Journal of Nursing Theory and Practice

[The analyses of chronic inpatient care by national, county and institutional level data]

SCHLEIERNÉ RÓNASZÉKI Julianna1, LÓTH Erika2, GAZSÓ Tibor3, KÍVES Zsuzsanna4,5, ENDREI Dóra6,5

AUGUST 11, 2021

[The aim was to examine the chronic health care in the period 2003-2017. During the research the authors processed the data of the National Health Insurance Fund Management (NEAK) at the national, county and Pécs University Clinical Center level. They performed quantitative, descriptive, retrospective research. For the whole period and target group in question. The number of hospital beds changed significantly between 2003 and 2017, and there are major differences in regional distribution. In 2003, there were 19,474 chronic bed in Hungary, while in 2016 the number of hospital beds was 27,194. We found 39.5 % increase of hospital beds in this period. The average number of nursing days has significantly increased, reflecting the increasing proportion of long-term care patients in the care system. The care system must adapt to changes in health policy. It is important to prioritize the needs of an aging society. The significant increase in the number of nursing days necessitates the placement of long-term care patients.]


  1. Pécsi Tudományegyetem Klinikai Központ Belgyógyászati Klinika
  2. Pécsi Tudomány­egyetem Klinikai Központ Ápolásszakmai Igazgatóság
  3. Pécsi Tudomány­egyetem Egészségtudományi Kar Egészségbiztosítási Intézet
  4. écsi Tudományegyetem Egészségtudományi Kar Egészség­biztosítási Intézet
  5. PTE ETK Egészség-gazdaságtani és egészségügyi menedzsment Kiválósági Központ
  6. Pécsi Tudományegyetem Egészség­tudományi Kar Egészség­biztosítási Intézet



Further articles in this publication

Journal of Nursing Theory and Practice

[Investigation of the burnout syndrome among the employees of the Department of Anaesthesiology and Intensive Therapy at the University of Szeged]


[Research on burnout syndrome among healthcare professionals is of pre­dominant importance and enables improvement of intervention programs. Our aim is to evaluate the burnout syndrome among the employees of the Department of Anaesthesiology and Intensive Therapy at the University of Szeged. Cross-sectioned design utilizing a self-administrated questionnaire was used to collect data from the staff. Burnout was measured using the Maslach Burnout Inventory, while psychological immune competence was measured using the Psychological Immune Competence Questionnaire. Burnout is higher among subjects who work more weekly hours and who report more somatic symptoms. Burnout levels are lower among participants who report more social rela­tion­ships and stronger psychological immune system. Burnout of healthcare professionals has an impact on their well-being as well as indirectly on the quality of patient care.With better knowledge of the protective and risk factors, better intervention and prevention methods can be developed. ]

Journal of Nursing Theory and Practice

[Letter from the Editor]

Journal of Nursing Theory and Practice

[Pioneers in Occupational Health Nursing]

HIRDI Henriett Éva, SZOBOTA Lívia , SOÓS Georgina, BARNAFÖLDI Vivien Nóra

[Occupational health nurses play exceptional role in terms of their practice, they are trained to have an understanding of the special interaction between work and health. The beginnings of occupational health nursing can be traced back to the Industrial Revolution. This article is a summary of information about the first documented occupational health nurses in the late 19th century. The authors briefly present the best-known nurses’ lifeway and particular roles in this field.]

Journal of Nursing Theory and Practice

[Survey of preconception and acceptance of the robotic care among elderly people]

VASS Dezső , ÁRVAI László, OLÁH András

[Application of robots might ease the labor shortage of the ageing society care in long term. The aim was (1) to measure the acceptance of the robotic care among elderly people, (2) measure the preconception related to the acceptance of robotic care. A personal survey was done in 2020 June. The questionary was filled out by 40 Hungarian people all above 60 years. The questionary contained questions about the acceptance, trust in robots in general and acceptance, possible usage fields of care robots. Each people filled out the questionary twice. After the first fill out, there was a presentation about robots in general and the participants could meet with two different robots. Then the questions were asked again. The analysis mostly based on the comparison of the first and second questionnaire. The revulsion of elderly people against robots is mostly based on preconception, after a short explanation we could change their attitude and achieve better acceptance of robots. However, in the case of capability of handling robots our results showed too high self-confidence, which we could not explain yet. Therefore, more research is required in this field. The preconception of elderly people against robots is real phenomenon, but since mostly it is based on the missing knowledge of robots and robotic care it can be change by the appropriate education and personal experiences.]

