Georgios Manomenidis, Panagiotis Tzourakis, P. Liamopoulou, T. Bellali
Introduction: Treatment approaches for drug addiction are classified into several general types: psychosocial interventions as a part of drug-free programs, opioid maintenance treatment programs and detoxification programs. Μethadone maintenance treatment (MMT) is one of the most common therapeutic approaches. Aim: To investigate the factors that affect drug dependent people’s subjective Quality of Life (QOL) under MMT. Methods: A cross sectional study was conducted in a convenience sample of 209 drug dependent people under MMT provided by a substitution treatment unit (OKANA). They completed a questionnaire that included: a) demographic/occupational characteristics, b) the Short Form 12-Item Health Survey questionnaire (SF-12) and c) the Symptom Checklist-90-R (SCL-90-R). Data analysis was carried out using the statistical package SPSS 24.0. Results: Mean scores for the physical (PCS) and the mental (MCS) subscale of SF-12 were 47.4(±8.8) and 38.6(±9.2) respectively, displaying lower level of drug dependent people’ QOL. High mean scores of the nine symptomatic dimensions and the three global indices of the SCL-90-R demonstrate existence between addiction and psychiatric disorder. Prolonged time period over two years under MMT was associated with deterioration in their QOL. Drug dependent people with the longest stay under MMT had higher scores in the subscales of somatization (p =0.051), the obsessive-compulsive disorder (p =0.013), the Global Severity Index (p=0.041) and the Positive Symptoms Total (p=0.033). Findings indicate that female sex, the age of initiation of drugs (younger age) and previous Conclusions: In line with drug dependent people’s subjective QOL, prolonged time under MMT was associated with poor QOL. Therefore, changing MMT program’s philosophy is essential to cover drug dependent people’s further psychosocial needs.
导言:药物成瘾的治疗方法分为几种一般类型:作为戒毒计划的一部分的社会心理干预，阿片类药物维持治疗计划和戒毒计划。Μethadone维持治疗(MMT)是最常见的治疗方法之一。目的:探讨影响药物依赖者MMT主观生活质量(QOL)的因素。方法:对某替代治疗单位(OKANA)提供MMT治疗的209名药物依赖者进行方便样本横断面研究。他们完成了一份调查问卷，包括:a)人口统计学/职业特征，b)简短的12项健康调查问卷(SF-12)和c)症状检查表-90- r (SCL-90-R)。采用SPSS 24.0统计软件进行数据分析。结果:SF-12生理(PCS)分量表和精神(MCS)分量表的平均得分分别为47.4(±8.8)分和38.6(±9.2)分，药物依赖者的生活质量水平较低。SCL-90-R的9个症状维度和3个整体指标的高平均得分表明成瘾与精神障碍之间存在差异。MMT治疗时间延长超过2年与患者生活质量恶化有关。在MMT下停留时间最长的药物依赖者在躯体化(p= 0.051)、强迫症(p= 0.013)、整体严重程度指数(p=0.041)和阳性症状总数(p=0.033)的子量表上得分较高。结论:与药物依赖者的主观生活质量一致，MMT治疗时间延长与生活质量差相关。因此，改变MMT项目的理念对于覆盖药物依赖者进一步的社会心理需求至关重要。
{"title":"Factors affecting the quality of life of drug dependent people under methadone maintenance treatment","authors":"Georgios Manomenidis, Panagiotis Tzourakis, P. Liamopoulou, T. Bellali","doi":"10.24283/hjns.202126","DOIUrl":"https://doi.org/10.24283/hjns.202126","url":null,"abstract":"Introduction: Treatment approaches for drug addiction are classified into several general types: psychosocial interventions as a part of drug-free programs, opioid maintenance treatment programs and detoxification programs. Μethadone maintenance treatment (MMT) is one of the most common therapeutic approaches.\u0000Aim: To investigate the factors that affect drug dependent people’s subjective Quality of Life (QOL) under MMT.\u0000Methods: A cross sectional study was conducted in a convenience sample of 209 drug dependent people under MMT provided by a substitution treatment unit (OKANA). They completed a questionnaire that included: a) demographic/occupational characteristics, b) the Short Form 12-Item Health Survey questionnaire (SF-12) and c) the Symptom Checklist-90-R (SCL-90-R). Data analysis was carried out using the statistical package SPSS 24.0.\u0000Results: Mean scores for the physical (PCS) and the mental (MCS) subscale of SF-12 were 47.4(±8.8) and 38.6(±9.2) respectively, displaying lower level of drug dependent people’ QOL. High mean scores of the nine symptomatic dimensions and the three global indices of the SCL-90-R demonstrate existence between addiction and psychiatric disorder. Prolonged time period over two years under MMT was associated with deterioration in their QOL. Drug dependent people with the longest stay under MMT had higher scores in the subscales of somatization (p =0.051), the obsessive-compulsive disorder (p =0.013), the Global Severity Index (p=0.041) and the Positive Symptoms Total (p=0.033). Findings indicate that female sex, the age of initiation of drugs (younger age) and previous\u0000Conclusions: In line with drug dependent people’s subjective QOL, prolonged time under MMT was associated with poor QOL. Therefore, changing MMT program’s philosophy is essential to cover drug dependent people’s further psychosocial needs.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116763649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Konstantina Katsigianni, Chara Theodoridou, P. Apostolara
