Burnout among nurses in dialysis centres
Szemlédy, I.

Objective: to identify the frequency of burnout syndrome among nursing working with chronic patients in dialysis centres and nursing in active patient care; to study the extent to which nursing staff at different areas of nursing are affected by physical and psychological exhaustion; to explore any potential correlation between the extent of social support and efficiency of team work at the workplace and the appearance of burnout syndrome.
Methods and sample: an internationally validated questionnaire supplemented with measurement of physical and psychological exhaustion and team efficiency was administered. The survey was carried out among nursing working at dialysis centres of EuroCare Rt. network, among nurses at Flór Ferenc Hospital, Pest County, Hungary and students in their last year of MSc in Nursing studies.
Result: physical and psychological exhaustion and burnout syndrome occurred very frequently among nurses in the study. Team efficiency at the workplace showed good correlation with burnout, but this was not true of social support at the workplace.
 

---

The role of the nurse with MSc in Nursing degree in preventing and treating urinary incontinence in women
Horváthné Gáti, E.

Objective: to identify knowledge related to the prevention and conventional treatment of incontinence, as well as the possibilities of decreasing the number of incontinency episodes in female patients.
Patients and methods: a questionnaire was administered and descriptive statistical methods were used. Altogether 112 questionnaires were distributed to women seen at urology specialist consultation with incontinence. The questionnaire contained 11 closed questions and 1 open question. The respondents had to underline the correct answer and could add narrative text to the last question.
Result: 66% of the respondents did not know anything about the ways of preventing incontinence, and 58% were not aware of treatment options; in 28-30% of the respondents, 2-3 years elapsed until they sought medical advice. Seventy-five percent of the respondents wanted to have information about their condition and the possibilities of conventional treatment.
Conclusions: It is maintained that incontinence care should figure as a separate task among health care activities. The health administration should have prevention strategies which should begin with the provision of basic obstetrical care. Incontinence consultations should be established at the appropriate specialised ambulatory clinics in order to provide prevention and continuing care to these patients. Direct relationships should be crated between patients, healthcare workers and healthcare institutions.
 

---

Nutritional habits of patients on dialysis
Barnáné Susa, É.; Feketsné Kisvarga, A.

Dialysis is a medical intervention that requires increased compliance and cooperation from the patient. It is especially true of dietary recommendations and rules. In terminal stage renal disease, non-compliance with dietary recommendations might endanger the patient's life in the short run, and will shorten survival and worsen quality of life in the long run. Therefore dieticians should be involved in the care of these patients. Dieticians have an opportunity to meet patients in the course of dialysis and provide counselling to them. They may gather information on the patient's dietary patterns and habits, or the problems he/she faces in terms of diet. This paper is based on a survey of dietetical needs of dialysis patients.
 

---

Tube feeding - Conditions in Hungary
Aradán M., Sahin P., Topa L., Pozsár J.

In a considerable number of Hungarian hospitals, the nutritional status of the patients is not assessed upon admission, there is a lack of appropriate treatment guidelines, protocols, neither are competencies clearly defined (nurse-dietician-doctor) and funding is not solved, either. Legal regulations are obsolete. The ability of the profession to advocate their interests is very weak, consequently they cannot influence drafting of the relevant legislation. Teaching of this field is not organised and professional knowledge is not included in the teaching material consistently. Nursing research in clinical feeding is very scarce. On the other hand, excellent products are available for tube feeding. It is hoped that professionals will try to find a solution to this problem in terms of both financing and legal issues in the near future.

Back