Journal of Nursing Theory and Practice

[Summary Report of the 5th International FOHNEU Congress]

HIRDI Henriett Éva1,2,3, TÉGLÁSYNÉ Bácsi Mária4,2

OCTOBER 20, 2012

Journal of Nursing Theory and Practice - 2012;25(05)

AFFILIATIONS

  1. Foglalkozás-egészségügyi Ápolók Európai Szövetsége
  2. Magyar Egészségügyi Szakdolgozói Kamara
  3. Semmelweis Egyetem Doktori Iskola, Budapest
  4. Magyar Üzemegészségügyi Tudományos Társaság

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Further articles in this publication

Journal of Nursing Theory and Practice

[From an abstracting periodical to a scientific journal: Adolescence and coming of age of NŐVÉR (1993-2004) ]

FEDINECZNÉ VITTAY Katalin

[In her contribution to mark the 25th volume of the journal NŐVÉR, the author looks back to a decade in the life of the journal when in her capacity as editor-in-chief, she was involved in shaping Hungary’s only nursing science journal. She takes stock, in chronological order, of the steps that resulted in turning an abstracting periodical into a scientific journal publishing peer-reviewed contributions with English abstracts and indexed in the international nursing science database. ]

Journal of Nursing Theory and Practice

[Epidemic among health care providers: burnout]

IRINYI Tamás, NÉMETH Anikó

[Aims of the study: To track the changes since 2008 in the degree of burnout among health care workers in Csongrád County, and to examine its connections with the evaluation of own health, frequency of psychosomatic symptoms, the intent to leave the profession, and the measure of fear from becoming unemployed. Methodology and sample: This is a cross-sectional study carried out through a self-designed self-report questionnaire sent to registered members of MESZK living in Csongrád County. Results: The number of burned-out health care workers increased since 2008. Burnout correlates with physical health (p<0.000), the intention to leave the profession (p<0.000), and the fear of losing the job (p<0.000). A significant increase could be observed by nurses starting their career. Conclusions: Burnout prevention trainings would be important also by career starters, which could also prevent profession leaving. ]

Journal of Nursing Theory and Practice

[The opinions of paediatric nurses on cooperation with children and their parents in hospital; the factors affecting such cooperation]

MIKLÓSI Mónika, GALAMBOSI Elvira, PERCZEL FORINTOS Dóra

[Aim of the study: To explore pediatric staff nurses’ perception of collaboration with hospitalized children and their parents and to study underlying factors. Methodology and sample: In a prospective longitudinal design, parents of children admitted to hospital for planned surgical intervention (n=91) filled out a questionnaire packet before hospitalization assessing demographical and socio-economical characteristics, as well as mental health status of children and parents. Staff nurses were asked to estimate parents’ and children’s collaboration during hospitalization (n=131). Results: Nurses’ ratings about parents’ collaboration were higher than their ratings about children’s collaboration. Child’s gender, age, parent’s level of education, family characteristics and length of hospital stay had an impact on the perception of collaboration with parents. Child’s age and prosocial behavior were related to the perception of collaboration between nurses and children. Conclusions: Nurses’ perception of children’s and parents’ collaboration was related to demographical and socio-economical factors. Identifying these factors may help to promote partnership among nurses, parents and hospitalized children. ]

Journal of Nursing Theory and Practice

[A faraway land: nursing in a “small” Swedish hospital]

FUCHS Rita

[The author is currently working as a degree nurse in Örebro County, Sweden. In Sweden she has a greater degree of professional autonomy, which allows her to make use of all the theoretical knowledge and practical skills acquired at college. For performing certain tasks the doctor’s written authorisation is not required; nurses proceed in accordance with their competencies and the rules set out in the given protocol. She sets out to give an insight into the day-to-day work of nurses at her hospital, by describing the documents that are used, briefly outlining the training system, and the authority exercised by the nurses. Keywords: nurse, nursing training, nursing documentation, competency]

Journal of Nursing Theory and Practice

[Madeleine Leininger passed away]

