Elliniko Periodiko tis Nosileutikis Epistimis最新文献

{"title":"Nurses’ reported burnout and its relationship to patients’ length of stay in Magnet hospitals","authors":"Konstantinos Konstantidis Konstantidis, Korina Katsaliaki","doi":"10.24283/hjns.202241","DOIUrl":"https://doi.org/10.24283/hjns.202241","url":null,"abstract":"Background: The health system nationally and internationally, due to the recent advent of the Covid-19 pandemic, has faced a multitude of difficulties in its functioning. The pandemic posed a serious threat to human health, causing rapid changes to the health systems and the health professionals, such as nursing staff, who were called upon to make every effort to respond to the difficulties by working intensively long hours. In these unprecedented circumstances, staff burnout has swelled and may pose a threat to patient safety. Purpose: The purpose of this study is to investigate the role of nurses’ burnout and workload in predicting covid-19 patients’ length of stay. Method: A total of 160 nurses of a General Hospital participated in the survey and 160 records were kept of 22 patients in the Intensive Care Unit (ICU) Covid-19. The Maslach questionnaire (Maslach Burnout Inventory (MBI)) was used as a study tool to measure burnout, the Nursing Activity Score (NAS) for nursing workload and the duration of hospitalization for Covid-19 patients were taken from hospital records. Multiple regression analysis was performed with the stepwise selection method, in order to be able to determine the factors that affect the patients’ length of stay. Results: Nurses’ burnout in ICU Covid-19 was found to be high as well as their workload. However, only the nursing workload (β =, 452 t = 2,124, p = 0,35) was associated with a longer patients’ length of stay in the ICU (F (1,158) = 4,512, p <, 001) and not the dimensions of burnout. Conclusions: The current pandemic pointed out the existing gaps in the health system. Nurses are unable to influence the uncontrollable course of Covid-19 disease, which has hampered their daily work and mental health and their workload has an impact on patient safety.","PeriodicalId":31383,"journal":{"name":"Elliniko Periodiko tis Nosileutikis Epistimis","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135010579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The health professionals and SARS-Cov-2 pandemic. Occupational performance and mental health","authors":"Aikaterini Stauropoulou, Konstantinia Karathanasi","doi":"10.24283/hjns.202321","DOIUrl":"https://doi.org/10.24283/hjns.202321","url":null,"abstract":"Introduction: World Health Organization has designated 2021 as the International Year of Health Care Workers, recognizing the impact of the pandemic on their mental and physical health. Purpose: Investigating the impact of Covid-19 pandemic on mental health and professional performance of Greek National Health System health professionals. Material and Method: Online non-experimental quantitative cross-sectional study of 203 health care workers with a questionnaire that included a) the Health Worker’s Perception Survey on Covid-19 b) the Fear of Covid-19 questionnaire and c) the e-health questionnaire. Statistical analysis was carried out by SPSS – version 25, parametric t-test and one-way ANOVA tests were used while the level of statistical significance was set at 0.05. Results: Continuous information and the provision of Personal Protective Equipment had significant role in the performance of health professionals. The results did not show high levels of stress (M.T.=1.40) and fear (M.T.=1.14). Women presented higher levels of stress and fear compared to men (p =0.001), while health professionals who deal exclusively with the care of Covid-19 patients, had higher levels of stress (p=0.039). Also, respondents with ≥10 years of work showed greater levels of fear (p=0.014) and stress (p=0.044) than those with ≤10 years. Conclusions: Information, availability of Personal Protective Equipment and the observance of protection measures, are some important factors that during pandemic, have a decisive effect on health care workers’ efficiency and levels of fear and stress.","PeriodicalId":31383,"journal":{"name":"Elliniko Periodiko tis Nosileutikis Epistimis","volume":"134 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135772446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The anxiety of pregnant women with established type 1 or type 2 Diabetes Mellitus – Systematic review","authors":"Amalia Karanasou, Eleni Evagelou, Nikoleta Margari, Georgia Kimouliati, Evgenia Vlachou","doi":"10.24283/hjns.202324","DOIUrl":"https://doi.org/10.24283/hjns.202324","url":null,"abstract":"Introduction: Women with pre-existing type I and II diabetes mellitus in pregnancy are a high-risk group for developing complications in both themselves and their infants. The level of stress women with pre-existing diabetes experience at the early and late pregnancy, may determine its outcome. Aim: The aim of