Journal of Nursing Theory and Practice

[Smoking habits and predicting factors of smoking cessation among health care workers ]

SZELKÓ Olajosné Katalin1, SIKET Ujváriné Adrienn2, SÁRVÁRY Attila2, ZRÍNYI Miklós3

APRIL 30, 2019

Journal of Nursing Theory and Practice - 2019;32(02)

[The aim of the study: The aims of the study were to determine the prevalence of smoking and identify factors that predict smoking cessation motivation among health workers. Material and method: Cross-sectional, self-reported survey filled out by all healthcare workers of Jósa András Teaching Hospital. Statistical analyses were performed by chi-square analysis and Mann-Whitney tests. Results: Of all responses (N =1561), 29.9% reported actively smoking, 52.0% smoked between 11-20 cigarettes a day. A total of 20.4% had tried to quit smoking before. Those who would not participate in a smoking cessation program outweighed those who favored participation (43.2% vs. 35.6%). Significant relationships were found between the technique of smoking cessation and intent to quit smoking (χ2 = 7,73; p = 0,02) and between smoking cessation and stress induced smoking habits (r = 0,1; p = 0,12). Those not wanting to quit smoking appraised smoking as a social link to others (Z = -2.34; p = 0,02). Conclusion: Besides putting a stronger emphasis on smoking cessation and on negative health effects of smoking, nurse managers should promote working environments where improvement in stress management and collegial relationships will minimize the need for smoke related groups.. ]


  1. SZSZBMK Jósa András Oktató Kórház, Nyíregyháza
  2. Debreceni Egyetem Egészségügyi Kar, Egészségtudományi Intézet, Ápolástudományi Tanszék, Nyíregyháza
  3. Debreceni Egyetem Gyógyszerfejlesztési Koordinációs Központ



Further articles in this publication

Journal of Nursing Theory and Practice

[What does a triage nurse do? ]

BALOGH Khernné Mariann

[Emergency patient care department problems have recently come to the fore, especially in terms of waiting times and triage activity. It is still not entirely clear to society what is the triage system is, what is it good for, and who is the person, who applies the classification of patients. There is countless conflicts and tensions in the process of health services due to lack of knowledge. In Hungary, emergency departments play a prominent role in healthcare. Increased patient flow is a global problem, and therefore a distinction should be made between the „door to physician time” of the patients. The so-called grading system (triage) has been developed for this purpose, during which an experienced qualified nurse will measure and assess the patient’s condition as quickly as possible on the basis of different criteria. In my communication, I present the triage activity, the use of the classification system, what the triage nurse is doing, by comparing two cases. ]

Journal of Nursing Theory and Practice

[A Systematic Review of nurses knowledge of Incontinence-Associated Dermatitis ]

KÓSZÓ Lilla, NAGY Erika, PAPP Anita Tímea

[Background: Due to the growing incidence of incontinence, Incontinence-Associated Dermatitis (IAD) is one of the most important health problems nowdays. The most significant challange is the differentiation of IAD and ulcer pressure. Missclassification in practice causes suboptimal prevention and therapy. Thus, in order to provide optimal care, nurses need to be able to properly differentiate between the two illnesses. Objectives: The airm of this analysis was to identify how nurses can classify IAD from ulcer pressure, and how differentiation could be taught to nurses. Method: A systematic review was done wih ’pressure ulcer and ’classification’ and ’nurse’ search words using 3 databases, the Pubmed (NLM), the Science Direct and the Web of Science as basic sources. We relied on articles that were published before September 2018. From the total of 1268 records 7 studies met all the inclusion and exclusion criterias and were chosen for analysis. Results: We counted weighted arithmetic from the results of the studies. In total 4062 nurses participated in the clinical trials. Their weighted mean score was 33,2%. 2132 nurses got some types of education, The weighted mean score of their pre-test was 37%, while their post-test reached 66%. Conclusion: Differentional diagnosis between pressure ulcers and IAD is complicated. However, studies all agree that education in this field produces good results.. ]

Journal of Nursing Theory and Practice

[Laboratory Tests Interpretation for Nurses Part 1.]


Journal of Nursing Theory and Practice

[Attendace of the wounded: A historical overview from antiquity to South Slavic war ]

HEGYI Péter hadnagy

[A series of care history reviews can be found in the journals. However, there have been few publications about the military aspect of the attendance of the wounded, so I found it important to show how it has changed, how it has developed, what has become a medical field nowadays and what its significance can be today. As a medical officer I would like to present the historic milestones of prehospital battlefield trauma from antiquity to Vietnam and South Slavic war. ]

Journal of Nursing Theory and Practice

Socioeconomic status and health status: mortality and morbidity

DABES Meshik Alphonsus, PAPP Katalin

There is no situation that the individual’s socioeconomic status (SES) play a huge role in the individual’s health outcomes and the health care they receive. Socioeconomic status is mostly measured by education, income and occupation. People of higher SES tend to have more knowledge on health and health behaviours, and that determined their accessibility, acceptability and affordability of health care services. Arpey et al 2017, opined that people of lower SES are more likely to have worse self-reported health, lower life expectancy, and suffer from more chronic conditions when compared with those of higher SES. In this study, I want to analyse the relationship between socioeconomic status and health status considering mortality and morbidity among people of lower SES and higher SES using current literatures review. Base on this study it is clearly understood that there is a clear disparity in health status between lower socioeconomic status and higher socioeconomic status population. This health inequality is as a result of differences in economic, social and cultural factors. Health inequalities is avoidable and unfair because it is as a result of an unjust distribution of the underlying social determinants of health such as, unequal opportunities in education and/or employment which are the core determinants of persons socioeconomic status. Therefore, in order to reduce the inequality in health among higher and lower SES group, there should be equal distribution and opportunity for both groups to access education and employment.

