Journal of Nursing Theory and Practice

[The importance of the hand hygiene compliance development in the light of prevention of nosocomial infections]

SAJTI Anikó, CSERNUS Mariann

JUNE 30, 2018

Journal of Nursing Theory and Practice - 2018;31(03)

[Good hand hygiene is the most effective means of preventing healthcare-associated infections, as contaminated hands are the greatest risk of spreading infections. It is critical that the infection control professionals emphasise the importance of good hand hygiene practices and help the health care professionals on the five steps of hand hygiene. The author presents in the case study that the numbers of positive urinary microbiological samples were decreased with systematic hand hygiene examination with direct methods and continuous feedback of experiences among the staff of the intensive care unit. For further development four sensory, alcoholic hand scrubbers with spraying automats were fitted by the management of the unit. Data obtained directly from observation further analysis is our goal a comprehensive study for the profession, which can serve as a positive example later to launch compliance development programs in other hospitals. ]



Further articles in this publication

Journal of Nursing Theory and Practice

[The effect of sensory deficit induced by anterior crutiate ligament injury on postural control]

NOVÁK Szabina, NAGY Edit

[The balance parameters and the loading symmetry was assessed in a subject with anterior cruciate ligament deficiency. A 14 days intensive training was performed mainly with eyes closed in closed kinematic chain exercises, loading the affected limb. Stabilometry and the assessment of loading symmetry was performed. The sway path was calculated in two direction. The sway path comparisons did not revealed significant differences only a tendency of decrease in anteroposterior direction. Interestingly we found an increased loading of the affected limb after our intensive training, with a mismatch between the subjective perceived symmetry and the objective symmetry data. The changed symmetry perception might be explained with the change in proprioceptive information processing induced by the training. In the future further examinations with higher case number are necessary to support this result. ]

Journal of Nursing Theory and Practice

[Survey of patient education among patients with hip arthroplasty]

BÉKÉS Brigitta, KIRÁLY Edit, BALOGH Zoltán

[Aim of the study: To analyse the training level of patients underwent hip replacement therapy in different periods of their health care. Methods: Traumatology and orthopaedic departments, ambulances and musculoskeletal rehabi-litations took part in the research. A self-made questionnaire was distributed among doctors and health professionals who cured these patients directly. The received data was analysed with the IBM SPSS Statistics 20. program. ANOVA test, 2-sample T-test and Chi-squared test were applied to analyse the coherences. P<0,05 was defined as the value of the significance limit. Results: 86 health care professionals participated in the survey. The overwhelming majority of them (45%) reported that unstructured, postoperative patient education was characteristic. Their education was dominated by communication techniques (n=68), while among the instrumental methods the use of information leaflets was dominated (n=13). Their activity was limited by the time lag and work overload (76%). Analysing the training levels, it was found that information about lifestyle changes and post-operative mobilization was significantly underused. Conclusion: Significant insufficiency were found in the education of the patients in terms of organization, and in the teaching methods and topics which were further aggravated by the mentioned hindering factors. ]

Journal of Nursing Theory and Practice

Reliability and Validity of the Turkish Version of the Brief Scales for Coping Profile in Textile Workers

ORNEK Koseoglu Ozlem, TEMEL Yavuz Guler

The aim of this study is to adapt the BSCP (Brief Scales for Coping Profile) scale to Turkish and to investigate its psychometric properties among textile workers. Methods: This a psychometric study with cross-sectional design. After translation procedures, the BSCP was administered to workers. Content validity of the BSCP was investigated with the CVI index and reliability was investigated with Cronbach’s Alpha. The construct validity was investigated with exploratory and confirmatory factor analysis. Results: The psychometric properties of the original BSCP were supported by the Turkish version of the BSCP. According to the exploratory factor analysis, the BSCP had six subscales. The reliability of the BSCP subscales’ values were 0.692, 0.712, 0.661, 0.756, 0.786, and 0.777 respectively. Conclusion: The Turkish version of the BSCP showed acceptable reliability and validity which is the first adapted scale in Turkey for evaluating workers’ coping profiles. The scale will be a good option to provide basic data about workers’ coping profiles which may be used for prolonging stress management skills and health promotion programs by occupational health and psychiatric nurses, physicians, psychologist and safety experts.