Menopause, in many parts of the world, is considered as an important issue in a woman's life. It begins with the permanent cessation of menstruation and is a period of transition and adaptation to a new condition characterized by lack of estrogen and loss of reproductive capacity of the woman. The transition to this new reality is accompanied by a series of biological and psychosocial changes with a variety of physical and emotional symptoms. As every woman is different, so the experience of menopause varies. According to the literature, although the emergence of symptoms is a global phenomenon, women from different cultural backgrounds report different symptoms. The same applies to perceptions about the meaning of menopause. The aim of the present paper was to investigate, through recent literature data, these different perceptions and symptoms that women of different cultures attribute to menopause. The review showed important differences between women of different countries but also between women living in the same country.
{"title":"Cultural differences, attitudes and perceptions\u0000regarding menopause","authors":"Konstantina Katsigianni, Chara Theodoridou, P. Apostolara","doi":"10.24283/hjns.202122","DOIUrl":"https://doi.org/10.24283/hjns.202122","url":null,"abstract":"Menopause, in many parts of the world, is considered as an important issue in a woman's life. It begins with the permanent cessation of menstruation and is a period of transition and adaptation to a new condition characterized by lack of estrogen and loss of reproductive capacity of the woman. The transition to this new reality is accompanied by a series of biological and psychosocial changes with a variety of physical and emotional symptoms. As every woman is different, so the experience of menopause varies. According to the literature, although the emergence of symptoms is a global phenomenon, women from different cultural backgrounds report different symptoms. The same applies to perceptions about the meaning of menopause. The aim of the present paper was to investigate, through recent literature data, these different perceptions and symptoms that women of different cultures attribute to menopause. The review showed important differences between women of different countries but also between women living in the same country.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131106649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chrysi Alibaki Alibaki, I. Apostolakis, P. Domeyer, P. Sarafis
Introduction: Organ donation is considered in many cases as the only therapeutic solution. The lack of donors throughout the world, leads to the need of a survey of the factors affecting the formation of the human behavior in order to change it, in particular in our country, where there is a significant research gap and a reduced number of donors. Aim: The aim of the specific quantitative survey is the detection of the factors affecting the attitude and perceptions of the nursing and medical staff of the General Hospital (G.H.) of Edessa, with regards to organ donation, as well as the prediction of their willingness to issue an organ donor card. Methods: The survey was based on the collection of 283 questionnaires, based on the Theory of Planned Behavior. In order to enhance the representation amongst people, data were weighted so that both doctors and nurses could have equal rates to such of the population. Results: The intention to discuss with the family was positively associated with moral rules, while the intention to issue a donor card was positively associated with morality and subjective perception of control. Gender, profession, educational level and previous relevant behavior are the most important factors of differentiation. Conclusions: The medical and nursing staff of the G.H. of Edessa presents a low intention to issue a donation card, however, they are very positive to the idea of donation. The attitude and intention of the medical doctors is more positive comparison to the nursing. The professional status is the most important variable under study, as it differentiates attitudes and intentions of health care workers. It is necessary to promote the idea of donation through social services.