this study was to systematically review the literature regarding the investigation of the anxiety level of pregnant women with pre-existing type I or II D.M. Methodology: A systematic review of the literature was undertaken by searching scientific articles in the Pubmed database. Seven primary studies were included in the present thesis that were written in English, published in the last ten years and included women with pre-existing D.M. Results: The prevalence of anxiety symptoms in pregnant women with D.M. was found to be 40% at the beginning of pregnancy, which is five times higher than in pregnant women without D.M. Pregnancy-related stress was associated with vaginal bleeding, preterm birth, induction of labor and use of birth control medications. A greater improvement in the score of the concise mental element was observed with lower HbA1c in late pregnancy. Conclusions: The prevalence of stress in early pregnancy is higher in women with diabetes and hyperglycemia compared to pregnant women without D.M., but the frequency of stress is not affected by their glycemic status.","PeriodicalId":31383,"journal":{"name":"Elliniko Periodiko tis Nosileutikis Epistimis","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135772664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors affecting the outcome of weaning from mechanical ventilation in patients with tracheostomy in the Intensive Care Unit","authors":"Eftychia Ximeraki, Athina Patelarou, Ilias Samiotis, Charalambos Markakis, Michail Zografakis Sfakianakis","doi":"10.24283/hjns.202322","DOIUrl":"https://doi.org/10.24283/hjns.202322","url":null,"abstract":"Introduction: Although most patients are easily released from mechanical ventilation, however almost 10% need prolonged mechanical ventilation and undergo a tracheostomy. Aim: Aim of this study was to investigate the factors that may influence the weaning process in tracheostomy patients in the ICU. Methodology: A retrospective cohort study was conducted. Data were collected from the records of 85 adult patients who underwent tracheostomy during their hospitalization in the ICU of a General Regional Hospital, from 2016-2020. For the data collection, a demographic, clinical data recording form and the mechanical ventilation evaluation scale (VIS) were used, recording the 1st, 5th and 10th day after the tracheostomy. The analysis of the study data was done using the SPSS program (IBMCorp. 2019, IBM SPSS Statistics for Windows, v.26.0, Armonk). Results: The total percentage of patients who were successfully weaned was 40%. Patients with successful weaning had significantly lower: Charlson Comorbidity Index score (3.7 vs. 5.0) and higher score on the sum of positive cultures (0-3) (p=0.043). Patients with successful weaning were found to have significantly higher levels of VIS index the 5th (66.6 vs. 33.0) and 10th day (79.8 vs. 34.7). Also, they were positively correlated with the score in the sum of positive cultures (0-3) and with a lower score of VIS 5th (rho = -0.337, p = 0.002) and 10th day (rho = -0.2295, p = 0.012). Finally, through Cox regression, prognostic factors for weaning outcome, multiple diseases (comorbidity) and the duration of mechanical ventilation were assessed. Conclusions: Factors affecting the outcome of weaning were identified. In addition, the value of the VIS prognostic model in the ICU of a General Regional Hospital was confirmed.","PeriodicalId":31383,"journal":{"name":"Elliniko Periodiko tis Nosileutikis Epistimis","volume":"260 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135772443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pressure ulcers in critically ill: correlation with Intensive Care conditions","authors":"Christothea Zervoudaki, Angeliki Konstantinidi, Christina Loukaki, Marina Tzini, Ioanna Velegraki, Maria Koretsi, Ioanna Papoutsaki","doi":"10.24283/hjns.202323","DOIUrl":"https://doi.org/10.24283/hjns.202323","url":null,"abstract":"Introduction: Critically ill are a special category of patients in need of high standards medical and nursing care. Multiple intrinsic and extrinsic factors that characterize these patients tend to contribute into the development of pressure ulcers. Despite the fact that the implementation of preventive measures seems to inhibit the development of pressure ulcers in a significant percentage, there are often conditions that cannot be surpassed and result to the appearance of unavoidable pressure ulcers. Aim: Study of the factors that contribute to the development of pressure ulcers for the critically ill and the effectiveness of the preventive measures applied in ICU. Method: Information regarding hospitalization data was obtained for all 351 critically ill admitted in an ICU of a regional university hospital during a one year period (May 2021-April 2022). Subsequently, a statistical analysis was performed in order to relate the development of pressure ulcers and intrinsic factors as well as other factors such as medication administered, feeding