Journal of Nursing Theory and Practice

[Prospective life-quality study after total hip replacement]


[The aim was a scientific investigation of health-related quality-of-life outcomes of patients after total hip arthroplasty. We performed cohort, prospective, descriptive examination using the form of a questionnaire at the Orthopedic Clinic of the Semmelweis University in-patient department between May 2018 and January 2019. The investigation involved patients suffering from degenerative primary coxarthrosis scheduled for elective surgery. The study included thirty (n=30) patients with the average age of seventy-two. The gender distribution was the following: male 36% (11 persons) female 63% (19 persons). Before the operation 50% of the patients reported severe pain, while the other half described only a mild pain. Three months after surgery the pain decreased significantly (p<0,000). 70% of the investigated population reported severe preoperative gait difficulties, whereas only 30% had only mild walking difficulties after 3 weeks. Preoperative analgesic use was also significantly reduced (p=0,004). 40% of the patients used assistive devices for walking. This number reduced to 20% by the end of the research period. Considering the investigated dimensions the patients experienced significant improvement in their quality-of-life in the early postoperative period. Total hip arthroplasty is highly demanding for the patient and has an operational risk, but the expected benefit is substantial. ]

Related contents

Journal of Nursing Theory and Practice

[Hungarian Nurses Day]


[On February 19, 2022 We celebrate the 205th anniversary of the birth of the first national matronage (head nurse), Zsuzsanna Kossuth. Zsuzsanna Kossuth was characterized by a high degree of empathy, self-sacrifice, exemplary behaviour, and professionalism. She laid the foundation for the processes of nursing and patient care and performed outstanding professional work throughout his life. She made no distinction between man and man, she only saw the suffering patient, in every soldier and injured. She sacrificed his life for his profession. The Hungarian Nursing Association founded the Zsuzsanna Kossuth commemorative medal in 1998, the year of the 150th anniversary of the War of Independence, which is donated every year on February 19.]

Journal of Nursing Theory and Practice

[Healthcare and social aspects of nursing in relation to the rare Pompe disease]

TÓTH Mónika, VÁRDI Katalin Borbála

[Aim of the study: Pompe disease is a rare mitochondrial disease, which is treated with enzyme replacement therapy. The authors examined the lifestyles of patients diagnosed with Pompe disease, and their knowledge regarding the illness. They compared this with the results of the regular checkups performed during the care process, in order to assess the patients’ compliance. Sample and methods: The research was conducted among patients suffering from Pompe disease, treated at the Rehabilitation Department of the Törökbálint Institute of Pulmonary Medicine (N=14). The survey of the patients’ knowledge took place in the form of personal interviews. The findings related to the regular enzyme replacement therapy were recorded and collated in the course of interviews conducted by telephone with the nurses of the centres administering the treatment. The data was processed using Microsoft Excel software. Results: In 2012 in Hungary the number of patients diagnosed with Pompe disease was 14 (12 adults, 2 children). The time elapsed from emergence of the first symptoms to the precise diagnosis in the case of all known patients (except in the case of one screened child) was an average of 13.4 years. Ten of the patients were receiving enzyme replacement therapy. The survey revealed that the conditions of the patients receiving the enzyme replacement therapy did not deteriorate. In the case of the female child, the decrease in CK levels was accompanied by growth and movement consistent with her age, and an improvement in vocalisation. Conclusions: For patients diagnosed with the once fatal Pompe disease, enzyme replacement therapy now offers the opportunity of a full life; and complementary treatments not only boost the effectiveness of the enzyme replacement, but also improve the patients’ subjective quality of life.]

