Lege Artis Medicinae

[Interdisciplinarity, workplace stress, holistic management]

SZABÓ Nóra, SZABÓ Gábor, HEGEDÛS Katalin

MARCH 21, 2008

Lege Artis Medicinae - 2008;18(03)

[INTRODUCTIONS – The physical and psychological condition of health care professionals dealing with the seriously ill is worse than that of those caring for not seriously ill patients. This may be due to the nurses' dissatisfaction, vital exhaustion, workplace stress, social support and the degree of professional and social adjudication. The aim of the survey is to comparatively investigate two groups dealing with the seriously ill – hospice nurses and nurses caring for elderly patients. Hypothesis: hospice nurses are in a more favourable position than nurses caring for elderly patients in terms of satisfaction, vital exhaustion, social support, the degree of workplace stress and professional and social acknowledgement as well. SUBJECTS AND METHODS – The survey was performed among hospice nurses (N=25) and nurses caring for elderly patients (N=50) using a self-assessment questionnaire. The inventory comprised questions related to demographical, professional and social acknowledgement and questionnaires on satisfaction, vital exhaustion, social support and workplace stress. RESULTS – In terms of social support hospice nurses are clearly in a more favourable position than those caring for elderly patients. Workplace stress is higher among nurses caring for elderly patients than that of hospice nurses thus the adverse effects of workplace stressors will more readily appear among nurses working with the elderly. CONCLUSION – The interdisciplinary approach of hospice, the acceptance and inclusion of professionals from fields other than nursing and medicine into the practical care may promote holistic care and the acceptance and acknowledgement of nurses. The greater social support may reduce the nurses’ degree of workplace stress and thus the adverse consequences of workplace stressors. Therefore in the future interdisciplinarity should be extended, communication between specialties should be encouraged within the care for the elderly and – as a matter of fact – on each level and field of the health care system.]



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[Lung cancer is one of the most malignant human cancers because of its high incidence and high mortality rate. The 5-year relative survival rate for lung cancer at the initial diagnosis is 5-15%. Stage I or stage II non-small cell lung cancer (NSCLC) are considered early stage disease. Unfortunately, these two stages combined account for only 25 to 30% of tumours at the initial detection. At present, surgical resection remains the recommended treatment for patients with stage I and II NSCLC. Despite negative preoperative staging studies including mediastinoscopy, as many as one fourth of the patients will be found at surgery to have an occult N2 or one nodal station positive metastatic – stage IIIA – disease. Multimodality therapy is preferred for all subsets of stage IIIA patients. In stage IIIB and IV, surgical resection is possible and indicated only in selected cases, including Pancoast tumours, T4N0,1M0 tumours, the presence of satellite nodules in the same lobe, and certain solitary metastases. Patients with clinical stage T1-2 N0 small cell lung cancer (SCLC) may benefit from surgery for confirmation of diagnosis and improved local control when combined with chemotherapy. The mortality and morbidity rates of surgery in the treatment of lung cancer are reasonably low.]

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[Relationships in recovery, recovery in relationships]


[INTRODUCTION - Some of the recent researches based on analyses of autobiographies pointed out, that the quality and the quantity of our social relations are in connection with our life longevity, and the frequency of words referring social roles and integration gives a respective measurement possibility of it. Conception of the term “social words” had been introduced. The influence of the degree of social support to the recovery from alcohol addiction is also a well-known phenomenon. Based on the above we supposed that examining their autobiography vocabularies we find special differences which can show the distinction between the social support of the relapsed and recovering addicted persons. We planned to prove the being of these special differences via revealing bias of the frequency and pattern of social word usage. PATIENTS AND METHODS - Two separate groups were created for purpose of the examination. The first consisted of relapsed alcohol dependent persons, who were treated in hospital (department of addiction psychiatry) diagnosed alcohol-dependent (F 10.2) (and nothing else) at least twice within a year (N=30). We chose earlier treated (because of alcohol-dependency, and nothing else mental disease) persons who had been being abstinent for at least 2 years into the second group (N=20). Beside the earlier diagnosis we used the parts of the ASI test to sreen any other mental diseases. We created similar groups with regards to gender, age and qualification. We collected autobiographies from the persons, and made two common documents of them. Afterwards we compared these documents by the Atlas.ti 5.0 (trial free version) content analysing software. We defined the frequency of the found social words in the rate of these words and the sum of the words in the whole text. We found the most prominent difference between the frequency of social words referring to the family and relatives, opposite the words dealing with friendship. RESULTS - In the latter case we could not detect any difference between the two groups. We got results confirming our hypothesis in the frequency of such words as “help”, “love”, “give” and “get”. We experienced in connection with the pattern that the words referring to social organisations, for example “team”, “community”, “company”, “club”, “meeting”, “collective” and the word “guest” practically did not appear (R<0.001) in the texts of relapsed persons, while they could be detected in the case of the recovering group (R=0.023). We did khisquare test to compare the frequency in the mentioned categories and we experienced significant differences between the social word usage of the two groups. CONCLUSION - Our results confirmed that the recovery from alcohol addiction was related to the quality and quantity of person's social relations, what we can get relevant information from the frequency of social words in the autobiographies about, so the high frequency of the social words can be considered as a good predictor of recovery.]

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