nõvér2001december

CONTENTS Vol. 15. No. 5 OCTOBER 2002
NURSING RESEARCH	Health improvement in nursing Mata, Zs., Nagy, A.
NURSING RESEARCH	Shared responsibility of health care and social service providers in supporting parents expecting their first child Soósné Kiss, Zs.
OPINION	Losing and regaining the prestige of nursing Cseri, L.
NURSING PRACTICE	Participation of the nurse anesthetist in the nursing process Kuczkóné Illés, A.
WOUND MANAGEMENT	Current treatment of leg ulcers in home nursing Magyari, I., Mezõné Mizsei, T.
NURSING HISTORY	The history of religious orders in nursing. Part 4. Kocsis, I.
SUPPLEMENT	Regulating the scope of nursing authorities and powers by a definitzion of nursing competences in the quality system of Baja Hospital, Hungary Billoné Jenei, A., Csordás, J.

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Health improvement in nursing
Mata, Zs., Nagy, A.
Objective:To identify nursing and allied health personnel’s level of knowledge concerning the ’For a Healthy Nation’ Public Health Program; to decide the role assumed by nurses and allied health personnel in the implementation of the Program.
Methods and sample: A random sample of healthcare workers at the nursing units of a Hungarian county hospital was involved in a questionnaire survey. The questionnaire consisted of 15 questions ; 115 questionnaires were returned.
Findings: The majority of respondents (74%) thought hat the population’s health status was deteriorating, 21% believed it was stagnating and 5% thought it was improving. A significant proportion (54%) of respondents were not familiar with the Public Health Program. A strong need for environment protection and expanding screening was identified, together with the need for health communication and continuous control.
Conclusions: Those who did not hear about the Program obviously do not participate in its implementation. For the Program to be successful, an effective information campaing would be required not only in the population at large, but also among healthcare workers. It is important that healthcare workers should have correct information on the population’s health status, in order to lay the foundations for a health status research which could provide the baseline for later comparison.

Shared responsibility of health care and social service providers in supporting parents expecting their first child
Soósné Kiss, Zs.
Supporting and helping expectant mothers and their families and protecting the fetus and the baby fall primarily within the competence of healthcare providers. The significant change occuring with the birth of the first child, however, requires a joint approach by healthcare providers and social welfare professionals. This presupposes that the members of the provider teams be knolwedgeable about each other’s competencies, frameworks of their work and possibilities. This paper stress the need for cooperation and reviews those pieces of legislation that define the frameworks for such cooperation.

Participation of the nurse anesthetist in the nursing process
Kuczkóné Illés, A.
Objective: To identify the ways in which nurse anesthetists may participate in the pre- and postoperative nursing process; to assess the impact of preoprative ambulatory consultations on nursing activities.
Methods: A questionnaire survey was administered to 90 nurses in surgical units at a Hungarian community hospital.
Findings: The majority of nurses required the help of nurse anesthetists in their daily work. Nurses expressed positive opinions about preoprative ambulatory consultations which they maintained decreased their workload. Nurses need help mostly in terms of patient preparation, information and postoperative observation.
Conclusions, proposals: There is a need to review the competencies of nurse anesthetists and to involve them mor deeply in nursing. Consideration should be given to the establishment of postoperative care units that would be lead by nurse anesthetists and where nursing care would be delivered by nurse anesthetists.

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