Journal of Nursing Theory and Practice

[Nursing career of the high-school students]


[Aim of the research: The aim of the study is to analyze the trends of student orientation in the age and compulsory education process by age group. In our research, we would like to answer the question of how much „popularity” the health care profession as a professional area among students participating in Hungarian public education. If you feel this area of expertise close to you, what kind of vision you have. Research and sampling methods: A self-constructed questionnaire was administered during 24 Oct 2017 - 13 Jan 2018. In all counties of Hungary, the authors sent it to at least one of the training sites and filled up with me (N=329). These training sites are involved in healthcare training. Data were analysed with SPSS 15.0 for Windows statistical program. Chi square, Mann-Whitney tests were applied (p <0,05). Results: Out of the 159 people (48%), 170 (52%) in the family have healthcare workers. When performing the controls of the distributions, we can conclude that there is no significant difference in the distribution between the two groups, so there is the same number - that is, statistically significant difference - of the proportion of those willing to choose the health care path. In terms of career choice, 276 (86%) of respondents believe it is likely to be oriented towards the health care path, with 46 people (14%) planning their life is in another direction. Seven of its principal did not answer the question. By completing the Mann-Whitney test, we can conclude that there is no significant difference between the two groups in the medians, so there is no difference - that is, statistically significant difference - with respect to career choice as a nursing profession’s esteem. Of the 329 participants, 215 (65%) replied that they would like to work as a nurse, while 114 (35%) responded that they would not choose this job. Conclusion: Don’t influence significantly the career entrant if there is a healthcare worker in the family. Who stand in front of career choice don’t influence significantly the appreciation but is more motivated by sympathy and helplessness toward another person.]

Journal of Nursing Theory and Practice

[Associated factors of independency in older adults with cognitive impairment living in a long term care institute]


[Aim of the research: Functional independence determines the elderly’s health and quality of life. In them cross-sectional study the authors analysed the associations between functional abilities (balance, gait, functional mobility, cognitive abilities), age, BMI and comorbidities and independency in older adults with cognitive impairment. Research and sampling methods: 110 elderly people were measured. Self-sufficiency was measured by the Katz-index, balance, and gait by the Tinetti Test and functional mobility by the Timed Up and Go Test. Correlations between variables were analysed with the Spearman’s rank-order correlation. Results: There was strong association between balance (r=0,557), gait (r=0,515), functional mobility (r=-0,647), and independency. It means the better the balance, gait, and functional mobility is, the higher the independency is. There was weak association between age, BMI, cognitive abilities, comorbidities and independency. Conclusion: Results show that preserving of the functional independence in older adults with cognitive impairment is a multidisciplinary task: physiotherapists and nurses should work together to complete doctors’ curative work of chronic diseases.]

Lege Artis Medicinae

[On nursing in a different way - What are we talking about? ]

SÖVÉNYI Ferencné, PERKÓ Magdolna, FEDINECZNÉ Vittay Katalin

[Using an uncustomary approach to nursing history, authors review the intensive development process in the 1990s that resulted in the transition of nursing from an occupation to profession in Hungary. An occupa­tion attains professional status if its practitio­ners have access to education and training of a considerable duration, it has independent professional organisation, an ethical code of its own and is regulated by law. The article addresses these factors discussing at length the history and development of nurs­ing education and training in Hungary, subsequently it describes the process arching from practical nursing to the appearance of nursing science, an intrinsic part of which was the birth of a scientific nursing journal “Nővér”. The relevant and effective legislation on nursing and nursing practice is re­viewed comprehensively and the efforts to establish professional nursing organisations are described. It is maintained that framework conditions had to be established as a necessary precondition for nursing to professionalise itself on its own and become a vocation highly regarded by society. ]