and preventive measures applied. Results: Incidence of decubitus ulcers was estimated at 23%, first noticed on the 10th day from admission, located in the coccyx at a rate above 50%. Extrinsic factors that seem to contribute to the development of pressure ulcers appear to be the length of ICU stay, the administration of vasoactive drugs and the insufficient caloric and protein coverage through feeding. Use of preventive surfaces, seem to act as a deterrent for pressure ulcer development for the majority of the patients. Most of the pressure ulcers developed during ICU stay, were evaluated as stable or improved during ICU discharge. Conclusions: Improvement of the parameters involved in pressure ulcer development for the critically ill, contribute to the reduction of their occurrence in ICU. Despite the use of advanced pressure reducing surfaces, tissue ischemia may occur even after mild pressure applied. However, high percentage of pressure ulcers could be prevented with appropriate medical care.","PeriodicalId":31383,"journal":{"name":"Elliniko Periodiko tis Nosileutikis Epistimis","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135772236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of psychoeducation in psychological trauma","authors":"Polyxeni Mangoulia","doi":"10.24283/hjns.202326","DOIUrl":"https://doi.org/10.24283/hjns.202326","url":null,"abstract":"The experience of traumatic event may lead to short-term and long-term health problems. There are different therapeutic interventions for psychological trauma, psychoeducation is one of them. Psychoeducation for trauma therapy is an evidenced based psychotherapeutic intervention including information about the health problem, skills training, and support. The purpose of the study was to investigate the application of psychoeducation for the treatment of psychological trauma. A review of the scientific literature in the PubMed and Google Scholar databases was performed. There are mixed results in studies and clinical practice regarding psychoeducation in trauma therapy, therefore most of them are very satisfying and encouraging. Psychoeducation can be delivered at different time points, before a potentially traumatic event or after the event, encouraging help seeking, reducing stigma, and reinforcing mental resilience and prosperity of people. Applying psychoeducation right after the traumatic experience, doesn’t seem to be very effective but it’s important to start as soon as possible and often, take into consider the individual characteristics and culture. Certainly, more studies are needed to investigate all dimensions of this intervention.","PeriodicalId":31383,"journal":{"name":"Elliniko Periodiko tis Nosileutikis Epistimis","volume":"478 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135772442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the role of school nurses in primary schools: a literature review","authors":"Sofia Lykopoulou, Ourania Georgia Mitsi, Elpiniki Laiou","doi":"10.24283/hjns.202325","DOIUrl":"https://doi.org/10.24283/hjns.202325","url":null,"abstract":"Introduction: The school nurse promotes the health of students within their sphere of responsibility, protects their safety and aims at their balanced development. They therefore have the potential to directly contribute to the assessment, early management and prevention of health problems in the school environment. Aim: The aim of this bibliographic review was to investigate contemporary research articles on the role of school nurses in prevention, health problem management and health promotion in primary schools. Methodology: Scientific literature searches were conducted in the electronic databases PubMed andScopus using the keywords: “primary school” and “school nurse”. The criteria used for the inclusion of articles in the review were that they should describe research studies related to health interventions in primary schools and the role of school nurses, published within the last decade in English or Greek. The sample of the present work consisted of 13 research articles (2012 - 2019). Results: The research studies reported on the prevention and treatment of obesity, the promotion of hand hygiene and influenza vaccination, the prevention of school bullying and sexual abuse, and the management of type 1 diabetes. Further studies investigated the management of stress and sleep problems, the prevention of nail biting and the management of seizures within the school environment. Conclusions: According to the contemporary scientific literature, the role of school nurses in primary schools is potentially multidimensional. The school nurse can contribute substantially towards promoting the health and balanced development of that particular school population.","PeriodicalId":31383,"journal":{"name":"Elliniko Periodiko tis Nosileutikis Epistimis","volume":"42 9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135772447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}