Journal of Nursing Theory and Practice

[The Role of Palliative Nurses in the Multidisciplinary Team]

LUKÁCS Miklós1,2

AUGUST 30, 2024

Journal of Nursing Theory and Practice - 2024;37(4)

DOI: https://doi.org/10.55608/nover.37.0016

Szöveg nagyítása:

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[The author presents the role of the nurse in the practice of hospice-palliative care. The aim of the care is to alleviate the physical, mental, social, spiritual and emotional sufferings and symptoms of advanced cancer patients in Hungary, and to improve their quality of life. As a member of the mandatory multidisciplinary team, the nurse has a significant role in this. The manuscript provides an overview of the tasks and difficulties of hospice nurses in the domestic and international situation.]

AFFILIATIONS

  1. PTE Klinikai Központ Onkoterápiás Intézet
  2. Magyar Hospice-Palliatív Egyesület

Further articles in this publication

Journal of Nursing Theory and Practice

[Aspects of Occupational Health Nursing for Incurable Patients ]

HIRDI Henriett Éva

[The number of individuals diagnosed with cancer among working-age populations is alarmingly increasing, and cancer remains one of the leading causes of death. Over the past few decades, the topic of staying in the labor market has become a worldwide subject of discussion regarding improving the quality of life for employees suffering from terminal illness. In this context, the importance of workplace rehabilitation, a supportive environment, and occupational health care is being increasingly recognized. With appropriate training, occupational health nurses could play a key role in collaborating with affected employees, as they can assist in assessing individual needs and ensuring reasonable accommodations in the workplace. Through their activities, the working conditions designed for terminally ill employees can simultaneously enhance quality of life and enable productive work at the end of life.]

Journal of Nursing Theory and Practice

[End of Life and Palliative Care of Newborns in the Nursing Context]

AUTH Andrea

[Postnatal palliative care is a very under-researched and under-represented area of paediatric palliative care in Hungary.
Aim: The examination was carried out to assess, in the absence of relevant Hungarian protocols, the professional and psychological duties of nurses working in neonatal and pediatric intensive care units regarding the physical, mental, and emotional support of the child and their parents. Additionally, it aimed to identify which support programs and professional training opportunities assist these professionals who are under significant psychological stress.

The quantitative, cross-sectional, comparative study was conducted on a voluntary basis with the participation of 41 individuals, using an anonymous questionnaire method. Additionally, interviews were conducted with professionals in the helping professions (n=3) regarding their duties, experiences, opinions, and knowledge.

In terms of outcomes, it is difficult to draw any conclusions due to low participation, however, questions on newborn pain and behaviour assessment, parent support and caregiver involvement incare fortunately paint a positive picture of neonatal palliative care in this country, in contrast to the lack of supervision and training for professionals in supportive processing which can lead to distress, and burnout.

The quintessence of the research is that there is a need for guidance on the topic for both children, their parents and caregivers, as well as for professional training and supportive environments to ensure more effective bereavement processing and care.]

Journal of Nursing Theory and Practice

[A selection of the entries submitted to the literary contest "Honorable mission: the joys and challenges of our profession" ]

TÓTH Annamária , TUMPEKNÉ GOMBAY Tímea, GALAMBOS Csilla

[ ]

Journal of Nursing Theory and Practice

[Social Innovation in Healthcare. The Power of Mindset Change in Hospice Palliative Care in Debrecen]

PORKOLÁB Gyöngyi

[The aim of study is to sensitise society to the need for access to hospice care and to raise awareness of the right to end-of-life dignity through the provision of continuous information.

the method chosen was SWOT analysis and in-depth interviews. I asked 30 affected people to describe their own experiences, coping methods and the supportive environment they lived in.

The outcome is shown by the listenership of the podcast conversations, demonstrating that loss can and should be discussed in an open and honest dialogue, that the humane care of terminally ill patients at the end of life requires an open social context in addition to the provision of expertise. 

The end-of-life dignity of patients with tumours, and the support of families in this process, is a fundamental task of the hospice palliative care system, which is constantly improving, with the opening of new units nationwide. The social innovation programs are the helping need for enlarging the hospice-palliative health system.]

Journal of Nursing Theory and Practice

[Dietetic Aspects of Hospice-palliative Care]

TÓDOR Annamária

[Patients in hospice-palliative care are treated with the help of a multidisciplinary team, which includes dietittian too, as a member. The tasks of the dietitian are complex, they participate in the malnutrition screening, maintaining and reaching the patients’ appropriate nutritional status, exploring and solving different nutritional problems, shaping the diet according to individual needs, recommending clinical formula, if needed.]

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[Diabetes Mellitus and Oral Health]

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[Diabetes affects the whole body, altering fundamental metabolic processes. The number of people with diabetes is gradually increasing, with a growing proportion of younger and younger people affected. While significant lifestyle changes are needed to manage diabetes, some form of medication is also essential. Often, only the importance of exercise and diet is brought to patients’ attention by professionals, overlooking the importance of oral prevention. A number of oral conditions (e.g. dry mouth, gingivitis) can occur in people with diabetes as a result of poor oral hygiene. It is important to raise awareness of these conditions and how to prevent them at all levels of healthcare.]

Journal of Nursing Theory and Practice

[Social Innovation in Healthcare. The Power of Mindset Change in Hospice Palliative Care in Debrecen]

PORKOLÁB Gyöngyi

[The aim of study is to sensitise society to the need for access to hospice care and to raise awareness of the right to end-of-life dignity through the provision of continuous information.

the method chosen was SWOT analysis and in-depth interviews. I asked 30 affected people to describe their own experiences, coping methods and the supportive environment they lived in.

The outcome is shown by the listenership of the podcast conversations, demonstrating that loss can and should be discussed in an open and honest dialogue, that the humane care of terminally ill patients at the end of life requires an open social context in addition to the provision of expertise. 

The end-of-life dignity of patients with tumours, and the support of families in this process, is a fundamental task of the hospice palliative care system, which is constantly improving, with the opening of new units nationwide. The social innovation programs are the helping need for enlarging the hospice-palliative health system.]

Lege Artis Medicinae

[Prevalence and dietary treatment of the most common diseases and gastrointestinal symptoms in pregnancy   ]

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[A pregnant woman’s diet defines her own health as well as the healthy development and growth of the child in the womb. During pregnancy, a significant proportion of women experience some kind of unpleasant gastrointestinal symptom or illness, and most of them try to relieve those with dietary changes. 

The quantitative, cross-sectional research was performed between Ja­nuary 2020 and May 2020. During the non-random convenience sampling, the tar­get group consisted of Hungarian pregnant women (n = 721). In the self-administered, anonymous, online available questionnaire, sociodemographic, pregnancy and nutrition- related questions were used. The signifi­cance level was determined at p<0.05.

Nine out of ten pregnant women experienced at least one unpleasant symptom during their pregnancy. The highest proportion of pregnant women reported dieting due to illness, and the largest proportion tried to treat the symptoms by nutrition. We discovered a significant difference in terms of educational level and problem-specific dieting in case of illness, as well as income status and following a special diet due to food intolerance. Pregnant women mostly request advice from a doctor and then from a dietician to design a suitable diet, however, there was no statistically detectable difference in terms of higher education, higher income status and obtaining information from a dietician.

The education of pregnant women plays an important role in the effective dietary treatment of diseases and symptoms, which are experienced most often during pregnancy and can be relieved with proper nutrition.

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