{"title":"Knowledge, attitudes and behavioural intentions regarding organ donation in a General Hospital of Northern Greece","authors":"Chrysi Alibaki Alibaki, I. Apostolakis, P. Domeyer, P. Sarafis","doi":"10.24283/hjns.202124","DOIUrl":"https://doi.org/10.24283/hjns.202124","url":null,"abstract":"Introduction: Organ donation is considered in many cases as the only therapeutic solution. The lack of donors throughout the world, leads to the need of a survey of the factors affecting the formation of the human behavior in order to change it, in particular in our country, where there is a significant research gap and a reduced number of donors.\u0000Aim: The aim of the specific quantitative survey is the detection of the factors affecting the attitude and perceptions of the nursing and medical staff of the General Hospital (G.H.) of Edessa, with regards to organ donation, as well as the prediction of their willingness to issue an organ donor card.\u0000Methods: The survey was based on the collection of 283 questionnaires, based on the Theory of Planned Behavior. In order to enhance the representation amongst people, data were weighted so that both doctors and nurses could have equal rates to such of the population.\u0000Results: The intention to discuss with the family was positively associated with moral rules, while the intention to issue a donor card was positively associated with morality and subjective perception of control. Gender, profession, educational level and previous relevant behavior are the most important factors of differentiation.\u0000Conclusions: The medical and nursing staff of the G.H. of Edessa presents a low intention to issue a donation card, however, they are very positive to the idea of donation. The attitude and intention of the medical doctors is more positive comparison to the nursing. The professional status is the most important variable under study, as it differentiates attitudes and intentions of health care workers. It is necessary to promote the idea of donation through social services.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"128 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132983781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Konstantinos Gatsios, Martha Stauropoulou-Kelesi, G. Fasoi
The phenomenon of violence in the working environment concerns all professions and all countries. Several researchers and studies dealing with violence in the working environment towards health professionals shows the extent of the problem. This phenomenon is more pronounced in the emergency departments (EDs) where violence is an inevitable part of professional life. Healthcare professionals are at higher risk than administrative staff. Especially for ED workers, violence in the working environment can lead to burnout. The causes vary, starting with the excessive waiting time due to lack of staff and ending up in the inadequate policy that most hospitals have for violence in the working environment. The phenomenon of workplace violence undermines the care and safety of patients, while nursing staff in order to fulfill their difficult tasks need a safe environment. Workload, lack of staff and unfulfilled expectations of patients and escorts are not consistent with the proper patients nursing management.
{"title":"Violence in the hospital area as a professional scourge in the 21st century","authors":"Konstantinos Gatsios, Martha Stauropoulou-Kelesi, G. Fasoi","doi":"10.24283/hjsn202121","DOIUrl":"https://doi.org/10.24283/hjsn202121","url":null,"abstract":"The phenomenon of violence in the working environment concerns all professions and all countries. Several researchers and studies dealing with violence in the working environment towards health professionals shows the extent of the problem. This phenomenon is more pronounced in the emergency departments (EDs) where violence is an inevitable part of professional life. Healthcare professionals are at higher risk than administrative staff. Especially for ED workers, violence in the working environment can lead to burnout. The causes vary, starting with the excessive waiting time due to lack of staff and ending up in the inadequate policy that most hospitals have for violence in the working environment. The phenomenon of workplace violence undermines the care and safety of patients, while nursing staff in order to fulfill their difficult tasks need a safe environment. Workload, lack of staff and unfulfilled expectations of patients and escorts are not consistent with the proper patients nursing management.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"225 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127166357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Primary Cutaneous Lymphomas are a group of lymphomas that show complexity in diagnosis, clinical presentation and treatment. The aim of this review paper is to present the nurse’s role in the care of Primary Cutaneous Lymphomas, both as member of a multidisciplinary team, as well as an independent healthcare professional in the diagnosis, treatment, support of patients’ and in the management of the adverse complications. A review of the publications in Greek medical journals, nursing books, electronic databases of scientific societies and in pubmed and google scholar database, for the period from 2004 to 2018. From the papers found 53 were used. The nursing role is crucial, both in the initial diagnosis of the disease, as well as in the progress and treatment. The nurse’s role as a member of the multiprofessional team is emphafized, especially as nurse navigator. At the same time, the potential problems during treatment and the nursing interventions are presented. In conclusion, it is stated that a nurse can help solve many problems related to the understanding of symptoms and the course of the disease, but also be a supportive person for the patient and his/her caregiver. At the same time, the nurse is presented as a useful guide with the complexity of healthcare system.
