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

[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

[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

[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.]

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Journal of Nursing Theory and Practice

[Assessing the knowledge of patients after cataract surgery]

MELEG Tiborné, BÍRÓ Gyöngyi, NÉMETH Anikó

[Aim of study: Examining the knowledge of patients about ophthalmic screenings, their disorder, the necessary lifestyle changes and on how to use eye drops properly. Sample and methods: This cross-sectional study was conducted at the ophthalmology department of the hospital in Kecskemét using a self-developed questionnaire. Inpatients were involved during the period from June to September in 2013. Results: The studied patient population knew the importance of ophthalmic screenings, but they had inappropriate information about the right way to use eye drops and about the nature of cataract and the operation. Although the majority of the responders were informed by an expert, they had much false information about the necessary lifestyle changes. Conclusions: One of the most important task of nurses working at ophthalmology departments is to correct the false beliefs of patients and to replace them with correct and clear information, especially about their disorder and lifestyle changes.]

Journal of Nursing Theory and Practice

Use of Imogene King’s Nursing Model in the Care for a Patient with Heart Arrhythmias


Objectives: To discover the benefits of implementation of Imogene King’s nursing model into nursing care in a patient with arrhythmias. To find out how these patients are limited in saturation of their own needs and what are the most severe limitations for patients with arrhythmias. Material and methods: Qualitative research using semi-structured interviews. The interview with patients with arrhythmia was conducted in accordance with the structure of King’s nursing model. Results: The research group consisted of 20 respondents; 13 men and seven women. All respondents expressed satisfaction with their cooperation with staff. The respondents described a change in the subjectively perceived state, the psychic state, and emotions. Conclusions: Assessment of the subjectively perceived quality of life of patients with arrhythmias using the King’s interaction model allows nurses to see the patient from the holistic point of view and plan and provide individualized care.