All articles in the issue

Related contents

Lege Artis Medicinae



[INTRODUCTION - Health care professionals undertaking treatment/nursing of the seriously ill are equally overburdened emotionally, intellectually and physically. This condition might have several, sometimes irreversible negative consequences: avowed difficulties within the communication with patients, families and colleagues, various harms of accumulating, unprocessed stress, severe physical and psychological symptoms of mental burn-out which is very frequent and failures and difficulties of the private life. In our survey we aimed to gain a realistic image of the physical and psychological condition and quality of life of professionals working in Hungarian clinical care in order to provide with indelayable help. METHODS - The basis of the survey was a version of the Hungarostudy 2002 questionnaire, modified for health care professionals. In our sample there were 200 health care professionals dealing with seriously ill and in the control groups 1356 non health care professionals, and 227 health care professionals, choosen from the Hungarostudy survey. In all three groups the proportion of gender, age and education were the same. The results were analysed by the SPSS 10.0 statistical program and the relationship analysis was completed by ANOVA test. RESULTS - The analysis of the answers of those attending in our questionnaire survey - compared to those working in other health care field and to the control group of non health care workers - proves that the ratio of exhaustion and stress-dependent physical and psychological symptoms are prominently, in many cases significantly higher among health care workers dealing with the seriously ill, addiction is more frequent and social net is more unfavourable. These data are even worse for nurses than for doctors and other graduates. CONCLUSION - In treating difficult cases we can start to help with special education that should be general both in gradual and postgradual training.]

Lege Artis Medicinae


HEGEDÛS Katalin, ZANA Ágnes, SZABÓ Gábor

[INTRODUCTION - The aim of our research was to evaluate the effect of courses for health care workers and medical students that deal with death, dying and bereavement and that of courses on hospice care of dying patients. The goal of the courses is to make communication on death more open by exploring critical issues related to fear of death to reduce inner anxiety and to improve attitude to dying patients. PARTICIPANTS AND METHOD - Participants (n=168) completed Neimeyer and Moore's Multi-dimensional Fear of Death Scale (MFODS) and Shortened Beck Depression Questionnaire (BDI) on the first and last day of the courses. In case of health care workers a follow-up survey was also performed 2 to 3 months after the course (n=32). RESULTS - The most significant factors of fear of death are: fear for significant others, fear of the dying process and fear of premature death. Overall fear of death scores are reduced as an effect of the courses, the alteration of the components of fear of death depends on the participants’ gender, age and profession as well. Improvement was observed in both groups in attitudes that can be related to the increase of knowledge on the quality care of dying patients like fear from the process of dying and fear from conscious experience of death. CONCLUSION - Besides education containing training as well it is important to strengthen the support function of workplaces in caring for the mental health of the health care staff. Furthermore it is important during gradual education that students participate in courses that aim to achieve opened communication in the most anxiety-evoking issues.]

Journal of Nursing Theory and Practice

[Development the mental and physical health of the healthcare staff]

MISZORY Erika Viktória

[Objectives: To analyse, whether the mental and physical health of the healthcare staff can be influenced by movement therapy. Methods: Between May and July 2016 we held multiple movement therapy sessions within the healthcare staff of the the Hungarian Army Medical Center, Musculoskeletal Rehabilitation Institute in Hévíz. With the help of the so called General Health Questionnare I collected information about the mental state of the participants. This questionnaire included 12 questions and had to be filled out by each and every person alone. From the physical variables perspective I collected information from the staff in regards to the mobility of their spine. Microsoft Excel was used for the analysis of the data and to prove the significance of the variables, I used the T-probe method. Results: Majority of the participants has both internal medicine and musculosceletal problems, symphtoms and diseases. Though the psychic stress on them can be clearly seen, it can be treated with movement therapy efficiently. On the other hand, I could not find any significant change in the variables related to the spine-movements. Conclusions: With the help of regular movement therapy the mental state of the staff can be efficiently infleunced and improved. Further studies suggested a greater number of elements, for detected the physical changes.]

Lege Artis Medicinae



[INTRODUCTION - The aim of the study was to explore the differences in motivations between successful quitters and smokers who just consider quitting. Self-reported motivations of exsmokers' smoking cessation and the reasoning of current smokers who consider quitting were analyzed. SUBJECTS AND METHODS - The study is based on Hungarostudy Health Panel conducted in 2005, which is the second wave of Hungarostudy 2002, a national representative health survey of the adult Hungarian population. Of the subjects involved in this follow-up study, data from 3701 persons could be analyzed. RESULTS - About half of the respondents had never smoked, one fifth of them had quitted and 28 percent smoked. More than half of the current smokers (52%) contemplated on giving up smoking. Among ex-smokers and contemplating current smokers alike (38-40%), disease prevention was mentioned as the single most important reason of cessation. Financial reasons were mostly mentioned by current smokers; ex-smokers were more likely to explain their decision with deteriorating health, the occurrence of certain diseases. Among these, cardio-vascular morbidity played the most important role in smoking cessation while cancers, respiratory disease and diabetes also significantly increased the odds of quitting. Social pressure was a reason for quitting mostly among women and elderly persons. Among current smokers, those living in partner relationship and the better-off tended to entertain thoughts of quitting because of social pressure. CONCLUSION - The results confirm the importance of cardiovascular diseases in smoking cessation: although people emphasize primary preventive purposes of their cessation efforts, in fact secondary prevention, i.e., existing circulatory and heart problems play the major role both in actual cessation and in quitting considerations.]