{"title":"The nurse’s role in the care of primary cutaneous lymphomas","authors":"Sophia Tselenkidou, Maria Andreou","doi":"10.24283/hjns.202043","DOIUrl":"https://doi.org/10.24283/hjns.202043","url":null,"abstract":"Primary Cutaneous Lymphomas are a group of lymphomas that show complexity in diagnosis, clinical presentation and treatment. The aim of this review paper is to present the nurse’s role in the care of Primary Cutaneous Lymphomas, both as member of a multidisciplinary team, as well as an independent healthcare professional in the diagnosis, treatment, support of patients’ and in the management of the adverse complications. A review of the publications in Greek medical journals, nursing books, electronic databases of scientific societies and in pubmed and google scholar database, for the period from 2004 to 2018. From the papers found 53 were used. The nursing role is crucial, both in the initial diagnosis of the disease, as well as in the progress and treatment. The nurse’s role as a member of the multiprofessional team is emphafized, especially as nurse navigator. At the same time, the potential problems during treatment and the nursing interventions are presented. In conclusion, it is stated that a nurse can help solve many problems related to the understanding of symptoms and the course of the disease, but also be a supportive person for the patient and his/her caregiver. At the same time, the nurse is presented as a useful guide with the complexity of healthcare system.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129860212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christina Girtsou, P. Stergiannis, Theoharis Konstantinidis, G. Martinis
Continuity in patient healthcare shows significant gaps and variations, due to reduced communication between healthcare services. The information transfer to all stages of health structures is often inadequate with many variations, especially at the critical stage after discharge from the hospital, in which patients are usually more vulnerable. The major problem of the lack of interconnection between healthcare services occurs mainly among the elderly, the chronically ill and those who take a lot medication. The main effects of this problem are medication side effects, treatment overlap, poor quality of healthcare and financial costs. Enhancing communication, through the electronic interface and the use of the Personal Electronic Health Folder (P.E.H.F.), which will include the individual details of each patient and information about his clinical status, is aiming at the use of best practices for patient recovery by healthcare providers. The thorough literature review, the strategic analysis PESTEL and the control process, pointed out the need to use the P.E.H.F., to achieve substantial improvements in the quality of patient healthcare. With the practical use of P.E.H.F., the healthcare of all patients will be unquestionably, safe, effective, patient-centered, immediate and fair.
