Journal of Nursing Theory and Practice

[The Future of Nursing 2020-2030]

HIRDI Henriett Éva

DECEMBER 15, 2020

Journal of Nursing Theory and Practice - 2020;33(06)



Further articles in this publication

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

[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

[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. ]

All articles in the issue

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[Consensus statement of the Hungarian Clinical Neurogenic Society about the therapy of adult SMA patients]

BOCZÁN Judit, KLIVÉNYI Péter, KÁLMÁN Bernadette, SZÉLL Márta, KARCAGI Veronika, ZÁDORI Dénes, MOLNÁR Mária Judit

[Background – Spinal muscular atrophy (SMA) is an autosomal recessive, progressive neuromuscular disorder resulting in a loss of lower motoneurons. Recently, new disease-modifying treatments (two drugs for splicing modification of SMN2 and one for SMN1 gene replacement) have become available. Purpose – The new drugs change the progression of SMA with neonatal and childhood onset. Increasing amount of data are available about the effects of these drugs in adult patients with SMA. In this article, we summarize the available data of new SMA therapies in adult patients. Methods – Members of the Executive Committee of the Hungarian Clinical Neurogenetic Society surveyed the literature for palliative treatments, randomized controlled trials, and retrospective and prospective studies using disease modifying therapies in adult patients with SMA. Patients – We evaluated the outcomes of studies focused on treatments of adult patients mainly with SMA II and III. In this paper, we present our consensus statement in nine points covering palliative care, technical, medical and safety considerations, patient selection, and long-term monitoring of adult patients with SMA. This consensus statement aims to support the most efficient management of adult patients with SMA, and provides information about treatment efficacy and safety to be considered during personalized therapy. It also highlights open questions needed to be answered in future. Using this recommendation in clinical practice can result in optimization of therapy.]

Clinical Neuroscience

A new method to determine the optimal orientation of Slim Modiolar cochlear implant electrode array insertion

HORVÁTH Bence, PERÉNYI Ádám, MOLNÁR Fiona Anna, CSANÁDY Miklós, KISS József Géza, ROVÓ László

Our goal was to determine the optimal orientation of insertion of the Slim Modiolar electrode and develop an easy-to-use method to aid implantation surgery. In some instances, the electrode arrays cannot be inserted in their full length. This can lead to buckling, interscalar dislocation or tip fold-over. In our opinion, one of the possible reasons of tip fold-over is unfavourable orientation of the electrode array. Our goal was to determine the optimal orientation of the Slim Modiolar electrode array relative to clear surgical landmarks and present our method in one specified case. For the measurement, we used the preoperative CT scan of one of our cochlear implant patients. These images were processed by an open source and free image visualization software: 3D Slicer. In the first step we marked the tip of the incus short process and then created the cochlear view. On this view we drew two straight lines: the first line represented the insertion guide of the cochlear implant and the second line was the orientation marker (winglet). We determined the angle enclosed by winglet and the line between the tip of the incus short process and the cross-section of previously created two lines. For the calculation we used a self-made python code. The result of our algorithm for the angle was 46.6055°. To validate this result, we segmented, from the CT scan, the auditory ossicles and the membranaceous labyrinth. From this segmentation we generated a 3D reconstruction. On the 3D view, we can see the position of the previous lines relative to the anatomical structures. After this we rotated the 3D model together with the lines so that the insertion guide forms a dot. In this view, the angle was measured with ImageJ and the result was 46.599°. We found that our method is easy, fast, and time-efficient. The surgery can be planned individually for each patient, based on their routine preoperative CT scan of the temporal bone, and the implantation procedure can be made safer. In the future we plan to use this method for all cochlear implantation surgeries, where the Slim Modiolar electrode is used.

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[Benefits of SGLT-2 inhibitors: beyond glycemic control]

BALOGH Zoltán, SIRA Lívia

[In the recent years, according to international and Hungarian guidelines, in addition to lifestyle modification, metformin is the preferred initial glucose-lowering drug for most people with type 2 diabetes, if not contraindicated. Sodium glucose co­transporter-2 inhibitors have been shown to reduce progression of chronic kidney disease, or kidney failure, as well as the risk of hospitalizations for congestive heart failure and (mainly in secondary prevention) cardiovascular death in patients with type 2 diabetes. For major adverse cardiovascular events and for the renoprotection, there seems to be no class effect. On the other hand, a class effect of sodium glucose co­transporter-2 inhibitors is evident for hospitalization for heart failure. In this review the authors summarize novel data about sodium glucose cotransporter-2 inhibitors, and about their new perspectives in the near future.]

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[Transcranial direct current stimulation in neuroscientific researches – pitfalls and solutions]

PESTHY Orsolya, JANACSEK Karolina, NÉMETH Dezső

[Transcranial direct current stimulation (tDCS) is a promising brain stimulation tool which is non-invasive, easy to use and relatively cheap. Since it can change brain activity in a temporal manner, it can contribute to both clinical practice and neuroscientific research. However, the effectiveness of tDCS has been questioned considering the lack of full understanding of its mechanism of action and the seemingly contradictory results. In this review, we aim to provide a summary of potential problems and possible solutions. Our main focus is on the inter-individual differences in the effect of tDCS which can explain the noisy data, thus, controlling for them is important in order to show reliable results. This review is hoped to contribute to maximizing the potential of tDCS by helping future researchers to design replicable studies.]

Clinical Neuroscience

[Neurological aspects of the COVID-19 pandemic caused by the SARS-CoV-2 coronavirus]


[By the spring of 2020 the COVID-19 outbreak caused by the new SARS-CoV-2 coronavirus has become a pandemic, requiring fast and efficient reaction from societies and health care systems all over the world. Fever, coughing and dyspnea are considered the major signs of COVID-19. In addition to the involvement of the respiratory system, the infection may result in other symptoms and signs as well. Based on reports to date, neurological signs or symptoms appear in 30-50% of hospitalized COVID-19 patients, with higher incidence in those with more severe disease. Classical acute neurological syndromes have also been reported to associate with COVID-19. A drop in the volume of services for other acute diseases has been described in countries with healthcare systems focusing on COVID-19. During the COVID-19 epidemic it is also important to provide appropriate continuous care for those with chronic neurological disorders. It will be the task of the future to estimate the collateral damage caused by the COVID-19 epidemic on the outcome of other neurological disorders, and to screen for the possible late neurological complications of the SARS-CoV-2 coronavirus infection.]