Journal of Nursing Theory and Practice

[Looking back in connection with the International Day of Nurses - Global campaign for nursing]


Journal of Nursing Theory and Practice

[Doris, the woman who made a difference]

SÖVÉNYI Ferencné

All articles in the issue

Related contents

Journal of Nursing Theory and Practice

[Infection control, the application of hygiene protocols in acute patient care]


[Aim of the study: A key aspect of patient safety is the reduction, recognition and early treatment of nosocomial infections in order to improve the outcome indicators. The research aimed to assess and draw comparisons relating to whether workers in emergency and intensive-care departments have the appropriate attitude and skills in relation to the prevention of nosocomial hazards. The author also investigated the nature of any correlation between the results and the formal qualifications, employment relationship and motivation of the target group. Sample and method: The sample consisted of paramedical professionals working at the intensive-care and emergency departments of five hospitals in the capital. For the purpose of comparing the results of the study in a practical setting, three nursing activities were observed and evaluated with a questionnaire-based survey. (N=163) Results: Based on the results it can be concluded that the skills of paramedical professionals at emergency and intensive-care departments are satisfactory, but there are some shortcomings. It is clear that the paramedical professionals are aware of the role of the hands in transmitting infection. Of those surveyed, 90 nurses knew that a peripheral cannula needs to be replaced every 72 hours. The majority of the nurses (78%) are aware that the optimal interval for replacing breathing circuits is 24 hours. Conclusions: Non-compliance with the rules is often due to deficient policies, which is why management has an essential role in ensuring successful nosocomial surveillance. ]

Clinical Neuroscience

[Infection-surveillance experience at a neurological intensive care unit]


[Infection-surveillance is an important part of the infection control system serving the protection of patients and healthcare workers as well. The continuous surveillance of health care associated infections is among the most important fields of patient safety and quality management. The aim of this study was to evaluate the frequency of the health care associated infections among patients at the neurointensive care unit. Moreover, we aimed to identify specific infectionforms and the most frequently occurring pathogens. We performed the study for a half-year according to the HELICSmethod proposed by the National Center of Epidemiology. In this setup we evaluated the infections and risk factors for infection (instrument-use, antibiotic therapy etc.) among the patients who spent at least 48 hours in the neurointensive care unit. During the six-month period, we observed 16 health care associated mono- and polymicrobial infections out of the 88 cases. Mainly Gram-positive pathogens were identified, but we found multidrug-resistant pathogens as well. Clinically diagnosed pneumonia was the most frequent among the infections. These infections were detected by a relatively low microbiological testing rate, which warns to increase sampling frequency to ensure more accurate data on infections. Infection control based on a comparative standardized infection dataset seems to be one of the most important preventive measures.]

Journal of Nursing Theory and Practice

[Sleep Disorders among ICU Patients]

PUSZTAI Dorina Erzsébet, FULLÉR Noémi

[Aim: To examine the changes of sleep quality and quantity among patinets in the intensive care unit, to determine the factors which have influence on sleeping and to bare the methods that can help to optimize sleeping. Theme and method: During a quantitative, longitudinal research 82 patients datas and questionnaire answers were analysed. In Microsoft Excel and SPSS 22.0 program we used c2-probe, T-probe, linear regression, Mann-Whitney U probe, descriptive statistics (p<0.05) Results: In comparison of the sleep quality and quantity, both variables changed in negative direction in ICU. The most common factors that influence sleep are: thirst/feeling of mouth dought, uncomfortable posture, therapeutic tools. Correlation is detected between the quality of sleep in ICU and the severity of the existing disease (p=0.004) and therapeutic tools (p=0.002) and noises (p=0.003). Conclusion: In changed environment, mainly in the ICU, the sleep quality and quantity are poor compared to home’s and standard department’s. ]