{"title":"The Personal Electronic Health Folder and the usefulness of electronic systems to improve health services","authors":"Christina Girtsou, P. Stergiannis, Theoharis Konstantinidis, G. Martinis","doi":"10.24283/hjns.202042","DOIUrl":"https://doi.org/10.24283/hjns.202042","url":null,"abstract":"Continuity in patient healthcare shows significant gaps and variations, due to reduced communication between healthcare services. The information transfer to all stages of health structures is often inadequate with many variations, especially at the critical stage after discharge from the hospital, in which patients are usually more vulnerable. The major problem of the lack of interconnection between healthcare services occurs mainly among the elderly, the chronically ill and those who take a lot medication. The main effects of this problem are medication side effects, treatment overlap, poor quality of healthcare and financial costs. Enhancing communication, through the electronic interface and the use of the Personal Electronic Health Folder (P.E.H.F.), which will include the individual details of each patient and information about his clinical status, is aiming at the use of best practices for patient recovery by healthcare providers. The thorough literature review, the strategic analysis PESTEL and the control process, pointed out the need to use the P.E.H.F., to achieve substantial improvements in the quality of patient healthcare. With the practical use of P.E.H.F., the healthcare of all patients will be unquestionably, safe, effective, patient-centered, immediate and fair.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123016143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Panagiota Peleka, O. Siskou, P. Galanis, O. Konstantakopoulou, D. Kaitelidou
Introduction: Providing high quality care in todays’ Intensive Care Units is a challenge because of the constant increase in demand, the high functional cost and the restricted availability of resources. Evaluating both patients’ experiences and outcomes from the care provided is necessary for ensuring high quality in health care. Aim: The investigation of patient reported experiences in Intensive Care Units and the evaluation of their health related quality of life six to twelve months after discharge. Methods: It is a non-interventional cross-sectional study with retrospective data collection. The participants were 108 patients, discharged from four Intensive Care Units of three military hospitals in Athens. Telephone interviews were conducted using “Patient Empowerment Questionnaire” and “Quality of life Questionnaire” to evaluate patients’ experiences and health related quality of life respectively. Statistical analysis was conducted using the statistical package SPSS v.25.0. Results: The majority of the study population reported positive experiences with the critical care staff and normal quality of life after discharge. However, 47% reported that they could not always sleep at night and 32% did not always receive adequate pain relief. In regards to patients’ quality of life, “normal daily activities” were affected the most. Specifically, half of the patients reported inability to carry out activities requiring high level of physical effort and 1/5 expressed difficulties in walking and in mobility. Additionally, 43% reported difficulties in the job or their daily activities, have changed or completely abandoned them. Conclusions: The patients’ positive experiences and good health related quality of life after discharge gave the impression that quality of intensive care in Greek military hospitals is high. Interventions intending to achieve more adequate pain relief, better sleep at night, and prevention of critical illness’ negative impact on day-to-day activities would ensure more positive results.
{"title":"Patients’ reported experiences and Health Related Quality of Life after discharge from Intensive Care Units","authors":"Panagiota Peleka, O. Siskou, P. Galanis, O. Konstantakopoulou, D. Kaitelidou","doi":"10.24283/hjns.202045","DOIUrl":"https://doi.org/10.24283/hjns.202045","url":null,"abstract":"Introduction: Providing high quality care in todays’ Intensive Care Units is a challenge because of the constant increase in demand, the high functional cost and the restricted availability of resources. Evaluating both patients’ experiences and outcomes from the care provided is necessary for ensuring high quality in health care.\u0000\u0000Aim: The investigation of patient reported experiences in Intensive Care Units and the evaluation of their health related quality of life six to twelve months after discharge.\u0000\u0000Methods: It is a non-interventional cross-sectional study with retrospective data collection. The participants were 108 patients, discharged from four Intensive Care Units of three military hospitals in Athens. Telephone interviews were conducted using “Patient Empowerment Questionnaire” and “Quality of life Questionnaire” to evaluate patients’ experiences and health related quality of life respectively. Statistical analysis was conducted using the statistical package SPSS v.25.0.\u0000\u0000Results: The majority of the study population reported positive experiences with the critical care staff and normal quality of life after discharge. However, 47% reported that they could not always sleep at night and 32% did not always receive adequate pain relief. In regards to patients’ quality of life, “normal daily activities” were affected the most. Specifically, half of the patients reported inability to carry out activities requiring high level of physical effort and 1/5 expressed difficulties in walking and in mobility. Additionally, 43% reported difficulties in the job or their daily activities, have changed or completely abandoned them.\u0000\u0000Conclusions: The patients’ positive experiences and good health related quality of life after discharge gave the impression that quality of intensive care in Greek military hospitals is high. Interventions intending to achieve more adequate pain relief, better sleep at night, and prevention of critical illness’ negative impact on day-to-day activities would ensure more positive results.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122868689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Children’s immunization has been one of the most important public health measures in the 20th century. However, a number of parents consider the vaccines unsafe and they are skeptical about their use. Aim: The aim of the present study was to investigate parents’ perceptions and views on children’s vaccination. Methods: Twenty parents (2 male and 18 female) were included in the present pilot study which was based on semi-structured interviews. Ten parents (females) were healthcare professionals (nurses and health visitors) and ten (2 males and 8 females) were not healthcare professionals. Interview data were analyzed using the thematic analysis technique. Results: Results show that parents were concerned about vaccination safety, side effects of the vaccines, lifelong coverage of children, immune system overload, commercial purposes of vaccines and validity of information about vaccination. Comparisons between parents who were healthcare professionals and parents who had a different profession showed that the latter were more hesitant and had more misconceptions about vaccines. Conclusions: The decision to vaccinate children or not is a huge responsibility towards every child, but also towards society. Healthcare professionals are able to provide objective information to parents to take informed decisions.
