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Vol. 16. No. 3 JUNE 2003 |
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| HOME NURSING | From traditional nursing to modern day home care: an international and Hungarian review
Farkas, G. Home care: application of protocols of skilled nursing care in home nursing practice Heiligermann, Zs. |
| COMMUNITY NURSING | The fole of community nurses in implementing national health policy goals
Körtvélyesiné Samu, Gy., Mari, A. |
| QUALITY DEVELOPMENT | Improving processes - statistical tools in Continuous Quality Improvement
Kárpáti, Z. |
| NURSING RESEARCH | Bereavement in elderly inmates and nurses in a Hungarian Social Welfare Home
Bera, T. |
From traditional nursing to modern day home care: an international and Hungarian review
Farkas, G.The article reviews the development of nursing and social services from a Hungarian and international perspective. It spans from the foundations of traditional nursing care to the delivery of modern day home care and social services. The influence of Western European and American nursing models on the development of Hungarian nursing services is discussed.
Home care: application of protocols of skilled nursing care in home nursing practice
Heiligermann, Zs.Objective: to reveal the extent to which protocols of skilled nursing care are applied in the home care setting and to identify the level of patient satisfaction with skilled nursing care at home.
Method: a questionnaire was administered to assess patient satisfaction. In order to monitor compliance with protocols of skilled nursing care, three nursing activities were selected (pressure ulcer treatment, inserting indwelling catheter in female patients and administering cleansing enema) and an observation sheet was designed. Home nurses were monitored in the daily patient care practice and compliance with the protocol was registered on the sheet.
Findings: patients were satisfied with the quality of care they received in their homes. Observation revealed a very high level of compliance with protocols of skilled nursing care in the home care setting.
The fole of community nurses in implementing national health policy goals
Körtvélyesiné Samu, Gy., Mari, A.Aims: To determine the level of awareness about national public health program among community nurses in Southern Hungary. A further goal was to assess the amount of time and type of skills employed to implement health promotion measures in the general population by community nurses.
Methods: A 20-item survey instrument developed by the Office of the Chief Medical Officer of Hungary was distributed among community nurses. A purposive sampling technique was used to select subjects. Altogether, 90 survey instruments were returned and analyzed.
Results: A significant proportion (40%) of community nurses had been unaware of national policies. Although many community nurses did implement health promotion measures, there was an increased need for such services in the community. Health promotion interventions were based on conventional methods rather than on evidence, most activities were limited to executing doctors' orders instead of independent counseling.
Conclusions: Community nurses are central to the development of public health. Their competencies, education and numbers should be reevaluated in order to ensure sustainable improvement in the health of communities.
Bereavement in elderly inmates and nurses in a Hungarian Social Welfare Home
Bera, T.Objective: : to assess the process of bereavement and mourning, their mental and somatic features in elderly inmates and nurses caring for them; to study burn-out in nursing staff at a social welfare home.
Findings: : females were found to exhibit stronger responses to bereavement. Somatic symptoms tended to become more frequent following a death, with sleep disturbances being especially prevalent.