 pandemic]


[The rapidly spreading SARS-CoV2 respiratory virus has evoked an epidemic with serious aftermath around the world. In addition to the health effects, the global economic damage is actually unpredictable. At the same time, the pandemic has launched a series of unprecedented collaborative scientific research, including the development of vaccines. This study summarizes up-to-date information on vaccines, immune memory, and some emerging clinical effects.]