The effect of nursing intervention on the patient's self-care capability, between hospital admission and release
Zrínyi, M. MD, Rimár, I. MD

Aims: Assess the impact of nursing care on patients' self-care agency between admission to hospital care and discharge.
Methods: TA pre-test post-test quasi experimental design with random selection was used. Patients and nurses completed a self-care agency assessment form as well as demographic and satisfaction measures.
Results: Patients reported increased self-care agency. There was no difference either in patient or nurse ratings of self-care agency between admission or discharge. Better patient-nurse relationships increased self-care agency in patients.
Conclusion: In order to assess the effect of nursing care on self-care capabilities acute care research with long-term follow up is recommended.
Key words: self-care agency, nursing care, Orem's model, impact, hospital admission and discharge.

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Business training in higher and adult education
Gábor, K., Pogány, M., Kárpáti, Cs., Zoltán, P.

We introduced teaching of entrepreneur studies in the curriculum of the basic and postgraduate studies of health care professionals. Our project was supported by the PHARE Program, which was aimed to facilitate the change the approach and structure of the disadvantageous regions. Our particular aim was to provide healthcare professional's the knowledge and skills necessary for starting and operating health care enterprise. In this way we can achieve that entrepreneur form of work became feasible or even attractive for health visitors, nurses, physicians and physiotherapists. This will enhance one hand the effectiveness of the health care system and on the other hand the work satisfaction and motivation of the health care professionals, which will also improve the effectiveness. These specialists being white collar workers influence the intellectual views of other employees and in this way will enhance the spreading the entrepreneur approach.

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Healthcare HR development program, based on performance appraisal, introduced at the Heves County Coucil Markhot Ferenc Hospital and Clinic
Szloboda, I., Pap, K. MD

Pursuant to Act LXXXIV of 2003, in January of 2005, a performance appraisal scheme for healthcare workers at the aforementioned institution. Individuals were appraised using a system that encompassed five main areas, comprising a total of 24 working requirements, forms of conduct, behaviour or personal qualities, each of which was rate on a scale of 1-5. The article gives a presentation of the results through a summary of the completed appraisal sheets of 891 healthcare workers. The appraisal process used is suitable for determining the education and training requirements of the workers, by effectively identifying - regardless of specialisation and level of training - training, those areas in which the healthcare workers require further skills development.

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The changing face of healthcare science in higher education
Betlehem, J.

Higher education is undergoing a transformation across Europe, in order to create 'higher education without borders' in the EU. The changes are referred to as the "Bologna Process," since the fundamental principles shaping higher education, and thus the future of European society, were set forth in Bologna in 1999. The aim of the reforms is to create a standardised, transparent and effective system of higher vocational training, which is capable of reacting flexibly to changes in the labour market and the challenges faced by the knowledge-based society. This process also affects the healthcare training sector, with the result that in Hungary the former basic healthcare major taught in healthcare colleges has been transformed into four basic majors, with a number of specialisations. The article gives a breakdown of the initial stages of implementation of the Bologna process in Hungary.

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The healthcare workers' registry
Sövényi, F.

Act CLIV of 1997 on Healthcare (the Healthcare Act) placed maintenance of the healthcare workers' registry on a new footing. This law created two, closely linked systems for the registration of healthcare workers: the basic register, with the purpose of certifying vocational qualifications in a way that is universally accepted, and the operating register, which has the aim of providing a credible record of the data relating to healthcare workers.
Maintaining the basic register is a state task, and the data required is provided, in accordance with the provisions of the Act, by the institutions performing the education/vocational training. The individual healthcare workers have to request inclusion in the operating register.
The registration period lasts for five years, within which period 100 practical and theoretical points must be gained.
Besides its primary objective, the data accumulated in the course of compiling the National Register is also suitable for obtaining information, useful from a professional and policy point of view, regarding the human resources at the disposal of the healthcare system.
The author gives an overview of the legislative environment with respect to the registration of healthcare workers, as well as providing statistics and conclusions gleaned and extrapolated from the National Register.

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