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Hypertension and nephrology

NOVEMBER 04, 2020

[The role of stress management in the care of hypertension and the treatment of cardiovascular disease]

SOMOGYI Éva, KISS Zoltán, STAUDER Adrienne

[The aim of this paper is to give an overview of the relationship between stress and hypertension and cardiovascular diseases, furthermore to introduce an evidence based stress management intervention available in Hungary. The correlation between cardiovascular disease and psychosocial factors (including concomitant mental disorders as well as personality traits or the effect of social environment) has been established in numerous studies aimed at investigating pathogenesis or various clinical endpoints. The 2016 Guidelines of the European Society of Cardiology include the assessment and the management of psychosocial problems with behavioral medicine interventions as a I.A level recommendation. The implementation of these guidelines in everyday clinical practice is crucial to decrease cardiovascular risk. This involves the training of health care professionals, the facilitation of multidisciplinary collaboration and the integration of behavioral intervention into everyday care. The Williams Life Skills (WLS) program is an evidence based behavioral medicine intervention aiming to improve stress management and communication skills which implemented internationally and also available all over Hungary. It involves the learning of simple coping strategies that facilitate the successful management of every day psychosocial stress situations and the self-conscious reduction of bodily and psychological tensions. In cardiovascular disease, this improves quality of life and survival. The WLS program is especially recommended for healthcare workers to decrease the negative health consequences of their high stress load and to prevent burnout. Stress may affect both doctors and patients during their interactions. Bálint groups have a positive impact on the physician-patient collaboration and help to reduce burnout by improving the understanding of the diseases from a more complex approach.]

Clinical Neuroscience

JULY 30, 2020

[Comparative analysis of the full and shortened versions of the Oldenburg Burnout Inventory]

ÁDÁM Szilvia, DOMBRÁDI Viktor, MÉSZÁROS Veronika, BÁNYAI Gábor, NISTOR Anikó, BÍRÓ Klára

[Background – The two free-to-use versions of the Oldenburg Burnout Inventory (OLBI) have been increasingly utilised to assess the prevalence of burnout among human service workers. The OLBI has been developed to overcome some of the psychometric and conceptual limitations of the Maslach Burnout Inventory, the gold standard of burnout measures. There is a lack of data on the structural validity of the Mini Oldenburg Burnout Inventory and the Oldenburg Burnout Inventory in Hungary. Purpose – To assess the structural validity of the Hungarian versions of the Oldenburg Burnout Inventory and the Mini-Oldenburg Burnout Inventory. Methods – We enrolled 564 participants (196 healthcare workers, 104 nurses and 264 clinicians) in three cross-sectional surveys. In our analysis we assessed the construct validity of the instruments using confirmatory factor analysis and internal consistency using coefficient Cronbach’s α. Results – We confirmed the two-dimensional structure (exhaustion and disengagement) of the Mini-Oldenburg Inventory and a shortened version of the Oldenburg Burnout Inventory Internal consistency coefficient confirmed the reliability of the instruments. The burnout appeared more than a 50 percent of the participants in every subsample. The prevalence of exhaustion was above 54.5% in each of the subsamples and the proportion of disengaged clinicians was particularly high (92%). Conclusions – Our findings provide support for the construct validity and reliability of the Hungarian versions of the Mini-Oldenburg Burnout Inventory and a shortened version of the Oldenburg Burnout Inventory in the assessment of burnout among clinicians and nurses in Hungary.]

Journal of Nursing Theory and Practice

OCTOBER 30, 2018

[Comparative analysis of job and life satisfaction among theatre nurses in Hungary and Germany]


[The aim of the study: The objective of the study was to assess and compare job and life satisfaction affected by workplace problems, stress, rewards, success and social support. We analyzed the coping strategies applied by the employees to solves the above problems. Material and method: The anonymous data collection was carried out in October, 2015 by applying AVEM and an own-edited socio-demographic questionnaire among theatre nurses from Hungarian and German clinics. Results: The employees evaluated stressful situations and problems differently in the two groups examined. Job satisfaction was equally important for both groups, but it affected life satisfaction of the Hungarian employees to greater extent. The stress management of the Hungarian employees was more effective in spite of the fact that German nurses used more coping strategies. Social support had a positive effect on overcoming the workplace problems in both groups. Conclusions: Job satisfaction of the nurses has a beneficial effect on their life satisfaction. The ability to divide work and private life and stress management are different among the nurses. Job satisfaction can be improved by workplace health promotion programs.]

Journal of Nursing Theory and Practice

APRIL 30, 2018

[The psychological Well-being and Burnout among Ambulance Personnel]


[The aim of the study: The aim of the presented study was to investigate the psychological well-being and burnout among ambulance personnel of the Hungarian National Ambulance Service. Our goal was to identify the ambulance specific stressors that negatively affect the psychological health of personnel and lead to burnout. Material and method: The quantitative, cross-sectional study included 1979 ambulance personnel. Level of burnout was measured by Pines-Aronson Burnout Inventory. SPSS version 17.0 was used for statistical analyses. Types of analyses included Khi square test, ANOVA and correlation analysis. Level of significance was defined at p<0.05. Results: The 40% of ambulance personnel are affected by job-related stressors. The heightened and constant state of readiness does not let time for discussing work-related experiences. There was significant correlation between burnout level, years worked at NAS, and the evaluation of workplace circumstances and climate. Conclusion: Due to the results of the present study we created different possibilities of prevention and intervention that can help handle the symptoms of burnout among ambulance personnel.]

