A HUNGARIAN JOURNAL OF NURSING THEORY AND PRACTICE
with the cooperation of the Hungarian Scientific Society of Nursing
Vol. 18. No.3. June 2005
CONTENTS
ORIGINAL CONTRIBUTION
Woman roles in female bachelor degree nurse students’ vision
Feith, H. MD, Kovács, Á., Balázs, P. MD
3
The “hanging poise”, the prevention of flat-foot among kindergarten age children
Horváth, P.
The importance of diabetologic caring among cardiovascular patients
Németh, Zs.
QUALITY ASSURANCE
Clinical Practice Standards
Somogyvári, Z.
ORIGINAL CONTRIBUTION
The possibilities for nurses in caring for premature babies at home
Németh, A.
The special aspects of elderly care in the elderly home in Kálmáncsa
Czink, Gy.
9
13
19
27
42
Woman roles in female bachelor degree nurse students’ vision
Feith, H. MD, Kovács, Á., Balázs, P. MD
Aim of the study
To measure the values and attitudes of female bachelor degree nurse students toward family, woman roles and to
get to know their vision.
Method and sample
The survey was conducted among 3rd and 4th year female bachelor degree nurse students, involving and getting
the support of all health care colleges in Hungary. The data was gathered in groups with self fill-in
questionnaires. The valuable response rate was 83% (226 persons).
Results
94.2% of the students would like to bear children; 70.6% of them plans to have two children, 14.9% of them
think of having three or four children. The vast majority of them (96.0%) plan to bear the first child under 30
years of age. In the opinion of 62.2% of the respondents, the main task of women is to care for the children,
while 51.6% of them wish to develop career. Majority of them (87.1%) rejected being employed as mother,
although 8.6% of them could imagine to live for work only.
Conclusions
The family planning of female bachelor degree nurse students mirrors the widely dominating opinion in the
Hungarian society, namely they follow the two children and conservative family model. At the same time the
vast majority of them wish to build a professional career. This duality can result in a role conflict in life plans
appearing at the same time, which can have adverse effect on health on the long term.
(NŐVÉR, 2005,18, 3, 3-8.)
The “hanging poise”, the prevention of flat-foot among kindergarten age children
Horváth, P.
The author demonstrates that there is a need already among kindergarten age children to pay
attention to the prevention of locomotor disorders becoming painful at a later time. In many cases the
posture what we think normal shows the overload disorder during kindergarten age. The result
examined with Matthias test in the study reflecting the posture of the kindergarten age children was
rather poor, 80% of them had weak posture, according to the author’s opinion. Touching the ground
with extended knee for the majority of the children was limited due to the contracted posterior gluteus
muscles, and persistent disorders in the lumbar spine. As we learn writing and reading in elementary
school we should also learn to use our spine correctly. Why do we neglect this last one? Because we
think this would go without learning. Physiotherapists very often see the negative consequences as
pain in the locomotor system. Among kindergarten age children posture and the muscles of foot-vault
may and must be influenced indirectly by roleplaying. In the development of the foot muscles and the
prevention of the posture disorders effective result can be achieved in a short time.
(NŐVÉR, 2005, 18, 3, 9-12.)
The importance of diabetologic caring among cardiovascular patients - form the point of view
of health care workers
Németh, Zs.
Aim of the study
Nowadays the term ‘cardio diabetes’ is used to feature the real risk of the clinical picture, the
development of cardio and vascular complications. The basis for effective treatment is the full-scope
awareness of patients. In my study I was seeking answer about the diabetic patients’ knowledge
related to their disease and what are the reasons behind lack of knowledge.
Study methods and sample
In the study diabetic patients with cardiovascular complications were involved. 100 anonym self fill-in
questionnaires were distributed. One part of the questions was examining the activity of health care
workers, the other part was dealing with the motivation of the patients.
Results
The collected data points out the low level of the quality of the care. In the background the insufficient
activitiy of caring team, lack of patients’ motivation, and the insufficiency of cooperation can be found.
Conclusions
There may be more explanation for inadequate care. The continuous education has equal importance
with diagnostic and therapeutic tools. Only long-term life perspectives and tertiary prevention affecting
work abilities can be taken into account in the case of evolved vascular complications. It is important
that the function of the health care workers should not be limited only to diabetology departments or
dispensaries, but it should be present in other fields as well.
(NŐVÉR, 2005,18, 3, 13-17.)
Clinical Practice Standards
Somogyvári, Z.
Quality improvement is a rather new, rather important field of the health care delivery system, which
needs theories, methods, tools, experiences, training, training programmes, and implementation
strategies of its own.
A situation must be created where nurses can define their activitiy and prove it with documents,
through continuous education and training.
With aim of laying down the profession-specific requirements, the Ministry of Health issued the first
and second version of the ‘Clinical Practice Standards’ (CPS). The groups of CPS follow the clinical
pathways.
According to my personal experience continuous, intensive, targeted and differentiated training and
preparation through visual examples is necessary in order to interpret the standards appropriately (in
the same language) and to understand them more easily.
The well-defined, professional rules based description of the processes, the protocols built on the
patients’ individual needs and documented, can match very well and if it is necessary they can be
completed with the expectations defined in the CPS. The use of CPS in practice and the regular
rethinking of processes reshaped the nurses’ outlook develops the professional self knowledge and
the desire for striving high quality patient care. It has been accepted that inseparable part of nursing is
the precise, sufficient documentation which provides safety and protection.
(NŐVÉR, 2005, 18, 3, 19-24.)
The possibilities for nurses in caring for premature babies at home
Németh, A.
Aim of the study
To get information whether it is physical, mental or social problems that concern the parents with
respect to their babies’ home care born under 2000 g; and to what extent and in which way they need
advice to care for the baby at home and to correct the mistakes; and what expert they would take
advice from.
Study methods and sample
A self fill-in questionnaire was used developed by the author. The non-representative sample involved
mothers whose premature baby was born between 2003 and 2004 with birthweight less than 2000 g.
Results
There is no correlation between birthweight and the satisfaction with the information received in the
hospital. Giving the information to the parents is not personalized and the birthweight does not
influence the amount of the information passed by the health care workers. The questioned persons
demand a preparatory program that helps the care for their infant at home.
Conclusion
Parents of low birth weight premature babies are very open to any information and preparatory
programmes which promote the care, physical and sensorial development of their babies at home.
This would allow to proceed a continuous habilitation of the premature babies at home after discharge.
This would not only promote the development of the babies, but would also reduce the parents’ fear
and tension during the difficult period.
(NŐVÉR, 2005, 18, 3, 27-35.)
The special aspects of elderly care in the elderly home in Kálmáncsa
Czink, Gy.
One of the characteristics of the demographic time change is that society is aging in the developed
industrial countries. Its effects appear in the modification of societal roles (in the work, family, and in
the field of social and health care). As a consequence, the old people resort to social services most
frequently. Beside the deterioration of the health status of the elderly, mental health problems and
psychological disorders also occur gradually.
Based on the above, special attention should be paid to these aspects in the structure of the services
in the homes for the elderly, with special regard to the fact that nowadays a reappraisal of old age is
taking place, and the question of the quality of life and lifestyle comes to the front.
(NŐVÉR , 2005, 18, 3, 42-44.)