Journal of Nursing Theory and Practice

[The nursing aspects of the use of Point of Care Testing laboratory diagnostics]


JULY 30, 2012

Journal of Nursing Theory and Practice - 2012;25(03)

[Aim of the study: The author’s aim was to present the Point of Care Testing (POCT) laboratory diagnostic methods used during the treatment of emergency cases, on the basis of feedback from paramedical professionals. The survey also investigated the opportunities using the procedure more widely, in keeping with the specifi c professional requirements of the various departments. Methodology and sample: The data was gathered in Budapest, at various departments of the Hungarian National Defence Hospital. A name-based sampling method was used, and the quantitative research involved a prospective cross-sectional, descriptive correlation study using an internet-based questionnaire survey. Results: Based on the opinions of paramedical professionals at the surveyed departments, a signifi cant difference was demonstrated in the ranking of the types of POCT clinical tests. The procedure proved to be exceptionally useful in the treatment of acute cases, although the perception of its effectiveness differed between departments. Conclusions: Priority needs to be given to propagating the theoretical aspects and deepening the practical skills related to POCT clinical procedures. Based on a complex survey of several departments, the POCT procedures proved to be quick, accurate and economical, provided that the paramedical professionals have the appropriate theoretical grounding.]



Further articles in this publication

Journal of Nursing Theory and Practice

[Impact of post hip-replacement motor functions on the patient’s subjective state of health and perception of surgical success]


[Research aim: The authors analyse the extent to which the change in motor function infl uences the patients’ sense of illness fi ve years after the implantation of an artifi cial hip replacement. Methodology and sample: The retrospective follow-up survey was conducted in the Jávorszky Ödön Hospital in Vác through analysis of the electronic patient database and the returned questionnaires. A total of 109 patients who had received artifi cial hip replacements were included in the survey. The authors analysed the objective motor organ indicators (movement of the hip joint, use of mobility aids) based on the patients’ subjective sense of illness five years after the surgery, and the patients’ opinions about the operation. Results: In the 5th postoperative year the patients’ motor function had signifi cantly improved, and the use of mobility aids had signifi cantly decreased. In terms of the patients’ sense of illness, no signifi cant difference was found between the studied motor organ indicators of those who considered themselves to be healthy and of those who regarded themselves as ill. Conclusions: A successful hip replacement signifi cantly improves the patients’ motor function in the 5th postoperative year, but this has little bearing on the sense of illness. In this period the nursing staff should concentrate on other factors if they want to improve the patients’ quality of life.]

Journal of Nursing Theory and Practice

[Intention to leave the profession among health care workers in Csongrád County]


[Aims of the study: The study assessed the intent to leave the profession among health care providers in Csongrád County and investigated on which fi eld and country they intend to work; its connection with burn-out and psychosomatic symptoms has also been analyzed. 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: Bad psychosomatic status correlates with the intent to leave the health care system (p<0.000) and the fear of losing the job (p<0.003). Those who are not afraid of losing their jobs are not to leave the health care system (p<0.000). Workers with severe psychic condition are planning most likely planning to leave their profession. Conclusions: The fear of losing employment and the thought of leaving the profession is an everyday phenomenon among health care workers. This shows strong connection with bad psychosomatic status and burn out.]

Journal of Nursing Theory and Practice

[Comparison of the cost-effectiveness of vacuum assisted closure, as an innovative procedure, and traditional wound treatment, in the light of quality aspects]


[Recent decades have seen expansion in the literature and fi ndings related to the healing of wounds, and many new options for promoting wound healing have become available. The innovative wound treatment procedure known as vacuum assisted closure can be used for a wide range of indications, and can ensure the optimal conditions for the start of the wound healing processes. The study reveals the cost implications of negative pressure therapy through a study of the treatment of two patients, and also presents the components of the quality aspects identifi ed at Hatvan hospital, as defi ned in the Donabedián model, the PDCA cycle of the applied vacuum-assisted wound treatment, and the impact of the revealed components on the quality and costeffectiveness of the patient care. The author emphasises that the use of even the latest technologies can only effectively ensure the development of healthcare if combined with the commitment of managers and workers to assure quality, and if the fundamental principles of quality improvement are integrated into the structure and process of healthcare provision.]

All articles in the issue

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Clinical Oncology

[Pregnancy and cancer]

NAGY Zsuzsanna, SZILLER István, VALTINYI Dorottya, HORVÁTH Orsolya

[The joint appearance of pregnancy and cancer is rare. It is highly recommended that the tumorous pregnant should be managed by a multidisciplinary team. The early diagnosis is very important, but it is not easy, because the symptoms of pregnancy and cancer are rather similar. Imaging diagnosis has to avoid ionizing radiation (e.g. PET/CT). The same is true for chemotherapy in the fi rst trimester, due to the increased risk of developmental abnormalities. Consequently, radiation therapy is not allowded throughout the pregnancy, and the chemotherapy in the fi rst trimester is a strong indication for the interruption of pregnancy. Surgery, with good practice, usually can be performed without complications. Chemotherapy, given in the second and third trimester generally follows the standard protocols with a low frequency of developmental errors. Early delivery should not be encouraged, except the delay has a hazardous effect on the mother and/or on the child. The pregnant should be informed about all steps to be an active part of the fi nal decision.]