PAPP Katalin

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Although vertigo is one of the most common complaints, intracranial malignant tumors rarely cause sudden asymmetry between the tone of the vestibular peripheries masquerading as a peripheral-like disorder. Here we report a case of simultaneous temporal bone infiltrating macro-metastasis and disseminated multi-organ micro-metastases presenting as acute unilateral vestibular syndrome, due to the reawakening of a primary gastric signet ring cell carcinoma. Purpose – Our objective was to identify those pathophysiological steps that may explain the complex process of tumor reawakening, dissemination. The possible causes of vestibular asymmetry were also traced. A 56-year-old male patient’s interdisciplinary medical data had been retrospectively analyzed. Original clinical and pathological results have been collected and thoroughly reevaluated, then new histological staining and immunohistochemistry methods have been added to the diagnostic pool. During the autopsy the cerebrum and cerebellum was edematous. The apex of the left petrous bone was infiltrated and destructed by a tumor mass of 2x2 cm in size. Histological reexamination of the original gastric resection specimen slides revealed focal submucosal tumorous infiltration with a vascular invasion. By immunohistochemistry mainly single infiltrating tumor cells were observed with Cytokeratin 7 and Vimentin positivity and partial loss of E-cadherin staining. The subsequent histological examination of necropsy tissue specimens confirmed the disseminated, multi-organ microscopic tumorous invasion. Discussion – It has been recently reported that the expression of Vimentin and the loss of E-cadherin is significantly associated with advanced stage, lymph node metastasis, vascular and neural invasion and undifferentiated type with p<0.05 significance. As our patient was middle aged and had no immune-deficiency, the promoting factor of the reawakening of the primary GC malignant disease after a 9-year-long period of dormancy remained undiscovered. The organ-specific tropism explained by the “seed and soil” theory was unexpected, due to rare occurrence of gastric cancer to metastasize in the meninges given that only a minority of these cells would be capable of crossing the blood brain barrier. Patients with past malignancies and new onset of neurological symptoms should alert the physician to central nervous system involvement, and the appropriate, targeted diagnostic and therapeutic work-up should be established immediately. Targeted staining with specific antibodies is recommended. Recent studies on cell lines indicate that metformin strongly inhibits epithelial-mesenchymal transition of gastric cancer cells. Therefore, further studies need to be performed on cases positive for epithelial-mesenchymal transition.

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[Three decades ago, LAM was launched with the goal of providing scientific information about medicine and its frontiers. From the very beginning, LAM has also concerned a special subject area while connecting medicine with the world of art. In the palette of medical articles, it remained a special feature to this day. The analysis of the history of LAM to date was performed using internationally accepted publication guidelines and scientific databases as a pledge of objectivity. We examined the practice of LAM if it meets the main criteria, the professional expectations of our days, when publishing contents of the traditional printed edition and its electronic version. We explored the visibility of articles in the largest bibliographic and scientific metric databases, and reviewed the LAM's place among the Hun­ga­rian professional journals. Our results show that in recent years LAM has gained international reputation des­pite publishing in Hungarian spoken by a few people. This is due to articles with foreign co-authors as well as references to LAM in articles written exclusively by foreign researchers. The journal is of course full readable in the Hungarian bibliographic databases, and its popularity is among the leading ones. The great virtue of the journal is the wide spectrum of the authors' affiliation, with which they cover almost completely the Hungarian health care institutional sys­tem. The special feature of its columns is enhanced by the publication of writings on art, which may increase Hungarian and foreign interest like that of medical articles.]

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Extraskeletal, intradural, non-metastatic Ewing’s sarcoma. Case report

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Intracranial localization of Ewing’s sarcoma is considerably very rare. Herein, we present clinical and neuroimaging findings regarding a 4-year-old boy with intracranial Ewing’s sarcoma. He was born prematurely, suffered intraventricular haemorrhage, posthaemorrhagic hydrocephalus developed, and a ventriculoperitoneal shunt was inserted in the newborn period. The patient endured re­gular follow ups, no signs of shunt malfunction nor increased intracranial pressure were observed. The last neuroima­ging examination was performed at 8 months of age. Upon reaching the age of 4 years, repeated vomiting and focal seizures began, and symptoms of increased intracranial pressure were detected. A brain MRI depicted a left frontoparietal space-occupying lesion infiltrating the superior sagittal sinus. The patient underwent a craniotomy resulting in the total excision of the tumour. The histological examination of the tissue revealed a small round blue cell tumour. The diagnosis was confirmed by the detection of EWSR1 gene translocation with FISH (fluorescent in situ hybridization). No additional metastases were detected during the staging examinations. The patient was treated in accordance to the EuroEwing 99 protocol. Today, ten years onward, the patient is tumour and seizure free and has a reasonably high quality of life.

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