Clinical Oncology

DECEMBER 05, 2017

[Burnout syndrome - prevention and treatment]

SZY Ágnes

[The defi nition of burnout syndrome was established due to the recognition of changes that practising physicians experienced in their affective state and behaviour as well as the observation of physical symptoms that put their health at risk. Burnout syndrome can be characterised by a triadic set of factors: emotional exhaustion, depersonalisation, and decline of professional achievement. The present article aims to describe burnout syndrome with regard to the fact that similarities and differences between burnout syndrome and affective disorders such as depression must be highlighted. The focus of this article is that health care professionals burnout is multicausal and it is insuffi cient to put only the individual in the spotlight although it is imperative that we attend to the individual fi rst. It is essential to highlight the fact that without changes in the institutional work culture and requirements the prevalence of burnout syndrome can hardly decrease. It is also the aim of this work to provide the practising health care professional with information that they can easily transform into immediate help.]

Journal of Nursing Theory and Practice

DECEMBER 30, 2017

[Comparison of the Pines’ Burnout Measure and the Maslach Burnout Inventory]


[The aim of the study to compare the validity of the Pines’ Burnout Measure and the Maslach Burnout Inventory (MBI). Methods: The study was a cross-sectional quantitative survey administered online to 1201 health care professionals. Data were analyzed with chi-square test and Spearman’s rank correlation (p<0.05). Results: The Pines’ Burnout Measure correlated significantly with the exhaustion (p<0,001), depersonalization (p<0,001) and the professional efficacy (p<0,001) scales of MBI. Those, who scored high on the MBI, reached higher points on the Pines’ Burnout Measure, too. Futhermore, when the level of professional efficacy is high, the scores on the Pines’ Burnout Measure are low. Conclusions: The Pines’ Burnout Measure is as valid in the assessment of burnout as the MBI. ]

Journal of Nursing Theory and Practice

MAY 30, 2017

[The relationship of work-related conflicts and burnout among health care workers]


[The aim of the study was to investigate the relationship of work-related conflicts and burnout; furthermore to reveal the types of reactions to work-related conflicts. Material and Methods: The survey was conducted between June and August of 2016 using a self-constructed online questionnaire. Data were analyzed with SPSS 23.0; Kolmogorov-Smirnov, Shapiro-Wilk, Kruskal-Wallis and Mann-Whitney tests (Bonferroni correction) and Spearman’s rank correlation were applied (p<0.05). Results: Only 4.6% of the 1201 responders had never experienced any work-related conflicts. Burnout is present on some level by 44.2% of them. In the case of a conflict 62.2% tries to settle the problem with the source of the conflict; 41.2% talks back and one-third gets angry and unsettled. The severity of burnout and the frequency of work-related conflicts are correlated (r=0.390; p<0.000). Conclusions: The longer someone is suffering from psychic disturbances the more conflicts he/she experiences on the job. Participants usually used self-defence techniques.]

Journal of Nursing Theory and Practice

FEBRUARY 28, 2016

[Attitude towards death, psychosomatic and pszichological status of nurses working in hospice care and oncology unit]

NAGY Rebeka, NÉMETH Anikó

[Aim of the research: The aim of the research was to examine the fear of death, the attitudes towards death, the way of processing death, related to the workplace and to assess the burn out and psychosomatic symptoms among oncology nurses and hospice care workers. Research and sampling methods: To execute our research self-developed surveys were distributed online and printed (N=116) in July-August 2015, completed with a control group, as well. For data analysis we used SPSS version 19.0 with the following statistical tests: Chi square test, independent two sample t-test, Spearman rank correlation and variance analysis (p<0,05). Results: Oncology nurses had slightly more positive attitudes towards death, with significant (p=0,034) proneness to concentrate on positive events too, in case of death of their patients, and tend to attend Bálint groups more often (p=0,017), than nurses working in other unists. In the latter group psychosomatic symptoms were more frequent (p=0,032). No significant differences (p=0,234) were found between the groups in cumulative scale of fear of death. Fear of death had great effect on appearance of psychosomatic symptoms (p=0,011) and the extent of burn out (p=0,001). Conclusions: There were no significant differences in fear of death between oncology nurses and hospise care workers.]

Clinical Oncology

FEBRUARY 10, 2015

[Psychooncology in the everyday practice]


[In the past 40 years the progressively growing fi eld of psychooncology has played an increasing role in the multidisciplinary practice of oncology. In this review methods for identifying and treating cancer patients’ psychological challenges will be summarized. Effective psychological interventiones will be discussed, and two methods especially devised for supporting cancer patients (Simonton Training and Mindfulness Based Cancer Recovery) will be introduced. We also deal with the communication traits that affect the doctor-patient relationship, the mental challenges that affect doctors dealing with terminally ill patients, burnout and its prophylaxis.]

Journal of Nursing Theory and Practice

AUGUST 30, 2015

[The effects of night shifts on nurses]


[Aim of the research: The present study aimed to investigate the effects of night shifts on the somatic and psychic health, sleeping habits and substance use of nurses. Research and sampling methods: A self constructed questionnaire was administered online in October 2014 (N=396). Data were analyzed with SPSS 19.0 using descriptive statistics, chi-square and unpaired two-sample t-tests program (p<0.05). Results: Nurses having night shifts evaluated their health as worse (p=0.031), backache (p=0.019) and heartburn (p=0.029) were reported more frequent. They consume significantly more cigarettes (p=0.011). They experience more work related stress (p=0.002) and sleep disorders (p=0.006). Regarding burn-out (p=0.438) and chronic diseases (p=0.061) there was no significant difference between nurses with and without night shifts. Conclusions: Night shifts affect the health and substance use of nurses and disturb their biorhythms. ]