Journal of Nursing Theory and Practice

[The role of nurses in the clinical trials]

NAGY Mónika Anita

[Aim of the research: To assess the occupational duties and responsibilities of nurses in relation to clinical trials in Hungary. Research and sampling methods: Self-administered questionnaire was used among the colleagues working in the field of clinical trial and IBM SPSS 22.0 software using descriptive statistical methods was performed. Results: It was found that the majority of nurses complete the duties of a study coordinator and the task of a study nurse simultaneously. They were involved in everyday activities that characterise the assistance of patients and in the management of paper-based documentation during clinical trials. Lack of knowledge in English language was identified for the reason of reduced-functionality of nurses in 59 cases. Conclusions: nurses have complex responsibilities, although they meet the requirements when it comes to the professional tasks and documentation obligations, but in the case of more complicated professional challenges nurses get fewer opportunities, mainly because of their poor English skills.]

Hungarian Radiology

[Male breast cancer]


[Male breast cancer does not get a sufficient attention which would be appropriate due to its special features. Diagnostical and therapeutical protocols are not existing, a national center and international collaboration would be necessary. Incidence of male breast cancer is one percent of the female breast cancers, and 5 percent of all male cancers. The absolute number of the cases increased in the past years. The mutation of gene BRCA2 plays the main role in the male breast cancer. The breast cancer of the men is a "late disease", because often neither the doctor nor the patient considers this opportunity. The diagnosis is often established at an advanced stage. Cancer can occur on both sides, but the right breast is more often affected. Staging is the same as in female patients. Prognosis is poorer than in females, the tumor-receptor rate is better, HER2 in men does not plays any role. Basic principles of diagnostics and therapy are same as in females, mainly because there is no consensus about the treatment of the male breast cancer. The same proved protocols are used in men which are applied in women. The ground-method is surgery, reduced radicality and mastectomy is usually applied. Males react on hormone therapy better, than women, mainly chemotherapy is suggested. Follow up of the patients and the psychological support is extremely important. A multidisciplinary collaboration is necessary in the treatment of the male patient, and education is of great importance.]

Lege Artis Medicinae


POÓR Gyula

[Osteoporosis poses a major public health problem worldwide due to the extreme number of patients and to the deterioration of quality of life, disability, excess mortality and costs associated with consequent fractures. Representative studies of the author’s group have previously shown that the average bone mineral density values of the Hungarian population are among the lowest in Europe while the prevalence of vertebral fractures is among the highest in international comparison. This revelation has led to the development of a National Osteoporosis Programme, the key element of which being the setting up of a network of osteoporosis centres that are based on the collaboration of various medical specialists, the availability of advanced diagnostic tools and outstanding therapeutic opportunities. On describing the 10-year activity of the centres, the main diagnostic, prevention and management approaches of osteoporosis are discussed. According to the WHO classification the diagnosis of osteoporosis is based on a low bone mineral density finding supported by the laboratory and radiological exclusion of other metabolic bone diseases and secondary forms of osteoporosis. According to the up-to-date treatment guidelines of osteoporosis, when considering medical treatment, preference should be given to patients with high fracture risk in giving drugs with extensive antifracture efficacy that has been confirmed by studies of evidencebased medicine. Among these drugs the most important are the antiresorptive bisphosphonates that have widely been used in Hungary and the bone forming teriparatide that is expected to gain wider use in the near future with the introduction of public health insurance financing. The efficacy of these specific antiosteoporotics is increased by supplementation with calcium and vitamin D. The internationally acknowledged Hungarian osteoporosis management system offers to Hungarian patients outstanding standards for the prevention and management of osteoporosis.]

Journal of Nursing Theory and Practice

[Job satisfaction and well-being among nurses]


[Aim of the study: To monitor the changes in job satisfaction and well-being of nurses and to investigate whether the uncertainty caused by the reorganisation of workplaces affected their well-being. Sample and methods: Two cross-sectional studies were conducted in six Hungarian teaching hospitals in 2003 and in 2010 involving full time worker female inpatient care nurses who were asked to complete a questionnaire developed by the researchers. Results: The degree of acknowledgement and psychological strain at the workplace decreased significantly since the first survey. The autonomy at work dropped which is reflected by the diminished decision making and fewer opportunities to plan the working methods, work tasks, pace of work and jobs. Nurses evaluate the working community as worse, but the judgement of the head nurses did not change in 7 years. The rate of positive well-being significantly decreased since 2003, although the extent of negative well-being did not change. Conclusions: The job satisfaction of nurses decreased and the uncertainty at workplace affects their well-being.]