{"title":"Parents’ perceptions and views regarding vaccination: A pilot survey of parents-healthcare professionals and parents non-healthcare professionals","authors":"Aglaia Stampoltzi, Εrene Stylianaki, Εfstratia Stavrinou","doi":"10.24283/hjns.202046","DOIUrl":"https://doi.org/10.24283/hjns.202046","url":null,"abstract":"Introduction: Children’s immunization has been one of the most important public health measures in the 20th century. However, a number of parents consider the vaccines unsafe and they are skeptical about their use.\u0000\u0000Aim: The aim of the present study was to investigate parents’ perceptions and views on children’s vaccination.\u0000\u0000Methods: Twenty parents (2 male and 18 female) were included in the present pilot study which was based on semi-structured interviews. Ten parents (females) were healthcare professionals (nurses and health visitors) and ten (2 males and 8 females) were not healthcare professionals. Interview data were analyzed using the thematic analysis technique.\u0000\u0000Results: Results show that parents were concerned about vaccination safety, side effects of the vaccines, lifelong coverage of children, immune system overload, commercial purposes of vaccines and validity of information about vaccination. Comparisons between parents who were healthcare professionals and parents who had a different profession showed that the latter were more hesitant and had more misconceptions about vaccines.\u0000\u0000Conclusions: The decision to vaccinate children or not is a huge responsibility towards every child, but also towards society. Healthcare professionals are able to provide objective information to parents to take informed decisions.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126949445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Overcrowding in hospital Emergency Departments (ED) is a major problem of public healthcare systems both in Greece and internationally, leading to delay in provision of adequate and high-quality healthcare. During the COVID-19 pandemic a significant reduction in ED overcrowding was observed, as many relative urgent cases, usually at lower risk reduced their visits to the ED, in fear of a possible infection. Several healthcare systems abroad have tried to tackle with the problem, establishing or redesigning Primary Health Care (PHC) centers, both rural and urban, which would manage both low-risk emergencies of the general population, but also the routine care of patients with chronic diseases. The purpose of this article was twofold and included on the one hand the presentation of the characteristics such PHC centers treating low risk emergencies and on the other hand the preparation of a transferability plan for these centers in the PHC of the Greek healthcare system. For the study of the transferability we used a new methodology, which includes and assesses a number of criteria that should be considered to facilitate of effective health interventions from a primary context to a specific target context. The researchers identified obstacles, but also opportunities for the transferability of PHC centers that should be established to manage low-risk emergencies in the Greek healthcare system. Further research is needed to evaluate the effectiveness of such centers to improve overcrowding in hospital ED, patient satisfaction, and to ensure an effective, as well as cost-effective emergency management, for instance through a small-scale pilot program in urban centers in Greece.
