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Vol. 16. No. 5 OCTOBER 2003 |
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| ORIGINAL CONTRIBUTIONS | What do parents think of the nursing care delivered to their children?
Kudalek, É. Conductive education. (110th birth anniversary of András Pető, the originator of conductive education) Medveczky, E. |
| NURSING EDUCATION | Midwifery nursing in Slovakia - need for Evidence Based Practice
Baskova, M., M.N., Ph.D. - Baska, T., M.D., PhD. - Straka, S., Prof., M.D., Ph.D. Equal opportunities for survival (Experiences with an accredited training course) Buda, K., Vida, K. |
| HEALT DEVELOPMENT | Health development in nursing. Part Two
Mata, Zs., Nagy, A., Bakonyi, T. |
| RESEARCH METHODOLOGY | A historical review of clinical trials. The role of the 'study nurse' in multinational, multicenter clinical trials
Zatkó, J. Nurses in research - the study nurse: Whose interest is it, anyway? Zrínyi, M. Critical evalution of research findings. Part Two Gulácsi, L. |
What do parents think of the nursing care delivered to their children?
Kujalek, É:Objective: to learn and understand parental opinion about inpatient nursing care for their children; to compare findings of two study years (1997/98 and 2002); to identify, improve and monitor shortcomings in nursing.
Methods and sample: self-administered questionnaire survey of parents of children in 'Heim Pál' Pediatric Hospital, Budapest, Hungary, upon discharge from hospital. Sample size was 150 persons (1997/98) and 389 persons (2002) respectively.
Results: Parents were in general fully satisfied with nurses and nursing. As compared to the first study year, satisfaction increased in the second (93% resp. 98% of parents). It was possible to identify areas requiring greater attention in both years. Communication toward children and parents was identified as an issue of decisive importance within nursing activities.
Conclusions: Satisfaction surveys make it possible to identify shortcomings and to take correction measures. Together with the introduction of the open hospital, the need for information increased. Nursing staff at this hospital must develop in this regard, and they should be given help to attain this goal. In addition to raising awareness about the importance of communication, education, continuing education and strengthening professional self-confidence are necessary to improve quality of nursing.
Conductive education. (110th birth anniversary of András Pető, the originator of conductive education)
Medveczky, E.There are about 120-150 million children and young people living with disabilities all over the world. According to the latest national census, Hungary has about 90,000 motor disabled inhabitants. The prevalence of moderate to severe cerebral palsy (CP) is 0.1-0.3%; 25% of the patients are incapable of walking, 30% are intellectually affected, almost 1/3 are epileptic, with a varying incidence of sensory and perceptual disturbances as associated symptoms. For the time being, no objective screening method or diagnostic test procedure is known to unambiguously predict CP. It is more than 60 years since Pető elaborated conductive education and its values, such as learning, cognition, coexistence and conductive life style, are still relevant. This learning process builds on human characteristics that the individual still possesses despite severe damage to the central nervous system. Developmental neurology, a very important element of early medical diagnostics and habilitation, is accessible in Hungary. It is essential that the transition to the promotion of development should be as smooth as possible. Utilising the learning capacities of the brain, conductive education provides continuity and is compatible with any method. A closer collaboration and appropriate (further) training of the professionals involved in this therapy, its development and the instruction would ensure that those in need achieve integration, independence and a higher quality of life.
Midwifery nursing in Slovakia - need for Evidence Based Practice
Baskova, M., M.N., Ph.D., Baska, T., M.D., Ph.D., Straka, S., Prof., M.D., Ph.D.Modern midwifery as a part of nursing is a relatively young branch of health-care in Slovakia. It started to transform from the former Soviet model only in 1990s. One of important problems of its transformation represents insufficient implementation of Evidence Based Practice (EBP) in nursing. Problems regarding EBP in midwifery in Slovakia include several issues: lack of clear and measurable definitions and formulations of objectives and goals, insufficient number of valid scientific articles in nursing journals and uncritical implementation of western experiences, ethical aspects of health-care, insufficient knowledge of nurses to evaluate evidences and carry out trials providing valid results.
Suggestions for how to solve these problems include teaching of EBP in nursing education (not only epidemiology and statistics, but interpretation and evaluation of evidences, and their implementation into daily practice), educating nurses to be able to provide their own scientific studies and trials with valid, reliable results.
Proper implementation of EBP in this field could increase respect of modern nursing both among physicians and the lay public as well as to improve midwifery health care in Slovakia.
Keywords: midwifery, nursing, evidence based practice
Equal opportunities for survival (Experiences with an accredited training course)
Buda K., Vida K.The Health Law in Hungary mandates for each and every healthcare worker to deliver first-aid in an emergency, therefore continuing education in CPR was organized in a county hospital. Leading to an examination, the course is taught on the basis of international CPR guidelines and requirements. Last year, it became possible to include healthcare workers outside the hospital and lay persons into the training.
Health development in nursing. Part Two
Mata, Zs., Nagy, A., Bakonyi, T.A nationwide health promotion program 'Johan Béla' Program for a Healthy Nation' is being implemented in Hungary, in which the nursing personnel must also pay a pivotal role. Authors have hypothesized that the program, although both a government and health administration priority, is not well-known to the nursing and allied health personnel, albeit nursing could be instrumental in health education and health promotion. To identify the level of awareness of, and involvement in the implementation of the Program, authors administered a questionnaire survey in two county hospitals in Hungary and compared their findings. They maintain that nurses should receive further training and education in health promotion and health development in order to be able to contribute to improving public health.