{"title":"Transferability of international knowledge and experience for the management of low-risk Emergencies, in on-call Primary Healthcare Centers (PHC) in Greece","authors":"Κyriakos Martakis, G. Manomenidis, T. Bellali","doi":"10.24283/hjns.202041","DOIUrl":"https://doi.org/10.24283/hjns.202041","url":null,"abstract":"Overcrowding in hospital Emergency Departments (ED) is a major problem of public healthcare systems both in Greece and internationally, leading to delay in provision of adequate and high-quality healthcare. During the COVID-19 pandemic a significant reduction in ED overcrowding was observed, as many relative urgent cases, usually at lower risk reduced their visits to the ED, in fear of a possible infection. Several healthcare systems abroad have tried to tackle with the problem, establishing or redesigning Primary Health Care (PHC) centers, both rural and urban, which would manage both low-risk emergencies of the general population, but also the routine care of patients with chronic diseases.\u0000\u0000The purpose of this article was twofold and included on the one hand the presentation of the characteristics such PHC centers treating low risk emergencies and on the other hand the preparation of a transferability plan for these centers in the PHC of the Greek healthcare system. For the study of the transferability we used a new methodology, which includes and assesses a number of criteria that should be considered to facilitate of effective health interventions from a primary context to a specific target context.\u0000\u0000The researchers identified obstacles, but also opportunities for the transferability of PHC centers that should be established to manage low-risk emergencies in the Greek healthcare system. Further research is needed to evaluate the effectiveness of such centers to improve overcrowding in hospital ED, patient satisfaction, and to ensure an effective, as well as cost-effective emergency management, for instance through a small-scale pilot program in urban centers in Greece.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133688201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Quality in healthcare services means doing the right things, making continuous improvements in order to get the best results, being interested in satisfying both healthcare providers and recipients. Aim: To investigate the views of health professionals on the quality of the provided health and social care services. Methodology: A cross-sectional study was carried out on healthcare professionals working in public and private healthcare organizations in December 2017 and January 2018. In total, the study involved 155 healthcare professionals who answered 25 questions on the dimensions of quality and the way they perceive the quality of the provided healthcare to its recipients. Data were collected using a structured anonymous self-report questionnaire. Statistical analysis was performed with the SPSS 24.0 statistical package. Results: The majority of the sample was female (75%) with higher education (44.5%) holding a master’s or doctorate degree (45.2%). Participants (86%) consider integral to providing quality healthcare services a combination of appropriate patient care that was linked to a framework of continuous evaluation, control and improvement even after treatment ended. Furthermore, as healthcare quality characteristics are considered the healthcare professional’s satisfaction of their relationship with the user of the services regarding the amount of information provided to the later and the provision of personalized services (>80%). In addition, empathy of health professionals (82%), compliance with the standards and quality of procedures (68%) are qualitative parameters. Conclusions: The way healthcare professionals perceive the quality of customer/user interaction with healthcare services, empathy, personalized care and long-term utility are among the most important quality parameters of health services.
{"title":"Investigating healthcare professionals’ views regarding the quality of provided healthcare services","authors":"A. Koulouri","doi":"10.24283/hjns.202044","DOIUrl":"https://doi.org/10.24283/hjns.202044","url":null,"abstract":"Introduction: Quality in healthcare services means doing the right things, making continuous improvements in order to get the best results, being interested in satisfying both healthcare providers and recipients.\u0000\u0000Aim: To investigate the views of health professionals on the quality of the provided health and social care services.\u0000\u0000Methodology: A cross-sectional study was carried out on healthcare professionals working in public and private healthcare organizations in December 2017 and January 2018. In total, the study involved 155 healthcare professionals who answered 25 questions on the dimensions of quality and the way they perceive the quality of the provided healthcare to its recipients. Data were collected using a structured anonymous self-report questionnaire. Statistical analysis was performed with the SPSS 24.0 statistical package.\u0000\u0000Results: The majority of the sample was female (75%) with higher education (44.5%) holding a master’s or doctorate degree (45.2%). Participants (86%) consider integral to providing quality healthcare services a combination of appropriate patient care that was linked to a framework of continuous evaluation, control and improvement even after treatment ended. Furthermore, as healthcare quality characteristics are considered the healthcare professional’s satisfaction of their relationship with the user of the services regarding the amount of information provided to the later and the provision of personalized services (>80%). In addition, empathy of health professionals (82%), compliance with the standards and quality of procedures (68%) are qualitative parameters.\u0000\u0000Conclusions: The way healthcare professionals perceive the quality of customer/user interaction with healthcare services, empathy, personalized care and long-term utility are among the most important quality parameters of health services.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114839244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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